caa a22 4500 465768946 CHVBK 20180323111923.0 cr unu---uuuuu 170327e19900301xx s 000 0 eng 10.1007/BF00155544 doi (NATIONALLICENCE)springer-10.1007/BF00155544 The effect of acute broncho-pulmonary infections on the FEV1 change in 13-year follow-up. The Cracow study [Elektronische Daten] [W. Jedrychowski, M. Krzyzanowski] The aim of this study was to assess the effect of acute bronchitis and pneumonia on the FEVI decline rate in a random sample of Cracow inhabitants followed over a 13-year period. A total of 718 males and 1029 females completed the spirometric testing and interview in 13-year follow-up period. Acute chest diseases diagnosed and treated by doctors and reported by respondents in surveys were the source of data on broncho-pulmonary infections. The rate of FEVI change, expressed in ml per year was estimated for each person in 13-year follow-up period. Persons who reported recurrent bronchitis and pneumonia had significantly lower initial FEVI levels than those without infections. The effect was controlled for confounders like age, height, smoking and chronic chest symptoms. The initial low ventilatory function by itself was not a predisposing factor for chest infections, unless they were associated with chronic respiratory symptoms. Lung function in men decreased steeply after pneumonia infection, but the effect appeared to be reversible. This effect was not limited to people with pre-existing chronic respiratory disease. The data indicated that in some subjects who reported new symptoms of dyspnea on effort, the acceleration of FEVI decline due to pneumonia was greater than in people without the symptoms. This may result from the fact that in lower respiratory infection, bacterial or viral agents can produce serious dysfunction of small airways. Kluwer Academic Publishers, 1990 Acute broncho-pulmonary infection nationallicence FEVI change nationallicence Follow-up study nationallicence Jedrychowski W. Department of Epidemiology, Institute of Social Medicine, Medical School in Cracow, Poland aut Krzyzanowski M. Department of Medical Statistics, National Institute of Hygiene, Warsaw aut European Journal of Epidemiology Kluwer Academic Publishers 6/1(1990-03-01), 20-28 0393-2990 6:1<20 1990 6 10654 https://doi.org/10.1007/BF00155544 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00155544 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jedrychowski W. Department of Epidemiology, Institute of Social Medicine, Medical School in Cracow, Poland aut NATIONALLICENCE 700 1- Krzyzanowski M. Department of Medical Statistics, National Institute of Hygiene, Warsaw aut NATIONALLICENCE 773 0- European Journal of Epidemiology Kluwer Academic Publishers 6/1(1990-03-01), 20-28 0393-2990 6:1<20 1990 6 10654 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer