Resumen

Background: Altitude above sea level and body mass index are well-recognized determinants of oxygen saturation in adult populations; however, the contribution of these factors to oxygen saturation in children is less clear. Objective: To explore the contribution of altitude above sea level and body mass index to oxygen saturation in children. Methods: A multi-center, cross-sectional study conducted in nine cities in Mexico. Parents signed informed consent forms and completed a health status questionnaire. Height, weight, and pulse oximetry were recorded. Results: We studied 2,200 subjects (52% girls) aged 8.7 ± 3.0 years. Mean body mass index, z-body mass index, and oxygen saturation were 18.1 ± 3.6 kg·m^-2, 0.58 ± 1.3, and 95.5 ± 2.4%, respectively. By multiple regression analysis, altitude proved to be the main predictor of oxygen saturation, with non-significant contributions of age, gender, and body mass index. According to quantile regression, the median estimate of oxygen saturation was 98.7 minus 1.7% per km of altitude above sea level, and the oxygen saturation fifth percentile 97.4 minus 2.7% per km of altitude. Conclusions: Altitude was the main determinant of oxygen saturation, which on average decreased 1.7% per km of elevation from a percentage of 98.7 at sea level. In contrast with adults, this study in children found no association between oxygen saturation and obesity or age.

Palabras clave: Oxygen altitude SpO₂ body mass index children.

2016-04-13   |   529 visitas   |   Evalua este artículo 0 valoraciones

Vol. 67 Núm.6. Noviembre-Diciembre 2015 Pags. 366-371 Rev Invest Clin 2015; 67(6-ENGLISH)