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Smaller lungs in women affect exercise hyperpnea
Abstract
We subjected 29 healthy young women (age: 27 ± 1 yr) with a wide range of fitness levels [maximal oxygen uptake (V˙o 2 max): 57 ± 6 ml ⋅ kg−1⋅ min−1; 35–70 ml ⋅ kg−1⋅ min−1] to a progressive treadmill running test. Our subjects had significantly smaller lung volumes and lower maximal expiratory flow rates, irrespective of fitness level, compared with predicted values for age- and height-matched men. The higher maximal workload in highly fit (V˙o 2 max> 57 ml ⋅ kg−1⋅ min−1, n = 14) vs. less-fit (V˙o 2 max< 56 ml ⋅ kg−1⋅ min−1, n = 15) women caused a higher maximal ventilation (V˙e) with increased tidal volume (Vt) and breathing frequency (f b) at comparable maximal Vt/vital capacity (VC). More expiratory flow limitation (EFL; 22 ± 4% of Vt) was also observed during heavy exercise in highly fit vs. less-fit women, causing higher end-expiratory and end-inspiratory lung volumes and greater usage of their maximum available ventilatory reserves. HeO 2(79% He-21% O 2) vs. room air exercise trials were compared (with screens added to equalize external apparatus resistance). HeO 2 increased maximal expiratory flow rates (20–38%) throughout the range of VC, which significantly reduced EFL during heavy exercise. When EFL was reduced with HeO 2, Vt, f b, andV˙e (+16 ± 2 l/min) were significantly increased during maximal exercise. However, in the absence of EFL (during room air exercise), HeO 2 had no effect onV˙e. We conclude that smaller lung volumes and maximal flow rates for women in general, and especially highly fit women, caused increased prevalence of EFL during heavy exercise, a relative hyperinflation, an increased reliance on f b, and a greater encroachment on the ventilatory “reserve.” Consequently, Vt andV˙e are mechanically constrained during maximal exercise in many fit women because the demand for high expiratory flow rates encroaches on the airways’ maximum flow-volume envelope.
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“These differences (mainly smaller lungs and maximal flow rates in women) may also affect dynamic volumes because fit women may suffer from expiratory flow limitation that induces an increase in EELV.132–134”
From Pathogenesis of hyperinflation in chronic obstructive pulmonary disease (2014) · cites this paper as [132]
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Highly Athletic Terrestrial Mammals: Horses and Dogs
Poole, D. C., & Erickson, H. H. (2011) · Comprehensive physiology · doi:10.1002/j.2040-4603.2011.tb00319.x · Cited by 31
Cold air exercise screening for exercise induced bronchoconstriction in cold weather athletes
Kennedy, M. D., Steele, A. R., Parent, É., & Steinback, C. D. (2019) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2019.103262 · Cited by 32
Prevalence of Exercise-Induced Arterial Hypoxemia in Distance Runners at Sea Level
Constantini, K., TANNER, D. A., Gavin, T. P., HARMS, C. A., Stager, J. M., & Chapman, R. F. (2016) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001193 · Cited by 30
Self-citationExpiratory flow limitation and operating lung volumes during exercise in older and younger adults
Smith, J. R., Kurti, S. P., Meskimen, K., & Harms, C. A. (2017) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2016.12.016 · Cited by 30
Self-citationEffect of gender on maximal breath-hold time
Cherouveim, E. D., Botonis, P. G., Koskolou, M. D., & Geladas, N. D. (2012) · European Journal of Applied Physiology · doi:10.1007/s00421-012-2552-0 · Cited by 29
Exercise-induced arterial hypoxemia; some answers, more questions
Dominelli, P. B., & Sheel, A. W. (2018) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2018-0468 · Cited by 28
Exercise-induced arterial hypoxaemia in active young women
Guenette, J. A., & Sheel, A. W. (2007) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/h07-122 · Cited by 28
Evidence of Ventilatory Constraints in Healthy Exercising Prepubescent Children
Nourry, C., Deruelle, F., Fabre, C., Baquet, G., Bart, F., Grosbois, J., Berthoin, S., & Mucci, P. (2005) · Pediatric Pulmonology · doi:10.1002/ppul.20332 · Cited by 28
Lung volume and expiratory flow rates from pre- to post-puberty
Smith, J. R., Emerson, S. R., Kurti, S. P., Gandhi, K., & Harms, C. A. (2015) · European Journal of Applied Physiology · doi:10.1007/s00421-015-3149-1 · Cited by 28
Self-citationExercise flow-volume loops in prepubescent aerobically trained children
Nourry, C., Deruelle, F., Fabre, C., Baquet, G., Bart, F., Grosbois, J., Berthoin, S., & Mucci, P. (2005) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00323.2005 · Cited by 28
Poor compensatory hyperventilation in morbidly obese women at peak exercise
Zavorsky, G. S., Murias, J. M., Kim, D. J., Gow, J. M., & Christou, N. V. (2007) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2007.07.001 · Cited by 28
Evaluation of sex-based differences in airway size and the physiological implications
Mann, L. M., Angus, S. A., Doherty, C. J., & Dominelli, P. B. (2021) · European Journal of Applied Physiology · doi:10.1007/s00421-021-04778-2 · Cited by 27
Lock, M., Yousef, I., McFadden, B. A., Mansoor, H., & Townsend, N. (2023) · Sports Medicine · doi:10.1007/s40279-023-01914-0 · Cited by 33
Effects of a heat and moisture exchanger on respiratory function and symptoms post–cold air exercise
Frischhut, C., Kennedy, M. D., Niedermeier, M., & Faulhaber, M. (2019) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.13603 · Cited by 26
An integrative approach to the pulmonary physiology of exercise: when does biological sex matter?
Archiza, B., Leahy, M. G., Kipp, S., & Sheel, A. W. (2021) · European Journal of Applied Physiology · doi:10.1007/s00421-021-04690-9 · Cited by 26
Metadata
- Authors
- McClaran, S. R., Harms, C. A., Pegelow, D. F., & Dempsey, J. A.
- Affiliations
- University of Wisconsin–Madison (US)
- ORCID
- Dempsey, Jerome A.
- Venue
- Journal of Applied Physiology
- Publisher
- American Physiological Society
- Published
- 1998-06-01
- Volume
- 84
- Issue
- 6
- Pages
- 1872-1881
- ISSN
- 0161-7567 (ISSN-L)
- 8750-7587
- 1522-1601
- OpenAlex
- W2156961077
- Cited by
- 238
- References
- 36
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 12 · 2023: 11 · 2022: 9 · 2021: 11 · 2020: 10 · 2019: 10 · 2018: 11 · 2017: 9 · 2016: 5 · 2015: 10 · 2014: 12 · 2013: 15 · 2012: 11
- FWCI
- 9.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Applied Physiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL 15469)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Keywords
- sex differences in lung function, women, exercise hyperpnea, expiratory flow limitation, maximal expiratory flow, lung volume, ventilatory reserve, VO2max, treadmill running, helium-oxygen breathing, tidal volume, respiratory rate, respiratory mechanics
- MeSH terms
- Adolescent, Adult, Aerobiosis, Blood Gas Analysis, Blood Volume, Body Height, Female, Humans, Hydrogen-Ion Concentration, Lung, Lung Volume Measurements, Peak Expiratory Flow Rate, Potassium, Respiratory Function Tests, Vital Capacity, Exercise, Lactic Acid
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