Applicability of American and European spirometry repeatability criteria to Korean adults

Hoon Park Byung, Suk Park Moo, Young Jung Woo, Kwang Byun Min, Cheol Park Seon, Yun Shin Sang, Ho Jeon Han, Soo Jung Kyung, Ae Moon Ji, Kyu Kim Se, Joon Chang, Kyu Kim Sung, Songvogue Ahn, Yeon Mok Oh, Do Lee Sang, Sam Kim Young

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: The objective of this study was to evaluate the clinical applicability of the repeatability criteria recommended by the American Thoracic Society/European Respiratory Society (ATS/ERS) spirometry guidelines and to determine which factors affect the repeatability of spirometry in Korean adults. Methods: We reviewed the spirometry data of 4,663 Korean adults from the Korean National Health and Nutritional Examination Survey (KNHANES) Chronic Obstructive Pulmonary Disease Cohort (COPD cohort) and the Community-based Cohort Study VI-Fishing village/Islands (community cohort). We measured the anthropometric factors and differences between the highest and second-highest FVC (dFVC) and FEV 1 (dFEV 1 ) from prebronchodilator spirometry. Analyses included the distribution of dFVC and dFEV 1 , comparison of the values meeting the 1994 ATS repeatability criteria with the values meeting the 2005 ATS/ERS repeatability criteria, and the performance of linear regression for evaluating the influence of subject characteristics and the change of criteria on the Spirometric variability. Results: About 95% of subjects were able to reproduce FVC and FEV 1 within 150 ml. The KNHANES based on the 1994 ATS guidelines showed poorer repeatability than the COPD cohort and community cohort based on the 2005 ATS/ERS guidelines. Demographic and anthropometric factors had little effect on repeatability, explaining only 0.5 to 3%. Conclusion: We conclude that the new spirometry repeatability criteria recommended by the 2005 ATS/ERS guidelines is also applicable to Korean adults. The repeatability of spirometry depends little on individual characteristics when an experienced technician performs testing. Therefore, we suggest that sustained efforts for public awareness of new repeatability criteria, quality control of spirograms, and education of personnel are needed for reliable spirometric results.

Original languageEnglish
Pages (from-to)405-411
Number of pages7
JournalTuberculosis and Respiratory Diseases
Volume63
Issue number5
Publication statusPublished - 2007 Nov 1

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Spirometry
Guidelines
Thorax
Nutrition Surveys
Chronic Obstructive Pulmonary Disease
Health
Islands
Quality Control
Linear Models
Cohort Studies
Demography
Education

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

Cite this

Byung, H. P., Moo, S. P., Woo, Y. J., Min, K. B., Seon, C. P., Sang, Y. S., ... Young, S. K. (2007). Applicability of American and European spirometry repeatability criteria to Korean adults. Tuberculosis and Respiratory Diseases, 63(5), 405-411.
Byung, Hoon Park ; Moo, Suk Park ; Woo, Young Jung ; Min, Kwang Byun ; Seon, Cheol Park ; Sang, Yun Shin ; Han, Ho Jeon ; Kyung, Soo Jung ; Ji, Ae Moon ; Se, Kyu Kim ; Chang, Joon ; Sung, Kyu Kim ; Ahn, Songvogue ; Oh, Yeon Mok ; Sang, Do Lee ; Young, Sam Kim. / Applicability of American and European spirometry repeatability criteria to Korean adults. In: Tuberculosis and Respiratory Diseases. 2007 ; Vol. 63, No. 5. pp. 405-411.
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title = "Applicability of American and European spirometry repeatability criteria to Korean adults",
abstract = "Background: The objective of this study was to evaluate the clinical applicability of the repeatability criteria recommended by the American Thoracic Society/European Respiratory Society (ATS/ERS) spirometry guidelines and to determine which factors affect the repeatability of spirometry in Korean adults. Methods: We reviewed the spirometry data of 4,663 Korean adults from the Korean National Health and Nutritional Examination Survey (KNHANES) Chronic Obstructive Pulmonary Disease Cohort (COPD cohort) and the Community-based Cohort Study VI-Fishing village/Islands (community cohort). We measured the anthropometric factors and differences between the highest and second-highest FVC (dFVC) and FEV 1 (dFEV 1 ) from prebronchodilator spirometry. Analyses included the distribution of dFVC and dFEV 1 , comparison of the values meeting the 1994 ATS repeatability criteria with the values meeting the 2005 ATS/ERS repeatability criteria, and the performance of linear regression for evaluating the influence of subject characteristics and the change of criteria on the Spirometric variability. Results: About 95{\%} of subjects were able to reproduce FVC and FEV 1 within 150 ml. The KNHANES based on the 1994 ATS guidelines showed poorer repeatability than the COPD cohort and community cohort based on the 2005 ATS/ERS guidelines. Demographic and anthropometric factors had little effect on repeatability, explaining only 0.5 to 3{\%}. Conclusion: We conclude that the new spirometry repeatability criteria recommended by the 2005 ATS/ERS guidelines is also applicable to Korean adults. The repeatability of spirometry depends little on individual characteristics when an experienced technician performs testing. Therefore, we suggest that sustained efforts for public awareness of new repeatability criteria, quality control of spirograms, and education of personnel are needed for reliable spirometric results.",
author = "Byung, {Hoon Park} and Moo, {Suk Park} and Woo, {Young Jung} and Min, {Kwang Byun} and Seon, {Cheol Park} and Sang, {Yun Shin} and Han, {Ho Jeon} and Kyung, {Soo Jung} and Ji, {Ae Moon} and Se, {Kyu Kim} and Joon Chang and Sung, {Kyu Kim} and Songvogue Ahn and Oh, {Yeon Mok} and Sang, {Do Lee} and Young, {Sam Kim}",
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Byung, HP, Moo, SP, Woo, YJ, Min, KB, Seon, CP, Sang, YS, Han, HJ, Kyung, SJ, Ji, AM, Se, KK, Chang, J, Sung, KK, Ahn, S, Oh, YM, Sang, DL & Young, SK 2007, 'Applicability of American and European spirometry repeatability criteria to Korean adults', Tuberculosis and Respiratory Diseases, vol. 63, no. 5, pp. 405-411.

