Lungenfunktion in der NAKO Gesundheitsstudie: Methoden und erste Ergebnisse View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2020-02-20

AUTHORS

Stefan Karrasch, Annette Peters, Christa Meisinger, Maike Ferland, Lina Jaeschke, Tobias Pischon, Julia Fricke, Thomas Keil, Sylvia Gastell, Matthias Schulze, Mirko Brandes, Kathrin Günther, Oliver Kuß, Tamara Schikowski, Carina Emmel, Karl-Heinz Jöckel, Karin B. Michels, Claus-Werner Franzke, Susan Langer, Rafael Mikolajczyk, Annika Jagodzinski, Heiko Becher, Stefanie Castell, Yvonne Kemmling, Sabina Waniek, Wolfgang Lieb, Kerstin Wirkner, Markus Loeffler, Karin Halina Greiser, Rudolf Kaaks, Nicole Legath, Klaus Berger, Sabine Schipf, Wolfgang Hoffmann, Anja Sedlmeier, Michael Leitzmann, Hermann Brenner, Bernd Holleczek, Holger Schulz

ABSTRACT

BackgroundA nationwide assessment of the respiratory status on the basis of standardized lung function measurements has so far not been available in Germany. The present work describes the lung function tests in the German National Cohort (GNC) and presents initial results based on the GNC Midterm Baseline Dataset.Material and MethodsThe assessment of lung function in the GNC comprised spirometry (level 1) and the determination of exhaled nitric oxide (FeNO, level 2). Our quality assurance concept included regular training of lung function test procedures at various GNC sites, interim evaluations of test quality, as well as regular calibration/measurement checks of test equipment. For spirometry, we established a stepwise procedure for offline quality control based on raw flow volume curves.ResultsIn the present dataset (n = 101,734), spirometry was available for 86,893 study participants and FeNO was available for 15,228 participants. The average (±SD) FEV1 Z score (according to GLI 2012) was −0.321 ± 1.047, the FVC Z score was −0.153 ± 0.941, and the FEV1/FVC Z score was −0.337 ± 0.901. The difference in FEV1/FVC between current smokers and never-smokers increased with age. The average FeNO was 14.2 ÷ 2.0 ppb. Current smoking reduced FeNO levels by 43%, whereas respiratory allergy increased FeNO levels by 16% in nonsmokers.DiscussionThe results of spirometry and the FeNO measurements are in the expected range with regard to their distributions and correlates. The GNC provides a valuable basis for future investigations of respiratory health and its determinants as well as research into the prevention of respiratory diseases in Germany. More... »

PAGES

322-331

Author Affiliations

  • Comprehensive Pneumology Center Munich (CPC-M), Mitglied des Deutschen Zentrums für Lungenforschung (DZL), München, Deutschland
  • Institut für Epidemiologie, Helmholtz Zentrum München, München, Deutschland
  • Lehrstuhl für Epidemiologie, am UNIKA-T Augsburg, Ludwig-Maximilians-Universität München, Augsburg, Deutschland
  • Forschergruppe Molekulare Epidemiologie, Max-Delbrück-Centrum für Molekulare Medizin in der Helmholtz-Gemeinschaft (MDC), Berlin, Deutschland
  • MDC/BIH Biobank, Max-Delbrück-Centrum für Molekulare Medizin in der Helmholtz-Gemeinschaft (MDC) und Berlin Institute of Health (BIH), Berlin, Deutschland
  • Institut für Sozialmedizin, Epidemiologie und Gesundheitsökonomie, Charité – Universitätsmedizin Berlin, Berlin, Deutschland
  • Landesinstitut für Gesundheit, Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Bad Kissingen, Deutschland
  • Zentrale Einrichtung NAKO Studienzentrum, Deutsches Institut für Ernährungsforschung, Potsdam-Rehbrücke, Deutschland
  • Abteilung Molekulare Epidemiologie, Deutsches Institut für Ernährungsforschung, Potsdam-Rehbrücke, Deutschland
  • Leibniz-Institut für Präventionsforschung und Epidemiologie – BIPS, Bremen, Deutschland
  • Institut für Biometrie und Epidemiologie, Deutsches Diabetes-Zentrum (DDZ), Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland
  • IUF – Leibniz-Institut für umweltmedizinische Forschung Düsseldorf, Düsseldorf, Deutschland
  • Institut für Medizinische Informatik, Biometrie und Epidemiologie (IMIBE), Universitätsklinikum Essen, Universität Duisburg-Essen, Essen, Deutschland
  • Institut für Prävention und Tumorepidemiologie, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Freiburg, Deutschland
  • Institut für Medizinische Epidemiologie, Biometrie und Informatik, Martin-Luther-Universität Halle-Wittenberg, Halle, Deutschland
  • Epidemiologisches Studienzentrum, Universitätsklinikum Hamburg – Eppendorf, Hamburg, Deutschland
  • Institut für Medizinische Biometrie und Epidemiologie, Universitätsklinikum Hamburg – Eppendorf, Hamburg, Deutschland
  • Abteilung Epidemiologie, Helmholtz-Zentrum für Infektionsforschung, Braunschweig, Deutschland
  • Institut für Epidemiologie, Christian-Albrechts-Universität Kiel, Kiel, Deutschland
  • Institut für Medizinische Informatik, Statistik, und Epidemiologie (IMISE), Universität Leipzig, Leipzig, Deutschland
  • Abteilung Epidemiologie von Krebserkrankungen, DKFZ Heidelberg, Heidelberg, Deutschland
  • Translational Lung Research Center Heidelberg (TLRC), Deutsches Zentrum für Lungenforschung (DZL), Heidelberg, Deutschland
  • Institut für Epidemiologie und Sozialmedizin, Westfälische Wilhelms-Universität Münster, Münster, Deutschland
  • Institut für Community Medicine, Universitätsmedizin Greifswald, Greifswald, Deutschland
  • Institut für Community Medicine, Abt. Versorgungsepidemiologie und Community Health, Universitätsmedizin Greifswald, Greifswald, Deutschland
  • Institut für Epidemiologie und Präventivmedizin, Universität Regensburg, Regensburg, Deutschland
  • Abteilung Klinische Epidemiologie und Alternsforschung, Deutsches Krebsforschungszentrum (DKFZ), Heidelberg, Deutschland
  • Krebsregister Saarland, Ministerium für Soziales, Gesundheit, Frauen und Familie, Saarbrücken, Deutschland
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00103-020-03102-1

    DOI

    http://dx.doi.org/10.1007/s00103-020-03102-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1125041055

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/32078705


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