Spirometric “lung age” estimation for motivating smoking cessation

doi:10.1016/0091-7435(85)90085-4

Preventive Medicine

Volume 14, Issue 5, September 1985, Pages 655-662

https://doi.org/10.1016/0091-7435(85)90085-4 Get rights and content

Abstract

Motivation for smoking cessation benefits from physician counseling. To further improve this educational process, spirometry can demonstrate ventilatory impairment to the smoker. In addition to comparing a person's spirometric results with predicted reference values for normal subjects, estimation of “lung age” can be used to demonstrate the effects of cigarette smoking. Equations were developed from reference linear regression equations permitting lung age estimation in terms of ventilatory function. This age can then be compared with the individual's chronological lung age. Normal and abnormal groups determined by a respiratory health questionnaire and pulmonary function testing were used to compare the value of single and combination spirometric tests. The forced expiratory volume at 1 sec proved superior to any other single test or combination for best separation of the two groups and had the lowest standard error for estimated lung age. Both spirometry and estimated lung age calculation may be useful for motivating cessation of cigarette smoking.

References (18)

J.K. Ockene et al.
Comparison of patterns of smoking behavior change among smokers in the Multiple Risk Factor Intervention Trial (MRFIT)
Prev. Med.
(1982)
R. Paxton et al.
Nonsmoking reinforced by improvements in lung function
Addict. Behav.
(1981)
L.L. Pederson et al.
Multivariate prediction of smoking cessation following physician advice to quit smoking: A validation study
Prev. Med.
(1983)
T. Brugman et al.
Comparison of lung volume measurement by single breath helium and nitrogen equilibration methods
Amer. Rev. Respir. Dis.
(1982)
P.T. Costa et al.
Functional age: A concept and empirical critique
S.R. Cummings
Kicking the habit: Benefits and methods of quitting cigarette smoking
West. J. Med.
(1982)
A.L. Davis et al.
Self-help smoking cessation and maintenance programs: A comparative study with 12-month follow-up by the American Lung Association
Amer. J. Public Health
(1984)
K. Hale
Chronic airflow obstruction: Two pronged approach to outpatient management
Postgrad. Med.
(1983)
M.G.G. Hepper et al.
Chronic obstructive pulmonary disease: A community-oriented program including professional education and screening by a voluntary health agency
Amer. Rev. Respir. Dis.
(1980)

There are more references available in the full text version of this article.

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Short reportSpirometric “lung age” estimation for motivating smoking cessation

Abstract

Prev. Med.

Addict. Behav.

Prev. Med.

Comparison of lung volume measurement by single breath helium and nitrogen equilibration methods

Amer. Rev. Respir. Dis.

Functional age: A concept and empirical critique

Kicking the habit: Benefits and methods of quitting cigarette smoking

West. J. Med.

Self-help smoking cessation and maintenance programs: A comparative study with 12-month follow-up by the American Lung Association

Amer. J. Public Health

Chronic airflow obstruction: Two pronged approach to outpatient management

Postgrad. Med.

Chronic obstructive pulmonary disease: A community-oriented program including professional education and screening by a voluntary health agency

Amer. Rev. Respir. Dis.

Short report
Spirometric “lung age” estimation for motivating smoking cessation