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The prevalence of restrictive lung function in a general population obtained by spirometry and bodyplethysmography-Data from the LEAD study

Robab Breyer-Kohansal, Marie-Kathrin Breyer, Otto Burghuber, Andreas Horner, Bernd Lamprecht, Alina Ofenheimer, Andrea Schrott, Sylvia Hartl
European Respiratory Journal 2019 54: PA358; DOI: 10.1183/13993003.congress-2019.PA358
Robab Breyer-Kohansal
1Department of Respiratory and Critical Care Medicine and Ludwig Boltzmann Institute for COPD and Respiratory Epidemiology, Otto Wagner Hospital, Vienna, Austria
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  • For correspondence: r.breyer-kohansal@gmx.at
Marie-Kathrin Breyer
1Department of Respiratory and Critical Care Medicine and Ludwig Boltzmann Institute for COPD and Respiratory Epidemiology, Otto Wagner Hospital, Vienna, Austria
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Otto Burghuber
1Department of Respiratory and Critical Care Medicine and Ludwig Boltzmann Institute for COPD and Respiratory Epidemiology, Otto Wagner Hospital, Vienna, Austria
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Andreas Horner
2Department of Pulmonology and Faculty of Medicine, Kepler University Hospital, Linz, Austria
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Bernd Lamprecht
2Department of Pulmonology and Faculty of Medicine, Kepler University Hospital, Linz, Austria
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Alina Ofenheimer
3Sigmund Freud University, Medical School and Ludwig Boltzmann Institute for COPD and Respiratory Epidemiology, Otto Wagner Hospital, Vienna, Austria
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Andrea Schrott
4Ludwig Boltzmann Institute for COPD and Respiratory Epidemiology, Vienna, Austria
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Sylvia Hartl
1Department of Respiratory and Critical Care Medicine and Ludwig Boltzmann Institute for COPD and Respiratory Epidemiology, Otto Wagner Hospital, Vienna, Austria
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Abstract

Published prevalence data on restrictive lung function (rLF) in the general population vary widely from 5-20% and are obtained by spirometry only. Therefore, the aim of our study was to determine the prevalence and severity of rLF in a general population according to both spirometric and bodyplethsymographic excepted equations.

Data was obtained from the Austrian LEAD Study, a longitudinal, observational, population-based cohort study. In total 9998 participants (46.6% male) were included in this analysis. rLF was defined spirometrically by FEV1/FVC>LLN and FVC<LLN and bodyplethysmographically by TLC<LLN. Severity of rLF was defined as mild (>60%pred), moderate (40-60%pred) and severe (<40%pred).

Overall, the prevalence of rLF by spirometric criteria is 3.4% (N=337) and by bodyplethysmographic criteria 0.9% (N=85; p<0.001). rLF is more prevalent in male vs. female (1.6 vs 0.2; p<0.001; Table1) and independent of age, although no rLF was found in age <18years. Nearly all rLF were mild, independently from the parameter used (FVC% or TLC%), which both are highly correlated (R=0.6, p<0.001).

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The prevalence of rLF in our general population is significantly less than previously reported; especially when bodyplethysmographic criteria are applied. Therefore, existing prevalence data on rLF may be interpreted with caution and should be validated by bodyplethysmography in the future.

  • Measurement properties
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Footnotes

Cite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA358.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2019
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The prevalence of restrictive lung function in a general population obtained by spirometry and bodyplethysmography-Data from the LEAD study
Robab Breyer-Kohansal, Marie-Kathrin Breyer, Otto Burghuber, Andreas Horner, Bernd Lamprecht, Alina Ofenheimer, Andrea Schrott, Sylvia Hartl
European Respiratory Journal Sep 2019, 54 (suppl 63) PA358; DOI: 10.1183/13993003.congress-2019.PA358

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The prevalence of restrictive lung function in a general population obtained by spirometry and bodyplethysmography-Data from the LEAD study
Robab Breyer-Kohansal, Marie-Kathrin Breyer, Otto Burghuber, Andreas Horner, Bernd Lamprecht, Alina Ofenheimer, Andrea Schrott, Sylvia Hartl
European Respiratory Journal Sep 2019, 54 (suppl 63) PA358; DOI: 10.1183/13993003.congress-2019.PA358
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