Objective To supply a scientific basis for standardizing the normal reference value of forced vital capacity(FVC)of Chinese younger women.Methods We studied the relationship between the normal reference value of 21767...Objective To supply a scientific basis for standardizing the normal reference value of forced vital capacity(FVC)of Chinese younger women.Methods We studied the relationship between the normal reference value of 21767 samples of FVC of younger women and eight geographical factors in 157 areas in China.Results It was found that the correlation between geographical factors and the normal reference value of FVC of younger women was quite significant(F=5.884,P=0.000).By adopting the method of mathematical regression analysis,one regression equation was inferred:=3.146+0.00006919X1+0.01315X4-0.006966X6+0.09524X8±0.254.In the above equation,is the normal reference value of younger women’ FVC(L);X1 is the altitude(m);X4 is the annual mean air temperature(℃);X6 is the annual mean relative humidity(%);X8 is the annual mean wind speed(m/s);0.254 is the value of the residual standard deviation.Conclusion If geographical values are obtained in a certain area,the normal reference value of FVC of younger women in this area can be obtained by using the regression equation.Furthermore,according to the geographical factors,China can be divided into eight regions:Northeast China Region,North China Region,Shanxi-Shaanxi-Inner Mongolia Region,middle and lower reaches of the Yangzte River Region,Southeast China Region,Northwest China Region,Southwest China Region,and Qinghai-Tibet Plateau Region.展开更多
Summary:Changes of maximum expiratory flow at 25%and 50%of vital capacity(MEF2s and MEFso,respectively),and predominant parameters indicating small airways function in asthmatics before and after bronchodilator(BD)rev...Summary:Changes of maximum expiratory flow at 25%and 50%of vital capacity(MEF2s and MEFso,respectively),and predominant parameters indicating small airways function in asthmatics before and after bronchodilator(BD)reversibility test have been less interpreted.Our study aimed to investigate the clinical role of changes of MEF2s and MEFso before and after BD reversibility test in diagnosing asthma.Forced expiratory volume in the first second(FEV),MEF2s,and MEFso were measured before and after BD reversibility test in 207 asthmatic patients using standard process.Forty healthy individuals were enrolled as controls.Receiver operating characteristic(ROC)curve was used to assess the diagnostic accuracy of reversibility of MEF2s and MEFgo before and after BD reversibility test(OMEF 2s%and AMEF so%,respectively)in diagnosing asthma.Among these functional criteria,AMEF2;%and 0MEFs%≥25%performed the best diagnostic performance.The sensitivity,specificity,and accuracy of AMEF 25%≥25%as an objcctive diagnostic test for asthma were 63.29%,87.50%,and 67.21%,and of AMEFs0%≥25%were 79.23%,85.00%,and 80.16%,respectively.The area under the ROC curve of the indicators was 0.8203 and 0.9104,respectively.By contrast,an increase in FEV≥12%and 200 mL demonstrated a sensitivity of 62.32%,specificity of 82.50%,and accuracy of 65.59%in diagnosing asthma.The changes of MEF2s and MEFso before and after BD reversibility test may be of additional value in the clinical diagnosis of asthma,with cutoff values of 25%being the most.展开更多
Anthropometric variations can affect resting energy expenditure,VO_(2) max and anaerobic capacity of young,healthy individuals.Studies have shown that body fat percentage,weight,and height can all affect the three mea...Anthropometric variations can affect resting energy expenditure,VO_(2) max and anaerobic capacity of young,healthy individuals.Studies have shown that body fat percentage,weight,and height can all affect the three measures.The study aimed to study VO_(2) max and 24-hour thermogenesis measures in predominantly sedentary individuals and weight changes afterwards.VO_(2) max-associated research shows that taller individuals tend to have higher VO_(2) max levels compared to shorter individuals.This could be because taller individuals have a larger lung capacity and greater oxygen delivery to the muscles.Weight can also affect VO_(2) max,as heavier individuals tend to have higher VO_(2) max levels than lighter individuals.Weight is also associated with resting energy expenditure,as heavier individuals tend to have a higher resting energy expenditure than lighter individuals.The purpose of this study was to conduct a systematic review of the existing literature related to resting energy expenditure and metabolic effects of VO_(2) max,and anaerobic capacity in sedentary active adults of anthropometric variations.Several studies have recently examined the possibility of improving aerobic and metabolic functions ensuring cardiorespiratory fitness within the population of anthropometric variations.Everyday physical activity and heredity ability