Mur J M, Pham Q T, Chau N, Teculescu D, Wild P, Henquel J C
Service d'épidémiologie, INRS, Faculté de Médecine, Vandoeuvre-lès-Nancy, France.
Respiration. 1987;52(4):246-53. doi: 10.1159/000195333.
Ageing of the lung function in 5 years was studied in a group of 140 iron-ore miners, aged initially from 36 to 55 years. These men had no respiratory symptom and no pulmonary radiological abnormality. The sample was stratified on age and smoking. These factors were studied by a two-way analysis of variance. Lung function testing was performed twice, at 5 years of interval, in the same conditions. It consisted in: spirometry (for measuring FVC, FEV1, FEV1/FVC); a bronchial challenge test with acetylcholine (measurement of the fall of FEV1 after the test); measurement of total lung capacity (TLC) and residual volume (RV) by the open-circuit helium dilution method, and measurement of the transfer factor of the lung for CO, by the steady-state method (TCO/V). The only indices, whose values significantly changed in 5 years were: FVC, FEV1 and TCO/V. Their decrease rate did not appear to be significantly linked to age nor to smoking. According to these results, it seems that the decline of the pulmonary function is relatively constant during the middle period of life and that it is not strongly influenced by smoking, but only among subjects who remain without any respiratory symptom.
对一组140名年龄在36至55岁之间的铁矿石矿工进行了为期5年的肺功能老化研究。这些男性没有呼吸道症状,肺部影像学也无异常。样本按年龄和吸烟情况进行分层。通过双向方差分析研究这些因素。在相同条件下,每隔5年进行两次肺功能测试。测试内容包括:肺活量测定法(用于测量用力肺活量(FVC)、第一秒用力呼气容积(FEV1)、FEV1/FVC);乙酰胆碱支气管激发试验(测试后测量FEV1的下降情况);用开路氦稀释法测量肺总量(TLC)和残气量(RV),以及用稳态法测量肺一氧化碳转运因子(TCO/V)。在5年中,唯一值有显著变化的指标是:FVC、FEV1和TCO/V。它们的下降速率似乎与年龄和吸烟均无显著关联。根据这些结果,似乎在中年时期肺功能的下降相对稳定,并且不受吸烟的强烈影响,但仅在那些仍无任何呼吸道症状的受试者中如此。