Respiratory disability and impairment

Harber, Philip

doi:10.1097/mcp.0000000000000141

Cited by 2 publications

(2 citation statements)

References 31 publications

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“…Discussions of respiratory disability have focused on oxygen consumption or its impact on disability in terms of work rather than its impact on daily living (18)(19)(20). However, other conditions such as functional disability and limitations in activity participation caused by respiratory sarcopenia deserve focus and should be defined.…”

Section: Introductionmentioning

confidence: 99%

Respiratory Sarcopenia and Sarcopenic Respiratory Disability: Concepts, Diagnosis, and Treatment

Nagano

Wakabayashi

Maeda

et al. 2021

The Journal of nutrition, health and aging

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The condition of muscle fiber atrophy and weakness that occurs in respiratory muscles along with systemic skeletal muscle with age is known as respiratory sarcopenia. The Japanese Working Group of Respiratory Sarcopenia of the Japanese Association of Rehabilitation Nutrition narratively reviews these areas, and proposes the concept and diagnostic criteria. We have defined respiratory sarcopenia as "wholebody sarcopenia and low respiratory muscle mass followed by low respiratory muscle strength and/or low respiratory function." Respiratory sarcopenia can be caused by various factors such as aging, decreased activity, undernutrition, disease, cachexia, and iatrogenic causes. We have also created an algorithm for diagnosing respiratory sarcopenia. Respiratory function decreases with age in healthy older people, along with low respiratory muscle mass and strength. We have created a new term, "Presbypnea," meaning a decline in respiratory function with aging. Minor functional respiratory disability due to aging, such as that indicated by a modified Medical Research Council level 1 (troubled by shortness of breath when hurrying or walking straight up hill), is an indicator of presbypnea. We also define sarcopenic respiratory disability as "a disability with deteriorated respiratory function that results from respiratory sarcopenia." Sarcopenic respiratory disability is diagnosed if respiratory sarcopenia is present with functional disability. Cases of respiratory sarcopenia without functional disability are diagnosed as "at risk of sarcopenic respiratory disability." Functional disability is defined as a modified Medical Research Council grade of 2 or more. Rehabilitation nutrition, treatment that combines rehabilitation and nutritional management, may be adequate to prevent and treat respiratory sarcopenia and sarcopenic respiratory disability.

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Section: Introductionmentioning

confidence: 99%

Respiratory Sarcopenia and Sarcopenic Respiratory Disability: Concepts, Diagnosis, and Treatment

Nagano

Wakabayashi

Maeda

et al. 2021

The Journal of nutrition, health and aging

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“…GLI ¼ Global Lung Function Initiative; LLN ¼ lower limit of normal. 50 Variable use of race in guidelines 51,52 Criteria not validated 53 Pulmonary function not always related to potential benefit [54][55][56] Referral guidelines do not rely on a single threshold 57,58 Outcomes chestjournal.org populations. 71,72 Beyond minimal smoking history and absence of a respiratory condition, the extent to which we should limit other factors that influence lung function such as obesity and nonsmoking exposures in the definition of healthy is not clear.…”

Section: Limitations Of Pfts and Reference Values That Place Concerns About Race In Perspectivementioning

confidence: 99%

Addressing Race in Pulmonary Function Testing by Aligning Intent and Evidence With Practice and Perception

Bhakta

Kaminsky

Bime

et al. 2022

CHEST

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The practice of using race or ethnicity in medicine to explain differences between individuals is being called into question because it may contribute to biased medical care and research that perpetuates health disparities and structural racism. A commonly cited example is the use of race or ethnicity in the interpretation of pulmonary function test (PFT) results, yet the perspectives of practicing pulmonologists and physiologists are missing from this discussion. This discussion has global relevance for increasingly multicultural communities in which the range of values that represent normal lung function is uncertain. We review the underlying sources of differences in lung function, including those that may be captured by race or ethnicity, and demonstrate how the current practice of PFT measurement and interpretation is imperfect in its ability to describe accurately the relationship between function and health outcomes. We summarize the arguments against using race-specific equations as well as address concerns about removing race from the interpretation of PFT results. Further, we outline knowledge gaps and critical questions that need to be answered to change the current approach of including race or ethnicity in PFT results interpretation thoughtfully. Finally, we propose changes in interpretation strategies and future research to reduce health disparities.

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Respiratory disability and impairment

Cited by 2 publications

References 31 publications

Respiratory Sarcopenia and Sarcopenic Respiratory Disability: Concepts, Diagnosis, and Treatment

Respiratory Sarcopenia and Sarcopenic Respiratory Disability: Concepts, Diagnosis, and Treatment

Addressing Race in Pulmonary Function Testing by Aligning Intent and Evidence With Practice and Perception

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