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[(ducer)-313.5(\(V)101.1(alid)-8.2(yne)-310(MP45,)-317.6(\213100)-309.2(cmH)]TJ 7.472 0 0 6.641 197.461 273.033 Tm (2)Tj 9.963 0 0 9.963 201.203 274.734 Tm [(O\).)-309(Ref)-9(erence)-315.1(values)]TJ -14.3459 -1.0527 TD [(were)-322.4(those)-326.5(of)-316.1(Har)-8.2(ik-K)]TJ 6.974 0 0 6.974 148.876 264.246 Tm 0.0001 Tc (HAN)Tj /F4 1 Tf 9.963 0 0 9.963 167.074 264.246 Tm 0 Tc [(et)-323(al.)]TJ /F3 1 Tf 2.3673 0 TD [([15].)-325.3(Arteri)-11.2(al)-317.3(blood)-324.9(gas)]TJ -13.2874 -1.0471 TD [(tensions)-195.7(wer)-8.2(e)-189(meas)-8.2(ured)-192.8(with)-193.8(a)-189(Ciba.)-193(Cor)-8.6(ning)-187.5(23)-7.2(8)-188.6(gas)-191.7(ana-)]TJ 0 -1.0528 TD [(lyser)-311(\(Ciba)-314.5(Corning)-309.9(Di)-7.8(agnostic)-314.5(Corp.,)-311.7(MA,)-309.4(USA\).)-308(T)29.3(idal)]TJ 0 -1.0471 TD [(expir)-8.2(atory)-190.3(flow)-198.7(limitati)-12.6(on)-189.3(\(FL\))-191.7(was)-195.6(assessed)-199.9(with)-193.8(the)-192.9(NEP)]TJ 0 -1.0528 TD [(techni)-10.1(que,)-299(which)-306.4(has)-305.5(been)-299.8(previ)-8.2(ously)-303.3(descri)-10.6(bed)-298.6(in)-305.5(detail)]TJ 0 -1.0471 TD ([6\2618].)Tj /F4 1 Tf 0 -3.6818 TD [(Pr)27.3(ocedur)27.6(e)-336.9(and)-332.3(da)-7.2(ta)-334(analysis)]TJ /F3 1 Tf 1.0015 -2.0998 TD [(Su)16.3(bj)18.9(ec)14.7(ts)-375(st)17.7(ud)15.5(i)13.9(e)0(d)-377.5(w)0(e)16.9(r)0(e)-379.1(s)0(e)13.9(a)0(t)18.4(e)0(d)-377.5(u)0(p)21.2(r)0(i)17.3(g)0(h)15.5(t)-384.4(in)-379.5(a)-382.4(c)0(o)15.1(m)0(f)16.5(o)0(r)19.6(t)0(a)18.4(b)0(l)13.2(e)]TJ -1.0015 -1.0528 TD [(ch)15.1(ai)18.5(r)43.2(,)-279.2(br)19.6(ea)14.7(th)18.9(in)18.9(g)-279.6(r)0(o)13.9(o)0(m)-266.4(a)0(i)18.4(r)-281.2(th)18.9(ro)13.9(ug)21.2(h)-279.6(t)0(h)18.9(e)-280(eq)20.8(ui)13.2(pm)18.1(en)20.8(t)-282(a)0(s)19.6(s)0(e)19.6(m)0(b)12.4(l)0(y)]TJ 0 -1.0471 TD [(wh)17.3(il)16.5(e)-206(w)0(e)11.2(a)0(r)19.2(i)0(n)18.9(g)-211.3(a)-206(n)0(o)15.5(s)0(e)-196.6(c)0(l)18.5(i)0(p)13.2(.)-205.2(Af)15.7(te)18.4(r)-207.2(r)0(e)13.5(g)0(u)21.2(l)0(a)12.8(r)-207.2(br)19.6(ea)14.7(th)18.9(in)18.9(g)-211.3(h)0(a)20.8(d)-211.3(be)20.8(en)]TJ 0 -1.0528 TD [(ac)14.7(hi)18.9(ev)20.8(ed)15.1(,)-586.5(m)0(i)15.7(n)0(u)21.2(t)0(e)-579.1(v)0(e)20.8(n)0(t)13.2(i)13.9(la)12.8(ti)16.5(on)-576.3(\()]TJ /F4 1 Tf 12.6103 0 TD (V)Tj /F8 1 Tf 0.5918 0 TD (')Tj /F3 1 Tf 7.97 0 0 7.97 191.905 122.967 Tm (E)Tj 9.963 0 0 9.963 196.611 122.967 Tm [(\),)-577.5(ti)16.5(da)15.1(l)-583.6(v)0(o)15.5(l)0(u)18.9(m)0(e)-579.8(\()]TJ /F4 1 Tf 7.2839 0 TD (V)Tj /F3 1 Tf 7.97 0 0 7.97 275.074 122.967 Tm (T)Tj 9.963 0 0 9.963 279.836 122.967 Tm (\),)Tj -22.2387 -1.0471 TD [(in)18.9(sp)14.4(ir)17.3(at)18.4(or)19.6(y)-296.7(t)0(i)16.5(m)0(e)-289.6(\()]TJ /F4 1 Tf 6.8173 0 TD (t)Tj /F3 1 Tf 7.97 0 0 7.97 128.806 112.535 Tm (I)Tj 9.963 0 0 9.963 131.301 112.535 Tm [(\),)-293(ex)20.8(pi)18.9(ra)13.5(to)18.9(ry)-287.7(ti)16.5(me)-289.6(\()]TJ /F4 1 Tf 7.4717 0 TD (t)Tj /F3 1 Tf 7.97 0 0 7.97 208.346 112.535 Tm (E)Tj 9.963 0 0 9.963 213.052 112.535 Tm [(\),)-293(to)18.9(ta)18.4(l)-299.1(c)0(y)15.1(c)0(l)18.4(e)-297.1(du)21.2(ra)13.5(-)]TJ 9.6625 66.1583 TD [(ti)16.5(on)-206.4(\()]TJ /F4 1 Tf 2.0429 0 TD (t)Tj /F3 1 Tf 7.97 0 0 7.97 332.277 771.647 Tm -0.0139 Tc [(to)-13.9(t)]TJ 9.963 0 0 9.963 340.327 771.647 Tm 0 Tc [(\),)-201.9(du)21.2(ty)-203.1(cy)15.1(cl)18.4(e)-211.7(\()]TJ /F4 1 Tf 5.2979 0 TD (t)Tj /F3 1 Tf 7.97 0 0 7.97 395.716 771.647 Tm (I)Tj 9.963 0 0 9.963 398.211 771.647 Tm (/)Tj /F4 1 Tf 0.2618 0 TD (t)Tj /F3 1 Tf 7.97 0 0 7.97 403.427 771.647 Tm [(to)23.1(t)]TJ 9.963 0 0 9.963 411.477 771.647 Tm [(\))-212.9(a)0(n)20.8(d)-211.3(me)12(an)-201.1(in)18.8(sp)14.3(ir)17.3(at)18.4(or)19.6(y)-211.3(f)0(l)17.3(o)0(w)-204.6(\()]TJ /F4 1 Tf 11.2047 0 TD (V)Tj /F3 1 Tf 7.97 0 0 7.97 529.058 771.647 Tm (T)Tj 9.963 0 0 9.963 533.764 771.647 Tm (/)Tj /F4 1 Tf -22.5289 -1.0471 TD (t)Tj /F3 1 Tf 7.97 0 0 7.97 311.924 761.216 Tm (I)Tj 9.963 0 0 9.963 314.419 761.216 Tm [(\))-281.2(w)0(e)16.9(r)0(e)-276.7(o)0(b)21.2(t)0(a)18.4(i)0(n)18.9(e)0(d)-275.1(a)0(s)-270.6(a)0(v)15.1(e)0(r)19.2(a)0(g)15.1(e)-280(va)20.8(lu)13.2(es)-270.6(fr)18(om)-272.1(1-)13.9(mi)21.4(n)-285.3(r)0(e)19.2(c)0(o)15.1(r)0(d)19.6(s)-280.8(of)]TJ -0.5122 -1.0528 TD [(fl)17.3(ow)-193.3(an)15.1(d)-199.9(v)0(o)21.2(l)0(u)18.9(m)0(e)12(.)-193.9(A)-203.9(s)0(e)19.6(r)0(i)17.3(e)0(s)-190.9(o)0(f)-190.9(5)-199.9(NE)13.2(P)-199.2(t)0(e)18.4(s)0(t)17.7(s)-201.1(w)12.4(e)0(r)13.5(e)-200.3(th)18.9(en)-189.7(ap)15.1(pl)18.8(ie)18.4(d)]TJ 0 -1.0471 TD [(us)14.4(in)18.8(g)-319.4(a)-319.8(pr)19.6(es)13.9(su)20(re)-310.8(of)-310.4(~-)16.5(5)-319.4(c)0(m)17.7(H)]TJ 7.472 0 0 6.641 423.212 738.595 Tm (2)Tj 9.963 0 0 9.963 426.841 740.296 Tm [(O.)-312.4(S)11.4(u)0(b)15.5(j)0(e)18.4(c)0(t)18.5(s)-320.6(in)-311.2(w)12.4(h)0(o)15.5(m)-322.6(ap)20.8(pl)18.9(i-)]TJ -11.7965 -1.0528 TD [(ca)14.7(ti)16.5(on)-206.4(of)-208(NE)13.2(P)-216.2(d)0(i)18.9(d)-217(no)15.5(t)-219.4(e)0(l)18.4(i)0(c)18.4(i)0(t)-211.1(a)0(n)-206.8(i)0(n)18.8(c)0(r)13.5(e)0(a)20.4(s)0(e)-213.7(o)0(f)-196.6(f)0(l)17.3(o)0(w)-210.3(o)0(v)21.2(e)0(r)-214.1(p)0(a)20.8(r)0(t)-210.4(o)0(r)]TJ 0 -1.0471 TD [(al)12.8(l)-441.3(o)0(f)-441.3(t)0(h)18.9(e)-445(co)15.1(nt)18.9(ro)19.6(l)-447(t)0(i)16.5(d)0(a)15.1(l)-441.3(ex)15.1(pi)18.9(ra)19.2(ti)16.5(on)-439.7(we)16.9(re)-436(co)15.1(ns)20(id)18.9(er)13.5(ed)-434.4(fl)17.3(ow)]TJ 0 -1.0528 TD [(li)16.5(mi)15.7(te)18.4(d)-302.4(\()0(F)14.7(L)12.2(\))-304(\()0(f)18(i)0(g)18.8(.)-302(1\).)-305.1(By)-313.5(contr)-8.2(ast,)-313.9(subje)-7.8(cts)-313.6(in)-311.2(whom)-317.4(flow)]TJ 0 -1.0471 TD [(incre)-8.6(ased)-357.9(with)-353.2(NEP)-356.7(over)-357.9(the)-352.2(enti)-8.2(re)-350.7(range)-359(of)-350.3(the)-357.9(control)]TJ 0 -1.0527 TD [(tida)-8.2(l)-242.1(expir)-8.2(ation)-248(wer)-8.2(e)-240.2(c)0(o)-7.6(nsidered)-251.1(as)-247.8(not)-243.7(flow)-250(limited)-251.7(\(non-)]TJ T* [(FL\))-371.4(\(fig.)-373.2(1\).)-367.7(The)-365.3(FL)-369.1(portion)-370.2(of)-367.3(the)-369.3(tida)-8.2(l)-361.6(expir)-8.2(ation)-373.2(was)]TJ 0 -1.0471 TD [(exp)-8.4(ressed)-384.9(as)-384.4(a)-382.4(percent)-10.5(age)-384.4(of)-384.4(the)-386.3(contr)-8.2(ol)]TJ /F4 1 Tf 16.9863 0 TD (V)Tj /F3 1 Tf 7.97 0 0 7.97 484.554 667.049 Tm (T)Tj 9.963 0 0 9.963 493.172 667.049 Tm [(\(FL,)-383.2(%)]TJ /F4 1 Tf 2.9363 0 TD (V)Tj /F3 1 Tf 7.97 0 0 7.97 528.434 667.049 Tm (T)Tj 9.963 0 0 9.963 533.253 667.049 Tm (\))Tj -22.4777 -1.0528 TD [([7].)-409.9(The)-405.2(latte)-11.8(r)-400.7(i)0(s)-409.1(presen)-8.2(ted)-403.4(as)-407.2(average)-412.6(of)-407.2(the)-403.4(five)-411.5(NEP)]TJ 0 -1.0471 TD [(test)-9.4(s.)]TJ /F4 1 Tf 0 -3.6875 TD [(Exe)-7.2(r)32.2(cise)-337.5(test)]TJ /F3 1 Tf 1.0015 -2.0998 TD [(An)-659.9(i)13.9(n)0(c)15.1(r)0(e)19.2(m)0(e)12(n)0(t)18.9(a)0(l)-653(s)0(y)20(m)0(p)12.4(t)0(o)18.9(m)0(-)16.5(l)0(i)16.5(m)0(i)15.7(t)0(e)18.4(d)-660.9(ex)15.1(er)19.2(ci)18.5(se)-657.5(te)18.4(st)-653.8(wa)16.9(s)]TJ -1.0015 -1.0471 TD [(pe)15.1(rf)18(or)13.9(me)17.7(d)-473.1(u)0(s)20(i)0(n)18.8(g)-473.1(an)-462.9(el)18.5(ec)14.7(tr)17.3(ic)18.4(al)18.5(ly)-464.8(br)19.6(ak)15.1(ed)-462.9(cy)15.1(cl)18.5(e)-473.5(e)0(r)30.6(g)0(o)15.5(m)0(e)17.7(t)0(e)18.4(r)]TJ 0 -1.0527 TD [(\(E)15.5(R)-409.5(8)0(0)21.2(0)]TJ /F5 1 Tf 3.4599 0 TD (1)Tj /F3 1 Tf 0.9902 0 TD [(;)-407.2(E)12.2(ri)17.3(ch)-400.3(Ja)19.6(eg)15.1(er)47.7(,)-404.4(G)0(m)14.2(b)0(H)17.3(,)-404.4(Ho)17.3(es)13.9(cb)20.8(er)24.9(g,)-393.8(Ge)16.9(rm)16.5(an)15.1(y\))]TJ -4.45 -1.0528 TD [(co)15.1(nn)15.5(ec)20.4(te)18.4(d)-336.5(t)0(o)-328.3(a)-331.2(me)12(t)13.9(a)0(b)15.1(o)0(l)18.9(i)0(c)-328.7(c)0(h)20.8(a)0(r)13.5(t)-333.2(\(Q)15.7(-P)14.7(le)18.5(x)]TJ /F5 1 Tf 15.6376 0 TD (1)Tj /F3 1 Tf 0.9902 0 TD 0.3389 Tc [(;Q)338.9(u)356.2(i)338.9(n)357.7(t)338.9(o)357.8(n)338.9(,)13.4(W)450.8(A)338.9(,)]TJ -16.6278 -1.0471 TD 0 Tc [(US)12.4(A)12.4(\))0(.)-344.2(S)11.4(ub)15.5(je)18.4(ct)18.4(s)-349.1(c)0(y)15.1(c)0(l)18.5(e)0(d)-343.4(a)0(t)-340.1(5)0(0)-337.3(r)0(e)13.5(v)0(o)21.2(l)0(u)18.9(t)0(i)16.5(o)0(n)]TJ /F10 1 Tf 15.7742 0.1992 TD (.)Tj /F3 1 Tf 0.2732 -0.1992 TD [(mi)21.4(n)]TJ 7.472 0 0 6.641 484.271 551.055 Tm (-1)Tj 9.963 0 0 9.963 493.795 546.633 Tm [(\(r)18(pm)18.1(\))-349.5(w)0(i)14.9(t)0(h)]TJ -18.517 -1.0528 TD [(th)13.2(e)-280(e)0(x)15.1(t)13.9(er)13.5(na)20.8(l)-282(p)0(o)15.5(w)0(e)16.9(r)-281.2(in)18.8(cr)13.5(ea)20.4(se)14(d)-279.6(i)0(n)-271.4(1)0(-)13.9(m)0(i)15.7(n)-279.6(st)17.7(ep)20.8(s)-286.5(o)0(f)-270.6(5)0(\261)15.5(1)0(0)-269(w)0(a)16.9(t)0(t)16.5(s)]TJ 0 -1.0471 TD [(to)-373.8(th)18.9(e)-376.7(l)0(i)16.5(m)0(i)15.7(t)-378.7(of)-373(th)18.9(ei)18.5(r)-377.9(t)0(o)13.2(l)0(e)18.4(r)0(a)19.2(n)0(c)15.1(e)0(,)-365.7(e)0(i)12.8(t)0(h)18.9(e)0(r)-367.7(b)0(y)-371.4(d)0(y)15.5(s)0(p)20(n)0(o)15.5(e)0(a)-366.5(o)0(r)-373(l)0(e)18.4(g)]TJ 0 -1.0527 TD [(fa)13.5(ti)16.5(gu)21.2(e.)-331.6(Th)17.1(ey)-332(we)16.9(re)-333.6(fa)13.5(mi)15.7(li)22.2(ar)13.5(iz)18.4(ed)-332(wi)14.9(th)-334(th)18.9(e)-342.6(B)11.6(or)25.3(g)-342.2(S)11.4(ca)14.7(le)-334.4([1)19.6(6])]TJ 0 -1.0471 TD [(and)-344.1(were)-339.4(capabl)-8.2(e)-336.9(o)0(f)-338.9(quantifyi)-10.3(ng)-337.3(thei)-8.2(r)-332.4(level)-345.1(of)-338.9(dyspnoe)-6.9(a)]TJ 0 -1.0528 TD [(or)-338.9(leg)-335.1(disco)-7.8(mfort.)-343(Oxygen)-339(saturati)-11.1(on,)-332(h)-6.5(eart)-337.9(rate)-337.9(and)-338.4(art-)]TJ 0 -1.0471 TD [(erial)-318.3(pressure)-319.8(were)-311(conti)-9(nuously)-310.5(moni)-8.6(tored)-315.5(with)-313.3(a)-308.5(Dina-)]TJ 0 -1.0528 TD (map)Tj 7.472 0 0 6.641 327.912 477.808 Tm 0.0001 Tc (TM)Tj 9.963 0 0 9.963 339.024 473.386 Tm 0 Tc [(Plus)-159.5(vital)-159.3(signs)-156.5(monitor)-162.8(\(Critikon,)-164.6(T)63.4(ampa,)-155.3(FL\))-7.2(.)-154(The)]TJ -2.9818 -1.0471 TD [(maxi)-9(mal)-463.5(mecha)-8.2(nical)-464.6(powe)-7.4(r)-463.3(output)-464.6(and)-463.6(oxygen)-465.9(uptake)]TJ 0 -1.0527 TD [(wer)-8.2(e)-228.8(deter)-8.6(mined.)-232.1(The)-234.4(predicted)-236.4(norm)-7.8(al)-231.9(values)-230.9(for)]TJ /F4 1 Tf 19.9454 0 TD (W)Tj /F3 1 Tf 0.8251 0 TD (R)Tj 7.97 0 0 7.97 522.935 452.466 Tm 0.0001 Tc (max)Tj 9.963 0 0 9.963 309.316 442.035 Tm 0 Tc (and)Tj /F4 1 Tf 1.7755 0 TD (V)Tj /F8 1 Tf 0.6032 0 TD (')Tj /F3 1 Tf 7.97 0 0 7.97 335.225 442.035 Tm (O)Tj 7.472 0 0 6.641 340.951 440.39 Tm (2)Tj 7.97 0 0 7.97 344.693 442.035 Tm (,max)Tj 9.963 0 0 9.963 363.572 442.035 Tm [(were)-339.4(those)-337.8(of)-333.2(J)]TJ 6.974 0 0 6.974 425.594 442.035 Tm 0.0001 Tc (ONES)Tj 9.963 0 0 9.963 447.023 442.035 Tm 0 Tc ([17].)Tj /F4 1 Tf -13.8223 -3.6875 TD 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[(In)-509.6(th)13.2(e)-513.3(F)0(L)-511.3(p)0(a)15.1(t)0(i)22.2(e)0(n)15.1(t)0(s)17.7(,)-518.2(th)18.9(er)19.2(e)-519(w)0(a)16.9(s)-519.8(a)-519(s)0(i)17.7(g)0(n)21.2(i)0(f)11.6(i)13.9(ca)14.7(nt)-510.4(ne)20.8(ga)15.1(ti)16.5(ve)]TJ -1.0015 -1.0641 TD [(co)15.1(rr)18(el)18.4(at)12.8(io)18.9(n)-268.2(o)0(f)-264.9(F)0(L)-266.6(\()0(%)]TJ /F4 1 Tf 8.0863 0 TD (V)Tj /F3 1 Tf 7.97 0 0 7.97 395.773 515.452 Tm (T)Tj 9.963 0 0 9.963 400.535 515.452 Tm 0.2678 Tc [(\)t)267.8(oI)267.8(C)3.9(\()267.8(%)6.2(p)267.8(r)281.7(e)267.8(d)288.6(\))-7.7(\()267.8(r)]TJ /F9 1 Tf 7.2327 0 TD 0 Tc (=)Tj /F3 1 Tf 0.5349 0 TD [(-0)19.6(.5)15.9(2;)-260(p)]TJ /F9 1 Tf 3.0558 0 TD (<)Tj /F3 1 Tf 0.5463 0 TD [(0.)21.6(05)15.5(\).)]TJ -19.5243 -1.0471 TD [(Si)14(gn)21.2(if)17.3(ic)12.8(an)20.8(t)-373(n)0(e)15.1(g)0(a)20.8(t)0(i)16.5(v)0(e)-366.1(c)0(o)20.8(r)0(r)18(e)0(l)12.8(a)0(t)18.4(i)0(o)18.9(n)0(s)-361.2(w)0(e)16.9(r)0(e)-367.7(f)0(o)19.6(u)0(n)15.5(d)-370.7(of)-361.6(IC)-366.3(\(%)]TJ -1.0015 -1.0641 TD [(pr)13.9(ed)20.8(\))-434.8(t)0(o)-419.3(F)11.4(RC)-426.4(\(%)-420.9(pr)13.9(ed)20.8(\))-434.8(\()0(r)]TJ /F9 1 Tf 10.6413 0 TD (=)Tj /F3 1 Tf 0.5292 0 TD [(-0)13.9(.4)21.6(5;)-425(p)]TJ /F9 1 Tf 3.2209 0 TD (<)Tj /F3 1 Tf 0.5406 0 TD [(0.)15.9(00)15.5(5\))-418.5(an)15.1(d)-427.6(r)0(e)19.2(s)0(i)12(d)0(u)21.2(a)0(l)]TJ -14.932 -1.0584 TD [(vo)15.5(lu)18.9(me)-221.3(\(R)88.9(V\))-223.3(\(%)-221.7(pr)19.6(ed)15.1(\))-230(\()0(r)]TJ /F9 1 Tf 9.5943 0 TD (=)Tj /F3 1 Tf 0.5349 0 TD [(-0)19.6(.5)15.9(3;)-220.2(p)]TJ /F9 1 Tf 3.255 0 TD (<)Tj /F3 1 Tf 0.5406 0 TD [(0.)15.9(00)21.2(01)15.5(\).)