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. 1997 Oct;77(4):331–334. doi: 10.1136/adc.77.4.331

Cough sensitivity in children with asthma, recurrent cough, and cystic fibrosis

A Chang 1, P Phelan 1, S Sawyer 1, S Del Brocco 1, C Robertson 1
PMCID: PMC1717355  PMID: 9389238

Abstract





In adults, cough sensitivity is influenced by gender and is heightened in those with non-productive cough. This study examined if cough sensitivity is (i) altered in children with asthma, recurrent cough, and cystic fibrosis and (ii) influenced by age, gender, or forced expiratory volume in one second (FEV1).
 Cough sensitivity to capsaicin and spirometry were performed on 209 children grouped by the diagnosis of asthma, recurrent dry cough, cystic fibrosis, and controls.
Cough sensitivity was increased in children with recurrent cough, and lower in children with cystic fibrosis when compared with children with asthma and controls. Age influenced cough sensitivity in the controls. In the asthmatics, FEV1 (% predicted) correlated to cough sensitivity measures. There was no gender difference in cough sensitivity.
It is concluded that cough sensitivity is different among children with recurrent dry cough, asthma, and cystic fibrosis. In children, age, but not gender, influences cough sensitivity measures and when cough sensitivity is used in comparative studies, children should be matched for age and FEV1.



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Selected References

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  1. Barros M. J., Zammattio S. L., Rees P. J. Effect of changes in inspiratory flow rate on cough responses to inhaled capsaicin. Clin Sci (Lond) 1991 Oct;81(4):539–542. doi: 10.1042/cs0810539. [DOI] [PubMed] [Google Scholar]
  2. Chang A. B., Phelan P. D., Roberts R. G., Robertson C. F. Capsaicin cough receptor sensitivity test in children. Eur Respir J. 1996 Nov;9(11):2220–2223. doi: 10.1183/09031936.96.09112220. [DOI] [PubMed] [Google Scholar]
  3. Chang A. B., Phelan P. D., Sawyer S. M., Robertson C. F. Airway hyperresponsiveness and cough-receptor sensitivity in children with recurrent cough. Am J Respir Crit Care Med. 1997 Jun;155(6):1935–1939. doi: 10.1164/ajrccm.155.6.9196099. [DOI] [PubMed] [Google Scholar]
  4. Chinn S. Statistics in respiratory medicine. 2. Repeatability and method comparison. Thorax. 1991 Jun;46(6):454–456. doi: 10.1136/thx.46.6.454. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Choudry N. B., Fuller R. W. Sensitivity of the cough reflex in patients with chronic cough. Eur Respir J. 1992 Mar;5(3):296–300. [PubMed] [Google Scholar]
  6. Clifford R. D., Radford M., Howell J. B., Holgate S. T. Prevalence of respiratory symptoms among 7 and 11 year old schoolchildren and association with asthma. Arch Dis Child. 1989 Aug;64(8):1118–1125. doi: 10.1136/adc.64.8.1118. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Epstein S. K., Ciubotaru R. L. Influence of gender and endotracheal tube size on preextubation breathing pattern. Am J Respir Crit Care Med. 1996 Dec;154(6 Pt 1):1647–1652. doi: 10.1164/ajrccm.154.6.8970349. [DOI] [PubMed] [Google Scholar]
  8. Fujimura M., Kasahara K., Kamio Y., Naruse M., Hashimoto T., Matsuda T. Female gender as a determinant of cough threshold to inhaled capsaicin. Eur Respir J. 1996 Aug;9(8):1624–1626. doi: 10.1183/09031936.96.09081624. [DOI] [PubMed] [Google Scholar]
  9. Fujimura M., Sakamoto S., Kamio Y., Matsuda T. Effects of methacholine induced bronchoconstriction and procaterol induced bronchodilation on cough receptor sensitivity to inhaled capsaicin and tartaric acid. Thorax. 1992 Jun;47(6):441–445. doi: 10.1136/thx.47.6.441. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Gratas-Delamarche A., Mercier J., Ramonatxo M., Dassonville J., Préfaut C. Ventilatory response of prepubertal boys and adults to carbon dioxide at rest and during exercise. Eur J Appl Physiol Occup Physiol. 1993;66(1):25–30. doi: 10.1007/BF00863395. [DOI] [PubMed] [Google Scholar]
  11. Hansson L., Wollmer P., Dahlbäck M., Karlsson J. A. Regional sensitivity of human airways to capsaicin-induced cough. Am Rev Respir Dis. 1992 May;145(5):1191–1195. doi: 10.1164/ajrccm/145.5.1191. [DOI] [PubMed] [Google Scholar]
  12. Kelly Y. J., Brabin B. J., Milligan P. J., Reid J. A., Heaf D., Pearson M. G. Clinical significance of cough and wheeze in the diagnosis of asthma. Arch Dis Child. 1996 Dec;75(6):489–493. doi: 10.1136/adc.75.6.489. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. McFadden E. R., Jr Exertional dyspnea and cough as preludes to acute attacks of bronchial asthma. N Engl J Med. 1975 Mar 13;292(11):555–559. doi: 10.1056/NEJM197503132921103. [DOI] [PubMed] [Google Scholar]
  14. Mitsuhashi M., Mochizuki H., Tokuyama K., Morikawa A., Kuroume T. Hyperresponsiveness of cough receptors in patients with bronchial asthma. Pediatrics. 1985 May;75(5):855–858. [PubMed] [Google Scholar]
  15. Ninan T. K., Macdonald L., Russell G. Persistent nocturnal cough in childhood: a population based study. Arch Dis Child. 1995 Nov;73(5):403–407. doi: 10.1136/adc.73.5.403. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. O'Connell F., Thomas V. E., Pride N. B., Fuller R. W. Capsaicin cough sensitivity decreases with successful treatment of chronic cough. Am J Respir Crit Care Med. 1994 Aug;150(2):374–380. doi: 10.1164/ajrccm.150.2.8049818. [DOI] [PubMed] [Google Scholar]
  17. Riordan M. F., Beardsmore C. S., Brooke A. M., Simpson H. Relationship between respiratory symptoms and cough receptor sensitivity. Arch Dis Child. 1994 Apr;70(4):299–304. doi: 10.1136/adc.70.4.299. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Shimizu T., Mochizuki H., Tokuyama K., Morikawa A. Relationship between the acid-induced cough response and airway responsiveness and obstruction in children with asthma. Thorax. 1996 Mar;51(3):284–287. doi: 10.1136/thx.51.3.284. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Widdicombe J. G. Neurophysiology of the cough reflex. Eur Respir J. 1995 Jul;8(7):1193–1202. doi: 10.1183/09031936.95.08071193. [DOI] [PubMed] [Google Scholar]
  20. Wright A. L., Holberg C. J., Morgan W. J., Taussig L. M., Halonen M., Martinez F. D. Recurrent cough in childhood and its relation to asthma. Am J Respir Crit Care Med. 1996 Apr;153(4 Pt 1):1259–1265. doi: 10.1164/ajrccm.153.4.8616551. [DOI] [PubMed] [Google Scholar]
  21. Zapletal A., Motoyama E. K., Van De Woestijne K. P., Hunt V. R., Bouhuys A. Maximum expiratory flow-volume curves and airway conductance in children and adolescents. J Appl Physiol. 1969 Mar;26(3):308–316. doi: 10.1152/jappl.1969.26.3.308. [DOI] [PubMed] [Google Scholar]

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