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Pulmonary Function in School-Aged Preterm Children with a History of Bronchopulmonary Dysplasia (BPD): A Single-Center Greek Cohort Study and Comparative Literature Review

D. Kotzia

Journal of Pediatrics Research Reviews & Reports, 2026

Abstract

Introduction: Preterm children with bronchopulmonary dysplasia (BPD) frequently demonstrate persistent abnormalities in pulmonary function testing. Long-term follow-up clinical data from Greece remain limited. Objective: To evaluate pulmonary function, exercise capacity, and respiratory quality of life in school-aged children (>6 years) with BPD followed at a major Pediatric Pulmonology Center, and to compare our findings with those reported in the international literature. Methods: Thirty children (aged 6–12 years; mean age 8.6 ± 1.9 years) born at 14 days (β = −0.31, p=0.002), postnatal corticosteroid administration (β = −0.28, p=0.01), and exposure to passive smoking (β = −0.25, p=0.02). Comparative literature demonstrates similar pulmonary function deficits (~10–20% lower predicted FEV1), increased airway obstruction, and comparable exercise limitations, supporting the validity of our findings. Conclusions: A substantial proportion of Greek preterm children with BPD exhibit persistent airway obstruction, exercise limitation, and impaired respiratory quality of life during school age. Early identification of neonatal risk factors may facilitate targeted interventions and close follow-up, highlighting the need for structured long-term care.

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