-219(Th)17.1(e)-228.8(r)0(e)19.2(l)0(a)12.8(t)0(i)16.5(v)0(e)20.8(l)0(y)]TJ -13.9248 -1.0641 TD [(po)15.5(or)-208(co)15.1(rr)18(el)18.4(at)18.5(io)18.9(n)-217(o)0(f)-208(I)0(C)-212.7(t)0(o)-203.1(F)0(R)17.3(C)-221.7(ma)17.7(y)-217(b)0(e)-206.8(e)0(x)15.1(p)0(l)18.8(a)0(i)18.5(n)0(e)15.1(d)-211.3(by)-212.1(th)18.8(e)-217.4(f)0(a)19.2(c)0(t)]TJ 0 -1.0584 TD [(th)13.2(at)-431.1(th)18.9(e)-439.3(l)0(a)12.8(t)13.9(te)12.8(r)-440.5(w)0(a)16.9(s)-440.1(me)17.7(as)13.9(ur)19.6(ed)-434.4(w)12.4(i)0(t)16.5(h)-438.9(th)13.2(e)-439.3(n)0(i)18.9(t)0(r)17.3(o)0(g)15.5(e)0(n)-428.7(w)0(a)16.9(s)0(h)14.3(o)0(u)21.2(t)]TJ 0 -1.0641 TD [(me)12(th)18.8(od)21.2(,)-484.1(w)0(h)17.3(i)0(c)18.4(h)-484.5(te)18.4(nd)15.5(s)-480(t)0(o)-476.2(u)0(n)21.2(d)0(e)15.1(r)0(e)19.2(s)0(t)17.7(i)0(m)15.7(a)0(t)18.4(e)-484.9(th)18.9(e)-484.9(t)0(h)18.8(o)0(r)19.6(a)0(c)14.7(i)0(c)-476.6(g)0(a)20.8(s)]TJ 0 -1.0584 TD [(vo)15.5(lu)18.9(me)17.7(,)-324.7(p)0(a)15.1(r)0(t)17.3(i)0(c)18.4(u)0(l)18.9(a)0(r)13.5(l)0(y)-311.2(i)0(n)-316.9(p)0(a)15.1(t)0(i)22.2(e)0(n)15.1(t)0(s)-318.1(w)12.4(it)16.5(h)-325.1(s)0(e)19.6(v)0(e)15.1(r)0(e)-316.5(C)11.6(OP)12.4(D)12.4(.)]TJ 1.0015 -1.0528 TD [(Th)17.1(e)-211.7(a)0(v)20.8(e)0(r)19.2(a)0(g)15.1(e)-206(\(\213)]TJ 6.974 0 0 6.974 377.121 431.093 Tm 0.0001 Tc [(SE)18(M)]TJ 9.963 0 0 9.963 391.181 431.093 Tm 0.2072 Tc [(\)v)207.2(a)228(l)207.2(u)220.4(e)207.2(s)10.6(o)207.2(f)]TJ /F4 1 Tf 4.2395 0 TD 0 Tc (W)Tj /F3 1 Tf 0.8138 0 TD (R)Tj 7.97 0 0 7.97 448.101 431.093 Tm 0.0001 Tc [(ma)26.3(x)]TJ 9.963 0 0 9.963 463.578 431.093 Tm 0 Tc [(an)15.1(d)]TJ /F4 1 Tf 1.6275 0 TD (V)Tj /F8 1 Tf 0.5918 0 TD (')Tj /F3 1 Tf 7.97 0 0 7.97 487.786 431.093 Tm (O)Tj 7.472 0 0 6.641 493.455 429.449 Tm (2)Tj 7.97 0 0 7.97 497.083 431.093 Tm -0.0172 Tc [(,m)-17.3(ax)]TJ 9.963 0 0 9.963 514.488 431.093 Tm 0 Tc [(of)-196.6(th)18.9(e)]TJ -20.5941 -1.0584 TD [(no)15.5(n-)19.6(FL)-408.9(an)15.1(d)-410.5(F)0(L)-408.9(p)0(a)20.8(t)0(i)16.5(e)0(n)15.1(t)0(s)-403.4(a)0(r)13.5(e)-416.6(gi)18.9(ve)20.8(n)-416.2(i)0(n)-407.9(t)0(a)18.4(b)0(l)18.8(e)-416.6(2.)-416.6(In)-429.9(all)-422.9(FL)]TJ 0 -1.0641 TD [(pati)-8.2(ents)]TJ /F4 1 Tf 3.3916 0 TD (V)Tj /F8 1 Tf 0.6032 0 TD (')Tj /F3 1 Tf 7.97 0 0 7.97 351.269 409.946 Tm (O)Tj 7.472 0 0 6.641 356.995 408.302 Tm (2)Tj 7.97 0 0 7.97 360.737 409.946 Tm (,max)Tj 9.963 0 0 9.963 379.389 409.946 Tm (was)Tj /F9 1 Tf 1.8494 0 TD (<)Tj /F3 1 Tf 0.5577 0 TD [(80%)-311.9(pred)-312.3(normal,)-314.1(while)-314.5(this)-316.3(was)]TJ -9.4406 -1.0584 TD [(not)-340.4(the)-335.1(case)-335.5(for)-341.2(8)-330.8(\(35%\))-339.4(of)-338.9(the)-335.1(23)-337.3(non-FL)-339.6(subjects.)]TJ 1.0015 -1.0527 TD [(Ac)11.2(co)20.8(rd)19.6(in)13.2(g)-211.3(t)0(o)-208.8(t)0(h)18.9(e)-217.4(li)16.5(ne)20.8(ar)-208.4(re)19.2(gr)14(es)19.6(si)17.7(on)-206.4(an)15.1(al)18.5(ys)20(is)17.7(,)-216.6(t)0(h)18.8(e)-217.4(st)17.7(ro)19.6(ng)15.5(es)19.6(t)]TJ -1.0015 -1.0584 TD [(co)15.1(rr)18(el)18.4(at)12.8(io)18.9(ns)-446.6(of)]TJ /F4 1 Tf 6.2881 0 TD (W)Tj /F3 1 Tf 0.8137 0 TD (R)Tj 7.97 0 0 7.97 386.589 378.368 Tm 0.0001 Tc [(ma)19.2(x)]TJ 9.963 0 0 9.963 404.617 378.368 Tm 0 Tc [(an)20.8(d)]TJ /F4 1 Tf 1.8722 0 TD (V)Tj /F8 1 Tf 0.5975 0 TD (')Tj /F3 1 Tf 7.97 0 0 7.97 431.32 378.368 Tm (O)Tj 7.472 0 0 6.641 436.932 376.724 Tm (2)Tj 7.97 0 0 7.97 440.561 378.368 Tm [(,m)17(ax)]TJ 9.963 0 0 9.963 460.46 378.368 Tm [(to)-447.8(th)13.2(e)-456.4(i)0(n)18.9(d)0(e)15.1(p)0(e)20.8(n)0(d)15.5(e)0(n)20.8(t)]TJ -15.171 -1.0641 TD [(va)15.1(ri)17.3(ab)15.1(l)13.9(e)0(s)-469.7(u)0(s)20(e)0(d)-468.6(w)12.4(er)13.5(e)-473.5(w)0(i)14.9(t)0(h)-464.8(I)0(C)-463.1(a)0(n)15.1(d)-473.1(FE)17.9(V)]TJ 7.97 0 0 7.97 468.737 367.767 Tm (1)Tj 9.963 0 0 9.963 472.649 367.767 Tm [(/F)19.6(VC)12.6(.)-472.7(F)11.4(ig)18.9(ur)14(e)-473.5(3)]TJ -16.3945 -1.0584 TD [(dep)-8.4(ict)-252.1(the)-255.5(relationsh)-12.7(ips)-250.6(of)]TJ /F4 1 Tf 10.5218 0 TD (V)Tj /F8 1 Tf 0.6032 0 TD (')Tj /F3 1 Tf 7.97 0 0 7.97 422.362 357.222 Tm (O)Tj 7.472 0 0 6.641 428.088 355.578 Tm (2)Tj 7.97 0 0 7.97 431.83 357.222 Tm (,max)Tj 9.963 0 0 9.963 449.858 357.222 Tm [(to)-254.3(IC)-252.5(and)-253.1(FEV)]TJ 7.97 0 0 7.97 507.968 357.222 Tm (1)Tj 9.963 0 0 9.963 511.937 357.222 Tm [(/FV)-7.8(C,)]TJ -20.338 -1.0641 TD [(all)-559.4(varia)-8.6(bles)-559(being)-558.6(expres)-8.2(sed)-555.9(as)-555.1(percent)-562.5(of)-560.8(predicted)]TJ 0 -1.0584 TD [(norm)-7.8(al.)-442.9(The)-450.7(latter)-446.6(varia)-8.6(bles)-445.2(wer)-8.2(e)-439.3(selec)-8.6(ted)-448.9(by)-439.7(stepwi)-9.2(se)]TJ 0 -1.0641 TD [(regres)-9.8(sion)-291.1(analysis)-292.9(as)-287.7(the)-283.9(only)-290(signifi)-9.6(cant)-290.8(contribut)-10.3(ors)-283.9(to)]TJ /F4 1 Tf 0 -1.0584 TD (W)Tj /F3 1 Tf 0.8251 0 TD (R)Tj 7.97 0 0 7.97 324.227 314.929 Tm 0.0001 Tc (max)Tj 9.963 0 0 9.963 341.121 314.929 Tm 0 Tc (and)Tj /F4 1 Tf 1.7755 0 TD (V)Tj /F8 1 Tf 0.6032 0 TD (')Tj /F3 1 Tf 7.97 0 0 7.97 367.03 314.929 Tm (O)Tj 7.472 0 0 6.641 372.699 313.285 Tm (2)Tj 7.97 0 0 7.97 376.441 314.929 Tm (,max)Tj 9.963 0 0 9.963 392.031 314.929 Tm [(.)-336.1(The)-336.9(predi)-8.2(ctive)-339.4(equation)-11.7(s)-332(based)-341.6(on)]TJ -8.3025 -1.0641 TD [(these)-343.9(variables)-340(are,)-340.8(respec)-8.6(tively:)]TJ /F10 1 Tf 1.5421 -1.4568 TD (W)Tj /F11 1 Tf 0.9958 0 TD (R)Tj 6.974 0 0 6.974 342.255 290.041 Tm 0.0001 Tc (max)Tj /F12 1 Tf 1.9023 0 TD 0.0755 Tc (\210\377)Tj /F11 1 Tf 9.963 0 0 9.963 367.257 289.814 Tm 0 Tc (7)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2731 0 TD (2)Tj /F12 1 Tf 6.974 0 0 6.974 379.956 290.041 Tm (\207)Tj /F11 1 Tf 9.963 0 0 9.963 385.852 289.814 Tm (0)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2731 0 TD (43IC)Tj /F12 1 Tf 6.974 0 0 6.974 414.538 290.041 Tm (\207)Tj /F11 1 Tf 9.963 0 0 9.963 420.435 289.814 Tm (0)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2732 0 TD (37FEV)Tj 6.974 0 0 6.974 458.362 290.041 Tm (1)Tj /F13 1 Tf 9.963 0 0 9.963 462.387 289.814 Tm (=)Tj /F11 1 Tf 0.5008 0 TD (FVC)Tj /F8 1 Tf 6.974 0 0 6.974 488.239 290.891 Tm (+)Tj /F11 1 Tf 9.963 0 0 9.963 495.723 289.814 Tm (9)Tj /F13 1 Tf 0.5065 0 TD (:)Tj /F11 1 Tf 0.2675 0 TD (6)Tj /F12 1 Tf 2.0429 0 TD (\205)Tj /F14 1 Tf 0.387 0 TD (1)Tj /F12 1 Tf 0.5008 0 TD (\206)Tj /F10 1 Tf -21.2087 -1.9632 TD (V)Tj /F12 1 Tf 6.974 0 0 6.974 328.479 274.394 Tm (0)Tj /F11 1 Tf 0.3496 -0.5609 TD (O)Tj 4.981 0 0 4.981 336.302 269.405 Tm (2)Tj /F13 1 Tf 6.974 0 0 6.974 339.761 270.482 Tm (;)Tj /F11 1 Tf 0.2764 0 TD 0.0001 Tc (max)Tj /F12 1 Tf 1.821 0 TD (\210\377)Tj /F11 1 Tf 9.963 0 0 9.963 365.669 270.255 Tm 0 Tc (6)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2731 0 TD (5)Tj /F12 1 Tf 6.974 0 0 6.974 378.368 270.482 Tm (\207)Tj /F11 1 Tf 9.963 0 0 9.963 384.264 270.255 Tm (0)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2675 0 TD (48IC)Tj /F12 1 Tf 6.974 0 0 6.974 412.951 270.482 Tm (\207)Tj /F11 1 Tf 9.963 0 0 9.963 418.847 270.255 Tm (0)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2675 0 TD (57FEV)Tj 6.974 0 0 6.974 456.775 270.482 Tm (1)Tj /F13 1 Tf 9.963 0 0 9.963 460.743 270.255 Tm (=)Tj /F11 1 Tf 0.5008 0 TD (FVC)Tj /F8 1 Tf 6.974 0 0 6.974 486.652 271.332 Tm (+)Tj /F11 1 Tf 9.963 0 0 9.963 494.135 270.255 Tm (10)Tj /F13 1 Tf 1.0015 0 TD (:)Tj /F11 1 Tf 0.2731 0 TD (1)Tj /F12 1 Tf 1.7015 0 TD (\205)Tj /F14 1 Tf 0.387 0 TD (2)Tj /F12 1 Tf 0.5008 0 TD (\206)Tj /F3 1 Tf -22.4151 -1.508 TD [(wher)-9(e)-302.8(all)-303.4(variables)-311.5(are)-300.6(expres)-8.2(sed)-305.5(as)-299(%)-304.7(pred)-306.7(normal.)-308.4(The)]TJ 0 -1.0641 TD [(values)-464.2(of)-452.7(the)-454.6(correl)-11(ation)-458.5(coeff)9.3(icie)-8.6(nts)-455.4(\(r\))-456.6(for)-455(these)-457.7(reg-)]TJ 0 -1.0584 TD [(ressi)-10.6(ons)-333.5(wer)-8.2(e)-331.2(0.79)-338.4(and)-332.8(0.85)-8.4(,)-330.4(respec)-8.6(tively)56.2(.)]TJ 1.0015 -1.0527 TD [(Th)17.1(e)-206(a)0(b)15.1(o)0(v)21.2(e)-206(an)15.1(al)18.4(ys)20(is)-198.6(wa)16.9(s)-201.1(p)0(e)15.1(r)0(f)18(o)0(r)13.9(m)0(e)17.7(d)-205.6(se)19.6(pa)15.1(ra)19.2(te)18.4(ly)-197.4(fo)19.6(r)-207.2(F)11.4(L)-204.1(a)0(n)15.1(d)]TJ -1.0015 -1.0584 TD [(no)15.5(n-)19.6(FL)-243.9(pa)20.8(ti)16.5(en)15.1(ts)17.7(.)-245.1(F)0(o)16.3(r)-252.7(F)11.4(L)-249.6(pa)15.1(ti)16.5(en)20.8(ts)-244.1(on)21.2(ly)-242.9(IC)-241.1(wa)16.9(s)-252.3(s)0(e)19.6(l)0(e)18.4(c)0(t)18.4(e)0(d)-240.9(a)0(s)-242.1(a)]TJ 0 -1.0641 TD [(si)17.7(gn)15.5(if)17.3(ic)18.4(an)15.1(t)-259.2(c)0(o)20.8(n)0(t)13.2(r)0(i)17.3(b)0(u)21.2(t)0(o)18.9(r)-264.1(by)-246.2(th)13.2(e)-257.2(s)0(t)17.7(e)0(p)15.1(w)12.4(is)12(e)-257.2(r)0(e)19.2(g)0(r)14(e)0(s)19.6(s)0(i)17.7(o)0(n)-251.9(a)0(n)20.8(a)0(l)12.8(y)0(s)20(i)0(s)17.7(,)]TJ 0 -1.0584 TD [(wh)17.3(il)16.5(e)-365.4(f)0(o)19.6(r)-360.9(no)15.5(n-)19.6(FL)-352(pa)15.1(ti)16.5(en)20.8(ts)-352.2(on)15.5(ly)-351(FE)17.9(V)]TJ 7.97 0 0 7.97 455.074 191.905 Tm (1)Tj 9.963 0 0 9.963 458.986 191.905 Tm [(/F)19.6(VC)-351.6(wa)11.2(s)-360.5(s)0(e)19.6(l)0(e)18.4(c)0(t)18.5(e)0(d)15.1(.)]TJ -15.0231 -1.0641 TD [(Th)17.1(e)-325.5(e)0(q)15.1(u)0(a)20.8(t)0(i)16.5(o)0(n)15.5(s)-320.6(fo)13.9(r)-321(F)0(L)-317.8(p)0(a)20.8(t)0(i)16.5(e)0(n)15.1(t)0(s)-312.4(w)0(e)16.9(r)0(e)13.5(:)]TJ /F10 1 Tf 5.7361 -1.4568 TD (W)Tj /F11 1 Tf 0.9902 0 TD (R)Tj 6.974 0 0 6.974 384.038 166.961 Tm -0.0172 Tc [(ma)-17.2(x)]TJ /F12 1 Tf 1.8698 0 TD 0.0673 Tc (\210\377)Tj /F11 1 Tf 9.963 0 0 9.963 408.813 166.79 Tm 0 Tc (14)Tj /F13 1 Tf 0.9902 0 TD (:)Tj /F11 1 Tf 0.2731 0 TD (7)Tj /F12 1 Tf 6.974 0 0 6.974 426.387 166.961 Tm (\207)Tj /F11 1 Tf 9.963 0 0 9.963 432.283 166.79 Tm (0)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2731 0 TD 0.3308 Tc [(3I)330.8(C)]TJ /F8 1 Tf 6.974 0 0 6.974 459.212 167.868 Tm 0 Tc (+)Tj /F11 1 Tf 9.963 0 0 9.963 466.696 166.79 Tm (8)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2731 0 TD (3)Tj /F12 1 Tf 4.9565 0 TD (\205)Tj /F14 1 Tf 0.387 0 TD (3)Tj /F12 1 Tf 0.5008 0 TD (\206)Tj /F10 1 Tf -16.3603 -1.9632 TD (V)Tj /F12 1 Tf 6.974 0 0 6.974 376.838 151.37 Tm (0)Tj /F11 1 Tf 0.3414 -0.5609 TD (O)Tj 4.981 0 0 4.981 384.605 146.381 Tm (2)Tj /F13 1 Tf 6.974 0 0 6.974 388.12 147.458 Tm (;)Tj /F11 1 Tf 0.2683 0 TD 0.0001 Tc [(ma)21.5(x)]TJ /F12 1 Tf 1.7966 0 TD 0 Tc (\210)Tj /F11 1 Tf 9.963 0 0 9.963 408.416 147.231 Tm (20)Tj /F12 1 Tf 6.974 0 0 6.974 418.28 147.458 Tm (\207)Tj /F11 1 Tf 9.963 0 0 9.963 424.176 147.231 Tm (0)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2732 0 TD [(44)-325.9(IC)]TJ /F8 1 Tf 6.974 0 0 6.974 455.981 148.309 Tm (+)Tj /F11 1 Tf 9.963 0 0 9.963 463.464 147.231 Tm (7)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2732 0 TD (6)Tj /F12 1 Tf 5.2808 0 TD (\205)Tj /F14 1 Tf 0.387 0 TD (4)Tj /F12 1 Tf 0.5008 0 TD (\206)Tj /F3 1 Tf -21.4135 -1.36 TD [(Th)17.1(e)-308.5(v)0(a)15.1(l)0(u)18.9(e)0(s)-299(o)0(f)-293.3(t)0(h)18.9(e)-308.5(co)15.1(rr)18(el)18.4(at)18.4(io)13.2(n)-302.4(c)0(o)15.1(e)0(f)30.6(f)0(i)17.3(c)0(i)18.4(e)0(n)15.1(t)0(s)-295.3(f)0(o)14(r)-304(th)13.2(es)19.6(e)-308.5(r)0(e)19.2(g)0(-)]TJ -1.0015 -1.0641 TD [(re)13.5(ss)18.8(io)18.8(ns)-361.2(we)16.9(re)-362(0.)21.6(48)-360(an)15.1(d)-370.7(0)0(.)21.6(6)0(3)15.5(,)-364.6(re)13.5(sp)20(ec)14.7(ti)16.5(ve)20.8(ly)81.4(.)