Abstract

There are ethnic differences in lung function, with white subjects having larger height-normalised forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1) than black people or Asians [1, 2]. It has been argued that these differences might be explained by environmental and social factors associated with poverty [3, 4]. Alternatively, the differences in lung volume might be explained by inherent factors, such as genetically determined differences in body frame, with a relatively smaller thoracic cage and, consequently, smaller lungs in some Asian ethnic groups [4, 5]. If the differences were explained mainly or entirely by environmental exposures, lung function in populations migrating from a south-Asian to a western European country should increase in successive generations as standards of living gradually approach those of the host region. Lung function is similarly low in children of migrant and UK-born south-Asian mothers <http://ow.ly/Fhs4e> We thank the parents and children of Leicestershire and Rutland, UK, for participating, and Tony Davis (Specialist Community Child Health Services, Leicester City Primary Care Trust, Leicester, UK) for his assistance.

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