Table 3.
Spirometry | Respiratory muscle strength | ||||
---|---|---|---|---|---|
Model term | PVC | FEV | PEF | MEP | MIP |
Annual rate of change | −0.069 | −0.066 | −0.052 | −0.046 | −0.043 |
0.003, <0.001 | 0.003, <0.001 | 0.003, <0.001 | 0.003, <0.001 | 0.003, <0.001 | |
Age × annual rate of change | −0.001 | −0.001 | −0.001 | −0.001 | −0.001 |
0.0003, <0.001 | 0.0003, <0.001 | 0.0003, 0.005 | 0.0004, <0.001 | 0.0004. 0.018 | |
Sex × annual rate of change | −0.021 | −0.025 | −0.022 | −0.023 | −0.020 |
0.006, <0.001 | 0.005, <0.001 | 0.006, <0.001 | 0.007, <0.001 | 0.006, 0.001 | |
Education × annual rate of change | −0.001 | −0.001 | −0.0003 | −0.0005 | 0.001 |
0.001, 0.189 | 0.001, 0.061 | 0.009, 0.700 | 0.001, 0.613 | 0.001, 0.195 |
Linear-mixed effect models were performed for each of the 3 components (vital capacity, forced expiratory volume, peak expiratory force) used to construct composite spirometry and the two components used to construct composite respiratory muscle strength (RMS; maximal expiratory pressure, MEP and maximal inspiratory pressure, MIP). Each model included a term for Time in years since the baseline which quantifies the rate of change in the spirometry or RMS measure which was being examined. To control for the effect of demographic variables, we also included terms for age, sex and education and their interaction with the annual rate of change in the respiratory measure which was examined. The cross sectional terms which were included in these models are not shown in this table. The mean annual rate of change in standardized units for spirometric measures was larger than for RMS measures [PVC: −0.07 (SD = 0.02); FEV: −0.07 (SD = 0.02); PEF: −0.06 (SD = 0.02); MEP: −0.05 (SD = 0.02); MIP: −0.05 (SD = 0.02)].