IMMEDIATE EFFECTS OF BACKPACK ON VENTILATION AMONG SCHOOL GOING CHILDREN AGED FROM 7 TO 15 YEARS IN NAVSARI, GUJARAT, INDIA
DOI:
https://doi.org/10.46827/ejprs.v1i2.71Keywords:
age, weight, height, backpack, school going children, forced vital capacity, force expiratory volume in one second, subjects, peak expiratory flow rateAbstract
Background: Backpacks are used popularly by students to carry their school belongings in many countries. Therefore, serious concerns are being raised about the effect of the backpack on children. There is ongoing concern regarding the weight of children’s schoolbags and the negative consequences of such heavy loads on the developing spine and cardio-respiratory systems. There are various other factors which are affecting cardiorespiratory fitness in adult as well as children. A significant reduction was reported for most of the ventilatory function parameters while carrying the backpack.
Purpose: To check the immediate effect of the backpack on the ventilation of school-going children aged from 7-15 years in Navsari. Method: 210 subjects were taken in this study to check respiratory parameters. All included children were tested in standing position with the head straight after taking written consent from parents. They were further divided into three age groups ranging from 7-9 years, 10-12 years, and 13-15 years. Spirometry was done using the spirometer of clarity medical Pvt. Ltd. Spirometer used in the study facilitates the total valuation of lung function including forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and peak expiratory flow rate (PEFR). Results: With the help of SPSS software paired sample t-test was done. The parameters of FVC, FEV1, and PEFR showed a significant reduction in the data with a backpack, without a backpack and with one shoulder strap. The result of parameters was p˂0.005 except for the value of PEFR with one shoulder strap in the third age group which was p=0.108. Conclusion: There is a significant reduction in respiratory function (FVC, FEV1, and PEFR) in correlation with age, weight, and height and bag weight of subjects.
References
Jaypee Brothers (Jaypeedigital) (2012). Essentials of Medical Physiology. (Jaypee eBooks.) Jaypee Brothers Medical Publishers (P) Ltd.
M. Ramprasad, Jeba Alias, Raghuveer A. Effect of Backpack Weight on Postural Angles in Preadolescent Children. Indian Pediatrics. 2009;47.
Ochieng B. M. Factors affecting choice of a healthy lifestyle: implications for nurses. Br J Community Nurs. 2006;11(2):78-81. doi:10.12968/bjcn.2006.11.2.20445
Al-Katheri A. E. Impact of backpack load on ventilatory function among 9-12-year-old Saudi girls. Saudi Med J 2013; 34:1255-61.
Whittfield J. K., Legg S. J., Hedderley D. I. The weight and use of schoolbags in New Zealand secondary schools. Ergonomics. 2001;44(9):819-24.
John E. Hall P. Guyton and Hall Textbook of Medical Physiology, 2016. Print.
Srinivas P. Factors Affecting Peak Expiratory Flow Rate and Derive Predictive Equation in Children of 6-12 Years of Age of Karaikal. Journal of Evolution of Medical and Dental Sciences. 2013;2(6).
Vijayasekaran D., Subramanyam L., Balachandran A., Shivbalan S. Spirometry in Clinical Practice. Indian Pediatrics. 2003.
Jones, R. L., & Nzekwu, M.-M. U. (September 01, 2006). The Effects of Body Mass Index on Lung Volumes. Chest, 130, 3, 827-833.
Pelosi, P., Croci, M., Ravagnan, I., Tredici, S., Pedoto, A., Lissoni, A., & Gattinoni, L. (January 01, 1998). The effects of body mass on lung volumes, respiratory mechanics, and gas exchange during general anesthesia. Anesthesia and Analgesia, 87, 3, 654-60.
Ruppel, G. (2009). Manual of pulmonary function testing. St. Louis, Mo: Mosby Elsevier.
Rachhanaa S. Pawaskar S. S. P., Ruchika Patel, Puneet Kaur Dhaliwal, Anjali V. Wagh. A Cross-Sectional Study to Assess Effects of Schoolbag Weight and Musculoskeletal Health Problems in Primary School Students of Kolhapur National Journal of Community Medicine. 2018;9(12).
Dockrell, S., C. Kane and E. O'Keeffe. “Schoolbag weight and the effects of schoolbag carriage on secondary school students.” (2006).
Sung-Hyoun Cho P., Jung-Ho Lee P., Cheol-Yong Kim P. The Changes of Electromyography in the Upper Trapezius and Supraspinatus of Women College Students According to the Method of Bag-carrying and Weight. J Phys Ther Sci 2013; 25:1129-31.
Doctor T. H., Trivedi S. S., Chudasama R. K. Pulmonary function test in healthy school children of 8 to 14 years age in south Gujarat region, India. Lung India. 2010;27(3):145-8.
Stefano Negrini M., Roberta Carabalona, Dipeng. Backpacks on Schoolchildren’s Perceptions of Load, Associations with Back Pain and Factors Determining the Load. SPINE. 2002; 27:187-95.
Puckree T., Silal S. P., Lin J. School bag carriage and pain in school children. Disabil Rehabil. 2004;26(1):54-9.
Gurin D., Hudak J., Tomkova S. Influence of Postural Training of Diaphragm on Functional Lung Capacity. Alternative & Integrative Medicine. 2017;06(04).
Wang S., Sun X., Hsia T. C., Lin X., Li M. The effects of body mass index on spirometry tests among adults in Xi'an, China. Medicine (Baltimore). 2017;96(15): e6596.
Quanjer P. H., Hall G. L., Stanojevic S., Cole T. J., Stocks J., Global Lungs I. Age- and height-based prediction bias in spirometry reference equations. Eur Respir J. 2012;40(1):190-7.
Katz S., Arish N., Rokach A., Zaltzman Y., Marcus E. L. The effect of body position on pulmonary function: a systematic review. BMC Pulm Med. 2018;18(1):159.
Umesh G. Lalloo, Margaret R. Becklake, Goldsmith C. M. Effect of standing versus sitting Position on Spirometric Indices in Healthy Subjects. Respiration. 1991; 58:122-5.
Ganeswara Rao Melam S. B., Adel Alhusaini, Mohammed Abdulrahman Alghamdi MSA, Parmveer Kaushal. Effect of Different Positions on FVC and FEV1 Measurements of Asthmatic Patients. J Phys Ther Sci 2014;26.
Jat, K. R. (January 01, 2013). Spirometry in children. Primary Care Respiratory Journal: Journal of the General Practice Airways Group, 22, 2, 221-9.
Senent JNS-CECACC. Differences in Pulmonary Function Based on Height Prediction Obtained by Using Alternative Measures Respiration. 2009.
Geraldine I. Sheir-Neiss R. W. K., Tariq Rahman, Lisa P. Jacobson, Jennifer A. Pelli, The Association of Backpack Use and Back Pain in Adolescents. 2003;28.
S. Ostrowski, Barud W. Factors Influencing Lung Function: Are the Predicted Values for Spirometry Reliable Enough? Journal of Physiology and Pharmacology. 2006.
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