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Pneumotrac 6800

Manufactured by Vitalograph
Sourced in United Kingdom

The Pneumotrac 6800 is a portable spirometry device designed for measuring and recording lung function parameters. It is capable of performing various respiratory tests, including forced expiratory volume (FEV) and forced vital capacity (FVC) measurements.

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13 protocols using pneumotrac 6800

1

Lung Function Assessment in COPD

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All participants except those with contraindications12 had lung function assessed using a personal computer-based spirometer (Pneumotrac 6800, Vitalograph, Buckingham, UK) by trained technicians. After conducting some practice exhalations, the results of at least two reproducible measurements (difference of at least two forced expiratory volume in 1 s and forced vital capacity <150 mL) were recorded. The spirograms of those with symptom-based or doctor-diagnosed COPD were reviewed independently for quality by two authors (OK and KBHL) following the European Respiratory Society/American Thoracic Society (ERS/ATS) guidelines.13 (link) Out of 1586 doctor-diagnosed/symptom-based COPD participants, 55 (3.5%) did not have lung function tests conducted due to contraindications, 1282 (83.7%) of those with lung function tests had acceptable spirometry and 600 (37.8%) had COPD confirmed by spirometry (defined by lower limit of normal criteria) based on prebronchodilator measured lung function.14 (link)
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2

UK BiLEVE Genome-Wide Discovery Study

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A genome-wide discovery study for variants associated with lung function measures was performed in 48,943 individuals from the UK BiLEVE16 (link) subset of UK Biobank (UK BiLEVE, stage 1). In brief, UK Biobank comprised 502,682 individuals of whom 275,939 were of self-reported European-ancestry and had ≥2 Forced Expired Volume in 1s (FEV1) and Forced Vital Capacity (FVC) measures (Vitalograph Pneumotrac 6800, Buckingham, UK) passing ATS/ERS criteria46 (link). Based on the best (highest) available FEV1 measurement, 50,008 individuals from groups with extreme low (n=10,002), near-average (n=10,000) and extreme high (n=5,002) % predicted FEV1 were selected from amongst never-smokers (total n=105,272) and the same numbers from amongst the heavy-smokers (mean 35 pack-years of smoking, total n=46,758). FEV1, FVC and FEV1/FVC distributions are summarised in Supplementary Figure 8. Genotyping was undertaken using the Affymetrix Axiom UK BiLEVE array16 (link) and imputed to the 1000 Genomes Project Phase 147 (link) and UK10K48 ,49 (link) combined panel. A total of 27,624,732 imputed or directly genotyped autosomal variants with imputation quality (info) >0.5 and minor allele count (MAC) ≥3 were included in the analysis. In total, 48,943 unrelated individuals passed all quality control steps and were used in this analysis.
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3

Assessing Health Metrics Using UKB

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UKB allowed estimation of self-reported health status, chronic pain, and frailty and measured lung function. Participants reported their health as excellent, good, fair, or poor. Reported pain anywhere in the body (back; facial; headaches; hip; knee; neck/shoulder; stomach/abdominal) was considered as chronic pain if it lasted for more than 3 months. Grip strength was measured in both hands using a hydraulic hand dynamometer and the maximum reading was categorized into sex-specific quintiles. The prevalence of frailty was estimated using a modified Fried Frailty phenotype (13 (link)) and included two or more of self-reported weight loss, self-reported exhaustion, self-reported slow walking pace, or low measured grip strength (lowest quintile, sex specific). The low physical activity criteria were excluded from our definition as this is also a component of the CRS. A previous study showed that a four-criteria definition of Fried Frailty, excluding physical activity, had good specificity (0.98) but lower sensitivity (0.62) (14 (link)). Lung function was assessed by Vitalograph Pneumotrac 6800 spirometer and forced expiratory volume in 1 second (categorized into sex-specific quintiles).
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4

Baseline Spirometry Measurements and Airflow Obstruction

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During the baseline examination all participants were requested to do a prebronchodilator spirometry (Pneumotrac 6800; Vitalograph, Buckingham, UK) to measure FEV 1 and FVC. If reproducibility between the first two blow was acceptable (≤5 % difference in FEV 1 & FVC), no additional blow was required. The highest recorded value of FEV 1 and FVC was utilized for the analysis. In 226 cases only one acceptable spirometry was available. Individuals were excluded if absolute values were <0.4 L or >8 L for FEV 1 or <0.6 L or >9 L for FVC. Airflow obstruction was present if FEV 1 /FVC<0.7. Percent of predicted values (from here on denoted %pred) of FEV 1 and FVC was calculated according to the Global Lung Function Initiative formula [16] .
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5

Comprehensive Physiological Biomarkers Assessment

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In physiological biomarkers, we included FEV1, FVC, FEV1/FVC ratio, heel bone mineral density, hemoglobin concentration, and blood pressure. These biomarkers have been used for disease diagnoses and were previously found associated with morbidity and mortality. FEV1 and FVC were measured by breath spirometry using a Vitalograph Pneumotrac 6800. Heel bone mineral density was estimated based on the Quantitative Ultrasound Index through the calcaneus. From the index, an estimate is made of bone mineral density in grams/cm2.
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6

