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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]
Citations
Cites
Plum, F. (1960) · Archives of Neurology · doi:10.1001/archneur.1960.03840090124020 · Cited by 10,388
Lung Function Testing: Selection of Reference Values and Interpretative Strategies
(1991) · American Review of Respiratory Disease · doi:10.1164/ajrccm/144.5.1202 · Cited by 2,508
Changes in the normal maximal expiratory flow-volume curve with growth and aging.
Knudson, R. J., Lebowitz, M. D., Holberg, C. J., & Burrows, B. A. (1983) · PubMed · doi:10.1164/arrd.1983.127.6.725 · Cited by 1,913
Lung Function Testing: Selectionof reference Values and Interpretative Strategies
Miller, A. (1992) · American Review of Respiratory Disease · doi:10.1164/ajrccm/146.5_pt_1.1368b · Cited by 1,426
Maximal Oxygen Intake as an Objective Measure of Cardio-Respiratory Performance
TAYLOR, H. L., BUSKIRK, E. R., & Henschel, A. F. (1955) · Journal of Applied Physiology · doi:10.1152/jappl.1955.8.1.73 · Cited by 1,366
Weisman, I. M., & Zeballos, R. J. (1976) · American Heart Journal · doi:10.1016/s0002-8703(76)80065-8 · Cited by 1,217
Exercise : regulation and integration of multiple systems
Rowell, L. B., & Shepherd, J. T. (1996) · Medical Entomology and Zoology · Cited by 806
Normal standards for an incremental progressive cycle ergometer test.
Jones, N. L., Makrides, L., Hitchcock, C., Chypchar, T., & McCartney, N. (1985) · PubMed · doi:10.1164/arrd.1985.131.5.700 · Cited by 718
Respiratory muscle work compromises leg blood flow during maximal exercise
Harms, C. A., Babcock, M. A., McClaran, S. R., Pegelow, D. F., Nickele, G. A., Nelson, W. B., & Dempsey, J. A. (1997) · Journal of Applied Physiology · doi:10.1152/jappl.1997.82.5.1573 · Cited by 711
Self-citationThurlbeck, W. M. (1982) · Thorax · doi:10.1136/thx.37.8.564 · Cited by 610
Lung volumes in healthy nonsmoking adults.
Crapo, R. O., Morris, A. H., Clayton, P. D., & Nixon, C. R. (1982) · PubMed · Cited by 559
Exercise‐induced arterial hypoxaemia in healthy human subjects at sea level.
Dempsey, J. A., Hanson, P., & Henderson, K. S. (1984) · The Journal of Physiology · doi:10.1113/jphysiol.1984.sp015412 · Cited by 559
Self-citationMechanical constraints on exercise hyperpnea in endurance athletes
Johnson, B. D., Saupe, K. W., & Dempsey, J. A. (1992) · Journal of Applied Physiology · doi:10.1152/jappl.1992.73.3.874 · Cited by 384
Self-citationMead, J. (1980) · PubMed · doi:10.1164/arrd.1980.121.2.339 · Cited by 342
Regulation of end-expiratory lung volume during exercise
Henke, K. G., Sharratt, M., Pegelow, D. F., & Dempsey, J. A. (1988) · Journal of Applied Physiology · doi:10.1152/jappl.1988.64.1.135 · Cited by 256
Self-citationIs the lung built for exercise?
Dempsey, J. A. (1986) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198604000-00001 · Cited by 252
Self-citationExercise‐induced arterial hypoxaemia in healthy young women
Harms, C. A., McClaran, S. R., Nickele, G. A., Pegelow, D. F., Nelson, W. B., & Dempsey, J. A. (1998) · The Journal of Physiology · doi:10.1111/j.1469-7793.1998.619bt.x · Cited by 223
Self-citationSex and Race Differences in the Development of Lung Function
Schwartz, J. D., Katz, S. A., Fegley, R. W., & Tockman, M. S. (1988) · American Review of Respiratory Disease · doi:10.1164/ajrccm/138.6.1415 · Cited by 185
McClaran, S. R., Babcock, M. A., Pegelow, D. F., Reddan, W. G., & Dempsey, J. A. (1995) · Journal of Applied Physiology · doi:10.1152/jappl.1995.78.5.1957 · Cited by 178
Self-citationJohnson, B. D., Reddan, W. G., Pegelow, D. F., Seow, K. C., & Dempsey, J. A. (1991) · American Review of Respiratory Disease · doi:10.1164/ajrccm/143.5_pt_1.960 · Cited by 168
Self-citationEffects of swim training on lung volumes and inspiratory muscle conditioning
Clanton, T. L., Dixon, G. F., Drake, J., & Gadek, J. E. (1987) · Journal of Applied Physiology · doi:10.1152/jappl.1987.62.1.39 · Cited by 145
Oxygen cost of exercise hyperpnea: measurement
Aaron, E. A., Johnson, B. D., Seow, C. K., & Dempsey, J. A. (1992) · Journal of Applied Physiology · doi:10.1152/jappl.1992.72.5.1810 · Cited by 132
Self-citationRelative contribution of rib cage and abdomen to ventilation during exercise.
