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[Pulmonary function differences in healthy subjects according to postural changes (author's transl)].

J Ibáñez Juvé, S García Moris, P Marsé Milla

    Medicina Clinica
    |August 15, 1979
    PubMed
    Summary

    Lying down significantly reduces total lung capacity and subdivisions, especially functional residual capacity (FRC). Women consistently exhibit smaller lung volumes than men, with FEV1 showing significant reduction in both sexes when supine.

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    Area of Science:

    • Pulmonary Physiology
    • Respiratory Medicine

    Context:

    • Investigates the impact of body position on lung volumes and capacities.
    • Examines differences in pulmonary function between sexes.

    Purpose:

    • To quantify changes in total lung capacity (TLC) and its subdivisions, including functional residual capacity (FRC), forced expiratory volume in one second (FEV1), and forced expiratory flow between 25% and 75% of FVC (FEF25-75).
    • To compare these measurements in healthy individuals in both sitting and supine positions.
    • To analyze sex-based differences in pulmonary function.

    Summary:

    • Pulmonary volumes, particularly FRC, significantly decrease when healthy individuals transition from a sitting to a supine position.
    • While most lung volumes reduced, residual volume changes were not statistically significant.

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  • Women consistently presented with smaller lung volumes compared to men.
  • FEV1 showed a significant reduction in both sexes in the supine position, though other spirometric tests remained largely unchanged.
  • Regression analysis for FRC in the supine position revealed a strong correlation in men (r=0.95) but a weaker one in women (r=0.33).

    • Impact:

    • Provides crucial data on positional effects on lung function, relevant for respiratory assessment and clinical practice.
    • Highlights sex-specific differences in pulmonary physiology.
    • Contributes to understanding the determinants of lung volumes and their measurement accuracy.