-370.3(T)0(h)17.1(e)-371.1(eq)20.8(ua)15.1(ti)16.5(on)21.2(s)]TJ 0 -1.0584 TD [(fo)13.9(r)-321(n)0(o)15.5(n)0(-)19.6(F)0(L)-317.8(p)0(a)20.8(t)0(i)16.5(e)0(n)15.1(t)0(s)-312.4(w)0(e)11.2(r)0(e)19.2(:)]TJ ET 1 i 58.28 386.305 227.168 -0.51 re f 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/F9 1 Tf 19.8539 0 TD (<)Tj /F3 1 Tf 0.5564 0 TD (0.002)Tj -22.6866 -1.0559 TD [(TLC)-332.6(%)-335.1(pred)-7093(1)32.1(16\2133)-2517.7(120\2133)]TJ 6.276 0 0 6.276 265.323 215.433 Tm 0.0001 Tc (NS)Tj 8.966 0 0 8.966 58.28 205.965 Tm 0 Tc [(FRC)-335.3(%)-335.1(pred)-7048.8(134\2135)-2517.2(169\2136)]TJ /F9 1 Tf 22.1302 0 TD (<)Tj /F3 1 Tf 0.5564 0 TD (0.002)Tj -22.6866 -1.0559 TD [(R)71.6(V)-331.6(%)-335.1(pred)-7624.1(150\2136)-2517.2(198\2139)]TJ /F9 1 Tf 22.1302 0 TD (<)Tj /F3 1 Tf 0.5564 0 TD (0.002)Tj -22.6866 -1.0559 TD [(IC)-333.5(%)-335.1(pred)-8446.1(93\2132)-3017.3(60\2133)]TJ /F9 1 Tf 22.1302 0 TD (<)Tj /F3 1 Tf 0.5564 0 TD (0.002)Tj /F4 1 Tf -22.6866 -1.0559 TD (P)Tj /F3 1 Tf 7.173 0 0 7.173 63.723 177.562 Tm (I,max)Tj 8.966 0 0 8.966 80.05 177.562 Tm [(%)-335.1(pred)-7339.6(77\2134)-3017.3(67\2133)]TJ 6.276 0 0 6.276 265.323 177.562 Tm 0.0001 Tc (NS)Tj 8.966 0 0 8.966 58.28 160.157 Tm 0 Tc [(V)104.7(alues)-544.3(are)-536.4(means\213)]TJ 6.276 0 0 6.276 129.94 160.157 Tm 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[(Th)17.1(e)-479.2(c)0(o)15.1(r)0(r)18(e)0(l)18.5(a)0(t)18.4(i)0(o)18.9(n)-478.8(co)15.1(ef)24.9(fi)17.3(ci)18.4(en)20.8(ts)-471.7(fo)13.9(r)-474.7(t)0(h)13.2(e)0(s)19.6(e)-479.2(eq)15.1(ua)20.8(ti)16.5(on)15.5(s)-474.3(w)0(e)11.2(r)0(e)]TJ -1.0015 -1.0755 TD [(0.)15.9(57)-314.5(an)20.8(d)-325.1(0)0(.)15.9(8)0(0)21.2(,)-324.7(re)19.2(sp)14.4(ec)20.4(ti)16.5(ve)15.1(ly)81.4(.)]TJ 1.0015 -1.0471 TD [(As)-370.8(sh)14.3(ow)17.3(n)-376.3(i)0(n)-368.1(t)0(a)12.8(b)0(l)18.9(e)-376.7(1,)-382.4(the)-386.3(av)-7.6(erage)-393.6(value)-394(of)]TJ /F4 1 Tf 17.7659 0 TD (P)Tj /F3 1 Tf 7.97 0 0 7.97 251.263 701.178 Tm (a,O)Tj 7.472 0 0 6.641 262.431 699.534 Tm (2)Tj 9.963 0 0 9.963 270.028 701.178 Tm (was)Tj -21.2542 -1.0755 TD [(signifi)-9.6(cantly)-306.1(lower)-308(in)-299.8(the)-306.7(FL)-300.8(than)-307.4(in)-299.8(the)-301(non-F)-10.3(L)-300.8(patients)]TJ T* (\(p)Tj /F9 1 Tf 0.8251 0 TD (<)Tj /F3 1 Tf 0.552 0 TD 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0 0 6.974 406.431 655.37 Tm (\377)Tj /F11 1 Tf 9.963 0 0 9.963 412.271 654.293 Tm (0)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2731 0 TD [(04)-337.3(IC)]TJ /F8 1 Tf 6.974 0 0 6.974 444.302 655.37 Tm (+)Tj /F11 1 Tf 9.963 0 0 9.963 451.786 654.293 Tm (0)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2731 0 TD (7)Tj /F12 1 Tf 0.8308 0 TD (\205)Tj /F11 1 Tf 6.974 0 0 6.974 471.628 654.519 Tm 0.0001 Tc (SEM)Tj /F12 1 Tf 9.963 0 0 9.963 487.446 654.293 Tm 3.2626 Tc (\206\205)Tj /F14 1 Tf 4.0346 0 TD 0 Tc (8)Tj /F12 1 Tf 0.5008 0 TD (\206)Tj /F10 1 Tf -18.3691 -1.9063 TD (P)Tj /F11 1 Tf 6.974 0 0 6.974 356.258 635.527 Tm (a)Tj /F13 1 Tf 0.504 0 TD (;)Tj /F11 1 Tf 0.2683 0 TD 0.0001 Tc (CO)Tj 4.981 0 0 4.981 372.076 634.507 Tm 0 Tc (2)Tj /F12 1 Tf 9.963 0 0 9.963 378.312 635.301 Tm (\210)Tj /F11 1 Tf 1.0527 0 TD (7)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2675 0 TD (2)Tj /F12 1 Tf 6.974 0 0 6.974 401.442 636.434 Tm (\377)Tj /F11 1 Tf 9.963 0 0 9.963 407.338 635.301 Tm (0)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2731 0 TD [(02)-337.3(FVC)]TJ /F8 1 Tf 6.974 0 0 6.974 449.234 636.434 Tm (+)Tj /F11 1 Tf 9.963 0 0 9.963 456.718 635.301 Tm (0)Tj /F13 1 Tf 0.5008 0 TD (:)Tj /F11 1 Tf 0.2731 0 TD (7)Tj /F12 1 Tf 0.8365 0 TD (\205)Tj /F11 1 Tf 6.974 0 0 6.974 476.56 635.527 Tm 0.0001 Tc (SEM)Tj /F12 1 Tf 9.963 0 0 9.963 492.378 635.301 Tm 2.7676 Tc (\206\205)Tj /F14 1 Tf 3.5395 0 TD 0 Tc (9)Tj /F12 1 Tf 0.5008 0 TD (\206)Tj /F3 1 Tf -21.4135 -1.9519 TD [(Th)17.1(e)-479.2(c)0(o)15.1(r)0(r)18(e)0(l)18.4(a)0(t)12.8(i)0(o)18.8(n)-478.8(co)20.8(ef)24.9(fi)17.3(ci)18.5(en)15.1(ts)-471.7(fo)19.6(r)-480.4(t)0(h)18.8(e)0(s)19.6(e)-479.2(eq)15.1(ua)15.1(t)13.9(i)0(o)13.2(n)0(s)-469.3(w)0(e)16.9(r)0(e)]TJ -1.0015 -1.0527 TD [(0.)15.9(62)-314.5(an)15.1(d)-319.4(0)0(.)15.9(5)0(5)21.2(,)-324.7(re)13.5(sp)20(ec)14.7(ti)22.2(ve)15.1(ly)81.4(.)]TJ 1.0015 -1.0471 TD [(Th)17.1(er)13.5(e)-274.3(w)0(a)16.9(s)-280.8(no)-263.3(si)17.7(gn)15.5(if)17.3(ic)18.4(an)15.1(t)-276.3(d)0(i)18.9(f)20.4(fe)13.5(re)19.2(nc)15.1(e)-274.3(i)0(n)-265.7(b)0(r)13.9(e)0(a)20.4(t)0(h)13.2(i)13.9(ng)-269(pa)15.1(tt)16.5(er)19.2(n)]TJ -1.0015 -1.0527 TD [(be)15.1(tw)14.9(ee)20.4(n)-268.2(n)0(o)21.2(n)0(-)13.9(F)11.4(L)-266.7(a)0(n)15.1(d)-268.2(F)11.4(L)-266.7(pa)15.1(ti)22.2(en)15.1(ts)-255.5(\(t)11.6(ab)20.8(le)-260.4(3\).)-265.3(However)18.5(,)-273.5(both)]TJ /F4 1 Tf T* (V)Tj /F3 1 Tf 7.97 0 0 7.97 315.383 573.959 Tm (T)Tj 9.963 0 0 9.963 322.979 573.959 Tm (and)Tj /F4 1 Tf 1.7868 0 TD (t)Tj /F3 1 Tf 7.97 0 0 7.97 343.502 573.959 Tm (I)Tj 9.963 0 0 9.963 349.512 573.959 Tm [(were)-350.8(signi)-9.8(ficantly)-357.1(lower)-353.6(in)-345.3(the)-352.2(17)-348.7(FL)-346.3(patients)]TJ -4.0346 -1.0527 TD [(who)-273.7(were)-265.5(h)-6.5(ypercap)-8.2(nic)-266.8(\()]TJ /F4 1 Tf 9.617 0 TD (P)Tj /F3 1 Tf 7.97 0 0 7.97 411.137 563.471 Tm (a,CO)Tj 7.472 0 0 6.641 427.635 561.77 Tm (2)Tj /F9 1 Tf 9.963 0 0 9.963 433.984 563.471 Tm (>)Tj /F3 1 Tf 0.552 0 TD [(5.7)-269.4(kPa\))-271.7([19])-268(than)-267.6(in)-265.7(the)]TJ -13.0655 -1.0584 TD [(12)-172.3(nonhyper)-8.1(capnic)-173.2(FL)-169.9(patients)-174.6(\(0.576\2130.0)-7.3(4)]TJ /F4 1 Tf 17.305 0 TD (versus)Tj /F3 1 Tf 2.703 0 TD (0.792\213)Tj -20.008 -1.0528 TD [(0.09)-605.9(L,)-602.8(p)]TJ /F9 1 Tf 4.3134 0 TD (<)Tj /F3 1 Tf 0.552 0 TD [(0.03,)-606.2(and)-600.2(0.99\213)-8(0.07)]TJ /F4 1 Tf 9.2927 0 TD (versus)Tj /F3 1 Tf 3.1412 0 TD [(1.35\2130.08)-608.1(L,)]TJ -17.2993 -1.0527 TD (p)Tj /F9 1 Tf 0.5008 0 TD (<)Tj /F3 1 Tf 0.5577 0 TD [(0.005,)-185.9(respec)-8.6(tive)-8.2(ly\).)-188.7(In)-190.9(the)-187.2(hyperca)-8.1(pnic)-187.9(FL)-192.7(patients,)-192(the)]TJ -1.0584 -1.0527 TD [(IC)-400.5(\(%)-403.8(pred\))-400.1(was)-400.5(lower)-404.8(than)-398.5(in)-402.3(the)-397.7(nonhyper)-8.1(capnic)-400.8(FL)]TJ T* [(pati)-8.2(ents)-337.1(\(53\2132)]TJ /F4 1 Tf 6.1173 0 TD (versus)Tj /F3 1 Tf 2.868 0 TD [(71\2133)-337.6(%)-333.2(pred;)-343.9(p)]TJ /F9 1 Tf 6.4076 0 TD (<)Tj /F3 1 Tf 0.552 0 TD (0.0001\).)Tj -14.9434 -1.0471 TD [(Th)17.1(er)13.5(e)-336.9(w)0(a)16.9(s)-343.4(no)-331.6(si)17.7(gn)21.2(if)17.3(ic)18.4(an)15.1(t)-338.9(d)0(i)18.9(f)14.7(fe)19.2(re)19.2(nc)15.1(e)-342.6(i)13.9(n)]TJ /F4 1 Tf 15.5523 0 TD (P)Tj /F3 1 Tf 7.97 0 0 7.97 480.189 500.542 Tm 0.0001 Tc [(I,)24.4(ma)19.2(x)]TJ 9.963 0 0 9.963 501.392 500.542 Tm 0 Tc [(\(%)-329.8(pr)13.9(ed)20.8(\))]TJ -19.2796 -1.0528 TD [(be)15.1(tw)14.9(ee)20.4(n)-342.2(t)0(h)18.9(e)-342.6(FL)-334.9(an)20.8(d)-342.2(n)0(o)15.5(n)0(-)19.6(F)0(L)-334.9(p)0(a)20.8(t)0(i)16.5(e)0(n)15.1(t)0(s)17.7(.)-341.8(A)-255.1(w)0(e)16.9(a)0(k)-337.7(c)0(o)20.8(r)0(r)18(e)0(l)12.8(a)0(t)18.5(i)0(o)18.8(n)]TJ T* [(wa)16.9(s)-457.2(f)0(o)19.6(u)0(n)15.5(d)-450.3(of)]TJ /F4 1 Tf 5.9865 0 TD (P)Tj /F3 1 Tf 7.97 0 0 7.97 374.853 479.565 Tm [(I,)17.2(m)16(a)0(x)]TJ 9.963 0 0 9.963 397.19 479.565 Tm [(\(%)-449.4(pr)19.6(ed)15.1(\))-451.9(t)0(o)-442.1(I)0(C)-446(\()0(%)-443.7(p)0(r)13.9(e)0(d)20.8(\))-457.6(\(r)]TJ /F9 1 Tf 11.4551 0 TD (=)Tj /F3 1 Tf 0.5406 0 TD [(0.)15.9(34)21.2(;)]TJ -20.816 -1.0527 TD (p)Tj /F9 1 Tf 0.4951 0 TD (<)Tj /F3 1 Tf 0.5406 0 TD [(0.)15.9(05)21.2(\).)-298.6(N)12.4(o)-308.1(si)17.7(gn)21.2(if)17.3(ic)12.8(an)20.8(t)-304.7(c)0(o)15.1(r)0(r)18(e)0(l)18.5(a)0(t)18.5(i)0(o)13.2(n)-302.4(wa)16.9(s)-303.6(f)0(o)19.6(u)0(n)15.5(d)-302.4(of)]TJ /F4 1 Tf 18.4943 0 TD (V)Tj /F8 1 Tf 0.5918 0 TD (')Tj /F3 1 Tf 7.97 0 0 7.97 511.88 469.077 Tm (O)Tj 7.472 0 0 6.641 517.549 467.376 Tm (2)Tj 7.97 0 0 7.97 521.178 469.077 Tm -0.0172 Tc [(,m)-17.3(ax)]TJ 9.963 0 0 9.963 309.316 458.589 Tm 0 Tc (to)Tj /F4 1 Tf 1.1779 0 TD (P)Tj /F3 1 Tf 7.97 0 0 7.97 327.005 458.589 Tm [(I,)17.2(m)16(a)0(x)]TJ 9.963 0 0 9.963 344.75 458.589 Tm [(,)-415.8(w)0(h)17.3(i)0(l)16.5(e)-416.6(th)18.9(er)19.2(e)-416.6(w)0(a)11.2(s)-411.7(a)-416.6(s)0(i)17.7(g)0(n)15.5(i)0(f)17.3(i)0(c)18.4(a)0(n)15.1(t)0(,)-407.6(a)0(l)18.5(t)0(h)18.8(o)0(u)15.5(g)0(h)-405.6(l)0(o)18.8(o)0(s)14.4(e)0(,)]TJ -3.5566 -1.0584 TD [(co)15.1(rr)18(el)18.4(at)12.8(io)18.9(n)-325.1(b)0(e)20.8(t)0(w)14.9(e)0(e)20.4(n)]TJ /F4 1 Tf 8.0749 0 TD (W)Tj /F3 1 Tf 0.8137 0 TD (R)Tj 7.97 0 0 7.97 404.447 448.044 Tm 0.0001 Tc [(ma)19.2(x)]TJ 9.963 0 0 9.963 421.115 448.044 Tm 0 Tc [(an)20.8(d)]TJ /F4 1 Tf 1.7413 0 TD (P)Tj /F3 1 Tf 7.97 0 0 7.97 444.416 448.044 Tm 0.0001 Tc [(I,)24.4(ma)19.2(x)]TJ 9.963 0 0 9.963 465.449 448.044 Tm 0 Tc (\(r)Tj /F9 1 Tf 0.626 0 TD (=)Tj /F3 1 Tf 0.5463 0 TD [(0.)21.6(32)15.5(;)-321.8(p)]TJ /F9 1 Tf 2.7941 0 TD (<)Tj /F3 1 Tf 0.5463 0 TD [(0.)21.6(01)15.5(\).)]TJ /F6 1 Tf -11.0169 -3.6989 TD [(Discu)-10.9(ssion)]TJ /F3 1 Tf -8.1659 -2.0998 TD [(Th)17.1(e)-291.4(m)13.2(ai)12.8(n)-285.3(f)0(i)17.3(n)0(d)21.2(i)0(n)13.2(g)-285.3(of)-276.3(th)18.9(e)-285.7(p)0(r)13.9(e)0(s)19.6(e)0(n)15.1(t)-282(st)17.7(ud)15.5(y)-285.3(i)0(s)-278.2(t)0(h)18.9(a)0(t)18.5(,)-290.6(in)-277.1(C)11.6(O)0(P)12.4(D)]TJ -1.0015 -1.0528 TD [(pa)15.1(ti)16.5(en)20.8(ts)17.7(,)-626.3(d)0(e)20.8(t)0(e)12.8(c)0(t)18.4(i)0(o)18.8(n)-621(of)-617.7(ex)20.8(pi)13.2(ra)19.2(to)18.8(ry)-617.7(F)11.4(L)-625.2(at)-613.2(re)13.5(st)-614(pl)18.9(ay)20.8(s)-627.9(a)0(n)]TJ T* [(im)15.7(po)15.5(rt)17.3(an)20.8(t)-287.7(r)0(o)19.6(l)0(e)-277.5(i)0(n)-271.4(i)0(d)13.2(e)0(n)20.8(t)0(i)16.5(f)0(y)19.6(i)0(n)13.2(g)-279.6(th)13.2(e)-280(f)0(a)13.5(c)0(t)18.4(o)0(r)19.6(s)-286.5(th)18.9(at)-277.5(li)16.5(mi)21.4(t)-287.7(e)0(x)20.8(e)0(r)13.5(c)0(i)18.5(s)0(e)]TJ T* [(to)13.2(le)18.4(ra)19.2(nc)15.1(e.)-320.2(In)-316.1(th)13.2(os)20(e)-331.2(p)0(a)20.8(t)0(i)16.5(e)0(n)15.1(t)0(s)-318.1(w)0(i)14.9(t)0(h)-316.9(F)0(L)12.2(,)-324.7(th)18.8(e)-331.2(s)0(o)20(l)0(e)-323(p)0(r)19.6(e)0(d)15.1(i)0(c)18.5(t)0(o)18.8(r)-332.4(of)]TJ T* [(ex)15.1(er)19.2(ci)12.8(se)-526.7(ca)14.7(pa)20.8(ci)12.8(t)13.9(y)-541.4(wa)16.9(s)-542.6(I)0(C)20.6(,)-541(wh)17.3(er)19.2(ea)14.7(s)-536.9(i)0(n)-533.1(n)0(o)21.2(n)0(-)13.9(F)11.4(L)-539.8(p)0(a)15.1(t)0(i)16.5(e)0(n)20.8(t)0(s)]TJ T* [(FE)17.9(V)]TJ 7.97 0 0 7.97 327.742 337.833 Tm (1)Tj 9.963 0 0 9.963 331.653 337.833 Tm [(/F)19.6(VC)-198(wa)16.9(s)-206.8(t)0(h)18.9(e)-206(be)15.1(st)-192.9(pr)19.6(ed)15.1(ic)18.4(to)18.9(r)60.2(.)-205.2(In)-196.6(ad)15.1(di)18.8(ti)16.5(on)21.2(,)-205.2(i)0(t)-194.1(w)0(a)16.9(s)-206.8(fo)19.6(un)15.5(d)]TJ -2.2421 -1.0527 TD [(th)13.2(at)-283.1(1\))-282(in)-288.4(al)18.4(l)-293.4(n)0(o)15.5(n)0(-)19.6(F)11.4(L)-295.1(p)0(a)15.1(t)0(i)16.5(e)0(n)20.8(t)0(s)-283.9(I)0(C)-286.7(w)0(a)16.9(s)-292.2(wi)14.9(th)18.9(in)-288.4(no)21.2(rm)16.5(al)-288.8(l)13.9(i)0(m)15.7(i)0(t)16.5(s)]TJ T* [(an)15.1(d)-199.9(i)0(n)-197.4(t)0(h)18.9(e)-200.3(ma)12(j)13.9(o)0(r)14(i)0(t)16.5(y)-199.9(of)-196.6(F)11.4(L)-204.1(su)20(bj)18.9(ec)14.7(ts)-192.9(th)18.9(e)-206(I)0(C)-195.6(w)12.4(as)-196.6(be)20.8(lo)13.2(w)-198.2(n)0(o)15.5(r)0(m)16.5(a)0(l)]TJ T* [(li)16.5(mi)15.7(ts)17.7(;)-361.7(a)0(n)15.1(d)-359.3(2\))-355.9(in)-351(al)12.8(l)-361.6(F)11.4(L)-363.4(s)0(u)20(b)0(j)13.2(e)0(c)20.4(t)0(s)]TJ /F4 1 Tf 13.2135 0 TD (V)Tj /F8 1 Tf 0.5975 0 TD (')Tj /F3 1 Tf 7.97 0 0 7.97 449.008 306.368 Tm (O)Tj 7.472 0 0 6.641 454.62 304.724 Tm (2)Tj 7.97 0 0 7.97 458.249 306.368 Tm [(,m)17(ax)]TJ 9.963 0 0 9.963 477.184 306.368 Tm [(wa)11.2(s)-360.5(d)0(e)20.8(c)0(r)13.5(e)0(a)20.4(s)0(e)13.9(d)0(,)]TJ -16.8497 -1.0528 TD [(wh)17.3(er)13.5(ea)20.4(s)-206.8(i)0(n)-191.7(3)0(5)21.2(%)-208(of)-190.9(th)18.9(e)-206(n)0(o)21.2(n)0(-)14(F)11.4(L)-204.1(p)0(a)20.8(t)0(i)16.5(e)0(n)15.1(t)0(s)]TJ /F4 1 Tf 15.1141 0 TD (V)Tj /F8 1 Tf 0.5975 0 TD (')Tj /F3 1 Tf 7.97 0 0 7.97 467.886 295.88 Tm (O)Tj 7.472 0 0 6.641 473.556 294.179 Tm (2)Tj 7.97 0 0 7.97 477.184 295.88 Tm [(,m)24.1(ax)]TJ 9.963 0 0 9.963 494.532 295.88 Tm [(wa)16.9(s)-201.1(w)0(i)14.9(t)0(h)18.8(i)0(n)]TJ -18.591 -1.0527 TD [(no)15.5(rm)16.5(al)-317.3(li)16.5(mi)15.7(t)13.9(s)0(.)]TJ ET 0 0 0 1 K 0 J 0 j 0.5 w 3.864 M []0 d /GS3 gs 1 i 194.944 543.894 m 240.378 543.894 l 106.107 607.649 m 106.107 480.142 l 106.371 607.457 m 103.629 607.457 l 106.371 586.99 m 103.629 586.99 l 106.371 565.812 m 103.629 565.812 l 106.371 544.775 m 103.629 544.775 l 106.371 502.419 m 103.629 502.419 l 272.483 480.386 m 103.629 480.386 l S BT /F19 1 Tf 10 0 0 10 97.412 476.217 Tm 0 0 0 1 k /GS4 gs (0)Tj ET /GS3 gs 160.49 480.475 m 160.49 477.734 l 216.404 480.475 m 216.404 477.734 l 272.243 480.475 m 272.243 477.734 l S BT 10 0 0 10 92.661 498.622 Tm /GS4 gs (20)Tj 0 2.0424 TD (40)Tj ET /GS3 gs 106.371 523.177 m 103.629 523.177 l S BT 10 0 0 10 92.661 540.77 Tm /GS4 gs (60)Tj 0 2.0714 TD (80)Tj -0.4558 2.1309 TD (100)Tj 0 2.0587 TD (120)Tj 0 10 -10 0 85.653 530.977 Tm (IC % pred)Tj 10 0 0 10 73.692 607.649 Tm (a\))Tj /F22 1 Tf 6 0 0 6 136.391 583.823 Tm (l)Tj ET 0 0 0 0 k 3.864 M /GS3 gs 226.661 565.943 m 226.661 567.116 227.613 568.068 228.786 568.068 c 229.96 568.068 230.911 567.116 230.911 565.943 c 230.911 564.769 229.96 563.818 228.786 563.818 c 227.613 563.818 226.661 564.769 226.661 565.943 c b BT 6 0 0 6 142.069 588.223 Tm 0 0 0 1 k /GS4 gs (l)Tj 