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Pulmonary Function Tests01:25

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Author Spotlight: Integrating Alveolar-Capillary Reserve Measurements in Exercise Adaptation and Therapeutic Strategies
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Standardised lung function metrics in healthy athletes.

Rie Skovly Thomsen1, Rasmus Syberg Rasmussen1,2, Anna Christrup Madsen1

  • 1Centre for Physical Activity Research, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Scandinavian Journal of Clinical and Laboratory Investigation
|January 29, 2025
PubMed
Summary

Athletes show enhanced lung function metrics for ventilation and gas diffusion. However, research has not yet determined if these superior lung function measures correlate with maximal oxygen uptake (V̇O₂max).

Keywords:
Athleteslung functionmaximal oxygen uptakepulmonary diffusing capacityspirometry

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Area of Science:

  • Exercise Physiology
  • Pulmonary Medicine
  • Sports Science

Background:

  • Athletes often exhibit enhanced physiological capacities compared to sedentary individuals.
  • Lung function, including ventilatory and diffusion capacity, is crucial for athletic performance.
  • The relationship between specific lung function metrics and maximal oxygen uptake (V̇O₂max) in athletes requires clarification.

Purpose of the Study:

  • To determine if athletes possess superior lung function metrics (ventilatory and diffusion capacity) compared to established norms.
  • To investigate the potential association between these enhanced lung function metrics and maximal oxygen uptake (V̇O₂max).

Main Methods:

  • A systematic literature review was conducted across PubMed, Scopus, and reference lists.
  • Included studies (1970-2023) reported V̇O₂max and lung function metrics (FEV₁%pred, FVC%pred, TLC%pred, DL,CO%pred) in athletes.
  • Data were extracted and analyzed, calculating standardized means and confidence intervals where sufficient data existed.

Main Results:

  • Thirteen studies involving 193 athletes met the inclusion criteria.
  • Athletes demonstrated significantly higher pooled lung function metrics: FEV₁%pred (111%), FVC%pred (112%), TLC%pred (106%), and DL,CO%pred (121%).
  • No studies provided sufficient data to establish a relationship between lung function metrics and V̇O₂max.

Conclusions:

  • Athletes consistently present with elevated ventilatory and diffusing lung capacity metrics.
  • The current evidence does not support or refute a link between these superior lung function parameters and maximal oxygen uptake (V̇O₂max).
  • Further research is needed to elucidate the relationship between lung function and V̇O₂max in athletic populations.