STANDARD RANGE OF PEAK EXPIRATORY FLOW IN NORMAL, HEALTHY JAPANESE SUBJECTS

  • Tsukioka Kazuharu
    Department of Medicine, National Nishi-Niigata Central Hospital
  • Makino Sohei
    Department of Medicine and Clinical Immunology, Dokkyo University School of Medicine
  • Miyamoto Terumasa
    National Sagamihara Hospital
  • Takahashi Terumi
    Ohta General Hospital
  • Tomioka Hisao
    Department of Internal Medicine, Toho University School of Medicine, Sakura Hospital
  • Ito Koji
    Department of Internal Medicine and Physical Therapy, Faculty of Medicine, University of Tokyo
  • Adachi Mitsuru
    Department of Internal Medicine, Showa University School of Medicine
  • Kabe Junzaburo
    International Medical Center of Japan
  • Nakajima Shigenori
    Department of Internal Medicine, Kinki University School of Medicine
  • Takishima Tamotsu
    Chest Research Fundation of Technology
  • Ohashi Yasuo
    Epidemiology and Biostatistics, School of Health Sciences and Nursing Faculty of Medicine, University of Tokyo
  • Hamada Chikuma
    Department of Pharmacoepidemiology, Faculty of Medicine, Univresity of Tokyo
  • Miyazawa Masaharu
    Department of Clinical Laboratory, Saitama Prefectural Obara Cardiovascular Center
  • Wakana Akira
    Faculty of Industrial Engineering and Management Science University of Tokyo

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Other Title
  • 日本人健常者のピークフロー標準値

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The measurement and analysis of the standard range of peak expiratory flow (PEF) in normal, healthy Japanese is necessary at any cost to facilitate bringing the Japanese Guidelines for Bronchial Asthma smoothly into effect. In a study as part of The Bronchial Asthma Group of the Comprehensive Research Project (Terumasa Miyamoto, Chairman of the planning and Evaluation Committee) under the auspices of the Ministry of Health and Welfare, we measured PEF in 2,785 healthy Japanese volunteers (1,407 males aged 15-84 years and 1,738 females aged 15-80 years) who had no history of smoking, respiratory and/or thoracic diseases, or wheezing with four different peak flow meters (e.g., mini-Wright, Assess, Personal-Best and Vitalograph). As a result of comparing PEF measured by the four meters in the same subjects over a short interval of time, we noted significant differences on analysis of variance. Accordingly, the equation for prediction should account for variables in gender and the type of peak flow meter used. A comparison of cubic equations for prediction suggests that the PEF of both Japanese men and women is similar to that of the British but is different from that of the Chinese.

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