Table. 3—

Effects of occupational/environmental exposures on lung function in severe α1-antitrypsin (AAT) deficiency

First author year [ref.]ExposureOutcomeOutcome in: AAT deficiency/not exposedOutcome in: AAT deficiency/exposedEstimated exposure effect in severe AAT deficiencyEffect modification
Silverman 1989 26Passive smokingDifference in prevalence rate of subjects with FEV1 ≤65% pred %5276nsNot measurable
Piitulainen 1997 27OccupationalDifference in FEV1 % pred (sd or 95% CI)76 (31)63 (29)−7 (−2.4– −12); subjects ≥50 yrsNot measurable
Piitulainen 1998 28Passive smokingDifference in FEV1/FVC ratio % (95% CI)101 (98–104)96 (93–98)−3.4 (−6.5– −1.2)Not measurable
Piitulainen 1998 29OccupationalDifference in FEV1 % pred (95% CI)89 (85–93)59 (43–76)−18 (−30– −6)Not measurable
Mayer 2000 30OccupationalDifference in FEV1 % pred4031p = 0.032Not measurable
  • FEV1: forced expiratory volume in one second; CI: confidence interval; FVC: forced vital capacity; ns: nonsignificant.