Chia S E, Wang Y T, Chan O Y, Poh S C
Department of Community, Occupational & Family Medicine, National University of Singapore.
Ann Acad Med Singap. 1993 Nov;22(6):878-84.
Forced vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow rate (PEFR), single-breath diffusion capacity measurements (effective alveolar volume (VA), carbon monoxide transfer factor (DLCO) and transfer coefficient (KCO)) were determined in 452 healthy Singaporean adults (277 males and 175 females) aged 20-70 years. The ratio of Chinese, Malay and Indian subjects was 5:2:3 in both sexes. Age, height and weight in the males were all significantly correlated with FEV1, FVC, DLCO, VA and PEFR. However, for females, only age and height were significantly correlated with the studied lung function parameters. Significant ethnic differences were observed for most of the pulmonary functions (except KCO and PEFR) among the Chinese, Malays and Indians for both males and females. The predicted FEV1 and FVC values (specific age and height) for both sexes were highest among the Chinese followed by the Malays than Indians, in that order. Regression equations, with age and height as independent variables, were derived for males and females in each ethnic group to predict normal pulmonary function for the Singapore Chinese, Malay and Indian populations. The predicted values of various pulmonary function measurements obtained from these regression equations for subjects of specified age (30 years) and height (165 cm for men, 155 cm for women) were compared with those reported in other studies. Differences were observed among the different races.
对452名年龄在20至70岁之间的新加坡健康成年人(277名男性和175名女性)进行了用力肺活量(FVC)、一秒用力呼气容积(FEV1)、呼气峰值流速(PEFR)、单次呼吸弥散量测量(有效肺泡容积(VA)、一氧化碳转运因子(DLCO)和转运系数(KCO))。男女中,华裔、马来裔和印度裔受试者的比例均为5:2:3。男性的年龄、身高和体重均与FEV1、FVC、DLCO、VA和PEFR显著相关。然而,对于女性而言,只有年龄和身高与所研究的肺功能参数显著相关。在男性和女性中,华裔、马来裔和印度裔在大多数肺功能指标(KCO和PEFR除外)上均观察到显著的种族差异。男女的预测FEV1和FVC值(特定年龄和身高),华裔最高,其次是马来裔,最后是印度裔,顺序依次如此。以年龄和身高作为自变量,为每个种族的男性和女性推导了回归方程,以预测新加坡华裔、马来裔和印度裔人群的正常肺功能。将从这些回归方程获得的特定年龄(30岁)和身高(男性165厘米,女性155厘米)受试者的各种肺功能测量预测值与其他研究报告的值进行比较。不同种族之间存在差异。