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肺功能:与衰老、吸烟习惯及死亡率的关系

Pulmonary function: relation to aging, cigarette habit, and mortality.

作者信息

Ashley F, Kannel W B, Sorlie P D, Masson R

出版信息

Ann Intern Med. 1975 Jun;82(6):739-45. doi: 10.7326/0003-4819-82-6-739.

Abstract

The relation of pulmonary function to aging and cigarette habits has been examined cross sectionally and longitudinally in the Framingham cohort. On cross-sectional analysis, women were found to have lower forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV-1) values than men even after adjusting for height. Their FEV-1 percent was, on the other hand, higher than those of men. As the population aged over 10 years, their FVC and FEV-1 declined 9% to 27% depending upon age and sex. The FEV-1 percent, however, showed a decline only in the older age groups. In a cross-sectional analysis, cigarette smoking showed an inverse association to FVC and FEV-1 percent. Longitudinally, cigarette smokers showed a more rapid decline in FVC in 10 years than nonsmokers. On giving up smoking their FVC became more like that of the nonsmokers. A striking relation of FVC to mortality was noted in both sexes, which is not accounted for by associated cigarette habits.

摘要

在弗雷明汉姆队列研究中,对肺功能与衰老及吸烟习惯之间的关系进行了横断面和纵向研究。横断面分析发现,即使在对身高进行校正后,女性的用力肺活量(FVC)和第1秒用力呼气量(FEV-1)值仍低于男性。另一方面,她们的FEV-1百分比高于男性。随着人群年龄增长超过10岁,其FVC和FEV-1根据年龄和性别下降了9%至27%。然而,FEV-1百分比仅在老年组中出现下降。在横断面分析中,吸烟与FVC和FEV-1百分比呈负相关。纵向来看,吸烟者在10年内FVC的下降速度比不吸烟者更快。戒烟后,他们的FVC变得更接近不吸烟者。在两性中均发现FVC与死亡率之间存在显著关系,这与相关的吸烟习惯无关。

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