Gender Difference in Spirometric Lung Functions in Chronic Obstructive Pulmonary Disease Patients Attending Rims Hospital Out-Patient Department

Shimray, A. Jannie; Kanan, W; Jamatia, S.N. Naithok; Roel, Sharon; Kom, Leivon Bellamy; Oumanath, Franc; Sangma, M A; Hungyo, Hongprachan

doi:10.9790/0853-13914951

Cited by 3 publications

(4 citation statements)

References 11 publications

(6 reference statements)

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“…Data have shown that patients with a history of chronic heavy smoking >19 smoking pack-years were associated with significantly decreased values of FVC, FEV 1 , FEV1/FVC, and PEFR and that pulmonary function parameters tended to decrease as the cigarette burden increased. [ 33 34 35 ] Furthermore, the results of this study are similar to other published data including a negative correlation between smoking pack-years and FVC ( r = −0.3593, P = 0.018) and ( r = −0.072, P = 0.078), respectively. [ 35 ]…”

Section: Discussionsupporting

confidence: 89%

Impact of a pharmacist-driven spirometry clinic service within a community family health center: A 5-year retrospective review

Cawley

Warning

2018

J Res Pharm Pract

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Objective:This study was designed to describe the impact of a trained pharmacist in performing quality spirometry testing within a community family health center.Methods:This was a retrospective, cohort study of 150 physician-referred patients who attended their scheduled spirometry office appointment between November 2008 and December 2013. Information obtained included type of the disease (patients with obstructive or restrictive pulmonary disease), calculated lung age decline due to smoking history, quality of spirometry testing, and percentage of patients requiring pulmonary drug regimen alterations due to spirometry results. Pearson correlation and descriptive statistics were used to address study objectives.Findings:Spirometry testing performed by a pharmacist resulted in 87% of tests meeting guidelines for quality. Testing identified patients with reversible airway disease (39%), chronic obstructive pulmonary disease (21%), restrictive (11%), and mixed obstructive/restrictive (11%) lung defect. Patients with abnormal spirometry demonstrated a greater smoking pack-year history and calculated lung age than patients with normal spirometry (29.1 pack-years vs. 17 pack-years; P = 0.024 and 76.3 years vs. 54.6 years; P < 0.001, respectively). A weak correlation was found between a 29.1 smoking pack-year history and forced vital capacity (r = −0.3593, P = 0.018). The pharmacist assisted in modifying pulmonary drug regimens in 69% of patients based on evidence-based guidelines.Conclusion:A pharmacist-driven spirometry service was associated with quality testing results, identified respiratory disease abnormalities, and helped modifications of pulmonary drug regimens based on evidence-based guidelines. Future direction of this service may include collaborative practice agreements with physicians to expand services of pharmacists to include spirometry testing.

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Section: Discussionsupporting

confidence: 89%

Impact of a pharmacist-driven spirometry clinic service within a community family health center: A 5-year retrospective review

Cawley

Warning

2018

J Res Pharm Pract

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“…Our results correspond with other studies that reported higher mean values of PFT parameters in male patients compared to females. 10,11 This trend, however, contrasts with another report where females exhibited higher PFT parameters compared to males. 12 Several other studies, reported no significant gender differences in the pulmonary function profiles in the sample studied.…”

Section: Discussionmentioning

confidence: 72%

Gender Differences and Obesity Influence on Pulmonary Function Parameters

et al. 2019

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ObjectivesOverweight and obesity are known to cause various patterns of alteration to the pulmonary function test (PFT) parameters. We sought to investigate gender differences in PFT parameters and examine the relationship between body mass index (BMI) and PFT parameters.MethodsWe conducted a retrospective study of 126 patients referred for a PFT by various medical specialties between January and December 2015. PFT was measured using spirometry, and BMI was calculated using Quetelet’s index.ResultsFemale patients exhibited lower mean values for all PFT parameters compared to male patients. The forced vital capacity (FVC)% predicted was less than 80% for all patients while the ratio of forced expiratory volume in 1 second (FEV1)/FVC was higher with increased BMI. BMI was positively correlated with peak expiratory flow in all patients, and with FEV1/FVC ratio in males but not in females.ConclusionsIn our studied population, males exhibited higher mean values of PFT parameters than females. Increased BMI may be associated with a restrictive pattern on spirometry.

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“…Changes in hormone levels could also play a role. 16,17 FVC, FEV, and PEFR were all shown to be statistically significant in both sexes in Gujarat, according to research by Doctor et al 18 The best predictor of FVC and FEV in females was age, while in males it was height. Age and height were found to have a negative link with FEV% in both sexes, while surface area was found to have a positive correlation.…”

Section: Discussionmentioning

confidence: 96%

“…Our findings corroborate those of recent studies that revealed that men, on average, have higher scores on PFT variables than women. 15,16 Yet, a different study found that females actually had better PFT readings than males. Numerous other studies did not find substantial differences in spirometry patterns between the sexes among the populations studied.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Function Test Among University Students-A Cross Sectional Survey

Saeed¹,

Yousuf²,

Hasan³

et al. 2023

PJMHS

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Objectives: To identify the lung functioning parameters i.e. FVC, FEV1, FEV1/FVC%, MVV of healthy individuals with normal pulmonary function. Study Design: It was a cross-sectional study. Study Setting: Study was conducted at Institute of Physical and Medical Rehabilitation (IPM&R), Dow University of Health Sciences (DUHS), Karachi, Pakistan from August 2022 to January 2023. Methods: Total 60 students giving the male to female ratio of 1:1 with age ranging of 15-30 years were enrolled and studied for respiratory functions by spirometry. Subjects were divided in two groups depending on their gender. The Measured parameters comprised: Vital capacity (VC), forced vital capacity (FVC), forced expiratory volume first second (FEV1), FEV1/FVC%, and maximum voluntary ventilation (MVV). Result: Our results show that all indices, including FVC, FEV1, FVC/FEV1%, and MVV, were statistically significantly (p0.01) greater in males compared to females. Women have a much lower FEV1/FVC ratio than men do (p< 0.05). Out of a total of 60 students, 57.3% (n=34) were classified as having normal spirometry; 15.3% (n=9) were classified as having mild restrictions; 11.7% (n=7) were classified as having moderate restrictions; 1.7% (n=1) were classified as having moderate severe restrictions; 10% (n=6) were classified as having mild obstruction; and 5.3% (n=3) were classified as having moderate obstruction. Practical Implication: Little data exist on whether and how PFT parameters change depending on a person's gender. As a result, we set out to learn more about the differences between the sexes in PFT variables and the connection between BMI and the tests. Conclusion: Our study revealed that males had greater values of FVC, FEV1, FVC/FEV1, and MVV when compared to females, which was statistically significant (p<0.01). Females have a significantly (p0.05) lower FEV1/FVC ratio than males. Our findings demonstrate that healthy male and female subjects breathe in different ways, which may be related to gender's effect on lung function. Keywords: Gender, Spirometer, FVC, FEV1, FEV1 /FVC%, MVV, Medical Rehabilitation, Pulmonary Function

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Gender Difference in Spirometric Lung Functions in Chronic Obstructive Pulmonary Disease Patients Attending Rims Hospital Out-Patient Department

Cited by 3 publications

References 11 publications

Impact of a pharmacist-driven spirometry clinic service within a community family health center: A 5-year retrospective review

Impact of a pharmacist-driven spirometry clinic service within a community family health center: A 5-year retrospective review

Gender Differences and Obesity Influence on Pulmonary Function Parameters

Pulmonary Function Test Among University Students-A Cross Sectional Survey

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