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用于 3-95 岁年龄范围的肺量测定的多民族参考值:全球肺功能 2012 方程。

Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations.

机构信息

Dept of Pulmonary Diseases and Dept of Paediatrics, Erasmus Medical Centre, Erasmus University, Rotterdam, the Netherlands.

出版信息

Eur Respir J. 2012 Dec;40(6):1324-43. doi: 10.1183/09031936.00080312. Epub 2012 Jun 27.

Abstract

The aim of the Task Force was to derive continuous prediction equations and their lower limits of normal for spirometric indices, which are applicable globally. Over 160,000 data points from 72 centres in 33 countries were shared with the European Respiratory Society Global Lung Function Initiative. Eliminating data that could not be used (mostly missing ethnic group, some outliers) left 97,759 records of healthy nonsmokers (55.3% females) aged 2.5-95 yrs. Lung function data were collated and prediction equations derived using the LMS method, which allows simultaneous modelling of the mean (mu), the coefficient of variation (sigma) and skewness (lambda) of a distribution family. After discarding 23,572 records, mostly because they could not be combined with other ethnic or geographic groups, reference equations were derived for healthy individuals aged 3-95 yrs for Caucasians (n=57,395), African-Americans (n=3,545), and North (n=4,992) and South East Asians (n=8,255). Forced expiratory value in 1 s (FEV(1)) and forced vital capacity (FVC) between ethnic groups differed proportionally from that in Caucasians, such that FEV(1)/FVC remained virtually independent of ethnic group. For individuals not represented by these four groups, or of mixed ethnic origins, a composite equation taken as the average of the above equations is provided to facilitate interpretation until a more appropriate solution is developed. Spirometric prediction equations for the 3-95-age range are now available that include appropriate age-dependent lower limits of normal. They can be applied globally to different ethnic groups. Additional data from the Indian subcontinent and Arabic, Polynesian and Latin American countries, as well as Africa will further improve these equations in the future.

摘要

该工作组的目的是推导出适用于全球的、连续的肺量计指标预测方程及其正常值下限。来自 33 个国家 72 个中心的 16 万多个数据点与欧洲呼吸学会全球肺功能倡议共享。排除了无法使用的数据(主要是缺失的种族群体,一些异常值),留下了 97759 名健康不吸烟的记录(55.3%为女性),年龄在 2.5-95 岁之间。使用 LMS 方法对肺功能数据进行了整理和预测方程的推导,该方法允许同时对分布族的平均值(μ)、变异系数(σ)和偏度(λ)进行建模。在排除了 23572 条记录后,主要是因为它们无法与其他种族或地理群体相结合,为 3-95 岁的健康个体推导了白种人(n=57395)、非裔美国人(n=3545)、北美(n=4992)和东南亚(n=8255)的参考方程。1 秒用力呼气量(FEV1)和用力肺活量(FVC)在不同种族之间的差异与白种人成比例,因此 FEV1/FVC 几乎与种族无关。对于这些四个群体没有代表的个体,或具有混合种族背景的个体,提供了一个复合方程,作为上述方程的平均值,以便于解释,直到开发出更合适的解决方案。目前,3-95 岁年龄段的肺量计预测方程已经包括了适当的年龄相关正常值下限。它们可以在全球范围内应用于不同的种族群体。未来,来自印度次大陆和阿拉伯、波利尼西亚和拉丁美洲国家以及非洲的更多数据将进一步改进这些方程。

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