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2000
Volume 21, Issue 4
  • ISSN: 1573-398X
  • E-ISSN: 1875-6387

Abstract

 Objective

This study aimed to demonstrate the accuracy of a portable device for measuring nasal and bronchial fractional exhaled nitric oxide (nFeNO and FeNO) as an alternative method to replace a high-cost multiple flow device in subjects with allergic rhinitis (AR).

 Methods

It was a descriptive and comparative study. The healthy subjects (control group), subjects with AR (AR group) and those with AR and asthma (AR-A group) were enrolled in this study. They underwent nasal and bronchial FeNO measurements by both fixed flow NObreath® connected to nasal mask (for nFeNO) and without mask (for FeNO) and multiple flows HypAir FeNO®.

 Results

There were 153 subjects recruited during the study period, including 63 healthy subjects and 90 subjects with AR and AR-A. There were no statistically significant differences in anthropometric characteristics between study groups. The concentrations of nasal FeNO and bronchial FeNO measured by a portable device in subjects with AR were higher than in healthy subjects: 76.0 ± 50.7 ppb 36.0 ± 28.1 ppb ( < 0.01), and 32.3 ± 15.4 ppb 9.2 ± 5.6 ppb ( < 0.001). There was a weak correlation between nasal FeNO measured by portable devices and multiple flow devices.

 Conclusion

The portable device is useful in measuring nasal FeNO in subjects with AR. The advantages of a low-cost and accurate portable device may help it be used in primary care in the management of subjects with allergic rhinitis and asthma.

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2025-11-16
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References

