{"title":"改变肺活量预测方程式对职业健康的影响。","authors":"Mary C Townsend, Philip Harber, Clayton T Cowl","doi":"10.1097/JOM.0000000000003506","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Assess implications of applying \"Race-neutral\" GLI-Global spirometry prediction for workers in occupational medicine (OM).</p><p><strong>Methods: </strong>We applied GLI-Global to 24 hypothetical male subjects (for decades, most industrial workers have been male.) We examined: 1) four reference/prediction equations; 2) four racial groups; and 3) 80%, 100%, and 120% of race-specific predicted forced vital capacity (FVC).</p><p><strong>Results: </strong>The effect of changing to GLI-Global varied by group: White > Northeast (NE) Asian > Southeast (SE) Asian > Black. GLI-Global predicteds are midway between Blacks' and Whites,' and among those with lower lung function (80% predicted FVC), Blacks and SE Asians show declining %predicted values and Z-scores and increasing FVCs<LLN, while Whites and NE Asians show increasing % predicted and Z-scores and decreasing FVCs<LLN.</p><p><strong>Conclusions: </strong>OM clinicians and policymakers must carefully consider the implications of changing prediction equations.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Impacts of Altering Spirometric Prediction Equations in Occupational Health.\",\"authors\":\"Mary C Townsend, Philip Harber, Clayton T Cowl\",\"doi\":\"10.1097/JOM.0000000000003506\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Assess implications of applying \\\"Race-neutral\\\" GLI-Global spirometry prediction for workers in occupational medicine (OM).</p><p><strong>Methods: </strong>We applied GLI-Global to 24 hypothetical male subjects (for decades, most industrial workers have been male.) We examined: 1) four reference/prediction equations; 2) four racial groups; and 3) 80%, 100%, and 120% of race-specific predicted forced vital capacity (FVC).</p><p><strong>Results: </strong>The effect of changing to GLI-Global varied by group: White > Northeast (NE) Asian > Southeast (SE) Asian > Black. GLI-Global predicteds are midway between Blacks' and Whites,' and among those with lower lung function (80% predicted FVC), Blacks and SE Asians show declining %predicted values and Z-scores and increasing FVCs<LLN, while Whites and NE Asians show increasing % predicted and Z-scores and decreasing FVCs<LLN.</p><p><strong>Conclusions: </strong>OM clinicians and policymakers must carefully consider the implications of changing prediction equations.</p>\",\"PeriodicalId\":94100,\"journal\":{\"name\":\"Journal of occupational and environmental medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-07-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of occupational and environmental medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/JOM.0000000000003506\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of occupational and environmental medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/JOM.0000000000003506","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Impacts of Altering Spirometric Prediction Equations in Occupational Health.
Objective: Assess implications of applying "Race-neutral" GLI-Global spirometry prediction for workers in occupational medicine (OM).
Methods: We applied GLI-Global to 24 hypothetical male subjects (for decades, most industrial workers have been male.) We examined: 1) four reference/prediction equations; 2) four racial groups; and 3) 80%, 100%, and 120% of race-specific predicted forced vital capacity (FVC).
Results: The effect of changing to GLI-Global varied by group: White > Northeast (NE) Asian > Southeast (SE) Asian > Black. GLI-Global predicteds are midway between Blacks' and Whites,' and among those with lower lung function (80% predicted FVC), Blacks and SE Asians show declining %predicted values and Z-scores and increasing FVCs
Conclusions: OM clinicians and policymakers must carefully consider the implications of changing prediction equations.
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