0.985 0.387 TD (l)Tj 1.8171 0.1936 TD (l)Tj 1.8365 -0.6192 TD (l)Tj 0.9076 -0.2129 TD (l)Tj 0.9656 -0.5593 TD (l)Tj -0.0387 -1.8364 TD (l)Tj -1.8346 -0.7528 TD (l)Tj -0.9288 -0.2322 TD (l)Tj -0.985 -0.5225 TD (l)Tj -0.8882 0.7353 TD (l)Tj -0.9288 -0.0194 TD (l)Tj -1.8926 0.985 TD (l)Tj 0.9657 0.3483 TD (l)Tj 0.9076 -0.0193 TD (l)Tj 0.9675 -0.716 TD (l)Tj 0.8689 -0.0581 TD (l)Tj 1.0044 -0.0387 TD (l)Tj 0.8514 0.2516 TD (l)Tj 0.9657 0.6966 TD (l)Tj -2.7828 0.6948 TD (l)Tj 0.0193 0.6579 TD (l)Tj ET 3.864 M /GS3 gs 137.936 579.48 m 183.266 579.48 l S 0 0 0 0 k 3.864 M 220.739 566.431 m 220.739 567.605 221.69 568.556 222.864 568.556 c 224.037 568.556 224.989 567.605 224.989 566.431 c 224.989 565.258 224.037 564.306 222.864 564.306 c 221.69 564.306 220.739 565.258 220.739 566.431 c b 215.06 569.486 m 215.06 570.66 216.012 571.611 217.185 571.611 c 218.359 571.611 219.31 570.66 219.31 569.486 c 219.31 568.313 218.359 567.361 217.185 567.361 c 216.012 567.361 215.06 568.313 215.06 569.486 c b 203.883 566.065 m 203.883 567.238 204.835 568.19 206.008 568.19 c 207.182 568.19 208.133 567.238 208.133 566.065 c 208.133 564.891 207.182 563.94 206.008 563.94 c 204.835 563.94 203.883 564.891 203.883 566.065 c b 209.382 564.785 m 209.382 565.959 210.333 566.91 211.507 566.91 c 212.681 566.91 213.632 565.959 213.632 564.785 c 213.632 563.612 212.681 562.66 211.507 562.66 c 210.333 562.66 209.382 563.612 209.382 564.785 c b 215.305 561.242 m 215.305 562.415 216.256 563.367 217.43 563.367 c 218.603 563.367 219.555 562.415 219.555 561.242 c 219.555 560.068 218.603 559.117 217.43 559.117 c 216.256 559.117 215.305 560.068 215.305 561.242 c b 209.26 553.486 m 209.26 554.66 210.211 555.611 211.385 555.611 c 212.558 555.611 213.51 554.66 213.51 553.486 c 213.51 552.313 212.558 551.361 211.385 551.361 c 210.211 551.361 209.26 552.313 209.26 553.486 c b 214.938 554.83 m 214.938 556.004 215.889 556.955 217.063 556.955 c 218.237 556.955 219.188 556.004 219.188 554.83 c 219.188 553.657 218.237 552.705 217.063 552.705 c 215.889 552.705 214.938 553.657 214.938 554.83 c b 220.861 553.853 m 220.861 555.026 221.812 555.978 222.986 555.978 c 224.159 555.978 225.111 555.026 225.111 553.853 c 225.111 552.679 224.159 551.728 222.986 551.728 c 221.812 551.728 220.861 552.679 220.861 553.853 c b 220.739 549.21 m 220.739 550.383 221.69 551.335 222.864 551.335 c 224.037 551.335 224.989 550.383 224.989 549.21 c 224.989 548.036 224.037 547.085 222.864 547.085 c 221.69 547.085 220.739 548.036 220.739 549.21 c b 209.26 548.174 m 209.26 549.348 210.211 550.3 211.385 550.3 c 212.558 550.3 213.51 549.348 213.51 548.174 c 213.51 547.001 212.558 546.049 211.385 546.049 c 210.211 546.049 209.26 547.001 209.26 548.174 c b 203.517 545.242 m 203.517 546.416 204.468 547.367 205.642 547.367 c 206.815 547.367 207.767 546.416 207.767 545.242 c 207.767 544.068 206.815 543.117 205.642 543.117 c 204.468 543.117 203.517 544.068 203.517 545.242 c b 197.716 544.142 m 197.716 545.316 198.668 546.267 199.841 546.267 c 201.015 546.267 201.966 545.316 201.966 544.142 c 201.966 542.969 201.015 542.017 199.841 542.017 c 198.668 542.017 197.716 542.969 197.716 544.142 c b 220.494 543.287 m 220.494 544.46 221.446 545.412 222.619 545.412 c 223.793 545.412 224.744 544.46 224.744 543.287 c 224.744 542.113 223.793 541.162 222.619 541.162 c 221.446 541.162 220.494 542.113 220.494 543.287 c b 226.359 541.21 m 226.359 542.383 227.311 543.335 228.484 543.335 c 229.658 543.335 230.609 542.383 230.609 541.21 c 230.609 540.036 229.658 539.085 228.484 539.085 c 227.311 539.085 226.359 540.036 226.359 541.21 c b 232.038 539.93 m 232.038 541.104 232.989 542.055 234.163 542.055 c 235.336 542.055 236.288 541.104 236.288 539.93 c 236.288 538.757 235.336 537.805 234.163 537.805 c 232.989 537.805 232.038 538.757 232.038 539.93 c b 226.237 536.265 m 226.237 537.438 227.189 538.389 228.362 538.389 c 229.536 538.389 230.487 537.438 230.487 536.265 c 230.487 535.091 229.536 534.139 228.362 534.139 c 227.189 534.139 226.237 535.091 226.237 536.265 c b 220.739 536.753 m 220.739 537.927 221.69 538.878 222.864 538.878 c 224.037 538.878 224.989 537.927 224.989 536.753 c 224.989 535.58 224.037 534.628 222.864 534.628 c 221.69 534.628 220.739 535.58 220.739 536.753 c b 231.916 528.753 m 231.916 529.927 232.867 530.878 234.041 530.878 c 235.214 530.878 236.166 529.927 236.166 528.753 c 236.166 527.58 235.214 526.628 234.041 526.628 c 232.867 526.628 231.916 527.58 231.916 528.753 c b 226.237 529.609 m 226.237 530.782 227.189 531.733 228.362 531.733 c 229.536 531.733 230.487 530.782 230.487 529.609 c 230.487 528.435 229.536 527.483 228.362 527.483 c 227.189 527.483 226.237 528.435 226.237 529.609 c b 209.382 541.576 m 209.382 542.75 210.333 543.701 211.507 543.701 c 212.681 543.701 213.632 542.75 213.632 541.576 c 213.632 540.403 212.681 539.451 211.507 539.451 c 210.333 539.451 209.382 540.403 209.382 541.576 c b 209.138 536.876 m 209.138 538.049 210.089 539.001 211.263 539.001 c 212.436 539.001 213.388 538.049 213.388 536.876 c 213.388 535.702 212.436 534.75 211.263 534.75 c 210.089 534.75 209.138 535.702 209.138 536.876 c b 203.517 537.853 m 203.517 539.026 204.468 539.978 205.642 539.978 c 206.815 539.978 207.767 539.026 207.767 537.853 c 207.767 536.679 206.815 535.728 205.642 535.728 c 204.468 535.728 203.517 536.679 203.517 537.853 c b 203.395 532.839 m 203.395 534.012 204.346 534.964 205.52 534.964 c 206.693 534.964 207.645 534.012 207.645 532.839 c 207.645 531.665 206.693 530.714 205.52 530.714 c 204.346 530.714 203.395 531.665 203.395 532.839 c b 197.716 530.83 m 197.716 532.004 198.668 532.955 199.841 532.955 c 201.015 532.955 201.966 532.004 201.966 530.83 c 201.966 529.657 201.015 528.705 199.841 528.705 c 198.668 528.705 197.716 529.657 197.716 530.83 c b 209.138 526.309 m 209.138 527.483 210.089 528.434 211.263 528.434 c 212.436 528.434 213.388 527.483 213.388 526.309 c 213.388 525.136 212.436 524.184 211.263 524.184 c 210.089 524.184 209.138 525.136 209.138 526.309 c b 209.015 521.242 m 209.015 522.416 209.967 523.367 211.14 523.367 c 212.314 523.367 213.265 522.416 213.265 521.242 c 213.265 520.068 212.314 519.117 211.14 519.117 c 209.967 519.117 209.015 520.068 209.015 521.242 c b 220.494 527.287 m 220.494 528.461 221.446 529.412 222.619 529.412 c 223.793 529.412 224.744 528.461 224.744 527.287 c 224.744 526.113 223.793 525.162 222.619 525.162 c 221.446 525.162 220.494 526.113 220.494 527.287 c b 220.25 520.998 m 220.25 522.171 221.201 523.123 222.375 523.123 c 223.549 523.123 224.5 522.171 224.5 520.998 c 224.5 519.824 223.549 518.873 222.375 518.873 c 221.201 518.873 220.25 519.824 220.25 520.998 c b 3.864 M 191.797 374.287 m 237.655 374.287 l 106.107 460.65 m 106.107 334.772 l 106.371 460.458 m 103.629 460.458 l 106.371 434.751 m 103.629 434.751 l 106.371 409.934 m 103.629 409.934 l 106.371 384.788 m 103.629 384.788 l 106.371 359.655 m 103.629 359.655 l 272.498 334.767 m 103.629 334.767 l S BT /F19 1 Tf 10 0 0 10 97.412 330.892 Tm 0 0 0 1 k /GS4 gs (0)Tj ET /GS3 gs 160.49 334.686 m 160.49 331.944 l 216.404 334.686 m 216.404 331.944 l 272.243 334.686 m 272.243 331.944 l S BT 10 0 0 10 92.661 355.482 Tm /GS4 gs (20)Tj 0 2.5417 TD (40)Tj 0 2.4887 TD (60)Tj 0 2.4824 TD (80)Tj -0.4558 2.5771 TD (100)Tj 0 10 -10 0 85.653 383.977 Tm (FEV)Tj 0 8 -8 0 85.653 399.927 Tm (1)Tj 0 10 -10 0 85.653 403.575 Tm ( % pred)Tj 10 0 0 10 73.692 460.65 Tm (b\))Tj /F22 1 Tf 6 0 0 6 163.327 435.46 Tm (l)Tj -1.8527 1.9369 TD (l)Tj 0.9497 -3.039 TD (l)Tj -0.9041 0.5739 TD (l)Tj ET 0 0 0 0 k 3.864 M /GS3 gs 219.769 399.48 m 219.769 400.654 220.72 401.605 221.894 401.605 c 223.067 401.605 224.019 400.654 224.019 399.48 c 224.019 398.306 223.067 397.355 221.894 397.355 c 220.72 397.355 219.769 398.306 219.769 399.48 c b 208.053 396.52 m 208.053 397.694 209.005 398.645 210.178 398.645 c 211.352 398.645 212.303 397.694 212.303 396.52 c 212.303 395.347 211.352 394.395 210.178 394.395 c 209.005 394.395 208.053 395.347 208.053 396.52 c b 208.164 390.441 m 208.164 391.615 209.115 392.566 210.289 392.566 c 211.462 392.566 212.414 391.615 212.414 390.441 c 212.414 389.268 211.462 388.316 210.289 388.316 c 209.115 388.316 208.164 389.268 208.164 390.441 c b 219.952 390.632 m 219.952 391.806 220.903 392.757 222.077 392.757 c 223.25 392.757 224.202 391.806 224.202 390.632 c 224.202 389.459 223.25 388.507 222.077 388.507 c 220.903 388.507 219.952 389.459 219.952 390.632 c b 219.725 385.792 m 219.725 386.966 220.676 387.917 221.85 387.917 c 223.023 387.917 223.975 386.966 223.975 385.792 c 223.975 384.619 223.023 383.667 221.85 383.667 c 220.676 383.667 219.725 384.619 219.725 385.792 c b BT 6 0 0 6 163.377 428.264 Tm 0 0 0 1 k /GS4 gs (l)Tj -1.9201 -0.5219 TD (l)Tj 1.9201 -0.6167 TD (l)Tj -1.8552 -1.2035 TD (l)Tj 1.8552 -0.7466 TD (l)Tj -0.9763 -0.0675 TD (l)Tj -0.8789 -0.3246 TD (l)Tj -0.0649 -0.8439 TD (l)Tj 1.8227 -0.4569 TD (l)Tj 0 -0.7466 TD (l)Tj 0.9438 -1.1061 TD (l)Tj -1.8552 0.2597 TD (l)Tj -0.9114 0.4245 TD (l)Tj -0.9413 -0.7791 TD (l)Tj 0.9413 -0.9788 TD (l)Tj 0.9438 -0.0974 TD (l)Tj -0.9114 -0.8464 TD (l)Tj 1.7903 1.1385 TD (l)Tj 0.0324 -0.7465 TD (l)Tj ET 3.864 M /GS3 gs 137.161 407.455 m 181.85 407.455 l S 0 0 0 0 k 3.864 M 208.009 384.624 m 208.009 385.797 208.961 386.749 210.134 386.749 c 211.308 386.749 212.259 385.797 212.259 384.624 c 212.259 383.45 211.308 382.499 210.134 382.499 c 208.961 382.499 208.009 383.45 208.009 384.624 c b 202.541 381.67 m 202.541 382.844 203.492 383.795 204.666 383.795 c 205.84 383.795 206.791 382.844 206.791 381.67 c 206.791 380.497 205.84 379.545 204.666 379.545 c 203.492 379.545 202.541 380.497 202.541 381.67 c b 196.699 375.066 m 196.699 376.239 197.65 377.191 198.823 377.191 c 199.997 377.191 200.948 376.239 200.948 375.066 c 200.948 373.892 199.997 372.941 198.823 372.941 c 197.65 372.941 196.699 373.892 196.699 375.066 c b 202.541 376.786 m 202.541 377.96 203.492 378.911 204.666 378.911 c 205.84 378.911 206.791 377.96 206.791 376.786 c 206.791 375.613 205.84 374.661 204.666 374.661 c 203.492 374.661 202.541 375.613 202.541 376.786 c b 208.204 377.403 m 208.204 378.577 209.155 379.528 210.329 379.528 c 211.503 379.528 212.454 378.577 212.454 377.403 c 212.454 376.229 211.503 375.278 210.329 375.278 c 209.155 375.278 208.204 376.229 208.204 377.403 c b 219.725 380.13 m 219.725 381.303 220.676 382.255 221.85 382.255 c 223.023 382.255 223.975 381.303 223.975 380.13 c 223.975 378.956 223.023 378.004 221.85 378.004 c 220.676 378.004 219.725 378.956 219.725 380.13 c b 225.21 376.969 m 225.21 378.143 226.161 379.094 227.335 379.094 c 228.509 379.094 229.46 378.143 229.46 376.969 c 229.46 375.796 228.509 374.844 227.335 374.844 c 226.161 374.844 225.21 375.796 225.21 376.969 c b 225.21 373.853 m 225.21 375.027 226.161 375.978 227.335 375.978 c 228.509 375.978 229.46 375.027 229.46 373.853 c 229.46 372.68 228.509 371.728 227.335 371.728 c 226.161 371.728 225.21 372.68 225.21 373.853 c b 219.547 375.455 m 219.547 376.629 220.498 377.58 221.672 377.58 c 222.846 377.58 223.797 376.629 223.797 375.455 c 223.797 374.282 222.846 373.331 221.672 373.331 c 220.498 373.331 219.547 374.282 219.547 375.455 c b 207.859 372.933 m 207.859 374.107 208.81 375.058 209.984 375.058 c 211.157 375.058 212.109 374.107 212.109 372.933 c 212.109 371.76 211.157 370.808 209.984 370.808 c 208.81 370.808 207.859 371.76 207.859 372.933 c b 213.521 371.181 m 213.521 372.354 214.473 373.306 215.646 373.306 c 216.82 373.306 217.772 372.354 217.772 371.181 c 217.772 370.007 216.82 369.056 215.646 369.056 c 214.473 369.056 213.521 370.007 213.521 371.181 c b 219.515 370.766 m 219.515 371.94 220.466 372.891 221.64 372.891 c 222.813 372.891 223.765 371.94 223.765 370.766 c 223.765 369.592 222.813 368.641 221.64 368.641 c 220.466 368.641 219.515 369.592 219.515 370.766 c b 196.699 362.766 m 196.699 363.94 197.65 364.891 198.823 364.891 c 199.997 364.891 200.948 363.94 200.948 362.766 c 200.948 361.593 199.997 360.641 198.823 360.641 c 197.65 360.641 196.699 361.593 196.699 362.766 c b 202.346 368.429 m 202.346 369.603 203.298 370.554 204.471 370.554 c 205.645 370.554 206.596 369.603 206.596 