Preoperative gender differences in pulmonary gas exchange in morbidly obese subjects

Obesity Surgery

Volumn 18, Issue 12, 2008, Pages 1587-1598

  Zavorsky, Gerald S ^a   Christou, Nicolas V ^b   Kim, Do Jun ^c   Carli, Franco ^c   Mayo, Nancy E ^b  

^a SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b ROYAL VICTORIA HOSPITAL   (Canada)

^c MONTREAL GENERAL HOSPITAL   (Canada)

Author keywords

Cycling; Diffusing capacity; Excess weight; Exercise; Exercise induced hypoxemia; Gender differences; Morbid obesity

Indexed keywords

CARBON DIOXIDE; OXYGEN;

ADULT; ARTERIAL CARBON DIOXIDE TENSION; ARTERIAL GAS; ARTICLE; BICYCLE ERGOMETER; BODY MASS; CLINICAL ARTICLE; COMPARATIVE STUDY; CONTROLLED STUDY; EXERCISE; FEMALE; GENDER; HUMAN; HYPERVENTILATION; LUNG ALVEOLUS OXYGEN TENSION; LUNG DIFFUSION; LUNG GAS EXCHANGE; MALE; MORBID OBESITY; OXYGEN CONSUMPTION; PREDICTION; PREOPERATIVE PERIOD; PRIORITY JOURNAL; REST; SAMPLE; SEX DIFFERENCE; TEMPERATURE; WAIST HIP RATIO;

ADULT; BODY COMPOSITION; EXERCISE; FEMALE; HUMANS; MALE; MIDDLE AGED; OBESITY, MORBID; OXYGEN CONSUMPTION; PULMONARY DIFFUSING CAPACITY; PULMONARY GAS EXCHANGE; SEX FACTORS; WAIST-HIP RATIO; YOUNG ADULT;

EID: 56549114375     PISSN: 09608923     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11695-008-9527-6     Document Type: Article

References (48)

