Peak nasal inspiratory flow: normal values in a healthy vietnamese adult population
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DOI:
https://doi.org/10.34071/jmp.2025.6.883Abstract
Background: Peak nasal inspiratory flow (PNIF) is an objective measurement of nasal patency. However, standard reference values specific to the Vietnamese population have not been established.
Materials and methods: In a cross-sectional study, PNIF was measured three times in 300 healthy Vietnamese participants aged 17 to 88. Normal PNIF values for males and females were determined through multiple regression analysis, adjusting for age and height.
Results: Males showed significantly higher PNIF values than females (158.78 ± 40.97 vs. 113.40 ± 31.93 L/min, p < 0.001). Both age and height were found to significantly influence PNIF (p < 0.001). After adjusting for these variables, the average difference between genders was 33.82 ± 33.71 L/min. The reference range for males was 121.93 (95% CI: 119.16 - 124.69) to 181.68 (95% CI: 178.92 - 184.45) L/min, and for females, it was 92.53 (95% CI: 90.62 - 94.43) to 143.44 (95% CI: 141.54 - 145.34) L/ min. The third PNIF measurement yielded the highest average, which was statistically significantly different from the first and second attempts. Conclusions: PNIF is influenced by gender, age, and height. This study provides reference PNIF values for healthy Vietnamese adults, adjusted for these factors.
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References
1.Clement PA, Gordts F. Standardisation Committee on Objective Assessment of the Nasal Airway, IRS, and ERS. Consensus report on acoustic rhinometry and rhinomanometry. Rhinology. 2005;43(3):169-179
2.André RF, Vuyk HD, Ahmed A, Graamans K, Nolst Trenité GJ. Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the
highest level of evidence. Clin Otolaryngol. 2009;34(6):518-
525
3.Rujanavej V, Snidvongs K, Chusakul S, Aeumjaturapat S. The validity of peak nasal inspiratory flow as a screening tool for nasal obstruction. J Med Assoc Thai. 2012;95(9):1205-1210
4.Youlten LJ. Nasal airway patency measurement in the assessment of rhinitis therapy. Arb Paul Ehrlich Inst Georg Speyer Haus Ferdinand Blum Inst Frankf A M. 1983;(78):111-113
5.Mo S, Gupta SS, Stroud A, Strazdins E, Hamizan AW, Rimmer J, et al. Nasal Peak Inspiratory Flow in Healthy and Obstructed Patients: Systematic Review and Meta-
Analysis. Laryngoscope. 2021;131(2):260-267
6.Ottaviano G, Scadding GK, Coles S, Lund VJ. Peak nasal inspiratory flow; normal range in adult population. Rhinology. 2006;44(1):32-35
7.Klossek JM, Lebreton JP, Delagranda A, Dufour X. PNIF measurement in a healthy French population. A prospective study about 234 patients. Rhinology. 2009;47(4):389-392
8.Cho SI, Hauser R, Christiani DC. Reproducibility of nasal peak inspiratory flow among healthy adults: assessment of epidemiologic utility. Chest. 1997;112(6):1547-1553
9.Teixeira RUF, Zappelini CEM, Alves FS, da Costa EA. Peak nasal inspiratory flow evaluation as an objective method of measuring nasal airflow. Braz J Otorhinolaryngol. 2011;77(4):473-480
10.Tantilipikorn P. Peak Nasal Inspiratory Flow: Reference Values for Thais. Siriraj Med J 2015, 67.
11.Russel SM, Frank-Ito DO. Gender Differences in
Nasal Anatomy and Function Among Caucasians. Facial Plast Surg Aesthet Med. 2023;25(2):145-152
12.Papachristou A, Bourli E, Aivazi D, et al. Normal peak nasal inspiratory flow rate values in Greek children and adolescents. Hippokratia. 2008;12(2):94-97
13.Prescott CA, Prescott KE. Peak nasal inspiratory flow measurement: an investigation in children. Int J Pediatr Otorhinolaryngol. 1995;32(2):137-141
14.van Spronsen E, Ebbens FA, Fokkens WJ. Normal peak nasal inspiratory flow rate values in healthy children aged 6 to 11 years in the Netherlands. Rhinology. 2012;50(1):22-25
15.Holmström M, Scadding GK, Lund VJ, Darby YC. Assessment of nasal obstruction. A comparison between rhinomanometry and nasal inspiratory peak flow. Rhinology. 1990;28(3):191-196