368.429 c 206.596 367.256 205.645 366.304 204.471 366.304 c 203.298 366.304 202.346 367.256 202.346 368.429 c b 202.346 364.681 m 202.346 365.855 203.298 366.807 204.471 366.807 c 205.645 366.807 206.596 365.855 206.596 364.681 c 206.596 363.508 205.645 362.557 204.471 362.557 c 203.298 362.557 202.346 363.508 202.346 364.681 c b 208.009 366.676 m 208.009 367.85 208.961 368.801 210.134 368.801 c 211.308 368.801 212.259 367.85 212.259 366.676 c 212.259 365.503 211.308 364.551 210.134 364.551 c 208.961 364.551 208.009 365.503 208.009 366.676 c b 207.832 360.429 m 207.832 361.603 208.783 362.554 209.957 362.554 c 211.13 362.554 212.082 361.603 212.082 360.429 c 212.082 359.256 211.13 358.304 209.957 358.304 c 208.783 358.304 207.832 359.256 207.832 360.429 c b 207.62 356.534 m 207.62 357.708 208.571 358.659 209.745 358.659 c 210.918 358.659 211.87 357.708 211.87 356.534 c 211.87 355.36 210.918 354.409 209.745 354.409 c 208.571 354.409 207.62 355.36 207.62 356.534 c b 213.716 365.922 m 213.716 367.096 214.668 368.047 215.841 368.047 c 217.015 368.047 217.966 367.096 217.966 365.922 c 217.966 364.748 217.015 363.797 215.841 363.797 c 214.668 363.797 213.716 364.748 213.716 365.922 c b 219.562 366.243 m 219.562 367.417 220.513 368.368 221.687 368.368 c 222.861 368.368 223.812 367.417 223.812 366.243 c 223.812 365.069 222.861 364.118 221.687 364.118 c 220.513 364.118 219.562 365.069 219.562 366.243 c b 230.8 363.505 m 230.8 364.679 231.752 365.63 232.925 365.63 c 234.099 365.63 235.05 364.679 235.05 363.505 c 235.05 362.332 234.099 361.38 232.925 361.38 c 231.752 361.38 230.8 362.332 230.8 363.505 c b 225.332 363.715 m 225.332 364.888 226.284 365.84 227.457 365.84 c 228.631 365.84 229.582 364.888 229.582 363.715 c 229.582 362.541 228.631 361.59 227.457 361.59 c 226.284 361.59 225.332 362.541 225.332 363.715 c b 219.335 359.066 m 219.335 360.24 220.286 361.191 221.46 361.191 c 222.634 361.191 223.585 360.24 223.585 359.066 c 223.585 357.892 222.634 356.941 221.46 356.941 c 220.286 356.941 219.335 357.892 219.335 359.066 c b 219.184 353.599 m 219.184 354.773 220.136 355.724 221.309 355.724 c 222.483 355.724 223.434 354.773 223.434 353.599 c 223.434 352.425 222.483 351.474 221.309 351.474 c 220.136 351.474 219.184 352.425 219.184 353.599 c b 3.864 M 106.107 314.033 m 106.107 187.273 l 106.371 314.033 m 103.629 314.033 l 106.371 298.477 m 103.629 298.477 l 106.371 266.735 m 103.629 266.735 l 106.371 250.816 m 103.629 250.816 l 106.371 235.066 m 103.629 235.066 l 272.498 187.268 m 103.629 187.268 l S BT /F19 1 Tf 10 0 0 10 97.412 183.393 Tm 0 0 0 1 k /GS4 gs (0)Tj ET /GS3 gs 158.712 187.186 m 158.712 184.445 l 214.626 187.186 m 214.626 184.445 l 272.243 187.186 m 272.243 184.445 l S BT 10 0 0 10 92.661 246.621 Tm /GS4 gs (80)Tj -0.4558 6.2261 TD (160)Tj 0 10 -10 0 85.653 236.478 Tm (FVC % pred)Tj 10 0 0 10 73.692 313.15 Tm (c\))Tj /F22 1 Tf 6 0 0 6 145.77 290.514 Tm (l)Tj 1.8201 1.388 TD (l)Tj ET 0 0 0 0 k 3.864 M /GS3 gs 213.048 273.931 m 213.048 275.105 213.999 276.056 215.173 276.056 c 216.346 276.056 217.298 275.105 217.298 273.931 c 217.298 272.758 216.346 271.807 215.173 271.807 c 213.999 271.807 213.048 272.758 213.048 273.931 c b 212.779 268.295 m 212.779 269.468 213.731 270.42 214.904 270.42 c 216.078 270.42 217.029 269.468 217.029 268.295 c 217.029 267.121 216.078 266.17 214.904 266.17 c 213.731 266.17 212.779 267.121 212.779 268.295 c b 3.864 M 137.161 261.956 m 181.85 261.956 l 106.371 282.323 m 103.629 282.323 l S BT /F19 1 Tf 10 0 0 10 88.103 294.417 Tm 0 0 0 1 k /GS4 gs (140)Tj 0 -1.6153 TD (120)Tj 0 -1.5847 TD (100)Tj 0.4558 -3.1489 TD (60)Tj ET /GS3 gs 106.371 218.759 m 103.629 218.759 l S BT 10 0 0 10 92.661 214.621 Tm /GS4 gs (40)Tj ET /GS3 gs 106.371 203.22 m 103.629 203.22 l S BT 10 0 0 10 92.661 199.235 Tm /GS4 gs (20)Tj 5.3001 -2.8343 TD (non-FL)Tj 6.475 0.05 TD (FL)Tj /F22 1 Tf 6 0 0 6 167.804 284.452 Tm (l)Tj -2.7759 -1.6835 TD (l)Tj 1.8201 -0.2458 TD (l)Tj -0.951 -0.4048 TD (l)Tj -0.8964 -0.3277 TD (l)Tj 0.9012 -0.3823 TD (l)Tj 0.951 0.1317 TD (l)Tj -1.8474 -0.8642 TD (l)Tj 1.8474 0.1093 TD (l)Tj -1.9068 -1.033 TD (l)Tj 1.8522 0.0273 TD (l)Tj -1.8249 -0.8739 TD (l)Tj -0.951 -0.8964 TD (l)Tj 0.951 0.1366 TD (l)Tj 0 -0.71 TD (l)Tj -0.0225 -1.033 TD (l)Tj 0.9189 1.5791 TD (l)Tj 0.9831 0.9783 TD (l)Tj 0 -0.7598 TD (l)Tj 0 -0.8193 TD (l)Tj -0.0273 -0.792 TD (l)Tj ET 0 0 0 0 k 3.864 M /GS3 gs 207.118 261.903 m 207.118 263.077 208.069 264.028 209.243 264.028 c 210.416 264.028 211.368 263.077 211.368 261.903 c 211.368 260.73 210.416 259.778 209.243 259.778 c 208.069 259.778 207.118 260.73 207.118 261.903 c b 195.688 257.333 m 195.688 258.506 196.64 259.458 197.813 259.458 c 198.987 259.458 199.938 258.506 199.938 257.333 c 199.938 256.159 198.987 255.208 197.813 255.208 c 196.64 255.208 195.688 256.159 195.688 257.333 c b 201.301 258.268 m 201.301 259.442 202.252 260.393 203.426 260.393 c 204.599 260.393 205.551 259.442 205.551 258.268 c 205.551 257.094 204.599 256.143 203.426 256.143 c 202.252 256.143 201.301 257.094 201.301 258.268 c b 207.118 257.8 m 207.118 258.974 208.069 259.926 209.243 259.926 c 210.416 259.926 211.368 258.974 211.368 257.8 c 211.368 256.627 210.416 255.676 209.243 255.676 c 208.069 255.676 207.118 256.627 207.118 257.8 c b 201.3 253.435 m 201.3 254.609 202.252 255.56 203.425 255.56 c 204.599 255.56 205.551 254.609 205.551 253.435 c 205.551 252.262 204.599 251.31 203.425 251.31 c 202.252 251.31 201.3 252.262 201.3 253.435 c b 207.074 253.205 m 207.074 254.379 208.026 255.33 209.199 255.33 c 210.373 255.33 211.324 254.379 211.324 253.205 c 211.324 252.032 210.373 251.081 209.199 251.081 c 208.026 251.081 207.074 252.032 207.074 253.205 c b 218.548 261.903 m 218.548 263.077 219.499 264.028 220.673 264.028 c 221.846 264.028 222.798 263.077 222.798 261.903 c 222.798 260.73 221.846 259.778 220.673 259.778 c 219.499 259.778 218.548 260.73 218.548 261.903 c b 224.209 260.812 m 224.209 261.985 225.16 262.937 226.334 262.937 c 227.508 262.937 228.459 261.985 228.459 260.812 c 228.459 259.638 227.508 258.687 226.334 258.687 c 225.16 258.687 224.209 259.638 224.209 260.812 c b 230.027 259.409 m 230.027 260.582 230.978 261.534 232.151 261.534 c 233.325 261.534 234.277 260.582 234.277 259.409 c 234.277 258.235 233.325 257.284 232.151 257.284 c 230.978 257.284 230.027 258.235 230.027 259.409 c b 218.548 257.653 m 218.548 258.827 219.499 259.778 220.673 259.778 c 221.846 259.778 222.798 258.827 222.798 257.653 c 222.798 256.48 221.846 255.528 220.673 255.528 c 219.499 255.528 218.548 256.48 218.548 257.653 c b 218.548 253.747 m 218.548 254.921 219.499 255.872 220.673 255.872 c 221.846 255.872 222.798 254.921 222.798 253.747 c 222.798 252.574 221.846 251.622 220.673 251.622 c 219.499 251.622 218.548 252.574 218.548 253.747 c b 224.209 256.086 m 224.209 257.259 225.16 258.211 226.334 258.211 c 227.508 258.211 228.459 257.259 228.459 256.086 c 228.459 254.912 227.508 253.961 226.334 253.961 c 225.16 253.961 224.209 254.912 224.209 256.086 c b 224.053 252.344 m 224.053 253.518 225.005 254.469 226.178 254.469 c 227.352 254.469 228.303 253.518 228.303 252.344 c 228.303 251.171 227.352 250.219 226.178 250.219 c 225.005 250.219 224.053 251.171 224.053 252.344 c b 212.779 248.242 m 212.779 249.415 213.731 250.367 214.904 250.367 c 216.078 250.367 217.029 249.415 217.029 248.242 c 217.029 247.068 216.078 246.117 214.904 246.117 c 213.731 246.117 212.779 247.068 212.779 248.242 c b 201.3 241.333 m 201.3 242.507 202.252 243.458 203.425 243.458 c 204.599 243.458 205.551 242.507 205.551 241.333 c 205.551 240.159 204.599 239.208 203.425 239.208 c 202.252 239.208 201.3 240.159 201.3 241.333 c b 206.919 242.301 m 206.919 243.475 207.87 244.426 209.044 244.426 c 210.217 244.426 211.168 243.475 211.168 242.301 c 211.168 241.127 210.217 240.176 209.044 240.176 c 207.87 240.176 206.919 241.127 206.919 242.301 c b 212.624 242.424 m 212.624 243.598 213.575 244.549 214.749 244.549 c 215.922 244.549 216.874 243.598 216.874 242.424 c 216.874 241.251 215.922 240.299 214.749 240.299 c 213.575 240.299 212.624 241.251 212.624 242.424 c b 218.597 241.177 m 218.597 242.351 219.548 243.302 220.722 243.302 c 221.895 243.302 222.847 242.351 222.847 241.177 c 222.847 240.003 221.895 239.052 220.722 239.052 c 219.548 239.052 218.597 240.003 218.597 241.177 c b 224.209 244.032 m 224.209 245.206 225.16 246.157 226.334 246.157 c 227.508 246.157 228.459 245.206 228.459 244.032 c 228.459 242.859 227.508 241.907 226.334 241.907 c 225.16 241.907 224.209 242.859 224.209 244.032 c b 212.424 234.457 m 212.424 235.631 213.375 236.582 214.549 236.582 c 215.723 236.582 216.674 235.631 216.674 234.457 c 216.674 233.283 215.723 232.332 214.549 232.332 c 213.375 232.332 212.424 233.283 212.424 234.457 c b 200.989 225.957 m 200.989 227.13 201.94 228.082 203.114 228.082 c 204.287 228.082 205.239 227.13 205.239 225.957 c 205.239 224.783 204.287 223.832 203.114 223.832 c 201.94 223.832 200.989 224.783 200.989 225.957 c b 206.806 225.021 m 206.806 226.195 207.758 227.146 208.931 227.146 c 210.105 227.146 211.056 226.195 211.056 225.021 c 211.056 223.848 210.105 222.896 208.931 222.896 c 207.758 222.896 206.806 223.848 206.806 225.021 c b 212.468 225.645 m 212.468 226.818 213.419 227.77 214.593 227.77 c 215.766 227.77 216.718 226.818 216.718 225.645 c 216.718 224.471 215.766 223.52 214.593 223.52 c 213.419 223.52 212.468 224.471 212.468 225.645 c b 218.285 228.344 m 218.285 229.518 219.236 230.469 220.41 230.469 c 221.584 230.469 222.535 229.518 222.535 228.344 c 222.535 227.171 221.584 226.219 220.41 226.219 c 219.236 226.219 218.285 227.171 218.285 228.344 c b 224.166 225.989 m 224.166 227.163 225.117 228.114 226.291 228.114 c 227.464 228.114 228.416 227.163 228.416 225.989 c 228.416 224.816 227.464 223.864 226.291 223.864 c 225.117 223.864 224.166 224.816 224.166 225.989 c b 218.192 215.651 m 218.192 216.825 219.144 217.776 220.317 217.776 c 221.491 217.776 222.442 216.825 222.442 215.651 c 222.442 214.477 221.491 213.526 220.317 213.526 c 219.144 213.526 218.192 214.477 218.192 215.651 c b 206.763 214.092 m 206.763 215.266 207.714 216.217 208.888 216.217 c 210.061 216.217 211.013 215.266 211.013 214.092 c 211.013 212.918 210.061 211.967 208.888 211.967 c 207.714 211.967 206.763 212.918 206.763 214.092 c b 3.864 M 193.199 245.936 m 238.705 245.936 l S BT /F3 1 Tf 7.97 0 0 7.97 58.28 156.189 Tm 0 g /GS2 gs [(Fig.)-327.1(2.)-331.2(\261)-332.2(Individual)-262.7(and)-270.1(average)-273(values)-266.4(\(bars\))-272.6(of)-273.4(a\))-272.4(inspirato)11.4(ry)-273.4(capacity)]TJ 0 -1.067 TD [(IC;)-214.4(b\))-209.4(forced)-213.3(expiratory)-202.6(volume)-209.6(in)-211.6(one)-213.2(second)-207.1(\(FEV)]TJ 6.376 0 0 6.376 221.442 147.685 Tm (1)Tj 7.97 0 0 7.97 224.617 147.685 Tm [(\))-218.6(and)-206.1(c\))-215.5(forced)-206.2(vital)]TJ -20.8699 -1.0599 TD [(capacity)-289.8(\(FVC\),)-292.5(expressed)-293.6(as)-294.7(percent)-290.7(predicted,)-287.8(for)-299.9(chronic)-284.6(obstructive)]TJ T* [(pulmonary)-608.9(disease)-613(patients)-608.4(without)-613.8(\(non-FL)13.9(\))-616.9(and)-618.6(with)-610.6(\(FL\))-611.3(tidal)]TJ 0 -1.067 TD [(expiratory)-394.6(flow)-402.1(limitation)-405.1(\(FL\))-397.9(during)-402.5(resting)-395.9(breathing.)-402.6(p-values)-397.5(are)]TJ /F9 1 Tf 0 -1.0599 TD (<)Tj /F3 1 Tf 0.5477 0 TD (0.002,)Tj /F9 1 Tf 2.831 0 TD (<)Tj /F3 1 Tf 0.5477 0 TD [(0.002)-324.9(and)]TJ /F9 1 Tf 4.3461 0 TD (<)Tj /F3 1 Tf 0.5477 0 TD [(0.01)-327(for)-335.5(IC,)-326.8(FEV)]TJ 6.376 0 0 6.376 184.309 113.839 Tm (1)Tj 7.97 0 0 7.97 190.148 113.839 Tm [(\(FL\))-326.7(and)-334.1(FVC)-325.9(respectively)70.5(.)]TJ ET 309.316 234.709 227.168 -0.51 re f 309.316 218.268 227.168 -0.51 re f 309.316 135.553 227.168 -0.51 re f BT /F2 1 Tf 8.966 0 0 8.966 309.316 257.953 Tm [(Table)-338.2(2.)