Table 1 Selection methods for forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) indices for a spirometry session.

From: A comparison of alternative selection methods for reporting spirometric parameters in healthy adults

Selection method

Repeatability criteria

Total number of maneuvers considered to establish repeatability (intra-session comparison)

Selection of single FVC and FEV1 from repeatable maneuvers (inter-session comparison)

Selection of PEF and FEF25–75 from repeatable maneuvers (inter-session comparison)

1. ATS/ERS

Largest and second largest FVC and FEV1 ≤ 0.15 L

Rolling inclusion of trials until repeatability achieved (at least 3)

Largest

Best sum of FVC and FEV1

2. Modified ATS/ERS

Largest and second largest FVC and FEV1 ≤ 0.15 L

Rolling inclusion of trials until repeatability achieved (at least 3)

Mean

Mean

3. Mean of all

Largest and second largest FVC and FEV1 ≤ 0.15 L

All

Mean

Mean

4. Mean of three largest

Largest and second largest FVC and FEV1 ≤ 0.15 L

All

Mean of three largest

Mean for three largest sums of FVC and FEV1

5. Peak effort

Largest and second largest PEF ≤ 10%

All

Trial with largest PEF

Trial with largest PEF

  1. ATS/ERS refers to the current selection method recommended by the American Thoracic and European Respiratory Societies. The parameters PEF (peak expiratory flow) and FEF25–75 (forced mid-expiratory flow) are reported in the Supplemental Materials.