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The collection of exhaled breath condensate (EBC) is simple and non-invasive, however, there are few data on the methodological aspects affecting concentrations of compounds in EBC. The aim of this study was to investigate methodological issues for measuring nitric oxide metabolites (NO
x
) in EBC.
Twenty-five healthy adults (12 females, age range 23–55 years) and 22 children (11 females, age range 7–6 years) were recruited for studies investigating inter- and intra-day repeatability, repeatability with controlled expiratory flows and temperature, flow dependence, and analytical variability of EBC NO
x
.
Both intra- and inter-day repeatability was poor with a coefficient of repeatability of 103.4% of the mean difference between intra-day (15
min) measures and 118.6% of inter-day (24
h) differences. Repeatability was not improved when expiratory flow and temperature of the collection device were controlled. However, some of the variability (approximately 50%) may be accounted for by variability in the analytical technique (analytical variability) and this may result from difficulties in controlling for contamination. NO
x
levels were not affected by different expiratory flows in either adults or children but there was still significant variation within individuals.
Levels of NO
x
in EBC seem to be highly variable and this needs to be considered if EBC NO
x
is to be used in clinical studies.