-330.4(\261)-333.2(Maximal)-422.7(exercise)-428(data)-421.4(of)-425.2(23)-419.8(non-flow)-421.3(limited)]TJ 0 -1.0559 TD [(\(non-FL\))-611.2(and)-607.6(29)-603.2(flow)-608.4(limited)-605.5(\(FL\))-608.6(chronic)-605.6(obstructive)]TJ 0 -1.0496 TD [(pulmonary)-338.3(disease)-329.7(patients)]TJ /F3 1 Tf 11.7543 -1.7135 TD 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479.338 591.59 Tm 0 Tc [(is,)-250.2(necess)-8.2(arily)57.7(,)]TJ -17.066 -1.0584 TD [(some)-7.8(what)-339.8(lower)-342.2(than)-335.9(resting)-343.3(IC.)]TJ 1.0015 -1.0527 TD [(Co)16.5(ns)14.4(id)18.9(er)19.2(in)13.2(g)-353.6(t)0(h)18.9(e)-359.7(li)16.5(mi)15.7(ta)18.4(ti)16.5(on)21.2(s)-360.5(o)0(f)-344.6(t)0(h)13.2(e)-354(pr)13.9(es)19.6(en)15.1(t)-356(s)0(t)17.7(u)0(d)21.2(y)-359.3(to)-351(ac)20.4(-)]TJ -1.0015 -1.0641 TD [(cu)15.1(ra)19.2(te)12.8(l)13.9(y)-370.7(pr)13.9(ed)20.8(ic)12.8(t)13.9(,)-370.3(fr)12.4(om)-357.5(th)13.2(ei)18.5(r)-372.2(r)0(e)19.2(s)0(t)17.7(i)0(n)18.9(g)-370.7(ch)15.1(ar)19.2(ac)14.7(t)13.9(e)0(r)13.5(i)0(s)17.7(t)0(i)16.5(c)0(s)19.6(,)-370.3(al)18.4(l)-373(t)0(h)18.9(e)]TJ T* [(fa)13.5(ct)18.4(or)19.6(s)-428.7(i)0(n)18.8(v)0(o)15.5(l)0(v)18.9(e)0(d)-417.3(i)0(n)-419.3(t)0(h)13.2(e)-428(ex)20.8(er)19.2(ci)12.8(se)-418.5(to)18.9(le)18.4(ra)13.5(nc)20.8(e)-428(o)0(f)-418.5(C)0(O)12.6(P)11.4(D)-431.5(p)0(a)20.8(-)]TJ 0 -1.0584 TD [(ti)16.5(en)15.1(ts)17.7(,)-404.4(t)0(h)18.9(e)-405.2(ce)14.7(nt)18.9(ra)19.2(l)-407.2(p)0(o)15.5(i)0(n)18.9(t)-407.2(is)-397.8(th)18.9(at)-397(as)19.6(se)14(ss)18.9(me)17.7(nt)-396.6(of)-395.8(re)13.5(st)17.7(in)18.8(g)-404.8(F)0(L)]TJ 0 -1.0641 TD [(cl)12.8(ea)20.4(rl)17.3(y)-330.8(s)0(e)19.6(p)0(a)20.8(r)0(a)13.5(t)0(e)18.4(s)-326.3(tw)14.9(o)-325.1(p)0(o)15.5(p)0(u)21.2(l)0(a)12.8(t)0(i)22.2(o)0(n)15.5(s)-326.3(of)-321.8(pa)20.8(ti)16.5(en)15.1(t)13.9(s)-332(w)12.4(i)0(t)16.5(h)-330.8(si)17.7(gn)21.2(if)17.3(i-)]TJ T* [(ca)14.7(nt)-390.9(di)18.8(f)20.4(f)0(e)19.2(r)0(e)13.5(n)0(c)20.8(e)0(s)-390.1(i)0(n)-390.9(e)0(x)20.8(e)0(r)13.5(c)0(i)18.5(s)0(e)-384.4(t)0(o)13.2(l)0(e)18.4(r)0(a)19.2(n)0(c)15.1(e)0(.)-388.5(M)0(o)19.3(r)0(e)-390.5(i)0(m)15.7(p)0(o)21.2(r)0(t)17.3(a)0(n)15.1(t)0(l)16.5(y)73.2(,)]TJ T* [(th)13.2(ei)18.4(r)-195.8(d)0(e)15.1(t)0(e)18.4(c)0(t)18.4(i)0(o)13.2(n)-194.2(pr)13.9(ov)21.2(id)13.2(es)-190.9(us)20(ef)19.2(ul)-191.7(in)18.9(fo)13.9(rm)16.5(at)18.4(io)18.9(n)-199.9(a)0(b)15.1(o)0(u)21.2(t)-202.3(th)18.9(e)-200.3(m)0(e)17.7(c)0(h)20.8(-)]TJ T* [(an)15.1(is)17.7(ms)-518(li)16.5(mi)15.7(ti)16.5(ng)-513.7(ex)15.1(er)19.2(ci)18.4(se)-521(to)18.9(le)18.5(ra)19.2(nc)15.1(e.)-513.7(In)-521(pr)19.6(es)14(en)20.8(ce)-520.2(of)-515.3(F)11.4(L)0(,)]TJ 0 -1.0584 TD [(dy)15.5(na)15.1(m)13.2(i)0(c)-220.6(h)0(y)15.5(p)0(e)20.8(r)0(i)17.3(n)0(f)14(l)0(a)18.4(t)0(i)16.5(o)0(n)-217.8(a)0(p)20.8(p)0(e)15.1(a)0(r)19.2(s)-229.6(as)-219.4(th)18.9(e)-228.8(m)0(a)17.7(i)0(n)-220.2(d)0(e)20.8(t)0(e)12.8(r)0(m)16.5(i)0(n)18.8(a)0(n)20.8(t)-230.8(of)]TJ 0 -1.0641 TD [(ex)15.1(er)19.2(ci)12.8(se)-350.2(pe)15.1(rf)18(or)14(m)13.2(a)0(n)15.1(c)0(e)-355.2(a)0(n)15.1(d)-359.3(th)13.2(e)-359.7(m)0(a)12(g)0(n)21.2(i)0(t)16.5(u)0(d)15.5(e)-359.7(of)-355.9(re)13.5(st)17.7(in)18.9(g)-365(I)0(C)20.6(,)-364.6(a)]TJ T* [(we)16.9(ll)-290.8(re)19.2(co)15.1(gn)15.5(iz)18.4(ed)-286.5(ma)17.7(rk)13.9(er)-288.1(of)-287.7(DH)13.4(,)-296.3(t)0(h)18.9(e)-297.1(be)20.8(st)-289.6(cl)18.5(in)13.2(ic)18.5(al)-288.8(pr)19.6(ed)15.1(ic)18.5(to)18.9(r)60.2(.)]TJ T* [(In)-253.5(ab)20.8(se)13.9(nc)20.8(e)-257.2(o)0(f)-247.8(F)0(L)17.9(,)-256.5(ai)12.8(rw)21.4(ay)-252.3(ob)21.2(st)17.7(ru)13.9(ct)18.5(io)18.9(n)-256.8(p)0(r)13.9(o)0(b)21.2(a)0(b)15.1(l)0(y)-248.6(p)0(l)18.9(a)0(y)15.1(s)-252.3(a)-257.2(k)0(e)15.1(y)]TJ T* [(ro)13.9(le)-448.2(in)-447.8(li)16.5(mi)15.7(ti)16.5(ng)-445.4(ex)15.1(er)19.2(ci)18.5(se)-452.7(ca)20.4(pa)15.1(ci)18.5(ty)81.4(,)-455.6(a)0(n)15.1(d)-456(F)11.4(E)0(V)]TJ 7.97 0 0 7.97 487.729 443.452 Tm (1)Tj 9.963 0 0 9.963 496.233 443.452 Tm [(an)15.1(d)-456(F)0(V)18.1(C)0(,)]TJ -18.7617 -1.0641 TD [(us)14.4(ef)19.2(ul)-311.2(in)13.2(di)18.9(ce)20.4(s)-320.6(o)0(f)-316.1(t)0(h)18.9(e)0(s)19.6(e)-325.5(ab)20.8(no)15.5(rm)16.5(al)18.5(it)16.5(ie)18.4(s,)-315.3(re)19.2(pr)19.6(es)13.9(en)20.8(te)12.8(d)-319.4(h)0(e)20.8(r)0(e)-316.5(b)0(y)]TJ 0 -1.0584 TD [(th)13.2(e)-319.8(F)0(E)17.9(V)]TJ 7.97 0 0 7.97 342.822 422.305 Tm (1)Tj 9.963 0 0 9.963 346.734 422.305 Tm [(/F)19.6(VC)-317.5(ra)13.5(ti)16.5(o)-319.4(a)0(r)13.5(e)-319.8(th)13.2(e)-319.8(b)0(e)15.1(s)0(t)-318.1(p)0(r)19.6(e)0(d)15.1(i)13.9(ct)12.8(or)19.6(s.)]TJ -2.7542 -1.0528 TD [(In)-287.7(ou)21.2(r)-292.6(p)0(a)15.1(t)0(i)16.5(e)0(n)20.8(t)0(s)17.7(,)-290.6(th)13.2(e)]TJ /F4 1 Tf 7.7278 0 TD (P)Tj /F3 1 Tf 7.97 0 0 7.97 402.179 411.817 Tm [(a,)18.4(O)]TJ 7.472 0 0 6.641 413.121 410.173 Tm (2)Tj 9.963 0 0 9.963 419.754 411.817 Tm [(wa)16.9(s,)-286.9(on)-280.4(av)20.8(er)13.5(ag)20.8(e,)-286.1(si)17.7(gn)21.2(if)17.3(ic)12.8(an)20.8(tl)16.5(y)]TJ -11.0852 -1.0641 TD [(lo)13.2(w)12.4(e)0(r)47.7(,)-233.7(an)15.1(d)-228.4(t)0(h)18.9(e)]TJ /F4 1 Tf 5.7304 0 TD (P)Tj /F3 1 Tf 7.97 0 0 7.97 372.359 401.216 Tm 0.0001 Tc [(a,)25.6(CO)]TJ 7.472 0 0 6.641 388.516 399.572 Tm 0 Tc (2)Tj 9.963 0 0 9.963 394.526 401.216 Tm [(si)17.7(gn)15.5(if)17.3(ic)18.4(an)15.1(tl)16.5(y)-228.4(h)0(i)13.2(g)0(h)21.2(e)0(r)-225.5(i)0(n)-225.8(t)13.9(he)-223.9(FL)-226.8(th)18.9(an)-223.9(in)]TJ -8.5529 -1.0584 TD [(th)13.2(e)-319.8(n)0(o)21.2(n)0(-)19.6(F)0(L)-312.2(p)0(a)15.1(t)0(i)16.5(e)0(n)20.8(t)0(s)17.7(.)-319.1(Fi)13.9(ft)17.3(y-)19.6(ni)18.9(ne)-309.2(pe)15.1(rc)19.2(en)15.1(t)-316.1(o)0(f)-310.4(t)0(h)13.2(e)-319.9(F)11.4(L)-317.9(pa)15.1(ti)16.5(en)20.8(ts)]TJ 0 -1.0641 TD [(we)16.9(re)-191.3(hy)15.5(pe)20.8(rc)13.5(ap)20.8(ni)18.9(c)-200.3(i)0(n)-186(c)0(o)15.1(m)0(p)18.1(a)0(r)19.2(i)0(s)17.7(o)0(n)-189.3(w)0(i)14.9(t)0(h)-186(o)0(n)15.5(l)0(y)-186(2)0(2)15.5(%)-196.6(of)-190.9(th)18.9(e)-194.7(n)0(o)15.5(n)0(-)]TJ T* [(FL)-266.6(pa)15.1(ti)16.5(en)20.8(ts)17.7(.)-273.5(I)0(C)-263.9(a)0(n)15.1(d)-273.9(F)11.4(V)0(C)-266.3(w)0(e)16.9(r)0(e)-265.3(s)0(e)13.9(l)0(e)18.4(c)0(t)18.5(e)0(d)-263.7(a)0(s)-264.9(s)0(i)17.7(g)0(n)15.5(i)0(f)17.3(i)0(c)18.4(a)0(n)15.1(t)-270.6(co)15.1(n-)]TJ T* [(tr)17.3(ib)13.2(ut)18.9(or)19.6(s)-258(t)0(o)]TJ /F4 1 Tf 4.5411 0 TD (P)Tj /F3 1 Tf 7.97 0 0 7.97 360.51 358.866 Tm 0.0001 Tc [(a,)25.6(CO)]TJ 7.472 0 0 6.641 376.668 357.222 Tm 0 Tc (2)Tj 9.963 0 0 9.963 382.904 358.866 Tm [(in)-248.6(t)13.9(h)0(e)-246.6(w)0(h)17.3(o)0(l)13.2(e)-251.6(gr)19.6(ou)15.5(p,)-245.8(bu)21.2(t)-259.2(I)0(C)-246.8(w)12.4(as)-247.8(th)18.8(e)-257.2(s)0(o)20(l)0(e)]TJ -7.3863 -1.0641 TD [(pr)13.9(ed)20.8(ic)12.8(t)13.9(o)0(r)-384.4(i)0(n)-385.2(F)0(L)-386.1(p)0(a)20.8(t)0(i)16.5(e)0(n)15.1(t)0(s)17.7(,)-387.3(su)14.3(gg)21.2(es)13.9(ti)16.5(ng)-382.8(th)18.8(at)-385.6(t)13.9(h)0(e)-388.9(p)0(r)19.6(e)0(s)19.6(e)0(n)15.1(c)0(e)-383.6(o)0(f)]TJ T* [(hy)15.5(pe)15.1(rc)19.2(ap)20.8(ni)13.2(a)-160.5(i)0(n)-151.9(t)0(h)13.2(i)13.9(s)-167(g)0(r)19.6(o)0(u)15.5(p)-160.1(is)-153.1(re)19.2(la)12.8(te)18.5(d)-160.1(t)0(o)-157.6(t)13.9(he)-155.6(de)15.1(gr)19.6(ee)-156(of)-151.1(DH)13.4(.)-159.7(T)0(h)17.1(e)]TJ ET 0 0 0 1 K 0 J 0 j 0.5 w 3.864 M []0 d /GS3 gs 1 i 287.719 267.853 m 121.753 181.258 l 121.663 302.616 m 121.663 170.791 l 121.927 302.424 m 119.186 302.424 l 121.927 258.704 m 119.186 258.704 l 121.927 237.108 m 119.186 237.108 l 121.927 215.585 m 119.186 215.585 l 121.927 194.575 m 119.186 194.575 l S BT /F19 1 Tf 10 0 0 10 108.218 190.402 Tm 0 0 0 1 k /GS4 gs (20)Tj 0 2.1295 TD (40)Tj 0 2.1263 TD (60)Tj 0 2.1603 TD (80)Tj -0.4558 4.3784 TD (120)Tj /F26 1 Tf 0 10 -10 0 100.367 210.285 Tm (V)Tj /F19 1 Tf 0.547 0 TD ('O)Tj 0 8 -8 0 103.202 223.705 Tm (2)Tj 0.456 0.3543 TD (max)Tj 0 10 -10 0 100.367 239.745 Tm ( \(% pred\))Tj 10 0 0 10 89.249 302.616 Tm (a\))Tj /F22 1 Tf 6 0 0 6 243.388 290.26 Tm (l)Tj 3.8152 -4.9744 TD (l)Tj -1.3333 4.3231 TD (l)Tj ET 0 0 0 0 k 3.864 M /GS3 gs 225.882 245.482 m 225.882 246.656 226.834 247.608 228.007 247.608 c 229.181 247.608 230.132 246.656 230.132 245.482 c 230.132 244.309 229.181 243.358 228.007 243.358 c 226.834 243.358 225.882 244.309 225.882 245.482 c b 231.571 229.575 m 231.571 230.749 232.523 231.701 233.696 231.701 c 234.87 231.701 235.821 230.749 235.821 229.575 c 235.821 228.402 234.87 227.45 233.696 227.45 c 232.523 227.45 231.571 228.402 231.571 229.575 c b 236.498 234.537 m 236.498 235.71 237.45 236.662 238.623 236.662 c 239.797 236.662 240.748 235.71 240.748 234.537 c 240.748 233.363 239.797 232.412 238.623 232.412 c 237.45 232.412 236.498 233.363 236.498 234.537 c b 229.794 223.532 m 229.794 224.705 230.746 225.657 231.919 225.657 c 233.093 225.657 234.044 224.705 234.044 223.532 c 234.044 222.358 233.093 221.407 231.919 221.407 c 230.746 221.407 229.794 222.358 229.794 223.532 c b 231.769 224.242 m 231.769 225.415 232.721 226.366 233.894 226.366 c 235.068 226.366 236.019 225.415 236.019 224.242 c 236.019 223.068 235.068 222.116 233.894 222.116 c 232.721 222.116 231.769 223.068 231.769 224.242 c b 232.424 226.776 m 232.424 227.949 233.376 228.901 234.549 228.901 c 235.723 228.901 236.674 227.949 236.674 226.776 c 236.674 225.602 235.723 224.651 234.549 224.651 c 233.376 224.651 232.424 225.602 232.424 226.776 c b 3.864 M 121.927 279.833 m 119.186 279.833 l S BT /F19 1 Tf 10 0 0 10 103.66 275.756 Tm 0 0 0 1 k /GS4 gs (100)Tj ET /GS3 gs 288.055 173.924 m 119.186 173.924 l S BT 10 0 0 10 112.969 170.049 Tm /GS4 gs (0)Tj ET /GS3 gs 177.168 173.842 m 177.168 171.101 l 287.799 173.842 m 287.799 171.101 l 149.524 173.842 m 149.524 171.101 l 204.462 173.842 m 204.462 171.101 l 232.424 173.842 m 232.424 171.101 l 259.93 173.842 m 259.93 171.101 l S BT /F22 1 Tf 6 0 0 6 242.926 264.322 Tm /GS4 gs (l)Tj 0.1848 -0.5437 TD (l)Tj 0.3948 -0.9027 TD (l)Tj 2.8102 0.5078 TD (l)Tj -0.4254 -0.9026 TD (l)Tj -4 0.4361 TD (l)Tj -0.0412 -0.9027 TD (l)Tj -0.1795 -1.1539 TD (l)Tj 0.323 -0.4307 TD (l)Tj 0.6461 -0.0053 TD (l)Tj 1.118 0.6872 TD (l)Tj 0.9385 -1.3692 TD (l)Tj 1.5181 0.7232 TD (l)Tj 0.8614 0.0359 TD (l)Tj -1.7918 -0.7232 TD (l)Tj -0.1077 -0.6461 TD (l)Tj -2.6442 0.323 TD (l)Tj 0.0718 -0.682 TD (l)Tj 0.9385 -0.8667 TD (l)Tj -2.5949 -1.3693 TD (l)Tj ET 0 0 0 0 k 3.864 M /GS3 gs 215.944 239.421 m 215.944 240.594 216.896 241.546 218.069 241.546 c 219.243 241.546 220.194 240.594 220.194 239.421 c 220.194 238.247 219.243 237.296 218.069 237.296 c 216.896 237.296 215.944 238.247 215.944 239.421 c b 217.452 229.698 m 217.452 230.872 218.403 231.823 219.577 231.823 c 220.75 231.823 221.702 230.872 221.702 229.698 c 221.702 228.524 220.75 227.573 219.577 227.573 c 218.403 227.573 217.452 228.524 217.452 229.698 c b 215.298 228.191 m 215.298 229.364 216.249 230.315 217.423 230.315 c 218.597 230.315 219.548 229.364 219.548 228.191 c 219.548 227.017 218.597 226.065 217.423 226.065 c 216.249 226.065 215.298 227.017 215.298 228.191 c b 208.59 230.775 m 208.59 231.948 209.542 232.9 210.715 232.9 c 211.889 232.9 212.84 231.948 212.84 230.775 c 212.84 229.601 211.889 228.65 210.715 228.65 c 209.542 228.65 208.59 229.601 208.59 230.775 c b 209.667 224.067 m 209.667 225.24 210.618 226.192 211.792 226.192 c 212.966 226.192 213.917 225.24 213.917 224.067 c 213.917 222.893 212.966 221.942 211.792 221.942 c 210.618 221.942 209.667 222.893 209.667 224.067 c b 204.462 228.93 m 204.462 230.103 205.413 231.054 206.587 231.054 c 207.76 231.054 208.712 230.103 208.712 228.93 c 208.712 227.756 207.76 226.804 206.587 226.804 c 205.413 226.804 204.462 227.756 204.462 228.93 c b 200.212 226.22 m 200.212 227.394 201.163 228.345 202.337 228.345 c 203.51 228.345 204.462 227.394 204.462 226.22 c 204.462 225.047 203.51 224.096 202.337 224.096 c 201.163 224.096 200.212 225.047 200.212 226.22 c b 199.083 223.421 m 199.083 224.595 200.034 225.546 201.208 225.546 c 202.381 225.546 203.333 224.595 203.333 223.421 c 203.333 222.247 202.381 221.296 201.208 221.296 c 200.034 221.296 199.083 222.247 199.083 223.421 c b 201.633 217.79 m 201.633 218.963 202.584 219.915 203.758 219.915 c 204.931 219.915 205.883 218.963 205.883 217.79 c 205.883 216.616 204.931 215.665 203.758 215.665 c 202.584 215.665 201.633 216.616 201.633 217.79 c b 202.959 213.052 m 202.959 214.226 203.911 215.177 205.084 215.177 c 206.258 215.177 207.209 214.226 207.209 213.052 c 207.209 211.878 206.258 210.927 205.084 210.927 c 203.911 210.927 202.959 211.878 202.959 213.052 c b 188.714 226.005 m 188.714 227.179 189.665 228.13 190.839 228.13 c 192.013 228.13 192.964 227.179 192.964 226.005 c 192.964 