1. NIH. National Institute of Health. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. Bethesda, MD: Department of National Heart, Lung, and Blood Institute; 1998.
2. EE Calle MJ Thun JM Petrelli 1999 Body-mass index and mortality in a prospective cohort of U.S. adults N Engl J Med 341 1097 1105
3. A El-Solh P Sikka E Bozkanat 2001 Morbid obesity in the medical ICU Chest 120 1989 1997
4. EJ Groessl RM Kaplan E Barrett-Connor 2004 Body mass index and quality of well-being in a community of older adults Am J Prev Med 26 126 129
5. WG van Gemert EM Adang JW Greve 1998 Quality of life assessment of morbidly obese patients: effect of weight-reducing surgery Am J Clin Nutr 67 197 201
6. CL Ogden MD Carroll LR Curtin 2006 Prevalence of overweight and obesity in the United States, 1999-2004 JAMA 295 1549 1555
7. KM Flegal MD Carroll CL Ogden 2002 Prevalence and trends in obesity among US adults, 1999-2000 JAMA 288 1723 1727
8. HJ Sugerman RP Fairman PL Baron 1986 Gastric surgery for respiratory insufficiency of obesity Chest 90 81 86
9. GS Zavorsky JM Murias J Kim do 2007 Waist-to-hip ratio is associated with pulmonary gas exchange in the morbidly obese Chest 131 362 367
10. K Hakala P Mustajoki J Aittomaki 1996 Improved gas exchange during exercise after weight loss in morbid obesity Clin Physiol 16 229 238
11. SR McClaran CA Harms DF Pegelow 1998 Smaller lungs in women affect exercise hyperpnea J Appl Physiol 84 1872 1881
12. CA Harms 2006 Does gender affect pulmonary function and exercise capacity? Respir Physiol Neurobiol 151 124 131
13. JC Richards DC McKenzie DE Warburton 2004 Prevalence of exercise-induced arterial hypoxemia in healthy women Med Sci Sports Exerc 36 1514 1521
14. SR Hopkins CA Harms 2004 Gender and pulmonary gas exchange during exercise Exerc Sport Sci Rev 32 50 56
15. D Ofir P Laveneziana KA Webb 2007 Ventilatory and Perceptual Responses to Cycle Exercise in Obese Females J Appl Physiol 102 2217 2226
16. GS Zavorsky JM Murias DJ Kim 2007 Poor compensatory hyperventilation in morbidly obese women at peak exercise Respir Physiol Neurobiol 159 187 195
17. A Sartorio M Malavolti F Agosti 2005 Body water distribution in severe obesity and its assessment from eight-polar bioelectrical impedance analysis Eur J Clin Nutr 59 155 160
18. M Deitel RJ Greenstein 2003 Recommendations for reporting weight loss Obes Surg 13 159 160
19. JL Hankinson JR Odencrantz KB Fedan 1999 Spirometric reference values from a sample of the general U.S. population Am J Respir Crit Care Med 159 179 187
20. GS Zavorsky J Cao JM Murias 2008 Reference values of pulmonary diffusing capacity for nitric oxide in an adult population Nitric Oxide 18 70 79
21. RS Jones F Meade 1961 A theoretical and experimental analysis of anomalies in the estimation of pulmonary diffusing capacity by the single breath method Q J Exp Physiol 46 131 143
22. N Macintyre RO Crapo G Viegi 2005 Standardisation of the single-breath determination of carbon monoxide uptake in the lung Eur Respir J 26 720 735
23. FJW Roughton RE Forster 1957 Relative importance of diffusion and chemical reaction rates in determining rate of exchange of gases in the human lung, with special reference to true diffusing capacity of pulmonary membrane and volume of blood in the lung capillaries J Appl Physiol 11 290 302
24. GS Zavorsky JM Murias 2006 A small amount of inhaled nitric oxide does not increase lung diffusing capacity Eur Respir J 27 1251 1257
25. NL Jones L Makrides C Hitchcock 1985 Normal standards for an incremental progressive cycle ergometer test Am Rev Respir Dis 131 700 708
26. Johnson Jr RL, Heigenhauser GJF, Hsia CCW, et al. Determinants of gas exchange and acid-balance during exercise. In: Rowell LB, Shepard JT, editors. Handbook of physiology. Section 12: Exercise: regulation and integration of multiple systems. New York: Oxford University Press; 1996. p. 515-84.
27. NCCLS. Blood gas and pH analysis and related measurements; approved guideline. NCCLS document C46-A [ISBN 1-56238-444-9]. In: Burnett RW, Ehrymeyer SS, Moran RF, et al., editors Wayne, PA; 2001.
28. SM Grundy HB Brewer Jr JI Cleeman 2004 Definition of metabolic syndrome: Report of the National Heart, Lung, and Blood Institute/American Heart Association conference on scientific issues related to definition Circulation 109 433 438
29. RO Crapo RL Jensen M Hegewald 1999 Arterial blood gas reference values for sea level and an altitude of 1,400 meters Am J Respir Crit Care Med 160 1525 1531
30. JG Dolfing EF Dubois BH Wolffenbuttel 2005 Different cycle ergometer outcomes in severely obese men and women without documented cardiopulmonary morbidities before bariatric surgery Chest 128 256 262
31. JA Dempsey W Reddan B Balke 1966 Work capacity determinants and physiologic cost of weight-supported work in obesity J Appl Physiol 21 1815 1820
32. JA Dempsey W Reddan J Rankin 1966 Alveolar-arterial gas exchange during muscular work in obesity J Appl Physiol 21 1807 1814
33. JA Dempsey PD Wagner 1999 Exercise-induced arterial hypoxemia J Appl Physiol 87 1997 2006
34. GS Zavorsky DJ Kim NV Christou 2008 Compensatory exercise hyperventilation is restored in the morbidly obese after bariatric surgery Obes Surg. 18 549 559
35. LY Wang FJ Cerny 2004 Ventilatory response to exercise in simulated obesity by chest loading Med Sci Sports Exerc 36 780 786
36. HS Holley J Milic-Emili MR Becklake 1967 Regional distribution of pulmonary ventilation and perfusion in obesity J Clin Invest 46 475 481
37. M Bottai F Pistelli F Di Pede 2002 Longitudinal changes of body mass index, spirometry and diffusion in a general population Eur Respir J 20 665 673
38. RL Jones MM Nzekwu 2006 The effects of body mass index on lung volumes Chest 130 827 833
39. P Collard JY Wilputte G Aubert 1996 The single-breath diffusing capacity for carbon monoxide in obstructive sleep apnea and obesity Chest 110 1189 1193
40. G Saydain KC Beck PA Decker 2004 Clinical significance of elevated diffusing capacity Chest 125 446 452
41. BW Oppenheimer KI Berger DA Rennert 2006 Effect of circulatory congestion on the components of pulmonary diffusing capacity in morbid obesity Obesity (Silver Spring) 14 1172 1180
42. CS Ray DY Sue G Bray 1983 Effects of obesity on respiratory function Am Rev Respir Dis 128 501 506
43. MS Biring MI Lewis JT Liu 1999 Pulmonary physiologic changes of morbid obesity Am J Med Sci 318 293 297
44. GS Zavorsky DJ Kim JL Sylvestre 2008 Alveolar-membrane diffusing capacity improves in the morbidly obese after bariatric surgery Obes Surg 18 256 263
45. H Sugerman A Windsor M Bessos 1997 Intra-abdominal pressure, sagittal abdominal diameter and obesity comorbidity J Intern Med 241 71 79
46. RJ Zeballos IM Weisman SM Connery 1998 Comparison of pulmonary gas exchange measurements between incremental and constant work exercise above the anaerobic threshold Chest 113 602 611
47. SR Hopkins RC Barker TD Brutsaert 2000 Pulmonary gas exchange during exercise in women: effects of exercise type and work increment J Appl Physiol 89 721 730
48. A Frans B Nemery C Veriter 1997 Effect of alveolar volume on the interpretation of single breath DLCO Respir Med 91 263 273