influenced mainly the gold standard measuring tool for cardiorespiratory fitness,VO_(2) max,predicting mortality and morbidity.Weight gain has also been shown to be associated with lower cardiorespiratory fitness,regardless of physical activity levels.The VO_(2) max may have a different effect on energy balance apart from physical activity’s energy expenditure(EE),possibly by affecting the resting metabolic rate(RMR)or triggering a common mechanism associated with diet-induced thermogenesis.Weight change is predicted by sedentary energy expenditure,but directly measured VO_(2) max does not appear to be correlated with weight change.The relationship between resting energy expenditure,VO_(2) max,and anaerobic capacity in individuals is complex.Resting energy expenditure is directly related to anaerobic capacity,as it is an indicator of the body’s ability to work anaerobically.VO_(2) max is also related to anaerobic capacity,as it reflects the body’s maximal aerobic power.However,the strength of this relationship is not known.Overall,both resting energy expenditure and VO_(2) max are important determinants of anaerobic capacity in individuals and are worth considering when evaluating an individual’s anaerobic potential.展开更多
Background Obesity is the most common metabolic disease in the world. However, the relationship between obesity and lung function is not fully understood. Although several longitudinal studies have shown that increase...Background Obesity is the most common metabolic disease in the world. However, the relationship between obesity and lung function is not fully understood. Although several longitudinal studies have shown that increases in body weight can lead to reductions in pulmonary function, whether this is the case with the Japanese population and whether high body mass index （BMI） status alone represents an appropriate predictor of obstructive lung dysfunction remains unclear.The purpose of present study was to estimate the effect of BMI on lung function measured by spirometry of Japanese patients in general clinics. We measured BMI and performed spirometry on screening patients who had consulted general clinics.Methods Subjects comprised 1231 patients ≥40 years of age （mean age （65.0±12.0） years, 525 men, 706 women） who had consulted clinics in Nagasaki Prefecture, Japan, for non-respiratory disease. BMI was calculated and lung function was measured by spirometry.Results BMI was found to be positively correlated with forced expiratory volume in 1 second （FEV1）/forced vital capacity （FVC） in men and with maximum mid-expiratory flow （MMF） in all subjects. Following adjustment for relevant factors, a significant positive correlation between BMI and FEV1/FVC was identified for all subjects. Comparison between subjects with normal BMI （18.5-25.0） and higher BMI （25.1-30.0） also demonstrated that FEV1/FVC and percentage of predicted maximum mid-expiratory flow （%MMF） were significantly higher in the latter subjects.Conclusions In a population without marked respiratory disease, higher BMI subjects showed less obstructive pulmonary dysfunction compared to normal BMI subjects. High BMI status alone may be inappropriate as a predictor of obstructive lung dysfunction, particularly in populations with a low prevalence of obesity.展开更多
基金supported by the National Natural Science Foundation of China(No.40671005)
文摘Objective To supply a scientific basis for standardizing the normal reference value of forced vital capacity(FVC)of Chinese younger women.Methods We studied the relationship between the normal reference value of 21767 samples of FVC of younger women and eight geographical factors in 157 areas in China.Results It was found that the correlation between geographical factors and the normal reference value of FVC of younger women was quite significant(F=5.884,P=0.000).By adopting the method of mathematical regression analysis,one regression equation was inferred:=3.146+0.00006919X1+0.01315X4-0.006966X6+0.09524X8±0.254.In the above equation,is the normal reference value of younger women’ FVC(L);X1 is the altitude(m);X4 is the annual mean air temperature(℃);X6 is the annual mean relative humidity(%);X8 is the annual mean wind speed(m/s);0.254 is the value of the residual standard deviation.Conclusion If geographical values are obtained in a certain area,the normal reference value of FVC of younger women in this area can be obtained by using the regression equation.Furthermore,according to the geographical factors,China can be divided into eight regions:Northeast China Region,North China Region,Shanxi-Shaanxi-Inner Mongolia Region,middle and lower reaches of the Yangzte River Region,Southeast China Region,Northwest China Region,Southwest China Region,and Qinghai-Tibet Plateau Region.
基金This project was supported by the National Natural Science Foundation of China(No.81970024)partly by Scientific Research Project of Wuhan Health Committee(No.WX16C45).
