ArticleInternational journal of epidemiology2012
The use of ethnically specific norms for ventilatory function in African-American and white populations.
Article in International journal of epidemiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.
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Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.
- Guideline
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- Geographical variation in lung function: Results from the multicentric cross-sectional BOLD study.Pulmonology · 2025Article
- Spirometry interpretation in Africa: bridging the gap with relevant reference equations.ERJ open research · 2025Article
- Lung Function Trajectory Using Race-Specific vs Race-Neutral Global Lung Function Initiative Coefficients.JAMA network open · 2025Article
- Examining discordance in spirometry reference equations: A retrospective study.Physiological reports · 2025Article
- Is it time to end race and ethnicity adjustment for pediatric pulmonary function tests?Pediatric pulmonology · 2024Review
- The Challenge of Implementing Race-Neutral PFT Reference Equations.Respiratory care · 2024Article
- Race-Neutral Equations and Pulmonary Function Test Interpretation in Two Pediatric Cohorts.The Journal of pediatrics · 2024Article
- Rethinking the Role of Race in Lung Function: The Shift to Race-Neutral Spirometry Interpretation.Mayo Clinic proceedings · 2024Article
- Implications of Race Adjustment in Lung-Function Equations.The New England journal of medicine · 2024Article
- Interpretative Implications of Not Adjusting for Race: A Switch to the Global Lung Function Initiative Global Spirometry Equations.American journal of respiratory and critical care medicine · 2024Article
- Application of Global Lung Function Initiative Global Spirometry Reference Equations across a Large, Multicenter Pulmonary Function Lab Population.American journal of respiratory and critical care medicine · 2024Article
- Early Evidence of Chronic Obstructive Pulmonary Disease Obscured by Race-Specific Prediction Equations.American journal of respiratory and critical care medicine · 2024Article
- Race-specific spirometry equations may overestimate asthma control in Black children and adolescents.Respiratory research · 2023Article
- Peak Expiratory Flow Predicts Incident Dementia in a Representative Sample of U.S. Older Adults: The National Health and Aging Trends Study (NHATS).The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- Global, Race-Neutral Reference Equations and Pulmonary Function Test Interpretation.JAMA network open · 2023Article
- Race and Ethnicity in Pulmonary Function Test Interpretation: An Official American Thoracic Society Statement.American journal of respiratory and critical care medicine · 2023Article
- Spirometry profiles among pregnant and non-pregnant African women: a cross-sectional study.BMC women's health · 2022Article
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2 authors at 1 institution in 2 countries.
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Abstract
backgroundIn the USA, different standards are usually set for spirometric values in African-American and white populations. It is unclear to what extent the lower lung function found in African-Americans is 'normal' in the sense of having no adverse consequences.
methodsAfrican-American and white participants in the Atherosclerosis Risk in Communities (ARIC) limited access data set, from four communities in the USA had spirometric testing at baseline beginning in 1986 and were followed up to assess survival to the end of 2002.
resultsForced Expiratory Volume in 1 s (FEV(1)) and Forced Vital Capacity (FVC) were lower in the African-American than the white sample both for men and women and adjustment for potential confounders had little effect on the estimated difference {difference in FVC after adjustment: men, -0.68 l [95% confidence interval (95% CI) -0.75 to -0.61]; women, -0.41 l (95%CI -0.45 to -0.36)}. The FEV(1)/FVC ratio was slightly greater among African-American than white participants [difference: men, 1.5% (95%CI 0.7-2.1); women, 1.7% (95%CI 1.1-2.2)]. After adjustment for age and height, survival was similar in each ethnic group for any given level of FVC before and after adjustment for potential confounders. The hazard ratio for African-American compared with white participants was 1.24 for men (95% CI 0.91-1.69) and 0.96 for women (95% CI 0.66-1.38).
conclusionsA given FVC has the same prognostic significance for 'normal' African-American and white participants. It is inappropriate to use ethnic norms when assessing prognosis.
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