Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2005-7-4
pubmed:abstractText
Long-term changes in bronchodilator response in people with mild chronic obstructive pulmonary disease were assessed in this study. Changes in forced expiratory volume in one second (FEV1) in response to isoproterenol was measured in 4,194 participants in the Lung Health Study annually for 5 yrs, and again 11 yrs after study entry. Responses were quantitated in terms of mL (absolute), as per cent of the pre-bronchodilator value (relative), and as a per cent of the predicted normal value (% predicted). At baseline, the mean pre-bronchodilator FEV1 was 75.4% predicted, and responses were small. Relative and percentage predicted responses were similar in males and females; and correlated positively with methacholine reactivity, and negatively with smoking intensity and age. Baseline bronchodilator responses did not correlate with subsequent decline in FEV1. There was a substantial increase in response over the first year of the study, largely due to smoking cessation, with larger increases in those who stopped smoking. After the first year absolute responses changed little in those who maintained smoking cessation, but increased in those who did not. Mean relative and percentage predicted responses increased in all participants throughout the study. There was substantial annual variability of absolute response, and it was poorly reproducible in individual participants. In conclusion, smoking cessation increased bronchodilator response, and response did not predict the rate of decline of forced expiratory volume in one second.
pubmed:grant
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0903-1936
pubmed:author
pubmed:issnType
Print
pubmed:volume
26
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
45-51
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:15994388-Administration, Inhalation, pubmed-meshheading:15994388-Adult, pubmed-meshheading:15994388-Bronchodilator Agents, pubmed-meshheading:15994388-Cohort Studies, pubmed-meshheading:15994388-Dose-Response Relationship, Drug, pubmed-meshheading:15994388-Drug Administration Schedule, pubmed-meshheading:15994388-Female, pubmed-meshheading:15994388-Follow-Up Studies, pubmed-meshheading:15994388-Forced Expiratory Volume, pubmed-meshheading:15994388-Humans, pubmed-meshheading:15994388-Ipratropium, pubmed-meshheading:15994388-Male, pubmed-meshheading:15994388-Middle Aged, pubmed-meshheading:15994388-Multivariate Analysis, pubmed-meshheading:15994388-Patient Satisfaction, pubmed-meshheading:15994388-Predictive Value of Tests, pubmed-meshheading:15994388-Prospective Studies, pubmed-meshheading:15994388-Pulmonary Disease, Chronic Obstructive, pubmed-meshheading:15994388-Respiratory Function Tests, pubmed-meshheading:15994388-Severity of Illness Index, pubmed-meshheading:15994388-Smoking Cessation, pubmed-meshheading:15994388-Time Factors, pubmed-meshheading:15994388-Treatment Outcome
pubmed:year
2005
pubmed:articleTitle
Bronchodilator response in the lung health study over 11 yrs.
pubmed:affiliation
University of Manitoba, Winnipeg, Canada. nanthonisen@exchange.hsc.mb.ca
pubmed:publicationType
Journal Article, Comparative Study, Research Support, U.S. Gov't, P.H.S., Research Support, N.I.H., Extramural