文摘Summary:Changes of maximum expiratory flow at 25%and 50%of vital capacity(MEF2s and MEFso,respectively),and predominant parameters indicating small airways function in asthmatics before and after bronchodilator(BD)reversibility test have been less interpreted.Our study aimed to investigate the clinical role of changes of MEF2s and MEFso before and after BD reversibility test in diagnosing asthma.Forced expiratory volume in the first second(FEV),MEF2s,and MEFso were measured before and after BD reversibility test in 207 asthmatic patients using standard process.Forty healthy individuals were enrolled as controls.Receiver operating characteristic(ROC)curve was used to assess the diagnostic accuracy of reversibility of MEF2s and MEFgo before and after BD reversibility test(OMEF 2s%and AMEF so%,respectively)in diagnosing asthma.Among these functional criteria,AMEF2;%and 0MEFs%≥25%performed the best diagnostic performance.The sensitivity,specificity,and accuracy of AMEF 25%≥25%as an objcctive diagnostic test for asthma were 63.29%,87.50%,and 67.21%,and of AMEFs0%≥25%were 79.23%,85.00%,and 80.16%,respectively.The area under the ROC curve of the indicators was 0.8203 and 0.9104,respectively.By contrast,an increase in FEV≥12%and 200 mL demonstrated a sensitivity of 62.32%,specificity of 82.50%,and accuracy of 65.59%in diagnosing asthma.The changes of MEF2s and MEFso before and after BD reversibility test may be of additional value in the clinical diagnosis of asthma,with cutoff values of 25%being the most.
文摘Anthropometric variations can affect resting energy expenditure,VO_(2) max and anaerobic capacity of young,healthy individuals.Studies have shown that body fat percentage,weight,and height can all affect the three measures.The study aimed to study VO_(2) max and 24-hour thermogenesis measures in predominantly sedentary individuals and weight changes afterwards.VO_(2) max-associated research shows that taller individuals tend to have higher VO_(2) max levels compared to shorter individuals.This could be because taller individuals have a larger lung capacity and greater oxygen delivery to the muscles.Weight can also affect VO_(2) max,as heavier individuals tend to have higher VO_(2) max levels than lighter individuals.Weight is also associated with resting energy expenditure,as heavier individuals tend to have a higher resting energy expenditure than lighter individuals.The purpose of this study was to conduct a systematic review of the existing literature related to resting energy expenditure and metabolic effects of VO_(2) max,and anaerobic capacity in sedentary active adults of anthropometric variations.Several studies have recently examined the possibility of improving aerobic and metabolic functions ensuring cardiorespiratory fitness within the population of anthropometric variations.Everyday physical activity and heredity ability influenced mainly the gold standard measuring tool for cardiorespiratory fitness,VO_(2) max,predicting mortality and morbidity.Weight gain has also been shown to be associated with lower cardiorespiratory fitness,regardless of physical activity levels.The VO_(2) max may have a different effect on energy balance apart from physical activity’s energy expenditure(EE),possibly by affecting the resting metabolic rate(RMR)or triggering a common mechanism associated with diet-induced thermogenesis.Weight change is predicted by sedentary energy expenditure,but directly measured VO_(2) max does not appear to be correlated with weight change.The relationship between resting energy expenditure,VO_(2) max,and anaerobic capacity in individuals is complex.Resting energy expenditure is directly related to anaerobic capacity,as it is an indicator of the body’s ability to work anaerobically.VO_(2) max is also related to anaerobic capacity,as it reflects the body’s maximal aerobic power.However,the strength of this relationship is not known.Overall,both resting energy expenditure and VO_(2) max are important determinants of anaerobic capacity in individuals and are worth considering when evaluating an individual’s anaerobic potential.
文摘Background Obesity is the most common metabolic disease in the world. However, the relationship between obesity and lung function is not fully understood. Although several longitudinal studies have shown that increases in body weight can lead to reductions in pulmonary function, whether this is the case with the Japanese population and whether high body mass index （BMI） status alone represents an appropriate predictor of obstructive lung dysfunction remains unclear.The purpose of present study was to estimate the effect of BMI on lung function measured by spirometry of Japanese patients in general clinics. We measured BMI and performed spirometry on screening patients who had consulted general clinics.Methods Subjects comprised 1231 patients ≥40 years of age （mean age （65.0±12.0） years, 525 men, 706 women） who had consulted clinics in Nagasaki Prefecture, Japan, for non-respiratory disease. BMI was calculated and lung function was measured by spirometry.Results BMI was found to be positively correlated with forced expiratory volume in 1 second （FEV1）/forced vital capacity （FVC） in men and with maximum mid-expiratory flow （MMF） in all subjects. Following adjustment for relevant factors, a significant positive correlation between BMI and FEV1/FVC was identified for all subjects. Comparison between subjects with normal BMI （18.5-25.0） and higher BMI （25.1-30.0） also demonstrated that FEV1/FVC and percentage of predicted maximum mid-expiratory flow （%MMF） were significantly higher in the latter subjects.Conclusions In a population without marked respiratory disease, higher BMI subjects showed less obstructive pulmonary dysfunction compared to normal BMI subjects. High BMI status alone may be inappropriate as a predictor of obstructive lung dysfunction, particularly in populations with a low prevalence of obesity.