224.831 192.013 223.88 190.839 223.88 c 189.665 223.88 188.714 224.831 188.714 226.005 c b 183.385 228.499 m 183.385 229.672 184.336 230.624 185.51 230.624 c 186.683 230.624 187.635 229.672 187.635 228.499 c 187.635 227.325 186.683 226.374 185.51 226.374 c 184.336 226.374 183.385 227.325 183.385 228.499 c b 181.26 226.374 m 181.26 227.547 182.211 228.499 183.385 228.499 c 184.558 228.499 185.51 227.547 185.51 226.374 c 185.51 225.2 184.558 224.249 183.385 224.249 c 182.211 224.249 181.26 225.2 181.26 226.374 c b 184.375 221.698 m 184.375 222.872 185.326 223.823 186.5 223.823 c 187.674 223.823 188.625 222.872 188.625 221.698 c 188.625 220.524 187.674 219.573 186.5 219.573 c 185.326 219.573 184.375 220.524 184.375 221.698 c b 180.068 221.052 m 180.068 222.226 181.019 223.177 182.193 223.177 c 183.366 223.177 184.318 222.226 184.318 221.052 c 184.318 219.878 183.366 218.927 182.193 218.927 c 181.019 218.927 180.068 219.878 180.068 221.052 c b 193.452 217.79 m 193.452 218.963 194.403 219.915 195.577 219.915 c 196.75 219.915 197.702 218.963 197.702 217.79 c 197.702 216.616 196.75 215.665 195.577 215.665 c 194.403 215.665 193.452 216.616 193.452 217.79 c b 197.662 213.145 m 197.662 214.318 198.613 215.27 199.787 215.27 c 200.961 215.27 201.912 214.318 201.912 213.145 c 201.912 211.971 200.961 211.02 199.787 211.02 c 198.613 211.02 197.662 211.971 197.662 213.145 c b 193.294 213.576 m 193.294 214.749 194.246 215.7 195.419 215.7 c 196.593 215.7 197.544 214.749 197.544 213.576 c 197.544 212.402 196.593 211.451 195.419 211.451 c 194.246 211.451 193.294 212.402 193.294 213.576 c b 186.098 212.621 m 186.098 213.795 187.049 214.746 188.223 214.746 c 189.396 214.746 190.348 213.795 190.348 212.621 c 190.348 211.447 189.396 210.496 188.223 210.496 c 187.049 210.496 186.098 211.447 186.098 212.621 c b 193.021 208.067 m 193.021 209.241 193.973 210.192 195.146 210.192 c 196.32 210.192 197.271 209.241 197.271 208.067 c 197.271 206.893 196.32 205.942 195.146 205.942 c 193.973 205.942 193.021 206.893 193.021 208.067 c b 194.959 206.775 m 194.959 207.948 195.911 208.9 197.084 208.9 c 198.258 208.9 199.209 207.948 199.209 206.775 c 199.209 205.601 198.258 204.65 197.084 204.65 c 195.911 204.65 194.959 205.601 194.959 206.775 c b 172.918 205.145 m 172.918 206.318 173.87 207.27 175.043 207.27 c 176.217 207.27 177.168 206.318 177.168 205.145 c 177.168 203.971 176.217 203.02 175.043 203.02 c 173.87 203.02 172.918 203.971 172.918 205.145 c b 172.918 201.574 m 172.918 202.748 173.87 203.699 175.043 203.699 c 176.217 203.699 177.168 202.748 177.168 201.574 c 177.168 200.401 176.217 199.449 175.043 199.449 c 173.87 199.449 172.918 200.401 172.918 201.574 c b 416.038 246.215 m 416.038 247.381 416.989 248.326 418.163 248.326 c 419.336 248.326 420.288 247.381 420.288 246.215 c 420.288 245.049 419.336 244.103 418.163 244.103 c 416.989 244.103 416.038 245.049 416.038 246.215 c b 444.308 229.845 m 444.308 231.011 445.259 231.956 446.433 231.956 c 447.606 231.956 448.558 231.011 448.558 229.845 c 448.558 228.679 447.606 227.734 446.433 227.734 c 445.259 227.734 444.308 228.679 444.308 229.845 c b 3.864 M 341.469 302.174 m 341.469 171.205 l 341.733 301.984 m 338.992 301.984 l 341.733 258.547 m 338.992 258.547 l 341.733 237.092 m 338.992 237.092 l 341.733 215.709 m 338.992 215.709 l 341.733 194.835 m 338.992 194.835 l S BT /F19 1 Tf 10 0 0 9.935 325.054 302.174 Tm 0 0 0 1 k /GS4 gs (b\))Tj /F22 1 Tf 6 0 0 5.961 474.189 286.687 Tm (l)Tj 2.1421 0.5954 TD (l)Tj ET /GS3 gs 341.733 279.539 m 338.992 279.539 l 507.525 174.318 m 338.992 174.318 l 414.13 174.237 m 414.13 171.513 l 378.007 174.237 m 378.007 171.513 l 488.191 174.237 m 488.191 171.513 l S 0 0 0 0 k 3.864 M 463.957 226.774 m 463.957 227.94 464.908 228.885 466.081 228.885 c 467.255 228.885 468.206 227.94 468.206 226.774 c 468.206 225.608 467.255 224.663 466.081 224.663 c 464.908 224.663 463.957 225.608 463.957 226.774 c b 456.991 228.661 m 456.991 229.827 457.942 230.772 459.116 230.772 c 460.29 230.772 461.241 229.827 461.241 228.661 c 461.241 227.495 460.29 226.55 459.116 226.55 c 457.942 226.55 456.991 227.495 456.991 228.661 c b 452.061 207.132 m 452.061 208.298 453.012 209.243 454.185 209.243 c 455.359 209.243 456.311 208.298 456.311 207.132 c 456.311 205.966 455.359 205.021 454.185 205.021 c 453.012 205.021 452.061 205.966 452.061 207.132 c b 3.864 M 451.037 174.237 m 451.037 171.513 l S BT 6 0 0 5.961 483.332 264.261 Tm 0 0 0 1 k /GS4 gs (l)Tj -1.81 -0.38 TD (l)Tj 0.5561 -0.2383 TD (l)Tj -0.0316 -0.7543 TD (l)Tj -3.563 0.4595 TD (l)Tj 1.9119 -0.4992 TD (l)Tj -1.2936 -0.3575 TD (l)Tj 1.4922 -0.4766 TD (l)Tj -1.6114 -0.8567 TD (l)Tj -1.2539 -0.3403 TD (l)Tj 0.0794 -0.4767 TD (l)Tj 1.0553 0.1192 TD (l)Tj 0.9136 0.0225 TD (l)Tj -4.7232 -0.7207 TD (l)Tj -0.6977 0.0795 TD (l)Tj -2.2073 0.7772 TD (l)Tj 0.0794 -1.2142 TD (l)Tj 1.1745 -0.4766 TD (l)Tj 0.6752 0.2383 TD (l)Tj 2.794 -1.231 TD (l)Tj -3.5405 -1.3333 TD (l)Tj ET 0 0 0 0 k 3.864 M /GS3 gs 451.037 213.949 m 451.037 215.115 451.989 216.06 453.162 216.06 c 454.336 216.06 455.287 215.115 455.287 213.949 c 455.287 212.783 454.336 211.838 453.162 211.838 c 451.989 211.838 451.037 212.783 451.037 213.949 c b 441.468 224.738 m 441.468 225.904 442.419 226.85 443.593 226.85 c 444.766 226.85 445.717 225.904 445.717 224.738 c 445.717 223.572 444.766 222.627 443.593 222.627 c 442.419 222.627 441.468 223.572 441.468 224.738 c b 436.962 225.59 m 436.962 226.756 437.913 227.701 439.087 227.701 c 440.26 227.701 441.212 226.756 441.212 225.59 c 441.212 224.424 440.26 223.479 439.087 223.479 c 437.913 223.479 436.962 224.424 436.962 225.59 c b 436.485 229.276 m 436.485 230.442 437.436 231.387 438.61 231.387 c 439.784 231.387 440.735 230.442 440.735 229.276 c 440.735 228.11 439.784 227.165 438.61 227.165 c 437.436 227.165 436.485 228.11 436.485 229.276 c b 429.043 227.477 m 429.043 228.643 429.994 229.588 431.168 229.588 c 432.341 229.588 433.293 228.643 433.293 227.477 c 433.293 226.311 432.341 225.366 431.168 225.366 c 429.994 225.366 429.043 226.311 429.043 227.477 c b 430.93 224.245 m 430.93 225.411 431.881 226.356 433.054 226.356 c 434.228 226.356 435.18 225.411 435.18 224.245 c 435.18 223.079 434.228 222.134 433.054 222.134 c 431.881 222.134 430.93 223.079 430.93 224.245 c b 427.116 218.428 m 427.116 219.594 428.067 220.539 429.241 220.539 c 430.415 220.539 431.366 219.594 431.366 218.428 c 431.366 217.262 430.415 216.317 429.241 216.317 c 428.067 216.317 427.116 217.262 427.116 218.428 c b 429.023 213.476 m 429.023 214.641 429.974 215.587 431.148 215.587 c 432.321 215.587 433.273 214.641 433.273 213.476 c 433.273 212.31 432.321 211.364 431.148 211.364 c 429.974 211.364 429.023 212.31 429.023 213.476 c b 402.817 201.983 m 402.817 203.149 403.768 204.094 404.942 204.094 c 406.115 204.094 407.067 203.149 407.067 201.983 c 407.067 200.817 406.115 199.871 404.942 199.871 c 403.768 199.871 402.817 200.817 402.817 201.983 c b 402.817 206.205 m 402.817 207.371 403.768 208.316 404.942 208.316 c 406.115 208.316 407.067 207.371 407.067 206.205 c 407.067 205.039 406.115 204.094 404.942 204.094 c 403.768 204.094 402.817 205.039 402.817 206.205 c b 405.738 213.949 m 405.738 215.115 406.689 216.06 407.863 216.06 c 409.036 216.06 409.988 215.115 409.988 213.949 c 409.988 212.783 409.036 211.838 407.863 211.838 c 406.689 211.838 405.738 212.783 405.738 213.949 c b 400.256 212.982 m 400.256 214.148 401.208 215.093 402.381 215.093 c 403.555 215.093 404.506 214.148 404.506 212.982 c 404.506 211.816 403.555 210.871 402.381 210.871 c 401.208 210.871 400.256 211.816 400.256 212.982 c b 379.355 208.842 m 379.355 210.008 380.306 210.953 381.48 210.953 c 382.653 210.953 383.605 210.008 383.605 208.842 c 383.605 207.676 382.653 206.731 381.48 206.731 c 380.306 206.731 379.355 207.676 379.355 208.842 c b 400.195 218.455 m 400.195 219.621 401.147 220.566 402.32 220.566 c 403.494 220.566 404.445 219.621 404.445 218.455 c 404.445 217.289 403.494 216.344 402.32 216.344 c 401.147 216.344 400.195 217.289 400.195 218.455 c b 420.247 231.644 m 420.247 232.81 421.198 233.755 422.372 233.755 c 423.545 233.755 424.497 232.81 424.497 231.644 c 424.497 230.478 423.545 229.533 422.372 229.533 c 421.198 229.533 420.247 230.478 420.247 231.644 c b 416.869 230.621 m 416.869 231.787 417.821 232.732 418.994 232.732 c 420.168 232.732 421.119 231.787 421.119 230.621 c 421.119 229.455 420.168 228.51 418.994 228.51 c 417.821 228.51 416.869 229.455 416.869 230.621 c b 411.468 240.302 m 411.468 241.468 412.419 242.414 413.592 242.414 c 414.766 242.414 415.717 241.468 415.717 240.302 c 415.717 239.136 414.766 238.191 413.592 238.191 c 412.419 238.191 411.468 239.136 411.468 240.302 c b 407.48 235.432 m 407.48 236.598 408.432 237.544 409.605 237.544 c 410.779 237.544 411.73 236.598 411.73 235.432 c 411.73 234.266 410.779 233.321 409.605 233.321 c 408.432 233.321 407.48 234.266 407.48 235.432 c b 389.812 231.17 m 389.812 232.336 390.763 233.281 391.937 233.281 c 393.11 233.281 394.062 232.336 394.062 231.17 c 394.062 230.004 393.11 229.059 391.937 229.059 c 390.763 229.059 389.812 230.004 389.812 231.17 c b 386.34 222.038 m 386.34 223.204 387.292 224.149 388.465 224.149 c 389.639 224.149 390.59 223.204 390.59 222.038 c 390.59 220.872 389.639 219.927 388.465 219.927 c 387.292 219.927 386.34 220.872 386.34 222.038 c b 400.195 222.512 m 400.195 223.678 401.147 224.623 402.32 224.623 c 403.494 224.623 404.445 223.678 404.445 222.512 c 404.445 221.346 403.494 220.401 402.32 220.401 c 401.147 220.401 400.195 221.346 400.195 222.512 c b 407.003 223.222 m 407.003 224.388 407.955 225.333 409.129 225.333 c 410.302 225.333 411.253 224.388 411.253 223.222 c 411.253 222.056 410.302 221.111 409.129 221.111 c 407.955 221.111 407.003 222.056 407.003 223.222 c b 406.466 226.422 m 406.466 227.588 407.417 228.533 408.591 228.533 c 409.764 228.533 410.716 227.588 410.716 226.422 c 410.716 225.256 409.764 224.31 408.591 224.31 c 407.417 224.31 406.466 225.256 406.466 226.422 c b 407.242 226.774 m 407.242 227.94 408.193 228.885 409.367 228.885 c 410.54 228.885 411.492 227.94 411.492 226.774 c 411.492 225.608 410.54 224.663 409.367 224.663 c 408.193 224.663 407.242 225.608 407.242 226.774 c b 3.864 M 507.525 271.549 m 341.529 187.994 l S BT /F19 1 Tf 10 0 0 10 119.194 160.541 Tm 0 0 0 1 k /GS4 gs [(0)-2134.7(2)0(0)-1818.2(4)0(0)-1799(6)0(0)-1907.9(8)0(0)-1704.2(100)-1382.8(120)]TJ 6.8199 -1.4273 TD (IC % pred)Tj 15.2801 1.4273 TD 2.8555 Tc [(02)2855.5(0)174(4)2855.5(0)39.9(6)2855.5(0)70.2(8)2855.5(0)]TJ 5.8199 -1.4273 TD 0 Tc (FEV)Tj 8 0 0 8 414.341 146.269 Tm (1)Tj 10 0 0 10 417.989 146.269 Tm (/FVC % pred)Tj /F3 1 Tf 7.97 0 0 7.97 58.28 131.244 Tm 0 g /GS2 gs [(Fig.)-327.1(3.)-331.2(\261)-332.2(Relationsh)10(ip)-261.4(of)-259.2(maximal)-258.9(oxygen)-256.7(uptake)]TJ /F4 1 Tf 19.9595 0 TD (V)Tj /F8 1 Tf 0.5975 0 TD (')Tj /F3 1 Tf 0.2205 0 TD (O)Tj 5.977 0 0 5.313 229.606 129.94 Tm (2)Tj 7.97 0 0 7.97 232.554 131.244 Tm [(,max)-262.2(to)-261.4(a\))-258.2(inspiratory)-254.9(capacity)-261.3(IC)-256.8(b\))-259.2(and)-263(forced)-256(expiratory)-252.4(volume)-259.3(in)-261.4(one)-255.9(second)-256.9(\(FEV)]TJ 6.376 0 0 6.376 508.535 131.244 Tm (1)Tj 7.97 0 0 7.97 511.767 131.244 Tm (\)/forced)Tj -56.898 -1.0599 TD [(vital)-301.5(capacity)-289.8(\(FVC\))-293.6(in)-304.1(chronic)-291.7(obstructive)-289.2(pulmonary)-295.9(disease)-292.9(patients)-295.4(without)-293.7(\(non-FL;)]TJ /F5 1 Tf 35.8004 0 TD (*)Tj /F3 1 Tf 0.9958 0 TD [(\))-304(and)-291.4(with)-297.6(\(FL;)]TJ /F23 1 Tf 6.4587 0 TD (s)Tj /F3 1 Tf 0.8322 0 TD [(\))-296.8(tidal)-301.5(expiratory)-287.9(flow)-295.4(limitation)-298.5(at)-295.9(rest.)]TJ -44.0872 -1.067 TD (r)Tj /F9 1 Tf 0.3201 0 TD (=)Tj /F3 1 Tf 0.5548 0 TD [(0.75;)-327.2(p)]TJ /F9 1 Tf 2.8453 0 TD (<)Tj /F3 1 Tf 0.5477 0 TD [(0.0001)-329.9(and)-327(r)]TJ /F9 1 Tf 5.1641 0 TD (=)Tj /F3 1 Tf 0.5548 0 TD [(0.71;)-327.2(p)]TJ /F9 1 Tf 2.8453 0 TD (<)Tj /F3 1 Tf 0.5477 0 TD [(0.0001)-322.8(for)-335.5(a\))-329.3(respectively)-327.8(and)-327(b\))-330.3(respectively)70.6(.)]TJ ET 58.28 749.367 227.168 -0.51 re f 58.28 732.926 227.168 -0.51 re f 58.28 640.743 227.168 -0.454 re f BT /F2 1 Tf 8.966 0 0 8.966 58.28 772.667 Tm [(Table)-331.9(3.)