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. 2006 Oct;15(5):294-8.
doi: 10.1016/j.pcrj.2006.07.002. Epub 2006 Sep 15.

The FEV1/FEV6 ratio is a good substitute for the FEV1/FVC ratio in the elderly

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The FEV1/FEV6 ratio is a good substitute for the FEV1/FVC ratio in the elderly

Hasse Melbye et al. Prim Care Respir J. 2006 Oct.

Abstract

Aims: To determine the agreement between the FEV1/FEV6 ratio and the FEV1/FVC ratio in an elderly population.

Method: The study sample consisted of 3874 participants in a cross-sectional population survey in Tromsö, Norway, aged 60 years or more, in whom acceptable spirometry had been obtained. Mean differences between the FEV1/FEV6 ratio (%) and the FEV1/FVC ratio (%) were calculated according to age, sex, smoking habit, and the degree of airflow limitation. ROC-curve analysis and Kappa-statistics were used to estimate the utility of the FEV1/FEV6 ratio in predicting an FEV1/FVC ratio < 70%.

Results: The mean difference between FEV1/FEV6% and FEV1/FVC% was 2.7% in both men and women. The difference between the two measures increased somewhat with increasing age, and was more pronounced with smoking and decreasing FEV1/FVC ratio. The value for the FEV1/FEV6 ratio which best predicted an FEV1/FVC ratio of 70%, was 73%, and a very good agreement was found between these two cut-off values (kappa = 0.86).

Conclusion: The FEV1/FEV6 ratio appears to be a good substitute for the FEV1/FVC ratio in an elderly population.

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Comment in

  • Are six seconds long enough?
    Enright PL. Enright PL. Prim Care Respir J. 2006 Oct;15(5):268-70. doi: 10.1016/j.pcrj.2006.07.004. Epub 2006 Sep 14. Prim Care Respir J. 2006. PMID: 16973417 Free PMC article. No abstract available.

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