  1. GustafssonL.E. LeoneA.M. PerssonM.G. WiklundN.P. MoncadaS. Endogenous nitric oxide is present in the exhaled air of rabbits, guinea pigs and humans.Biochem. Biophys. Res. Commun.1991181285285710.1016/0006‑291X(91)91268‑H1721811
    [Google Scholar]
  2. LundbergJ.O.N. Farkas-SzallasiT. WeitzbergE. RinderJ. LidholmJ. ÄnggåardA. HökfeltT. LundbergJ.M. AlvingK. High nitric oxide production in human paranasal sinuses.Nat. Med.19951437037310.1038/nm0495‑3707585069
    [Google Scholar]
  3. AbbaA. Exhaled nitric oxide in diagnosis and management of respiratory diseases.Ann. Thorac. Med.20094417318110.4103/1817‑1737.5600919881162
    [Google Scholar]
  4. Vo-Thi-KimA. Van-QuangT. Nguyen-ThanhB. Dao-VanD. Duong-QuyS. The effect of medical treatment on nasal exhaled nitric oxide (NO) in patients with persistent allergic rhinitis: A randomized control study.Adv. Med. Sci.202065118218810.1016/j.advms.2019.12.00431978697
    [Google Scholar]
  5. Duong-QuyS. Hua-HuyT. Tran-Mai-ThiH.T. Le-DongN.N. CraigT.J. Dinh-XuanA.T. Study of exhaled nitric oxide in subjects with suspected obstructive Sleep apnea: a pilot study in vietnam.Pulm. Med.201620161710.1155/2016/305091826881073
    [Google Scholar]
  6. TeeK.H. HuiK.P. ATS/ERS recommendations for standardized procedures for the online and offline measurement of exhaled lower respiratory nitric oxide and nasal nitric oxide, 2005.Am. J. Respir. Crit. Care Med.2005171891293010.1164/rccm.200406‑710ST15817806
    [Google Scholar]
  7. DweikR.A. BoggsP.B. ErzurumS.C. IrvinC.G. LeighM.W. LundbergJ.O. OlinA.C. PlummerA.L. TaylorD.R. An official ATS clinical practice guideline: interpretation of exhaled nitric oxide levels (FENO) for clinical applications.Am. J. Respir. Crit. Care Med.2011184560261510.1164/rccm.9120‑11ST21885636
    [Google Scholar]
  8. ManiscalcoM. VitaleC. VatrellaA. MolinoA. BiancoA. MazzarellaG. Fractional exhaled nitric oxide-measuring devices: technology update.Med. Devi.2016915116010.2147/MDER.S9120127382340
    [Google Scholar]
  9. RagnoliB. RadaeliA. PochettiP. KetteS. MorjariaJ. MalerbaM. Fractional nitric oxide measurement in exhaled air (FeNO): perspectives in the management of respiratory diseases.Ther. Adv. Chronic Dis.2023142040622323119048010.1177/2040622323119048037538344
    [Google Scholar]
  10. WeschtaM. DeutschleT. RiechelmannH. Nasal fractional exhaled nitric oxide analysis with a novel hand-held device.Rhinology2008461232718444488
    [Google Scholar]
  11. Duong-QuyS. Clinical utility of the exhaled nitric oxide (NO) measurement with portable devices in the management of allergic airway inflammation and asthma.J. Asthma Allergy20191233134110.2147/JAA.S19048931632093
    [Google Scholar]
  12. TakenoS. OkabayashiY. KohnoT. YumiiK. HirakawaK. The role of nasal fractional exhaled nitric oxide as an objective parameter independent of nasal airflow resistance in the diagnosis of allergic rhinitis.Auris Nasus Larynx201744443544110.1016/j.anl.2016.09.00727692400
    [Google Scholar]
  13. Duong-QuyS. Vu-MinhT. Hua-HuyT. Tang-Thi-ThaoT. Le-QuangK. Tran-ThanhD. Doan-Thi-QuynhN. Le-DongN.N. CraigT.J. Dinh-XuanA.T. Study of nasal exhaled nitric oxide levels in diagnosis of allergic rhinitis in subjects with and without asthma.J. Asthma Allergy201710758210.2147/JAA.S12904728356764
    [Google Scholar]
  14. HusnaNS.M. TanH.T.T. ShukriMN. AshariMN.S. WongK.K. Allergic rhinitis: a clinical and pathophysiological overview.Front. Med. 2022987411410.3389/fmed.2022.87411435463011
    [Google Scholar]
  15. WangI.J. TungT.H. TangC.S. ZhaoZ.H. Allergens, air pollutants, and childhood allergic diseases.Int. J. Hyg. Environ. Health20162191667110.1016/j.ijheh.2015.09.00126404109
    [Google Scholar]
  16. FröhlichM. PinartM. KellerT. ReichA. CabiesesB. HohmannC. PostmaD.S. BousquetJ. AntóJ.M. KeilT. RollS. Is there a sex-shift in prevalence of allergic rhinitis and comorbid asthma from childhood to adulthood? A meta-analysis.Clin. Transl. Allergy2017714410.1186/s13601‑017‑0176‑529225773
    [Google Scholar]
