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Reference Values.

Cole Bowerman1, Sanja Stanojevic2

  • 1Department of Medicine, Queen's University, Kingston, Canada; Department of Community Health and Epidemiology, Dalhousie University, Centre for Clinical Research, 5790 University Avenue, Halifax, NSB3H 1V7, Canada.

Clinics in Chest Medicine
|August 6, 2025
PubMed
Summary
This summary is machine-generated.

Interpreting lung function tests requires reference equations based on height, sex, and age. Previously used race-specific equations are no longer recommended due to potential harms outweighing benefits.

Keywords:
Lung functionNormal rangePulmonary function testReference valuesSpirometry

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Area of Science:

  • Pulmonary Medicine
  • Clinical Physiology

Background:

  • Lung function testing is crucial for diagnosing respiratory conditions.
  • Interpretation of lung function measurements relies on established reference equations.
  • Reference equations use anthropometric data like height, sex, and age.

Purpose of the Study:

  • To explain the role of reference equations in interpreting lung function.
  • To discuss the exclusion of race and ethnicity from lung function reference equations.
  • To highlight the importance of understanding the limitations of these equations.

Main Methods:

  • Review of current guidelines and literature on lung function reference equations.
  • Analysis of the rationale for removing race/ethnicity as a determinant.
  • Discussion of the clinical implications of using updated reference equations.

Main Results:

  • Lung function reference equations are analogous to pediatric growth charts.
  • Height, sex, and age are key determinants in current reference equations.
  • Race and ethnicity are no longer recommended as determinants due to potential harms.

Conclusions:

  • Clinical interpretation of lung function requires careful consideration of reference equation methodology.
  • The exclusion of race-specific equations is based on ethical and scientific considerations.
  • Understanding the derivation and limitations of reference equations is essential for accurate patient assessment.