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Lung function trajectories in health and disease.

Alvar Agusti1, Rosa Faner2

  • 1Respiratory Institute, Hospital Clinic, Barcelona, Spain; August Pi i Sunyer Biomedical Research Institute (IDIBAPS) Barcelona, Spain; Department of Medicine, University of Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red, Enfermedades Respiratorias, Instituto de Salud Carlos III (CIBER), Madrid, Spain.

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Lung function follows three life stages: growth, plateau, and decline. Understanding diverse lung function trajectories and influencing factors is key to promoting respiratory health.

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Area of Science:

  • Pulmonology
  • Physiology
  • Life Course Epidemiology

Background:

  • Normal lung function progresses through distinct life phases: growth, plateau, and age-related decline.
  • Genetic and environmental factors significantly influence lung function trajectories across the lifespan.
  • Variations in lung function trajectories are linked to health and disease outcomes.

Purpose of the Study:

  • To review current evidence on lung function trajectories throughout life.
  • To identify key questions and challenges in understanding these trajectories.
  • To explore opportunities for promoting respiratory health.

Main Methods:

  • Literature review of studies on lung function development, ageing, and influencing factors.
  • Synthesis of evidence on diverse lung function trajectories.
  • Identification of research gaps and future directions.

Main Results:

  • Multiple distinct lung function trajectories exist beyond the typical three phases.
  • Factors influencing these trajectories include genetics, environment, and lifestyle.
  • Certain trajectories are associated with increased risk of respiratory diseases.

Conclusions:

  • Recognizing diverse lung function trajectories is crucial for personalized respiratory care.
  • Further research is needed to elucidate the mechanisms underlying altered trajectories.
  • Interventions targeting modifiable factors may improve long-term respiratory health outcomes.