Document Detail


Respiratory muscle strength may explain hypoxia-induced decrease in vital capacity.
MedLine Citation:
PMID:  15870628     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: High altitude exposure has consistently been reported to decrease forced vital capacity (FVC), but the mechanisms accounting for this observation remain incompletely understood. We investigated the possible contribution of a hypoxia-related decrease in respiratory muscle strength. METHODS: Maximal inspiratory and expiratory pressures (MIP and MEP), sniff nasal inspiratory pressure (SNIP), FVC, peak expiratory flow rate (PEF), and forced expiratory volume in 1 s (FEV1) were measured in 15 healthy subjects before and after 1, 6, and 12 h of exposure to an equivalent altitude of 4267 m in a hypobaric chamber. RESULTS: Hypoxia was associated with a progressive decrease in FVC (5.59 +/- 0.24 to 5.24 +/- 0.26 L, mean +/- SEM, P < 0.001), MIP (130 +/- 10 to 114 +/- 8 cm H2O, P < 0.01), MEP (201 +/- 12 to 171 +/- 11 cm H2O, P < 0.001), and SNIP (125 +/- 7 to 98 +/- 7 cm H2O, P < 0.001). MIP, MEP, and SNIP were strongly correlated to FVC (r ranging from 0.77 to 0.92). FEV1 didn't change, and PEF increased less than predicted by the reduction in air density (11-20% of sea-level value compared with 32% predicted). CONCLUSION: We conclude that a decrease in respiratory muscle strength may contribute to the decrease in FVC observed at high altitude.
Authors:
Gaël Deboeck; Jean Jacques Moraine; Robert Naeije
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  37     ISSN:  0195-9131     ISO Abbreviation:  Med Sci Sports Exerc     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-04     Completed Date:  2005-09-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  754-8     Citation Subset:  IM; S    
Affiliation:
Department of Physiology, Faculty of Medicine, Free University of Brussels, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Adult
Altitude
Anoxia / physiopathology*
Female
Heart Rate / physiology
Humans
Male
Middle Aged
Respiratory Function Tests
Respiratory Muscles / physiology*
Vital Capacity / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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