Changes in the normal maximal expiratory flow-volume curve with growth and aging

RJ Knudson, MD Lebowitz, CJ Holberg… - American Review of …, 1983 - atsjournals.org
RJ Knudson, MD Lebowitz, CJ Holberg, B Burrows
American Review of Respiratory Disease, 1983atsjournals.org
On the basis of their answers to a self-administered questionnaire, 697 nonsmoking healthy
subjects were chosen from a randomly selected sample representative of the white non-
Mexican-American population of Tucson, Arizona, enrolled in a longitudinal study of
respiratory health. For each subject, the first satisfactory set of flow-volume data obtained
during the first 3 consecutive surveys was selected for analysis. For forced vital capacity
(FVC) and forced expiratory volume in one second (FEV1), the single best value for each …
On the basis of their answers to a self-administered questionnaire, 697 nonsmoking healthy subjects were chosen from a randomly selected sample representative of the white non-Mexican-American population of Tucson, Arizona, enrolled in a longitudinal study of respiratory health. For each subject, the first satisfactory set of flow-volume data obtained during the first 3 consecutive surveys was selected for analysis. For forced vital capacity (FVC) and forced expiratory volume in one second (FEV1), the single best value for each subject was selected. Other flow-volume measurements were derived from the single test with the best sum FEV1 plus FVC. These data were used to derive improved prediction equations for each sex by age group for 5 spirometric and flow-volume variables. The resulting predicted values demonstrate the effects of development, maturation, and senescence on ventilatory function. “Normal” limits are proposed that take into consideration the between-subject variability and non-Gaussian distribution of the various measurements.
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