Table 3– Clinical characteristics of PI*ZZ homozygotes stratified by Global Initiative for Chronic Obstructive Lung Disease (GOLD) status
GOLD IGOLD IIGOLD IIIGOLD IVp-value
Subjects6212815171
Age years50.3±15.754.9±1151.4±1050.3±9.8*
BMI# kg·m−224.5±4.425.3± 3.525.1±4.123.6±4.1
Male25 (40.3)66 (51.6)100 (66.2)58 (81.7)***
Smoking***
 Current10 (16.4)13 (10.2)9 (6)5 (7.1)
 Former17 (27.9)76 (59.4)121 (80.1)57 (81.4)
 Never34 (55.7)39 (30.5)21 (13.9)8 (11.4)
 Pack-years12.6±14.221±14.424.3±13.526.4±16.7**
Reason for AATD diagnosis
 Lung disease27 (44.3)103 (80.5)136 (90.1)67 (94.4)
 Liver disease7 (11.5)1 (3.1)4 (2.6)0 (0)
 Family screening23 (37.7)17 (13.3)11 (7.3)4 (5.6)
 Other4 (6.6)4 (3.1)0 (0)0 (0)
Age at diagnosis years44.8±17.851.7±12.348.8±10.147.7±9.7**
Main symptom dyspnoea %46.4174.879.977.1
Age at symptom onset years37.8±18.440.9±12.639.9±12.137.5±11.1
Diagnostic delay years9.9±17.89.5±13.78.1±9.49.5±9.3
Lung disease
 Chronic bronchitis15 (24.2)49 (38.3)56 (37.1)16 (22.5)*
 Asthma10 (16.1)15 (11.7)15 (10)3 (4.2)
 Emphysema41 (66.1)101 (78.9)127 (84.1)61 (85.9)*
 Bronchiectasis14 (23.3)33 (25.8)34 (22.5)10 (14.1)
 Others6 (12.8)3 (3)16 (12.2)4 (6.3)
Pneumonia12 (19.4)38 (29.7)38 (25.2)19 (26.8)
Respiratory medication32 (52.5)107 (88.4)131 (92.9)64 (98.5)***
Oxygen therapy3 (5.4)12 (10.3)30 (21.3)24 (37.5)***
Augmentation therapy12 (19.4)62 (48.4)89 (58.9)36 (50.7)***
Pulmonary function***
 FEV1 L·s−12.8±0.81.8±0.51.2±0.30.8±0.2***
 FEV1 % pred98.7±16.362.7±8.336.9±5.723.4±4***
 FVC L3.9±13.3±1.23±12.3±0.9***
 FVC % pred104.8±15.786.6±18.271.7±18.250.7±15.6***
 FEV1/FVC %71.1±11.155.2±110.843.6±10.636.9±9***
  • Values are given as n, mean±sd or n (%), unless otherwise stated. BMI: body mass index; AATD: α1-antitrypsin deficiency; FEV1: forced expiratory volume in 1 s; % pred: % predicted; FVC: forced vital capacity. #: not available for patients from the Italian registry. *: p<0.05; **: p<0.01; ***: p<0.001.