  17. Duong-QuyS. Nguyen-Thi-DieuT. Tran-QuangK. Tang-Thi-ThaoT. Nguyen-VanT. Vo-Pham-MinhT. Vu-Tran-ThienQ. Bui-DiemK. Nguyen-NhuV. Hoang-ThiL. CraigT. Study of nasal fractional exhaled nitric oxide (FENO) in children with allergic rhinitis.Sinusitis20215212313110.3390/sinusitis5020013
    [Google Scholar]
  18. ChoW.S. KimT.H. KimK.H. LeeH.M. LeeS.H. JuY.H. ParkE.H. KimK.W. LeeS.H. Increased expression of arginase I and II in allergic nasal mucosa.Laryngoscope2011121223624010.1002/lary.2128821271567
    [Google Scholar]
  19. HoodCM SchroterRC DoorlyDJ BlenkeEJ TolleyNS Computational modeling of flow and gas exchange in models of the human maxillary sinus.J. Appl. Physiol.198510741195120310.1152/japplphysiol.91615.200819608923
    [Google Scholar]
  20. BautistaA.P. EisenlohrC.P. LanzM.J. Nasal nitric oxide and nasal eosinophils decrease with levocetirizine in subjects with perennial allergic rhinitis.Am. J. Rhinol. Allergy201125638338710.2500/ajra.2011.25.366822185740
    [Google Scholar]
  21. NesicV.S. DjordjevicV.Z. Tomic-SpiricV. DudvarskiZ.R. SoldatovicI.A. ArsovicN.A. Measuring nasal nitric oxide in allergic rhinitis patients.J. Laryngol. Otol.2016130111064107110.1017/S002221511600908727823578
    [Google Scholar]
  22. KornS. TelkeI. KornmannO. BuhlR. Measurement of exhaled nitric oxide: Comparison of different analysers.Respirology20101581203120810.1111/j.1440‑1843.2010.01847.x20920124
    [Google Scholar]
  23. PisiR. AielloM. TzaniP. MarangioE. OlivieriD. ChettaA. Measurement of fractional exhaled nitric oxide by a new portable device: comparison with the standard technique.J. Asthma201047780580910.3109/02770903.2010.48566720670207
    [Google Scholar]
  24. HefflerE. CarpagnanoG.E. FaveroE. GuidaG. ManiscalcoM. MottaA. PaolettiG. RollaG. BaraldiE. PezzellaV. PiacentiniG. NardiniS.G. Fractional exhaled nitric oxide (FENO) in the management of asthma: a position paper of the italian respiratory society (SIP/IRS) and italian society of allergy, asthma and clinical immunology (SIAAIC).Multidiscip. Respir. Med.20201513610.4081/mrm.2020.3632269772
    [Google Scholar]
  25. NerpinE. OlivieriM. GislasonT. OlinA.C. NielsenR. JohannessenA. FerreiraD.S. MarconA. CazzolettiL. AccordiniS. PinI. CorsicoA. DemolyP. WeylerJ. NowakD. JõgiR. ForsbergB. ZockJ.P. SigsgaardT. HeinricJ. BonoR. LeynaertB. JarvisD. JansonC. MalinovschiA. Determinants of fractional exhaled nitric oxide in healthy men and women from the european community respiratory health survey III.Clin. Exp. Aller.201949796997910.1111/cea.1339430934155
    [Google Scholar]
  26. AntusB. HorvathI. BartaI. Assessment of exhaled nitric oxide by a new hand-held device.Respir. Med.201010491377138010.1016/j.rmed.2010.06.00520594818
    [Google Scholar]
  27. RawyA.M. Measurement of exhaled nitric oxide in healthy Egyptian population: normal ranges and factors affecting.Egypt. J. Bronchol.201591485410.4103/1687‑8426.153599
    [Google Scholar]
  28. SaitoJ. KikuchiM. FukuharaA. SatoS. RikimaruM. SuzukiY. UematsuM. FukuharaN. KawamataT. UmedaT. TogawaR. SatoY. KoizumiT. HiraiK. MinemuraH. NikaidoT. KanazawaK. TaninoY. ShibataY. MunakataM. Comparison of fractional exhaled nitric oxide levels measured by different analyzers produced by different manufacturers.J. Asthma202057111216122610.1080/02770903.2019.164235131288573
    [Google Scholar]
  29. KawamotoH. TakenoS. YajinK. Increased expression of inducible nitric oxide synthase in nasal epithelial cells in patients with allergic rhinitis.Laryngoscope1999109122015202010.1097/00005537‑199912000‑0002310591366
    [Google Scholar]
  30. InoueY. SatoS. ManabeT. MakitaE. ChiyotandaM. TakahashiK. YamamotoH. YanagidaN. EbisawaM. Measurement of exhaled nitric oxide in children: A comparison between no breath ® and Niox Vero ® analyzers.Allergy Asthma Immunol. Res.201810547848910.4168/aair.2018.10.5.47830088368
    [Google Scholar]
  31. HögmanM. BowermanC. ChavezL. DresselH. MalinovschiA. RadtkeT. StanojevicS. SteenbruggenI. TurnerS. Dinh-XuanA.T. ERS technical standard: Global lung function initiative reference values for exhaled nitric oxide fraction (F ENO50).Eur. Respir. J.2024631230037010.1183/13993003.00370‑202337973177
    [Google Scholar]
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