Spirometric “abnormality” in a normal male reference population: Further analysis of the 1971 oregon survey
作者:
Albert Miller,
John C. Thornton,
Harry Smith,
James F. Morris,
期刊:
American Journal of Industrial Medicine
(WILEY Available online 1980)
卷期:
Volume 1,
issue 1
页码: 55-68
ISSN:0271-3586
年代: 1980
DOI:10.1002/ajim.4700010108
出版商: Wiley Subscription Services, Inc., A Wiley Company
关键词: spirometric abnormality;normal population;Oregon survey
数据来源: WILEY
摘要:
AbstractConventional criteria for spirometric impairment (FVC and FEV1⩽ 79% predicted, FEF25‐75⩽ 74% predicted, FEV1/FVC ⩽ 0.69 for most ages) were applied to 507 healthy nonsmoking male subjects in the 1971 Oregon survey. Frequency of air flow impairment was higher than expected for a normal population. Of all subjects, 17.8% had an “abnormal” FEF25‐75%and 19.7% an “abnormal” FEV1/FVC. “Decreased” lung volumes were seen in older subjects; of those over 55 years of age, 8.8% had a reduced FVC and 11.8% a reduced FEV1. These rates in a normal population may be used as a rough baseline for making inferences about a population under study. Similar rates were found in a cross‐sectional survey of nonsmoking males representative of the population of a large industrial state.The major reason for these high rates of “abnormal” spirometry lies in the conventional definitions of abnormality. Tables showing cut‐off points for abnormal spirometric values based on a 95% confidence interval for adult males of all ages and heights permit an alternative method f
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