Grimby, G., Bunn, J. C., & Mead, J. (1968) · Journal of Applied Physiology · doi:10.1152/jappl.1968.24.2.159 · Cited by 123
The large lungs of elite swimmers: an increased alveolar number?
Armour, J., Donnelly, P., & Bye, P. (1993) · European Respiratory Journal · doi:10.1183/09031936.93.06020237 · Cited by 122
Heart and lung functions in swimmers and nonathletes during growth
Andrew, G. M., Becklake, M. R., Guleria, J. S., & Bates, D. V. (1972) · Journal of Applied Physiology · doi:10.1152/jappl.1972.32.2.245 · Cited by 102
Regulation of ventilatory capacity during exercise in asthmatics
Johnson, B. D., Scanlon, P. D., & Beck, K. C. (1995) · Journal of Applied Physiology · doi:10.1152/jappl.1995.79.3.892 · Cited by 92
Åstrand, P., ENGSTRÖM, L., Eriksson, B. O., Karlberg, P., Nylander, I., Saltin, B., & Thorén, C. (1963) · Acta Paediatrica · doi:10.1111/j.1651-2227.1963.tb04315.x · Cited by 89
Effect of pressure assist on ventilation and respiratory mechanics in heavy exercise
Gallagher, C. G., & Younes, M. (1989) · Journal of Applied Physiology · doi:10.1152/jappl.1989.66.4.1824 · Cited by 83
Mechanical impedance as determinant of inspiratory neural drive during exercise in humans
Hussain, S. N. A., Pardy, R. L., & Dempsey, J. A. (1985) · Journal of Applied Physiology · doi:10.1152/jappl.1985.59.2.365 · Cited by 73
Self-citationEffect of physical training on the pulmonary diffusing capacity during submaximal work.
Reuschlein, P. S., Reddan, W. G., Burpee, J. L., Gee, J. B. L., & Rankin, J. (1968) · Journal of Applied Physiology · doi:10.1152/jappl.1968.24.2.152 · Cited by 61
Effect of exercise, body and lung size on CO diffusion in athletes and nonathletes
Newman, F., Smalley, B., & Thomson, M. L. (1962) · Journal of Applied Physiology · doi:10.1152/jappl.1962.17.4.649 · Cited by 49
Airway, Lung, and Respiratory Muscle Function During Exercise
Dempsey, J. A., Adams, L., Ainsworth, D. M., Fregosi, R. F., Gallagher, C. G., Guz, A., Johnson, B. D., & Powers, S. K. (1996) · Comprehensive physiology · doi:10.1002/cphy.cp120111 · Cited by 45
Self-citationMetabolic and cardiorespiratory responses to He-O2 breathing during exercise
Brice, A. G., & Welch, H. G. (1983) · Journal of Applied Physiology · doi:10.1152/jappl.1983.54.2.387 · Cited by 39
Adaptation of the inert gas FRC technique for use in heavy exercise
Johnson, B. D., Seow, K. C., Pegelow, D. F., & Dempsey, J. A. (1990) · Journal of Applied Physiology · doi:10.1152/jappl.1990.68.2.802 · Cited by 34
Self-citationStudy of perfection and evolutive mechanism of magnetic Czochralski Si
Mao, Z., Mai, Z., Cui, S., & LAN-SHENG, W. (1990) · Journal of Applied Physics · doi:10.1063/1.346760 · Cited by 13
Pulmonary Function Characteristics in Elite Women Distance Runners*
Martin, D. E., & May, D. (1987) · International Journal of Sports Medicine · doi:10.1055/s-2008-1025711 · Cited by 7
Research works printed but not linked: 5
- Åstrand P. O., 1963, Acta Paediatr. Suppl., 147, 5
- Crapo R. O., 1982, Clin. Respir. Physiol., 18, 419
- Jones N. L., 1985, Am. Rev. Respir. Dis., 131, 700
- Knudson R. J., 1983, Am. Rev. Respir. Dis., 127, 725
- Mead J., 1980, Am. Rev. Respir. Dis., 121, 339
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Dempsey, J. A., & Wagner, P. D. (1999) · Journal of Applied Physiology · doi:10.1152/jappl.1999.87.6.1997 · Cited by 658
Self-citationEffects of respiratory muscle work on cardiac output and its distribution during maximal exercise
Harms, C. A., Wetter, T. J., McClaran, S. R., Pegelow, D. F., Nickele, G. A., Nelson, W. B., Hanson, P., & Dempsey, J. A. (1998) · Journal of Applied Physiology · doi:10.1152/jappl.1998.85.2.609 · Cited by 469
Self-citationSex differences in respiratory function
LoMauro, A., & Aliverti, A. (2018) · Breathe · doi:10.1183/20734735.000318 · Cited by 356
Respiratory mechanics during exercise in endurance‐trained men and women
Guenette, J. A., Witt, J. D., McKenzie, D. C., Road, J. D., & Sheel, A. W. (2007) · The Journal of Physiology · doi:10.1113/jphysiol.2006.126466 · Cited by 247
HUNTER, S. K., S. ANGADI, S., BHARGAVA, A., HARPER, J., HIRSCHBERG, A. L., D. LEVINE, B., L. MOREAU, K., J. NOKOFF, N., STACHENFELD, N. S., & BERMON, S. (2023) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000003300 · Cited by 241
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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