The Impacts of Body Position on Respiratory Function and Lung Measurements: A Comprehensive Review

Main Article Content

Simaporn Promsarn
Rattanapond Pankratuk

Abstract

Pulmonary function is a critical determinant of respiratory health, governing the exchange of oxygen and carbon dioxide in the human body. This review explores the intricate relationship between body position and pulmonary function, drawing insights from various studies. Alterations in body position can have a profound impact on pulmonary parameters. Transitioning from sitting to supine positions leads to decreased forced expiratory volume in 1 second (FEV1) and reduced vital capacity (VC). Similarly, the prone position shifts tidal ventilation towards specific lung regions, highlighting the influence of body position on ventilation distribution. In healthy individuals, sitting positions generally result in better pulmonary function, with higher FVC, FEV1, PEF, VC, PImax, and PEmax values. However, this effect varies in individuals with specific medical conditions. For example, patients with chronic heart failure experience worsened lung function in lateral decubitus positions. Understanding these position-related changes in pulmonary function is essential for optimizing patient care, particularly in clinical settings. These findings underscore the need for further research to elucidate the nuanced interactions between body position and lung mechanics, ultimately enhancing diagnostic and therapeutic strategies for respiratory disorders.

Article Details

How to Cite
Promsarn, S. ., & Pankratuk, R. (2023). The Impacts of Body Position on Respiratory Function and Lung Measurements: A Comprehensive Review. Journal of Health Science and Alternative Medicine, 5(03), 67–74. https://doi.org/10.14456/jhsam.2023.19
Section
Original Article

References

Martinez BP, Silva JR, Silva VS, Gomes Neto M, Forgiarini Júnior LA. Influence of different body positions in vital capacity in patients on postoperative upper abdominal. Braz J Anesthesiol. 2015;65(3):217-221. doi:10.1016/j.bjane.2014.06.002

Costa R, Almeida N, Ribeiro F. Body position influences the maximum inspiratory and expiratory mouth pressures of young healthy subjects. Physiotherapy. 2015;101(2):239-241. doi:10.1016/j.physio.2014.08.002

Sebbane M, El Kamel M, Millot A, et al. Effect of weight loss on postural changes in pulmonary function in obese subjects: a longitudinal study. Respir Care. 2015;60(7):992-999. doi:10.4187/respcare.03668

Gianinis HH, Antunes BO, Passarelli RC, Souza HC, Gastaldi AC. Effects of dorsal and lateral decubitus on peak expiratory flow in healthy subjects. Braz J Phys Ther. 2013;17(5):435-441. doi:10.1590/S1413-35552012005000116

Sonpeayung R, Tantisuwat A, Janwantanakul P, Thaveeratitham P. Total and compartmental chest wall volumes, lung function, and respiratory muscle strength in individuals with abdominal obesity: effects of body positions. J Obes. 2019;2019:9539846.. doi:10.1155/2019/9539846

Forton K, Motoji Y, Deboeck G, Faoro V, Naeije R. Effects of body position on exercise capacity and pulmonary vascular pressure-flow relationships. J Appl Physiol. 2016;121(5):1145-1150. doi:10.1152/japplphysiol.00372.2016

Vilke GM, Chan TC, Neuman T, Clausen JL. Spirometry in normal subjects in sitting, prone, and supine positions. Respir Care. 2000;45(4):407-410.

