Age and bronchial hyperresponsiveness are associated with failure to perform the single breath N2 test in a rural female population

Lung. 1999;177(3):151-9. doi: 10.1007/pl00007636.

Abstract

Because some authors have reported high rates of failure in performing the single breath N2 (SBN2) test in rural areas, the present study aimed at evaluating its acceptability in a female population, unfamiliar with lung function testing, in a rural area of northeastern France. Two hundred ninety-eight women from a rural area volunteered for a preventive medicine examination (91.6% of those invited); four of them were excluded for clinical reasons, and six (2%) were unable to perform spirometry. The protocol included completion of a questionnaire, spirometry with a bronchial reactivity test, skin prick test, and the SBN2 test utilizing a computerized assembly. Although failures caused by the apparatus were few (n = 7, 2.4%) 96 of 281 women (34.1%) were unable to produce two valid SBN2 tests in a series of six attempts. Compared with the group who succeeded in the test (n = 185), women who failed were older and had a higher prevalence of bronchial hyperresponsiveness. Logistic regression confirmed the independent association of these two variables with an inability to perform. We conclude that in a female population completely unfamiliar with lung function testing the SBN2 test has a high rate of failure associated with higher age and the presence of bronchial hyperresponsiveness.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aging / physiology*
  • Breath Tests*
  • Bronchial Hyperreactivity / physiopathology*
  • Female
  • France / epidemiology
  • Humans
  • Logistic Models
  • Middle Aged
  • Rural Population*
  • Spirometry