Background: There is currently disagreement on the way of expressing the reversibility of airflow obstruction, with some evaluations based on the initial FEV1 while others use predicted FEV1 (according to age, gender and height). Objectives: To test the relevance of expressing bronchodilator response as a percentage of predicted FEV1, we evaluated the influence of morphological data on the response to bronchodilators in a population with a large range of predicted values. Methods: We measured the change in FEV1 after inhalation of 200 µg of salbutamol in 30 asthmatic subjects (15 adults and 15 children) in whom predicted FEV1 ranged between 1.13 and 4.10 liters and analyzed the respective influence of initial and predicted FEV1 on bronchodilator response. Results: We have shown a significant relationship between the absolute variation in FEV1, in liters, and predicted FEV1 (p = 0.0019). There was also a significant relationship between the absolute variation in FEV1 and initial FEV1, in liters (p = 0.02). This relationship was no longer significant (p = 0.8) when the variation and initial FEV1 were both expressed as percentages of predicted FEV1. In addition, multiple regression analysis showed that predicted FEV1 was the only independent variable correlating with the response to bronchodilators. Conclusion: This study showed the influence of predicted FEV1 on bronchodilator response. This result provides an additional argument for expressing bronchodilator response as a percentage of predicted FEV1.
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