Applicability of American and European spirometry repeatability criteria to Korean adults. / Byung, Hoon Park; Moo, Suk Park; Woo, Young Jung; Min, Kwang Byun; Seon, Cheol Park; Sang, Yun Shin; Han, Ho Jeon; Kyung, Soo Jung; Ji, Ae Moon; Se, Kyu Kim; Chang, Joon; Sung, Kyu Kim; Ahn, Songvogue; Oh, Yeon Mok; Sang, Do Lee; Young, Sam Kim.

In: Tuberculosis and Respiratory Diseases, Vol. 63, No. 5, 01.11.2007, p. 405-411.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Applicability of American and European spirometry repeatability criteria to Korean adults

AU - Byung, Hoon Park

AU - Moo, Suk Park

AU - Woo, Young Jung

AU - Min, Kwang Byun

AU - Seon, Cheol Park

AU - Sang, Yun Shin

AU - Han, Ho Jeon

AU - Kyung, Soo Jung

AU - Ji, Ae Moon

AU - Se, Kyu Kim

AU - Chang, Joon

AU - Sung, Kyu Kim

AU - Ahn, Songvogue

AU - Oh, Yeon Mok

AU - Sang, Do Lee

AU - Young, Sam Kim

PY - 2007/11/1

Y1 - 2007/11/1

N2 - Background: The objective of this study was to evaluate the clinical applicability of the repeatability criteria recommended by the American Thoracic Society/European Respiratory Society (ATS/ERS) spirometry guidelines and to determine which factors affect the repeatability of spirometry in Korean adults. Methods: We reviewed the spirometry data of 4,663 Korean adults from the Korean National Health and Nutritional Examination Survey (KNHANES) Chronic Obstructive Pulmonary Disease Cohort (COPD cohort) and the Community-based Cohort Study VI-Fishing village/Islands (community cohort). We measured the anthropometric factors and differences between the highest and second-highest FVC (dFVC) and FEV 1 (dFEV 1 ) from prebronchodilator spirometry. Analyses included the distribution of dFVC and dFEV 1 , comparison of the values meeting the 1994 ATS repeatability criteria with the values meeting the 2005 ATS/ERS repeatability criteria, and the performance of linear regression for evaluating the influence of subject characteristics and the change of criteria on the Spirometric variability. Results: About 95% of subjects were able to reproduce FVC and FEV 1 within 150 ml. The KNHANES based on the 1994 ATS guidelines showed poorer repeatability than the COPD cohort and community cohort based on the 2005 ATS/ERS guidelines. Demographic and anthropometric factors had little effect on repeatability, explaining only 0.5 to 3%. Conclusion: We conclude that the new spirometry repeatability criteria recommended by the 2005 ATS/ERS guidelines is also applicable to Korean adults. The repeatability of spirometry depends little on individual characteristics when an experienced technician performs testing. Therefore, we suggest that sustained efforts for public awareness of new repeatability criteria, quality control of spirograms, and education of personnel are needed for reliable spirometric results.

AB - Background: The objective of this study was to evaluate the clinical applicability of the repeatability criteria recommended by the American Thoracic Society/European Respiratory Society (ATS/ERS) spirometry guidelines and to determine which factors affect the repeatability of spirometry in Korean adults. Methods: We reviewed the spirometry data of 4,663 Korean adults from the Korean National Health and Nutritional Examination Survey (KNHANES) Chronic Obstructive Pulmonary Disease Cohort (COPD cohort) and the Community-based Cohort Study VI-Fishing village/Islands (community cohort). We measured the anthropometric factors and differences between the highest and second-highest FVC (dFVC) and FEV 1 (dFEV 1 ) from prebronchodilator spirometry. Analyses included the distribution of dFVC and dFEV 1 , comparison of the values meeting the 1994 ATS repeatability criteria with the values meeting the 2005 ATS/ERS repeatability criteria, and the performance of linear regression for evaluating the influence of subject characteristics and the change of criteria on the Spirometric variability. Results: About 95% of subjects were able to reproduce FVC and FEV 1 within 150 ml. The KNHANES based on the 1994 ATS guidelines showed poorer repeatability than the COPD cohort and community cohort based on the 2005 ATS/ERS guidelines. Demographic and anthropometric factors had little effect on repeatability, explaining only 0.5 to 3%. Conclusion: We conclude that the new spirometry repeatability criteria recommended by the 2005 ATS/ERS guidelines is also applicable to Korean adults. The repeatability of spirometry depends little on individual characteristics when an experienced technician performs testing. Therefore, we suggest that sustained efforts for public awareness of new repeatability criteria, quality control of spirograms, and education of personnel are needed for reliable spirometric results.

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Byung HP, Moo SP, Woo YJ, Min KB, Seon CP, Sang YS et al. Applicability of American and European spirometry repeatability criteria to Korean adults. Tuberculosis and Respiratory Diseases. 2007 Nov 1;63(5):405-411.