Table. 1—

Main recommendations for spirometry

ProcedureRecommendations
Body postureUpright position
Start-of-test criteriaExtrapolation volume <100 mL or 5% FVC, whichever is greaterPEF sharp and close to maximum inflation.Steep upslope of the FVL
End-of-test criteriaForced expiration lasting a minimum 6 s
Inspiration preceding the forced expirationFast and with no hesitation with breath-holding time at maximum inflation <1 s
Forced expiratory manoeuvreNo cough in the initial 1 sNo tongue obstructing the mouthpieceNo cessation of flow due to glottis closure or decreased effortNo leaks, no drift
Manoeuvres nA minimum of three to a maximum of eight
RepeatabilityThree technically satisfactory manoeuvres with the largest FEV1 and FVC not exceeding the next highest values by >5% or 0.1 L, whichever is greater.
  • FVC: forced vital capacity; PEF: peak expiratory flow; FVL: flow-volume loop; FEV1: forced expiratory volume in one second.