Clinic of Pulmonary Medicine and Pulmonary Cell Research, University Hospital Basel, Basel, Switzerland.
PLoS One. 2019 May 2;14(5):e0215781. doi: 10.1371/journal.pone.0215781. eCollection 2019.
The effect a wind instrument has on lung function is a much-discussed topic with inconclusive data, not least because existing studies combine all wind instruments as one entity. The aim of this study was to investigate the effect of playing a trumpet/cornet/flugelhorn on lung function.
A prospective, multicentre, cross-sectional, case-control study. Participants were recruited from wind orchestra or brass bands throughout Switzerland. Inclusion criteria: aged 16 or older, reporting at least one year of playing a trumpet/cornet/flugelhorn. Controls were members of an orchestra, who had never played a wind instrument. The primary end-point of the study was the difference in FEV1%predicted between trumpet/cornet/flugelhorn players and controls.
147 subjects were included in the study. Controls (n = 48) were significantly younger, more commonly male, current smokers and had a lower body mass index compared to trumpet/cornet/flugelhorn players (n = 99). There was no significant difference in FEV1%predicted (91.9% vs 94.2%; p = 0.316) or FVC %predicted (89.4% vs 92.6%; p = 0.125) between controls and trumpet/cornet/flugelhorn players, respectively, in crude and adjusted analyses. However, there was a significant negative association between the number of years playing a trumpet/cornet/flugelhorn and FVC %predicted after adjusting for smoking status, gender, and height. Trumpet/cornet/flugelhorn players had a similar amount of respiratory symptoms to controls (questionnaire score 3.2±3.2 vs 2.8±2.4, p = 0.717).
Lung function in trumpet/cornet/flugelhorn players was similar to controls. However, the number of years playing a trumpet/cornet/flugelhorn seems to have an adverse effect on forced vital capacity.
吹奏管乐器对肺功能的影响是一个备受争议的话题，目前尚无定论，尤其是因为现有研究将所有管乐器视为一个整体。本研究旨在调查吹奏小号/短号/长号对肺功能的影响。
这是一项前瞻性、多中心、横断面、病例对照研究。参与者从瑞士各地的管乐队或铜管乐队中招募。纳入标准：年龄在 16 岁或以上，报告至少一年吹奏小号/短号/长号。对照组为从未吹奏过管乐器的管弦乐队成员。该研究的主要终点是小号/短号/长号吹奏者和对照组之间预测的 FEV1%的差异。
共纳入 147 名受试者。对照组（n=48）的年龄明显较小，更常见为男性，当前吸烟者，且体重指数（BMI）低于小号/短号/长号吹奏者（n=99）。在预测的 FEV1%（91.9% vs 94.2%；p=0.316）或 FVC%预测（89.4% vs 92.6%；p=0.125）方面，对照组和小号/短号/长号吹奏者之间均无显著差异，无论在粗分析还是调整分析中。然而，在校正吸烟状态、性别和身高后，吹奏小号/短号/长号的年限与 FVC%预测值之间存在显著负相关。小号/短号/长号吹奏者与对照组的呼吸道症状相似（问卷评分 3.2±3.2 vs 2.8±2.4，p=0.717）。
小号/短号/长号吹奏者的肺功能与对照组相似。然而，吹奏小号/短号/长号的年限似乎对用力肺活量有不利影响。
