The Association between Systemic Inflammatory Cellular Levels and Lung Function: A Population-Based Study
2011

Inflammation and Lung Function Study

Sample size: 11867 publication 10 minutes Evidence: high

Author Information

Author(s): Tricia McKeever, Shiron Saha, Andrew W. Fogarty

Primary Institution: Nottingham Respiratory Biomedical Research Unit, University of Nottingham

Hypothesis

Lung function is inversely associated with systemic white cell count in a population-based study.

Conclusion

Systemic cellular inflammation levels are inversely associated with lung function in a population of both non-smokers and smokers without acute illnesses.

Supporting Evidence

  • Higher total white cell count was associated with a 125.3 ml lower FEV1 in non-smokers.
  • Granulocytes, mononuclear cells, and lymphocytes also showed similar inverse associations with lung function.
  • The study population was well-defined, excluding individuals with recent respiratory illnesses.

Takeaway

This study found that higher levels of inflammation in the body are linked to lower lung function, which means people with more inflammation might have a harder time breathing.

Methodology

Data from the Third National Health and Nutrition Examination Survey (NHANES III) was used, focusing on adults aged 17-90 who did not report recent respiratory illnesses.

Potential Biases

The study may be limited by self-reported smoking history and the exclusion of individuals with recent acute illnesses.

Limitations

The study design does not allow for establishing temporal relationships, and potential confounding by environmental pollution or sub-clinical infections cannot be excluded.

Participant Demographics

The study included 8381 non-smokers and 2790 current smokers, with a mean age of 46.4 years for non-smokers and 41.0 years for smokers.

Statistical Information

P-Value

<0.001

Confidence Interval

95% CI: −163.1 to –87.5 for FEV1

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pone.0021593

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