Effects of growth and aging on the reference values of pulmonary nitric oxide dynamics in healthy subjects

• Published in: Journal of breath research Vol. 11; no. 4; pp. 47103 - 47109
• Main Authors: Högman, M, Thornadtsson, A, Liv, P, Hua-Huy, T, Dinh-Xuan, A T, Tufvesson, E, Dressel, H, Janson, C, Koskela, K, Oksa, P, Sauni, R, Uitti, J, Moilanen, E, Lehtimäki, L
• Format: Journal Article
• Language: English
• Published: England IOP Publishing 13.09.2017
• Subjects: Adolescent; Adult; Age; Aged; Aging - physiology; Annan medicin och hälsovetenskap; breath test; Breath Tests; Child; Clinical Medicine; Exhalation; Female; Gender; Gerontologi, medicinsk/hälsovetenskaplig inriktning; Gerontology, specialising in Medical and Health Sciences; Gerontology, specializing in Medical and Health Sciences; health; Healthy Volunteers; Humans; Klinisk medicin; Lung - metabolism; Lungmedicin och allergi; Male; mathematical model; Medical and Health Sciences; Medicin och hälsovetenskap; Middle Aged; Nitric oxide; Nitric Oxide - analysis; Other Medical and Health Sciences; Other Medical Sciences; pulmonary gas exchange; Reference Values; Regression Analysis; Respiratory Medicine and Allergy; Respiratory System; Young Adult
• ISSN: 1752-7163; 1752-7155; 1752-7163
• DOI: 10.1088/1752-7163/aa7957

The lung just like all other organs is affected by age. The lung matures by the age of 20 and age-related changes start around middle age, at 40-50 years. Exhaled nitric oxide (FENO) has been shown to be age, height and gender dependent. We hypothesize that the nitric oxide (NO) parameters alveolar NO (CANO), airway flux (JawNO), airway diffusing capacity (DawNO) and airway wall content (CawNO) will also demonstrate this dependence. Data from healthy subjects were gathered by the current authors from their earlier publications in which healthy individuals were included as control subjects. Healthy subjects (n = 433) ranged in age from 7 to 78 years. Age-stratified reference values of the NO parameters were significantly different. Gender differences were only observed in the 20-49 age group. The results from the multiple regression models in subjects older than 20 years revealed that age, height and gender interaction together explained 6% of variation in FENO at 50 ml s−1 (FENO50), 4% in JawNO, 16% in CawNO, 8% in DawNO and 12% in CANO. In conclusion, in this study we have generated reference values for NO parameters from an extended NO analysis of healthy subjects. This is important in order to be able to use these parameters in clinical practice.