2016 年 42 巻 2 号 p. 113-121
In a Health Festival for citizens, we examined risk factors for chronic obstructive pulmonary disease (COPD) with the lung age estimated by a spirometer measurement, and evaluated an attitude survey for COPD and the International Primary Care Airway Group (IPAG) questionnaire.
The lung age difference (lung age - actual age) of a smoker was significantly increased in comparison with that of the nonsmoker. We analyzed the correlation of the lung age with the IPAG questionnaire point, and found a meaningful correlation between these statistically. However, there was no correlation of the lung age difference with the IPAG questionnaire point. It is said that the IPAG questionnaire point is related to the risk of COPD onset, but the guidelines that we used were based on the parameters for Westerners, and it is thought that re-examination of the parameters is necessary to adapt the guidelines for Japanese.
The physical assessment of smokers by a pharmacist using a spirometer accompanied by estimation of the lung age was effective for recognizing the risk of COPD onset, and serves as an incentive to stop smoking.