FORCED MIDEXPIRATORY TIME - REFERENCE VALUES AND THE EFFECT OF CIGARETTE-SMOKING

被引:3
作者
BROWN, LK
MILLER, A
PILIPSKI, M
LAU, TS
机构
[1] MT SINAI MED CTR,DEPT MED,DIV PULM & CRIT CARE MED,NEW YORK,NY 10029
[2] MT SINAI MED CTR,DEPT BIOMATH SCI,NEW YORK,NY 10029
关键词
MAXIMAL EXPIRATORY FLOW-VOLUME CURVES; MAXIMAL MIDEXPIRATORY FLOW RATE; RESPIRATORY FUNCTION TESTS; AIRWAY OBSTRUCTION; LUNG DISEASES; OBSTRUCTIVE;
D O I
暂无
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background: Forced midexpiratory time (FET(25-75%)), the time required to exhale from 25 to 75% of forced vital capacity (FVC), has been advocated as a relatively volume-independent measure of obstruction. Previous estimates of normal FET(25-75%) have not systematically studied the effect of age, height, sex, and smoking history. Methods: We analyzed flow-volume loops from 369 normal lifetime nonsmokers and smokers, a random sample of the population of Michigan. Linear models including age and/or height were considered, with and without logarithmic transformation. Results: The best models used age, or age and height, and no transformation. Age and height contributed much less to the variability of FET(25-75%) than to spirometric flows previously investigated. The Largest r(2) was found in the male smokers, with the largest contribution from age, suggesting a smoking effect. Conclusions: As age was the major contributor to the value of FET(25-75%) and that contribution was small, we suggest the use of simplified age-stratified reference values derived from our data.
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页码:35 / 46
页数:12
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