Comprehensive Upper Limb Assessment Protocol

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In a clinical trial compatible mode, each subject was assessed as follows: 1) performance of upper limb (PUL) module, a validated 74 point functional scale for motor performance relating to everyday life activity;[19 (link), 20 (link)]; 2) muscle strength for shoulder flexion, elbow extension and flexion, and wrist extension measured in lbs using a hand-held myometer (Microfet, Hoggan, UT); 3) MyoSet (Myopinch, Myogrip and Moviplate), a suite of recently validated novel tools to assess strength and fatigability of the upper limb;[21 (link), 22 (link)]; 4) Egen Klassification (EK2) interview version 2, which is used to determine performance of tasks in daily life (total score = 51)[23 (link)]; 5) spirometry and peak cough flow using a Vitalograph Pneumotrac 6800; and 6) record of time to loss of ambulation (LOA) in months.
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7

UK BiLEVE Genome-Wide Discovery Study

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A genome-wide discovery study for variants associated with lung function measures was performed in 48,943 individuals from the UK BiLEVE16 (link) subset of UK Biobank (UK BiLEVE, stage 1). In brief, UK Biobank comprised 502,682 individuals of whom 275,939 were of self-reported European-ancestry and had ≥2 Forced Expired Volume in 1s (FEV1) and Forced Vital Capacity (FVC) measures (Vitalograph Pneumotrac 6800, Buckingham, UK) passing ATS/ERS criteria46 (link). Based on the best (highest) available FEV1 measurement, 50,008 individuals from groups with extreme low (n=10,002), near-average (n=10,000) and extreme high (n=5,002) % predicted FEV1 were selected from amongst never-smokers (total n=105,272) and the same numbers from amongst the heavy-smokers (mean 35 pack-years of smoking, total n=46,758). FEV1, FVC and FEV1/FVC distributions are summarised in Supplementary Figure 8. Genotyping was undertaken using the Affymetrix Axiom UK BiLEVE array16 (link) and imputed to the 1000 Genomes Project Phase 147 (link) and UK10K48 ,49 (link) combined panel. A total of 27,624,732 imputed or directly genotyped autosomal variants with imputation quality (info) >0.5 and minor allele count (MAC) ≥3 were included in the analysis. In total, 48,943 unrelated individuals passed all quality control steps and were used in this analysis.
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8

Biomarker Measurement and Lung Function Evaluation

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The detailed information of the measurements was provided on the UK Biobank. The UK Biobank has collected biological samples of all 500,000 participants and measured a series of biochemical markers at baseline. The concentration of 25(OH)D was measured in a range from 10 to 375 nmol/L. Serum vitamin D level was determined by a direct competitive Chemiluminescent Immunoassay. A series of robust and comprehensive quality procedures was established to reduce drift, bias, and measurement uncertainty. A rigorous external quality assurance (EQA) and internal quality control (QC) protocol guided the evaluation of biomarkers. The lung function test is not undertaken if participants were pregnant (1st or 3rd trimester), being treated for tuberculosis, had history of a collapsed lung, a detached retina, had a chest infection in the last month or a heart attack, eye surgery, chest, or abdominal surgery in the previous 3 months. Lung function measurements were recorded using a spirometer (Vitalograph Pneumotrac 6800) with two or three blows and were guaranteed to be acceptable and reproducible. The good reproducibility of the first two blows was defined as a < 5% difference in FVC and FEV1, and the third blow was deemed unnecessary. Investigators determined whether the spirometry was adequate and acceptable.
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9

Baseline Spirometry Measurements Protocol

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Forced expiratory volume (FEV1) and forced vital capacity (FVC) were measured at baseline using Vitalograph Pneumotrac 6800 (Vitalograph, UK). Spirometry was not conducted if participants had experienced a chest infection in the last month; had a life-time history of detached retina or collapsed lung; if they had been through a heart attack, eye surgery or surgery to chest or abdomen in last 3 months; or if they were currently pregnant or on tuberculosis medications. If the reproducibility of the first two measurements was adequate, defined as a ≤ 5% difference in FVC and FEV1, a third measurement was not required. Post-bronchodilator spirometry was not available, although drug treatment was not withheld. The spirometry measurements were internally standardized by age, sex and height before analysis.
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10

Pulmonary Function Assessment for COPD

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Pulmonary function will be assessed by hand-held spirometry called Vitalograph Pneumotrac 6800 (Vitalograph, Buckingham, UK) to confirm and assess the severity of COPD. The test will be performed if there was no previous test done within a 3 month period. The spirometry test will be done following standard guidelines.37 The device will be calibrated on daily basis and participants will be assessed for contraindications prior to performing the test.
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