|
|
Assessment of pulmonary functions among the elderly in Hangzhou City |
GONG Kemi1, LIAO Hui2, CHEN Shuchang3, LIU Weiyan3, XU Shanshan3, LÜ Ye3, WU Li2, XU Hong3
|
1. School of Biological and Environmental Engineering, Zhejiang Shuren University, Hangzhou, Zhejiang 310015, China; 2. Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, China; 3. Hangzhou Center for Disease Control and Prevention, Hangzhou, Zhejiang 310021, China |
|
|
Abstract Objective To investigate the pulmonary functions among the elderly in Hangzhou City, so as to provide insights into the management of respiratory diseases among the elderly. Methods Permanent residents at ages of 60 to 75 years were sampled from Hangzhou City from November to December 2020. The pulmonary function was tested using a portable pulmonary function monitor, including large airway function parameters [forced expiratory volume (FVC), forced expiratory volume in a second (FEV1) and FEV1/FVC], and small airway function parameters [maximum expiratory flow rate at 75% vital capacity (MEF75%), the maximum expiratory flow rate at 25% of vital capacity (MEF25%) and the forced expiratory flow rate (FEF25%-75%) at 25% to 75% of vital capacity]. The pulmonary functions were compared among the elderly with different genders, ages and body mass index (BMI). Results Totally 314 participants were recruited, including 126 men (40.13%), with a mean age of (68.49±4.47) years and mean BMI of (23.51±2.79) kg/m2. The mean FEV1, FVC, FEV1/FVC, MEF25%, MEF75% and FEF25%-75% were (1.97±0.53) L, (2.51±0.72) L, (79.79±11.47)%, (0.98±0.53) L/s, (3.84±1.65) L/s and (1.99±0.91) L/s among the participants, respectively. Higher FEV1 [(2.22±0.55) vs. (1.79±0.43) L, P<0.05], FVC [(2.92±0.75) vs. (2.24±0.55) L, P<0.05], MEF75% [(4.19±1.82) vs. (3.59±1.49) L/s, P<0.05] and FEF25%-75% [(2.14±1.07) vs. (1.90±0.77) L/s, P<0.05] were tested among men than among women, and lower FEV1 [(1.75±0.46) L], FVC [(2.27±0.64) L], MEF25% [(0.88±0.57) L/s], MEF75% [(3.39±1.45) L/s] and FEF25%-75% [(1.79±0.96) L/s] were tested among the elderly at ages of 70 to 74 years. The proportion of large and small airway dysfunctions was 40.45% among the participants. Conclusions The proportion of large and small airway dysfunctions was 40.45% among the elderly in Hangzhou City, and poor pulmonary functions were tested among the women and the advanced elderly.
|
Received: 27 October 2022
Revised: 16 January 2023
Published: 17 March 2023
|
|
|
|
|
[1] 丁璐璐,张永辉,徐源佑,等.1990—2019年启东市呼吸系统疾病死亡趋势及减寿分析[J].预防医学,2021,33(11):1149-1153. [2] WANG C,XU J,YANG L,et al.Prevalence and risk factors of chronic obstructive pulmonary disease in China[the China Pulmonary Health(CPH)study]:a national cross-sectional study[J].Lancet,2018,391(10131):1706-1717. [3] 戴勇,黄怀.老年人呼吸功能评估现状及进展[J].实用老年医学,2019,33(5):420-424. [4] MILLER M R,HANKINSON J,BRUSASCO V,et al.Standardisation of spirometry[J].Eur Respir J,2005,26(2):319-338. [5] QUANJER P H,TAMMELING G J,COTES J E,et al.Lung volumes and forced ventilatory flows.Report Working Party Standardization of Lung Function Tests,European Community for Steel and Coal.Official Statement of the European Respiratory Society[J].Eur Respir J Suppl,1993,16:5-40. [6] SORLI-AGUILAR M,MARTIN-LUJAN F,FLORES-MATEO G,et al.Dietary patterns are associated with lung function among Spanish smokers without respiratory disease[J/OL].BMC Pulm Med[2023-01-16].https://doi.org/10.1186/s12890-016-0326-x. [7] 赵桂华,张娜,徐金义,等.河南省郑州地区居民气道高反应性发病情况调查与分析[J].新乡医学院学报,2022,39(4):346-349. [8] 林建维,李春玲,崔旭初,等.中老年人群肺通气功能及其影响因素研究[J].中华疾病控制杂志,2016,20(2):173-176. [9] 高雅虹,汤哲,孙菲,等.北京地区老年人肺功能现状评估与分析[J].中华老年医学杂志,2017,36(1):88-92. [10] DOMINELLI P B,MOLGAT-SEON Y.Sex,gender and the pulmonary physiology of exercise[J/OL].Eur Respir Rev,2022,31(163)[2023-01-16].https://doi.org/10.1183/16000617.0074-2021. [11] FUENTES N,SILVEYRA P.Endocrine regulation of lung disease and inflammation[J].Exp Biol Med,2018,243(17/18):1313-1322. [12] 包婺平,张旻,张鹏宇,等.激发试验阳性的慢性咳嗽患者小气道功能特点分析[J].国际呼吸杂志,2019,39(5):326-331. [13] 潘静,郑永克,林雯,等.老年人小气道功能障碍对肺弥散功能影响的临床研究[J].浙江医学,2022,44(15):1614-1617. |
|
|
|