Baydur A, Adkins RH, Milic-Emili J. Lung mechanics in individuals with spinal cord injury: effects of injury level and posture. J Appl Physiol. 2001;90(2):405-411. doi:10.1152/jappl.2001.90.2.405

Ramsey KA, McGirr C, Stick SM, Hall GL, Simpson SJ. Effect of posture on lung ventilation distribution and associations with structure in children with cystic fibrosis. J Cyst Fibros. 2017;16(6):713-718. doi:10.1016/j.jcf.2017.01.013

Sonpeayung R, Tantisuwat A, Klinsophon T, Thaveeratitham P. Which body position is the best for chest wall motion in healthy adults? a meta-analysis. Respir Care. 2018;63(11):1439-1451. doi:10.4187/respcare.06344

Antunes BO, de Souza HC, Gianinis HH, Passarelli-Amaro RC, Tambascio J, Gastaldi AC. Peak expiratory flow in healthy, young, non-active subjects in seated, supine, and prone postures. Physiother Theory Pract. 2016;32(6):489-493. doi:10.3109/09593985.2016.1139646

Palermo P, Cattadori G, Bussotti M, Apostolo A, Contini M, Agostoni P. Lateral decubitus position generates discomfort and worsens lung function in chronic heart failure. Chest. 2005;128(3):1511-1516. doi:10.1378/chest.128.3.1511

Lechtzin N, Wiener CM, Shade DM, Clawson L, Diette GB. Spirometry in the supine position improves the detection of diaphragmatic weakness in patients with amyotrophic lateral sclerosis. Chest. 2002;121(2):436-442. doi:10.1378/chest.121.2.436

Wallace JL, George CM, Tolley EA, Winton JC, Fasanella D, Finch CK, et al. Peak expiratory flow in bed? a comparison of 3 positions. Respir Care. 2013;58(3):494-497. doi:10.4187/respcare.01843

Guérin C, Albert RK, Beitler J, Gattinoni L, Jaber S, Marini JJ, et al. Prone position in ARDS patients: why, when, how and for whom. Intensive Care Med. 2020;46(12):2385-2396. doi:10.1007/s00134-020-06306-w

Ides KM, De Backer WA, Lanclus M, Leemans G, Dierchs W, Lauwers E, et al. The effect of posture on airflow distribution, airway geometry and air velocity in healthy subjects. BMC Pulm Med. 2022;22(1):477. doi:10.1186/s12890-022-02276-5

Emil GE, Saad EBM, Mohammed AF, Mohamed HM. Effects of body weight and posture on pulmonary functions in asthmatic children. Afr Health Sci. 2020;20(4):1777-1784. doi:10.4314/ahs.v20i4.31

Rocha ADS, Diaper J, Balogh AL, Marti C, Grosgurin O, Habre W, et al. Effect of body position on the redistribution of regional lung aeration during invasive and non-invasive ventilation of COVID-19 patients. Sci Rep. 2022;12(1):11085. doi:10.1038/s41598-022-15122-9

Solakoğlu Ö, Yalçın P, Dinçer G. The effects of forward head posture on expiratory muscle strength in chronic neck pain patients: a cross-sectional study. Turk J Phys Med Rehabil. 2020;66(2):161-168. doi:10.5606/tftrd.2020.3153

Chang AT, Boots RJ, Brown MG, Paratz JD, Hodges PW. Ventilatory changes following head-up tilt and standing in healthy subjects. Eur J Appl Physiol. 2005;95(5-6):409-417. doi:10.1007/s00421-005-0019-2

Yo SW, Joosten SA, Wimaleswaran H, Mansfield D, Thomson L, Landry SA, et al. Body position during laboratory and home polysomnography compared to habitual sleeping position at home. J Clin Sleep Med. 2022;18(9):2103-2111. doi:10.5664/jcsm.9990

Gottlieb LA, El Hamrani D, Naulin J, Blanco LS, Lamy J, Kachenoura N, et al. A left lateral body position increases pulmonary vein stress in healthy humans. Physiol Rep. 2021;9(18):e15022. doi:10.14814/phy2.15022

Päivinen M, Keskinen K, Tikkanen H. Swimming-induced changes in pulmonary function: special observations for clinical testing. BMC Sports Sci Med Rehabil. 2021;13(1):55. Published 2021 May 20. doi:10.1186/s13102-021-00277-1

