Open Access Research

Reference values for exhaled nitric oxide (reveno) study

Mario Olivieri1, Giorgio Talamini1, Massimo Corradi2, Luigi Perbellini1, Antonio Mutti2, Claudio Tantucci3 and Mario Malerba3*

Author Affiliations

1 Department of Medicine and Public Health, University of Verona, Italy

2 Department of Clinical Medicine, Nephrology and Health Sciences, University of Parma, Italy

3 Department of Internal Medicine, University of Brescia, Italy

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Respiratory Research 2006, 7:94 doi:10.1186/1465-9921-7-94

Published: 30 June 2006

Abstract

Background

Despite the widespread use of fractional exhaled nitric oxide (FENO) as a biomarker of airways inflammation, there are no published papers describing normal FENO values in a large group of healthy adults.

Objective

The aim of this study was to establish adult FENO reference values according to the international guidelines.

Methods

FENO was measured in 204 healthy, non-smoking adults with normal spirometry values using the on-line single-breath technique, and the results were analysed chemiluminescently.

Results

The main result of the study was the significant difference in FENO values between men and women, thus indicating that gender-based reference FENO values are necessary. The FENO levels obtained at expiratory flows of 50 ml/s ranged from 2.6 to 28.8 ppb in men, and from 1.6 to 21.5 ppb in women.

Conclusion

We propose reference FENO values for healthy adult men and women that could be used for clinical and research purposes.