WEDNESDAY, July 7 (HealthDay News) -- The lung function tests
used to diagnose conditions like asthma may need to be adjusted to
account for differences in patients' genetic ancestry, a new study
Now, physicians adjust the test results to account for factors
like age, sex, race and weight, but not for mixed ancestry.
The study, published online July 7 in the
New England Journal of Medicine, indicates more adjustments may be necessary because many people have mixed ancestry, which influences the test results.
"People throughout the world have a richer genetic heritage than can be captured by our current definitions of race," said study senior author Dr. Esteban G. Burchard in a journal news release.
"When we force patients into an individual box, such as 'African-American' or 'Caucasian,' we're missing a lot of genetic information," added Burchard, director of the University of California, San Francisco's Center for Genes, Environment and Health.
In the study, which looked at data from more than 3,000
patients, the researchers found that genetic ancestry significantly
affects performance on the lung function tests.
The breathing tests can detect signs of illness like asthma and
chronic obstructive pulmonary disease. Test results can also help
doctors make decisions about disability claims and eligibility for
"Taking genetic ancestry into account could result in more appropriate treatment for patients," said study lead author Dr. Rajesh Kumar, an associate professor at Northwestern University Feinberg School of Medicine, in the release.
In an interview, Mayo Clinic pulmonologist Dr. Paul D. Scanlon
said the study findings offer "a step forward in our
Blacks generally score lower on the tests than whites, added
Scanlon, who wrote a commentary accompanying the new study. If test
results aren't adjusted to account for this fact, patients may be
wrongly diagnosed with lung disease because their test results
appear too low.
Right now, the tests are a "very crude tool" because the
benchmarks aren't designed to account for someone of mixed race
like President Obama, he said.
For more on
lung function tests, see the U.S. National Library of Medicine.