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Thoracic gas compression during forced expiration is greater in men than women

Cite this dataset

Gideon, Elizabeth et al. (2020). Thoracic gas compression during forced expiration is greater in men than women [Dataset]. Dryad. https://doi.org/10.5061/dryad.sxksn030c

Abstract

Intrapleural pressure during a forced vital capacity (VC) manoeuvre is often in excess of that required to generate maximal expiratory airflow. This excess pressure compresses alveolar gas (i.e., thoracic gas compression; TGC), resulting in underestimated forced expiratory flows (FEFs) at a given lung volume. It is unknown if TGC is influenced by sex; however, because men have larger lungs and stronger respiratory muscles, we hypothesized that men would have greater TGC. We examined TGC across the “effort-dependent” region of VC in healthy young men (n=11) and women (n=12). Subjects performed VC manoeuvres at varying efforts while airflow, volume, and oesophageal pressure (POES) were measured. Quasi-static expiratory deflation curves were used to obtain lung recoil (PLUNG) and alveolar pressures (i.e., PALV=POES–PLUNG). The raw maximal expiratory flow-volume (MEFVraw) curve was obtained from the “maximum effort” VC manoeuvre. The TGC-corrected curve was obtained by constructing a “maximal perimeter” curve from all VC efforts (MEFVcorr). TGC was examined via differences between curves in FEFs (∆FEF), area under the expiratory curves (∆AEX), and estimated compressed gas volume (∆VGC) across the VC range. Men displayed greater total ∆AEX (5.4±2.0 vs. 2.0±1.5 L2∙s-1p<0.001). ∆FEF was greater in men at 25% of exhaled volume only (p<0.05), whereas ∆VGC was systematically greater in men across the entire VC (main effect; p<0.05). PALV was also greater in men throughout forced expiration (p<0.01). Taken together, these findings demonstrate that men display more TGC, occurring early in forced expiration, likely due to greater expiratory pressures throughout the forced VC manoeuvre.