Chiumello D, Formenti P, Bolgiaghi L, Mistraletti G, Gotti M, Vetrone F, et al. Body Position Alters Mechanical Power and Respiratory Mechanics During Thoracic Surgery. Anesth Analg. 2020;130(2):391-401. doi:10.1213/ANE.0000000000004192

van der Burg PS, Miedema M, de Jongh FH, Frerichs I, van Kaam AH. Changes in lung volume and ventilation following transition from invasive to noninvasive respiratory support and prone positioning in preterm infants. Pediatr Res. 2015;77(3):484-488. doi:10.1038/pr.2014.201

Miccinilli S, Morrone M, Bastianini F, Molinari M, Scivolette G, Silvestri S, t al. Optoelectronic plethysmography to evaluate the effect of posture on breathing kinematics in spinal cord injury: a cross sectional study. Eur J Phys Rehabil Med. 2016;52(1):36-47.

Yamada Y, Yamada M, Yokoyama Y, Tanabe A, Matsuoka S, Niijima Y, et al. Differences in Lung and Lobe Volumes between Supine and Standing Positions Scanned with Conventional and Newly Developed 320-Detector-Row Upright CT: Intra-Individual Comparison. Respiration. 2020;99(7):598-605. doi:10.1159/000507265

Arias RS, Etienne B, Polotsky VY, Checkley W, Schwartz AR, Pham LV. Upright posture increases oxyhemoglobin saturation in Peruvian highlanders. Respir Physiol Neurobiol. 2019;266:138-143. doi:10.1016/j.resp.2019.04.015

Terzano C, Conti V, Petroianni A, Ceccarelli D, De Vito C, Villari P. Effect of postural variations on carbon monoxide diffusing capacity in healthy subjects and patients with chronic obstructive pulmonary disease. Respiration. 2009;77(1):51-57. doi:10.1159/000137668

Goulding RP, Marwood S, Okushima D, Poole DC, Barstow TJ, Lei TH, et al. Effect of priming exercise and body position on pulmonary oxygen uptake and muscle deoxygenation kinetics during cycle exercise. J Appl Physiol (1985). 2020;129(4):810-822. doi:10.1152/japplphysiol.00478.2020

Keenan SP, Alexander D, Road JD, Ryan CF, Oger J, Wilcox PG. Ventilatory muscle strength and endurance in myasthenia gravis. Eur Respir J. 1995;8(7):1130-1135. doi:10.1183/09031936.95.08071130

Almeida VP, Guimarães FS, Moço VJ, Menezes SL, Mafort TT, Lopes AJ. Correlação entre função pulmonar, postura e composição corporal em pacientes com asma[Correlation between pulmonary function, posture, and body composition in patients with asthma]. Rev Port Pneumol. 2013;19(5):204-210. doi:10.1016/j.rppneu.2013.03.004

Kim MS, Cha YJ, Choi JD. Correlation between forward head posture, respiratory functions, and respiratory accessory muscles in young adults. J Back Musculoskelet Rehabil. 2017;30(4):711-715. doi:10.3233/BMR-140253

Kunstler BE, Cook JL, Freene N, Finch CF, Kemp JL, O’Halloran PD, et al. Physiotherapist-led physical activity interventions are efficacious at increasing physical activity levels: a systematic review and meta-analysis. Clin J Sport Med. 2018;28(3):304-315. doi:10.1097/JSM.0000000000000447

Naitoh S, Tomita K, Sakai K, Yamasaki A, Kawasaki Y, Shimizu E. The effect of body position on pulmonary function, chest wall motion, and discomfort in young healthy participants. J Manipulative Physiol Ther. 2014;37(9):719-725. doi:10.1016/j.jmpt.2014.10.005

Martinsson A, Houltz E, Wallinder A, Lindgren S, Thorén A. Lung recruitment in the prone position after cardiac surgery: a randomised controlled study. Br J Anaesth. 2021;126(5):1067-1074. doi:10.1016/j.bja.2020.12.039