Evaluation of the Global Lung Function Initiative reference equations in Belgian adults.


Journal

ERJ open research
ISSN: 2312-0541
Titre abrégé: ERJ Open Res
Pays: England
ID NLM: 101671641

Informations de publication

Date de publication:
Apr 2022
Historique:
received: 29 11 2021
accepted: 29 03 2022
entrez: 23 6 2022
pubmed: 24 6 2022
medline: 24 6 2022
Statut: epublish

Résumé

Over the past decade, the Global Lung Function Initiative (GLI) Network has published all-age reference equations on spirometry, diffusing capacity of the lung for carbon monoxide ( We evaluated the appropriateness of these equations in an adult Caucasian population. Retrospective lung function data on subjects who performed tests prior to a diagnostic sleep investigation were analysed. From the medical records, lung healthy, lifetime nonsmoking, nonobese subjects were selected, resulting in a population of 1311 subjects (68% male; age range 18-88 years). Multiple linear regression analysis revealed that lung function z-scores did not differ between subjects with and without sleep apnoea but did depend on height and age. The average forced expiratory volume in 1 s (FEV GLI reference equations provide an adequate fit in Belgian adults. However, the GLI-proposed LLN is too low for our Antwerp population, resulting in underdiagnosis of disease. Furthermore, airway obstruction and diffusion disorders might be misclassified due to height and age associations.

Sections du résumé

Background UNASSIGNED
Over the past decade, the Global Lung Function Initiative (GLI) Network has published all-age reference equations on spirometry, diffusing capacity of the lung for carbon monoxide (
Methods UNASSIGNED
We evaluated the appropriateness of these equations in an adult Caucasian population. Retrospective lung function data on subjects who performed tests prior to a diagnostic sleep investigation were analysed. From the medical records, lung healthy, lifetime nonsmoking, nonobese subjects were selected, resulting in a population of 1311 subjects (68% male; age range 18-88 years).
Results UNASSIGNED
Multiple linear regression analysis revealed that lung function z-scores did not differ between subjects with and without sleep apnoea but did depend on height and age. The average forced expiratory volume in 1 s (FEV
Conclusion UNASSIGNED
GLI reference equations provide an adequate fit in Belgian adults. However, the GLI-proposed LLN is too low for our Antwerp population, resulting in underdiagnosis of disease. Furthermore, airway obstruction and diffusion disorders might be misclassified due to height and age associations.

Identifiants

pubmed: 35734771
doi: 10.1183/23120541.00671-2021
pii: 00671-2021
pmc: PMC9205329
pii:
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

Copyright ©The authors 2022.

Déclaration de conflit d'intérêts

Conflict of interest: J. Verbraecken is an Associate Editor of this journal. The other authors have no conflict of interest to disclose in relation to the submitted work.

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Auteurs

Kevin De Soomer (K)

Dept of Respiratory Medicine, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium.

Evelyn Pauwels (E)

Dept of Respiratory Medicine, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium.

Hilde Vaerenberg (H)

Dept of Respiratory Medicine, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium.

Eric Derom (E)

Dept of Respiratory Medicine, Ghent University Hospital and University of Ghent, Ghent, Belgium.

Lidia Casas (L)

Social Epidemiology and Health Policy (SEHPO), Dept of Family Medicine and Population Health (FAMPOP), University of Antwerp, Antwerp, Belgium.

Johan Verbraecken (J)

Dept of Respiratory Medicine, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium.
Multidisciplinary Sleep Disorders Centre, Antwerp University Hospital, Antwerp, Belgium.

Thérèse Lapperre (T)

Dept of Respiratory Medicine, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium.
Laboratory of Experimental Medicine and Pediatrics, University of Antwerp, Antwerp, Belgium.

Ellie Oostveen (E)

Dept of Respiratory Medicine, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium.

Classifications MeSH