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Lung function means how well your lungs work. When you have
COPD, your lungs can't move as much air in and out as they should. And the more
serious your COPD is, the less air your lungs are able to move.
Spirometry tests are used to measure lung function.
They measure how much air you breathe out when you take long, deep breaths and
push the air out of your lungs. For people with COPD, the test measures how
well the lungs do two important jobs:
When you have COPD, your FEV1 number will be lower than
normal. Just how low it is depends on what stage your COPD is—mild, moderate,
severe, or very severe. Your FVC number may also be lower than normal. These
numbers are usually stated in the form of a percentage.
glass of water. If the glass is full to the brim, it is 100% full. If it is
only half full, it is 50% full. And 33% means it is only one-third full, and so
on. Likewise, if your FEV1 is 50%, your lungs are able to handle only half as
much air as they should. If your FEV1 is 33%, your lungs are able to handle
even less—only a third as much. The lower your FEV1 percentage, the less air
your lungs are able to handle.
If you don't understand your lung
function numbers, ask your doctor to explain them for you.
the FEV1 numbers for the various stages of COPD, according to the Global
Initiative for Chronic Obstructive Lung Disease (GOLD):1
Global Initiative for Chronic Obstructive Lung Disease (2011). Global Strategy for the Diagnosis, Management, and Prevention of COPD. Available online: http://www.goldcopd.org/uploads/users/files/GOLD_Report_2011_Feb21.pdf.
February 19, 2013
E. Gregory Thompson, MD - Internal Medicine & Ken Y. Yoneda, MD - Pulmonology
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