Factors Affecting Volumes
Several factors affect lung volumes; some can be controlled and some cannot. Lung volumes vary with different people as follows:
| Larger volumes | Smaller volumes |
|---|---|
| taller people | shorter people |
| non-smokers | smokers |
| people who live at higher altitudes | people who live at lower altitudes |
| non obese | obese |
A person who is born and lives at sea level will develop a slightly smaller lung capacity than a person who spends their life at a high altitude. This is because the partial pressure of oxygen is lower at higher altitude which, as a result means that oxygen less readily diffuses into the bloodstream. In response to higher altitude, the body's diffusing capacity increases in order to process more air.
When someone living at or near sea level travels to locations at high altitudes (e.g., the Andes; Denver, Colorado; Tibet; the Himalayas; etc.) that person can develop a condition called altitude sickness because their lungs remove adequate amounts of carbon dioxide but they do not take in enough oxygen. (In normal individuals, carbon dioxide is the primary determinant of respiratory drive.)
Specific changes in lung volumes also occur during pregnancy. Decreased functional residual capacity is seen, typically falling from 1.7 to 1.35 litres, due to the compression of the diaphragm by the uterus. The compression also causes a decreased total lung capacity (TLC) by 5% and decreased expiratory reserve volume. Tidal volume increases with 30-40%, from 0.45 to 0.65 litres, and minute ventilation by 30-40% giving an increase in pulmonary ventilation. This is necessary to meet the increased oxygen requirement of the body, which reaches 50 mL/min, 20 mL of which goes to reproductive tissues. Overall, the net change in maximum breathing capacity is zero.
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