-336.7(\261)-333.2(Breathing)-288(pattern)-292.3(at)-286.1(rest)-294(of)-286.1(23)-293.3(non-flow)-288.5(limited)]TJ 0 -1.0559 TD [(\(non-FL\))-604.9(and)-607.6(29)-609.5(flow)-608.4(limited)-605.5(\(FL\))-608.6(chronic)-605.6(obstructive)]TJ T* [(pulmonary)-331.9(disease)-336(patients)]TJ /F3 1 Tf 8.3273 -1.7072 TD [(non-FL)-5184.8(FL)-4401.8(p-value)]TJ -8.3273 -2.0044 TD [(Subjects)-335.1(n)-5133.7(2)0(3)-6252.4(2)0(9)]TJ /F4 1 Tf 0 -1.0559 TD (V)Tj /F8 1 Tf 0.607 0 TD (')Tj /F3 1 Tf 0.1138 0 TD 0.3344 Tc (eL)Tj /F10 1 Tf 1.3721 0.2213 TD 0 Tc (.)Tj /F3 1 Tf 0.2719 -0.2213 TD (min)Tj 6.725 0 0 5.977 93.317 715.011 Tm (-1)Tj 8.966 0 0 8.966 130.45 710.986 Tm [(10.3\2130.7)-3711.2(10.9\2130.4)]TJ 6.276 0 0 6.276 265.323 710.986 Tm 0.0001 Tc (NS)Tj /F4 1 Tf 8.966 0 0 8.966 58.28 701.518 Tm 0 Tc (V)Tj /F3 1 Tf 7.173 0 0 7.173 63.723 701.518 Tm (t)Tj 8.966 0 0 8.966 68.598 701.518 Tm [(L)-5794.8(0.638\2130.05)-2711.2(0.666\2130.05)]TJ 6.276 0 0 6.276 265.323 701.518 Tm 0.0001 Tc (NS)Tj /F4 1 Tf 8.966 0 0 8.966 58.28 692.05 Tm 0 Tc (V)Tj /F3 1 Tf 7.173 0 0 7.173 63.723 692.05 Tm (t)Tj 8.966 0 0 8.966 68.598 692.05 Tm [(%)-335.1(I)0(C)-5505.6(29\2133)-5205(40\2132)-4319.8(0.018)]TJ /F4 1 Tf -1.1508 -1.0496 TD (t)Tj /F3 1 Tf 7.173 0 0 7.173 60.718 682.639 Tm (I)Tj 8.966 0 0 8.966 65.991 682.639 Tm [(s)-6804.2(1.25\2130.06)-3211.2(1.14\2130.06)]TJ 6.276 0 0 6.276 265.323 682.639 Tm 0.0001 Tc (NS)Tj /F4 1 Tf 8.966 0 0 8.966 58.28 673.171 Tm 0 Tc (t)Tj /F3 1 Tf 7.173 0 0 7.173 60.718 673.171 Tm (E)Tj 8.966 0 0 8.966 68.031 673.171 Tm [(s)-6576.5(2.54\2130.17)-3211.2(2.51\2130.17)]TJ 6.276 0 0 6.276 265.323 673.171 Tm 0.0001 Tc (NS)Tj /F4 1 Tf 8.966 0 0 8.966 58.28 663.704 Tm 0 Tc (t)Tj /F3 1 Tf 7.173 0 0 7.173 60.718 663.704 Tm (tot)Tj 8.966 0 0 8.966 71.15 663.704 Tm [(s)-6228.8(3.79\2130.2)-3711.2(3.65\2130.2)]TJ 6.276 0 0 6.276 265.323 663.704 Tm 0.0001 Tc (NS)Tj /F4 1 Tf 8.966 0 0 8.966 58.28 654.236 Tm 0 Tc (V)Tj /F3 1 Tf 7.173 0 0 7.173 63.723 654.236 Tm (t)Tj 8.966 0 0 8.966 65.65 654.236 Tm (/)Tj /F4 1 Tf 0.2719 0 TD (t)Tj /F3 1 Tf 7.173 0 0 7.173 70.469 654.236 Tm (I)Tj 8.966 0 0 8.966 75.798 654.236 Tm (L)Tj /F10 1 Tf 0.607 0.2213 TD (.)Tj /F3 1 Tf 0.2656 -0.2213 TD (s)Tj 6.725 0 0 5.977 87.08 658.205 Tm (-1)Tj 8.966 0 0 8.966 130.45 654.236 Tm [(0.53\2130.04)-3211.2(0.59\2130.03)]TJ 6.276 0 0 6.276 265.323 654.236 Tm 0.0001 Tc (NS)Tj /F4 1 Tf 8.966 0 0 8.966 58.28 644.768 Tm 0 Tc (t)Tj /F3 1 Tf 7.173 0 0 7.173 60.718 644.768 Tm (I)Tj 8.966 0 0 8.966 63.043 644.768 Tm (/)Tj /F4 1 Tf 0.2719 0 TD (t)Tj /F3 1 Tf 7.173 0 0 7.173 67.861 644.768 Tm (tot)Tj 8.966 0 0 8.966 130.45 644.768 Tm [(0.34\2130.02)-3211.2(0.32\2130.01)]TJ 6.276 0 0 6.276 265.323 644.768 Tm 0.0001 Tc (NS)Tj 8.966 0 0 8.966 58.28 627.307 Tm 0 Tc [(V)104.7(alues)-272.5(are)-270.9(mean\213)]TJ 6.276 0 0 6.276 121.663 627.307 Tm 0.0001 Tc (SEM)Tj 8.966 0 0 8.966 134.476 627.307 Tm 0 Tc (.)Tj /F4 1 Tf 0.5185 0 TD (V)Tj /F8 1 Tf 0.607 0 TD (')Tj /F3 1 Tf 7.173 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[(re)19.2(ha)15.1(bi)18.9(li)16.5(ta)18.4(ti)16.5(on)-399.9(in)-402.2(C)11.6(O)0(P)12.4(D)-408.7(pa)15.1(t)13.9(i)0(e)12.8(n)0(t)18.9(s)0(:)-397.7(i)0(n)-402.3(p)0(a)15.1(t)0(i)16.5(e)0(n)20.8(t)0(s)-403.4(w)12.4(it)16.5(ho)15.5(ut)-402.2(F)11.4(L)0(,)]TJ 0 -1.0471 TD [(re)19.2(ha)15.1(bi)18.9(li)16.5(ta)18.4(ti)16.5(on)-217.8(ba)20.8(se)13.9(d)-222.7(o)0(n)-212.1(e)0(x)15.1(e)0(r)19.2(c)0(i)18.4(s)0(e)-219.4(s)0(h)20(o)0(u)15.5(l)0(d)-214.5(b)0(e)-212.5(p)0(a)15.1(r)0(t)17.3(i)0(c)18.4(u)0(l)18.9(a)0(r)13.5(l)0(y)-214.5(b)0(e)15.1(n)0(-)]TJ 0 -1.0528 TD [(ef)19.2(ic)12.8(ia)18.4(l,)-345(wh)17.3(il)16.5(e)-354(i)0(n)-351(p)0(a)20.8(t)0(i)16.5(e)0(n)15.1(t)0(s)-346.5(w)12.4(it)16.5(h)-359.3(F)11.4(L)-357.7(a)0(d)20.8(m)0(i)15.7(n)0(i)13.2(s)0(t)17.7(r)0(a)19.2(t)0(i)16.5(o)0(n)-343(o)0(f)-350.2(b)0(r)19.6(o)0(n)15.5(-)]TJ T* [(ch)15.1(od)21.2(il)16.5(at)18.5(or)13.9(s)-593.8(a)0(n)15.1(d)-598.3(in)18.9(sp)20(ir)17.3(at)18.4(or)13.9(y)-598.3(m)0(u)18.1(s)0(c)19.6(l)0(e)-590.4(t)0(r)17.3(a)0(i)18.4(n)0(i)13.2(n)0(g)-587.7(s)0(h)20(o)0(u)15.5(l)13.9(d)-598.3(b)0(e)]TJ 0 -1.0471 TD [(pr)19.6(ef)13.5(er)19.2(ab)15.1(le)-186.4(in)-191.7(or)13.9(de)20.8(r)-201.5(t)0(o)-186(d)0(e)15.1(c)0(r)19.2(e)0(a)14.7(s)0(e)-190.9(t)0(h)18.9(e)-200.3(pr)19.6(ev)15.1(ai)18.5(li)16.5(ng)-189.3(hy)21.2(pe)15.1(ri)17.3(nf)19.6(la)12.8(t)13.9(i)0(o)13.2(n)]TJ 0 -1.0528 TD [([2)19.6(6,)-308.4(27])-316.9(and)-315.7(to)-316.9(increa)-9.8(se)-316.1(the)-312.4(wor)-7.8(king)-318.4(capaci)-8.6(ty)-311.2(of)-316.1(the)-318.1(ins-)]TJ 0 -1.0471 TD [(piratory)-344.5(muscles)-338.4([28,)-340(29].)]TJ 1.0015 -1.0527 TD [(In)-344.6(co)20.8(nc)15.1(lu)18.9(si)17.7(on)15.5(,)-347.5(t)0(h)13.2(e)-348.3(pr)13.9(es)19.6(en)15.1(t)-350.3(r)0(e)19.2(s)0(u)14.3(l)0(t)16.5(s)-349.1(sh)14.4(ow)-341.2(th)18.9(at)-345.7(in)-339.7(ch)15.1(ro)19.6(ni)13.2(c)]TJ -1.0015 -1.0471 TD [(ob)15.5(st)17.7(ru)19.6(ct)18.5(iv)18.8(e)-496.2(p)0(u)21.2(l)0(m)15.7(o)0(n)15.5(a)0(r)19.2(y)-495.8(di)18.9(se)19.6(as)13.9(e)-490.6(p)0(a)15.1(t)0(i)16.5(e)0(n)20.8(t)0(s)-483.1(t)0(h)13.2(e)0(r)19.2(e)-490.6(is)-488.8(a)-490.6(c)0(l)18.4(o)0(s)14.4(e)]TJ 0 -1.0528 TD [(as)19.6(so)14.3(ci)18.4(at)18.4(io)18.9(n)-251.2(o)0(f)-236.4(e)0(x)20.8(e)0(r)13.5(c)0(i)18.4(s)0(e)-236.4(t)0(o)18.9(l)0(e)12.8(r)0(a)19.2(n)0(c)15.1(e)-245.9(to)-237.2(re)19.2(st)17.7(in)18.9(g)-251.2(i)0(n)18.8(s)0(p)20(i)0(r)17.3(a)0(t)18.4(o)0(r)14(y)-245.5(ca)14.7(p-)]TJ 0 -1.0471 TD [(ac)14.7(i)13.9(t)0(y)-373.8(i)0(n)-373.8(f)0(l)17.3(o)0(w)-375.3(l)0(i)16.5(m)0(i)15.7(t)0(e)18.4(d)-382(pa)20.8(ti)16.5(en)15.1(ts)17.7(.)-381.7(A)-380.3(re)13.5(du)21.2(ct)18.4(io)13.2(n)-382(i)13.9(n)-382(i)0(n)13.2(s)0(p)20(i)0(r)17.3(a)0(t)18.4(o)0(r)13.9(y)]TJ 0 -1.0528 TD [(ca)14.7(pa)20.8(ci)18.4(ty)75.8(,)-353.2(r)0(e)13.5(f)0(l)17.3(e)0(c)20.4(t)0(i)16.5(n)0(g)-348.7(d)0(y)21.2(n)0(a)15.1(m)0(i)15.7(c)-354(hy)15.5(pe)15.1(ri)17.3(nf)19.6(la)18.4(ti)16.5(on)-348.7(an)20.8(d)-359.3(i)0(n)18.9(c)0(r)13.5(e)0(a)20.4(s)0(e)13.9(d)]TJ 0 -1.0471 TD [(in)18.9(tr)17.3(in)18.9(si)12(c)-262.9(p)0(o)15.5(s)0(i)17.7(t)0(i)16.5(v)0(e)-258(e)0(n)15.1(d)-268.2(ex)20.8(pi)18.9(ra)13.5(to)18.9(ry)-259.2(pr)19.6(es)13.9(su)20(re)13.5(,)-267.8(a)0(l)18.5(s)0(o)-258.8(p)0(l)18.9(a)0(y)15.1(s)-263.7(a)-268.6(r)0(o)14(l)0(e)]TJ 0 -1.0527 TD [(in)-464.8(de)20.8(te)18.4(rm)16.5(in)13.2(i)13.9(n)0(g)-462.5(h)0(y)15.5(p)0(e)20.8(r)0(c)13.5(a)0(p)20.8(n)0(i)13.2(a)-467.8(in)-464.8(th)18.9(e)-467.8(s)0(a)13.9(m)0(e)-460.3(g)0(r)13.9(o)0(u)21.2(p)-473.1(of)-452.7(fl)17.3(ow)]TJ 0 -1.0471 TD [(li)16.5(mi)15.7(te)18.4(d)-325.1(p)0(a)20.8(t)0(i)16.5(e)0(n)15.1(t)0(s)17.7(.)]TJ /F6 1 Tf 8.966 0 0 8.966 151.257 158.343 Tm [(Referenc)8.7(es)]TJ /F3 1 Tf -10.3696 -2.8896 TD [(1.)-1766.5(Gilbert)-557.7(R,)-563.5(Keighley)-559.9(J,)-560(Auchincloss)-567.1(JH.)-556.5(Disability)-567.5(in)]TJ 2.5165 -1.1065 TD [(patients)-566.5(with)-562.5(obstructive)-572.3(pulmonary)-563.1(disease.)]TJ /F4 1 Tf 19.4493 0 TD [(Am)-568.5(Rev)]TJ -19.4493 -1.1128 TD [(Respir)-333.8(Dis)]TJ /F3 1 Tf 4.622 0 TD [(1964;)-334.9(90:)-329.6(383\261394.)]TJ 20.8593 73.5671 TD [(2.)-1766.5(Jones)-309.4(NL,)-305.8(Jones)-303.1(G,)-309.2(Edwards)-308.6(RHT)72.2(.)-306.4(Exercise)-306.8(tolerance)-310.1(in)]TJ 2.5165 -1.1191 TD [(chronic)-492.5(airway)-490(obstruction.)]TJ /F4 1 Tf 11.8302 0 TD [(Am)-492.7(Rev)-488.4(Respir)-491.8(Dis)]TJ /F3 1 Tf 8.7193 0 TD (1971;)Tj -20.5495 -1.1128 TD [(103:)-335.5(477\261491.)]TJ -2.5165 -1.1128 TD [(3.)-1766.5(Carlson)-410.1(DJ,)-411(Ries)-410.7(AL,)-413.3(Kaplan)-406.8(RM.)-411.9(Predicting)-412.1(maximal)]TJ 2.5165 -1.1128 TD [(exercise)-423.2(tolerance)-423.9(in)-418.7(patients)-421.1(with)-423.4(COPD.)]TJ /F4 1 Tf 17.8685 0 TD (Chest)Tj /F3 1 Tf 2.6809 0 TD (1991;)Tj -20.5495 -1.1192 TD [(100:)-335.5(307\26131)34.7(1.)]TJ -2.5165 -1.1128 TD [(4.)-1766.5(Murariu)-254.1(C,)-247.4(Ghezo)-253.2(H,)-252.3(Milic-Emili)-255.7(J,)-250.2(Gauthier)-251.1(H.)-252.3(Exercise)]TJ 2.5165 -1.1128 TD [(limitation)-390.2(in)-380.8(obstructive)-388.9(lung)-379.7(disease.)]TJ /F4 1 Tf 15.782 0 TD (Chest)Tj /F3 1 Tf 2.643 0 TD [(1998;)-385.5(1)32.1(14:)]TJ -18.425 -1.1192 TD (965\261968.)Tj -2.5165 -1.1065 TD [(5.)-1766.5(Bauerle)-212.5(O,)-214.3(Chrusch)-218.1(CA,)-212.2(Y)92(ounes)-213.4(M.)-211.7(Mechanism)-215.8(by)-207.7(which)]TJ 2.5165 -1.1192 TD [(COPD)-324(af)12.9(fects)-324(exercise)-328.4(tolerance.)]TJ /F4 1 Tf 13.6385 0 TD [(Am)-321.9(J)-321.8(Respir)-327.4(Crit)-318.5(Car)27.2(e)]TJ -13.6385 -1.1191 TD (Med)Tj /F3 1 Tf 2.0929 0 TD [(1998;)-334.9(157:)-329.1(57\26158.)]TJ -4.6094 -1.1065 TD [(6.)-1766.5(Kolouris)-221.1(NG,)-217.1(V)104.7(alta)-217.3(P)103.1(,)-217.9(Lavoie)-217.3(A,)]TJ /F4 1 Tf 15.4216 0 TD [(et)-216.1(al)]TJ /F3 1 Tf 1.6945 0 TD [(.)-217.9(A)-217.8(simple)-219.5(method)-216(to)]TJ -14.5996 -1.1191 TD [(detect)-652.3(expiratory)-652.4(flow)-655.9(limitation)-655.8(during)-651.6(spontaneous)]TJ 0 -1.1128 TD (breathing.)Tj /F4 1 Tf 4.3185 0 TD [(Eur)-338.3(Respir)-333.8(J)]TJ /F3 1 Tf 5.5136 0 TD [(1995;)-328.6(8:)-336.5(306\261313.)]TJ -12.3486 -1.1128 TD [(7.)-1766.5(Eltayara)-314.3(L,)-315.7(Becklake)-318.2(MR,)-310.8(V)123.6(olta)-318.7(CA,)-313.4(Milic-Emili)-319(J.)-319.7(Rel-)]TJ 2.5165 -1.1192 TD [(ationship)-256.4(between)-254.4(chronic)-258.6(dyspnoea)-249.6(and)-257.5(expiratory)-254.1(flow-)]TJ 0 -1.1128 TD [(limitation)-282.7(in)-279.6(patients)-282(with)-284.2(chronic)-283.9(obstructive-pulmonary)]TJ 0 -1.1192 TD (disease.)Tj /F4 1 Tf 3.4966 0 TD [(Am)-391.5(J)-391.3(Respir)-390.7(Crit)-394.3(Car)27.2(e)-391.3(Med)]TJ /F3 1 Tf 12.0009 0 TD [(1996;)-391.9(154:)-392.4(1726\261)]TJ -15.4975 -1.1128 TD (1734.)Tj -2.5165 -1.1128 TD [(8.)-1766.5(Koulouris)-505.1(NG,)-501.7(Dimopoulou)-510.7(I,)-502.9(V)104.7(alta)-501.8(P)103.1(,)-502.4(Finkelstein)-509.1(R,)]TJ 2.5165 -1.1128 TD [(Cosio)-404.1(MG,)-404.2(Milic-Emili)-407.5(J.)-408.3(Detection)-403.5(of)-404.6(expiratory)-405.8(flow)]TJ 0 -1.1192 TD [(limitation)-592.6(during)-588.3(exercise)-587.6(in)-589.4(COPD)-583.2(patients.)]TJ /F4 1 Tf 19.9235 0 TD [(J)-587.3(Appl)]TJ -19.9235 -1.1128 TD (Physiol)Tj /F3 1 Tf 3.3006 0 TD [(1997;)-334.9(82:)-329.6(723\261731.)]TJ -5.8171 -1.1128 TD [(9.)-1766.5(O)]TJ /F8 1 Tf 3.2373 0 TD (')Tj /F3 1 Tf 0.215 0 TD [(Donnell)-434.2(DE,)-432.3(W)77.1(ebb)-434.5(KA.)-432.1(Exertional)-436(breathlessness)-432.4(in)]TJ -0.9358 -1.1192 TD [(patients)-566.6(with)-568.8(chronic)-562.1(airflow)-569(limitation:)-569.1(role)-570.2(of)-562.7(lung)]TJ 0 -1.1128 TD (hyperinflation.)Tj /F4 1 Tf 6.3735 0 TD [(Am)-530.6(Rev)-520(Respir)-529.8(Dis)]TJ /F3 1 Tf 8.8584 0 TD [(1993;)-524.6(148:)-525.1(1351\261)]TJ -15.2319 -1.1192 TD (1357.)Tj -2.5165 -1.1128 TD [(10.)-1266.5(V)104.7(alta)-375.3(P)103.1(,)-376(Corbeil)-379.7(C,)-373.8(Lavole)-375.4(A,)]TJ /F4 1 Tf 15.0991 0 TD [(et)-374.2(al)]TJ /F3 1 Tf 1.8526 0 TD [(.)-376(Detection)-378.2(of)-373(expir-)]TJ -14.4352 -1.1128 TD [(atory)-259.8(flow)-263.9(limitation)-263.8(during)-259.5(mechanical)-259.6(ventilation.)]TJ /F4 1 Tf 20.8024 0 TD [(Am)-258.7(J)]TJ -20.8024 -1.1192 TD [(Respir)-333.8(Crit)-337.4(Car)33.6(e)-334.4(Med)]TJ /F3 1 Tf 9.2251 0 TD [(1994;)-334.9(150:)-335.5(131)33.1(1\2611317.)]TJ -11.7416 -1.1065 TD [(1)25.8(1)0(.)-1292.3(American)-395.8(Thoracic)-400.4(Society)63.9(.)-394.9(Lung)-393.5(function)-399.8(testing:)-398.4(Sel-)]TJ 2.5165 -1.1192 TD [(ection)-456.5(of)-461.5(reference)-458.7(values)-461.6(and)-453.5(interpretative)-461(strategies.)]TJ /F4 1 Tf 0 -1.1128 TD [(Am)-334.6(Rev)-330.3(Respir)-333.8(Dis)]TJ /F3 1 Tf 8.0933 0 TD [(1991;)-328.6(136:)-335.5(225\261243.)]TJ -10.6098 -1.1128 TD [(12.)-1266.5(American)-591.8(Thoracic)-583.8(Society)57.6(.)-584.6(Standardization)-588.5(of)-588(spiro-)]TJ 2.5165 -1.1192 TD [(metry:)-383.7(1994)-377.3(update.)]TJ /F4 1 Tf 8.6118 0 TD [(Am)-378.8(J)-378.7(Respir)-384.3(Crit)-381.7(Car)27.2(e)-378.7(Med)]TJ /F3 1 Tf 11.9377 0 TD (1995;)Tj -20.5495 -1.1128 TD [(152:)-335.5(1)32.1(107\2611)34.2(136.)]TJ -2.5165 -1.1128 TD 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