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Therefore, according Dutch law, is for this research no mandatory of Dutch Ethic Board needed. The parents or legal guardian provides a written informed consent for the spirometry measurement of their child(ren).Regarding the questionnaire, the information to participants explained that by filling out the questionnaire informed consent was given. Under the Dutch law for medical scientific research with human subjects questionnaire surveys are not subject to approval by an institutional ethics committee. However, the Law for Protection of Personal Data requires informed consent and also procedures for the protection of personal privacy. These procedures are laid done in the Code of Conduct for Medical research (at www.federa.org), established by the Council of the Federation of Medical Scientific Societies. In this research project we have strictly adhered to these procedures and the data were analysed anonymously.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"30"}}