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Updated: Sep 13, 2025

Author Spotlight: Integrating Alveolar-Capillary Reserve Measurements in Exercise Adaptation and Therapeutic Strategies
Published on: February 2, 2024
Breathing Reserve and Lung Function in Female Elite Runners.
Ferdinand Grov Kyte1, Karoline Holsen Kyte1,2, Linn Skinstad3,4
1Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, 0318 Oslo, Norway.
Elite female runners have significantly lower breathing reserve (BR) than untrained women, suggesting greater ventilatory limitation in female athletes. This finding highlights sex differences in exercise physiology and breathing capacity.
Area of Science:
- Exercise Physiology
- Sports Science
- Respiratory Medicine
Background:
- Breathing reserve (BR) is the unutilized portion of maximal ventilation during exercise.
- Endurance-trained athletes typically exhibit a smaller BR than untrained individuals.
- Previous research predominantly focused on male athletes, overlooking potential sex-based differences in ventilatory limitation.
Purpose of the Study:
- To investigate sex differences in BR and lung function between endurance-trained females and matched untrained females.
- To determine if maximal oxygen uptake (VO2max) predicts BR in female athletes.
- To compare BR in female elite athletes with previously reported data from male athletes.
Main Methods:
- Cross-sectional study comparing 15 elite female runners with 15 matched untrained female controls (aged 24-33 years).
- Assessment of pulmonary function, maximal voluntary ventilation (MVV), maximal expiratory ventilation (VEmax), BR, and VO2max.
- Statistical analysis to compare groups and assess the association between VO2max and BR.
Main Results:
- Elite female runners had a median BR of 5%, significantly lower than the 21% found in untrained controls.
- No significant differences in pulmonary function tests were observed between the trained and untrained female groups.
- A moderate association was identified between VO2max and BR.
Conclusions:
- Endurance-trained females demonstrate a substantially lower breathing reserve compared to their untrained counterparts.
- The reduced BR in female elite runners is lower than that reported for male elite athletes, suggesting potentially greater ventilatory demand in female endurance athletes.
- These findings underscore the importance of considering sex-specific physiological responses in exercise and athletic performance.
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