Skip to main content
Log in

Specific diffusing capacity (DL/VA) as a measure of the lung’s diffusing characteristics: Prediction formulas for young adults

  • Published:
Lung Aims and scope Submit manuscript

Abstract

Specific diffusing capacity (DL/VA) data were calculated from measurements previously analyzed for different functions. The measurements had been made on healthy community dwelling subjects between the ages of 15 and 35. The linear regressions on age and height for both DL and DL/VA were calculated from the same measurements on the same subjects. DL/VA decreased as height increased in all sex, age, and smoking subgroups studied although the negative coefficient for height achieved statistical significance only in some groups.

In both male and female subjects an increase in age or smoking decreased DL/VA significantly but did not affect DL. This suggests that the specific diffusing capacity (DL/VA) will be a more useful parameter than DL in epidemiological studies to detect environmental effects, for example, those of pollution, and that a height term should be incorporated into prediction formulas for clinical use. We suggest the use of the regression equations we obtained for young adult nonsmokers as prediction formulas. These are, for men aged 17–35 years: DL/VA=9.60−0.074A−0.011H; and for women aged 15–35 years: DL/VA=12.97−0.063A−0.037H, where A = age in years and H = height in cm.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ayers LN, Ginsberg LM, Fein J, Wasserman K (1975) Diffusing capacity, specific diffusing capacity and interpretation of diffusion defects. West J Med 123:255–264

    PubMed  CAS  Google Scholar 

  2. Burrows B, Cline MG, Knudson RJ, Taussig LM, Lebowitz MS (1983) A descriptive analysis of the growth and decline of the FVC and FEV1. Chest 83:717–724

    PubMed  CAS  Google Scholar 

  3. Clausen JL (ed) (1982) Pulmonary function testing. Guidelines and controversies, Academic Press, New York

    Google Scholar 

  4. Cohen BH, Ball WC, Bias WB, Brashears SH et al (1975) A genetic-epidemiologic study of chronic obstructive pulmonary disease. Johns Hopkins Med J 137:95–204

    PubMed  CAS  Google Scholar 

  5. Cotes JE (1979) Lung function assessment and application in medicine, 4th edition. Blackwell Scientific Publications, Oxford, pp 239–244

    Google Scholar 

  6. Crapo RO, Morris AH (1981) Standardized single breath normal values for carbon monoxide diffusing capacity. Am Rev Respir Dis 123:185–189

    PubMed  CAS  Google Scholar 

  7. Frans A, Stanescu DC, Veriter C, Blerbaux T, Brasseur L (1975) Smoking and pulmonary diffusing capacity. Scand J Respir Dis 56:165–183

    PubMed  CAS  Google Scholar 

  8. Henderson M, Aphthorp GH (1960) Rapid method for estimation of carbon monoxide in blood. Br Med J 2:1853–1854

    Article  PubMed  CAS  Google Scholar 

  9. Leech JA, Ghezzo H, Stevens D, Becklake MR (1983) Respiratory pressures and functions in young adults. Am Rev Respir Dis 128:17–23

    PubMed  CAS  Google Scholar 

  10. Miller A, Thornton JC, Warshaw R, Anderson H, Tierstein AS, Selikoff IJ (1983) Single breath diffusing capacity in a representative sample of the population of Michigan, a large industrial state. Am Rev Respir Dis 127:270–277

    PubMed  CAS  Google Scholar 

  11. O’Brodovich HM, Millins RB, Mansell AL (1982) Effects of growth on the diffusion constant for carbon monoxide. Am Rev Respir Dis 125:670–673

    PubMed  CAS  Google Scholar 

  12. Paoletti P, Viegi G, Pistelli G, et al (1985) Reference equations for the single breath diffusing capacity: a cross-sectional analysis and effect of body size and age. Am Rev Respir Dis 132:806–813

    PubMed  CAS  Google Scholar 

  13. Rosenberg E (1977) Retrospectroscope: the single breath test of the diffusing capacity for carbon monoxide. Med Hypotheses 3:37–40

    Article  PubMed  CAS  Google Scholar 

  14. Rosenberg E (1983) Measurement of specific diffusing capacity (DL/VA) in critically ill patients. Comput Crit Care Pulmon Med 3:167–175

    Google Scholar 

  15. Rosenberg E (1983) Decrease of diffusing capacity (DL/VA) with increased height in healthy non-smokers. Physiologist 26(4):A-68

    Google Scholar 

  16. Salorinne Y (1976) Single-breath pulmonary diffusing capacity. Reference values and application in connective tissue disease and in various lung diseases. Scand J Respir Dis Suppl 96

  17. Van Ganse WF, Ferris BG Jr, Cotes JE (1972) Cigarette smoking and pulmonary diffusing capacity (transfer factor). Am Rev Respir Dis 105:30–40

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rosenberg, E., Ernst, P., Leech, J. et al. Specific diffusing capacity (DL/VA) as a measure of the lung’s diffusing characteristics: Prediction formulas for young adults. Lung 164, 207–215 (1986). https://doi.org/10.1007/BF02713645

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02713645

Key words

Navigation