Does Pulmonary Function Testing Affect Autonomic Nervous System Activity?

dc.authorid0000-0002-9191-5710
dc.authorid0000-0002-2550-7575
dc.contributor.authorYalçın, Gülay
dc.contributor.authorErdoğmuş Gülcan, Server
dc.contributor.authorKavlak, Erdoğan
dc.contributor.authorid308202
dc.contributor.authorid392815
dc.date.accessioned2026-06-26T07:12:36Z
dc.date.available2026-06-26T07:12:36Z
dc.date.issued2026-03
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü
dc.descriptionEmerging Sources Citation Index (ESCI)
dc.description.abstractObjective: The autonomic nervous system (ANS) regulates vital functions such as heart rate (HR) and respiration. Pulmonary function tests (PFTs), which require forced breathing maneuvers, may influence ANS activity, potentially affecting the accuracy of autonomic measurements. This study aimed to investigate the effects of PFT on ANS activity and to assess the reliability of the test order. Material and methods: Forty-eight healthy university students (32 women, 16 men; mean age 19±0.92 years) participated. ANS activity was assessed by heart rate variability (HRV) analysis using the Elite HRV Corsense device. HRV was recorded at rest in a seated position (first measurement), was repeated after a 5-minute rest (second measurement), and was recorded again following PFT performed with a Medwelt SP10 spirometer (third measurement). Results: Comparison of the first and second measurements showed a statistically significant increase only in the root mean square of successive differences (RMSSD) parameter, with no significant changes in other indices. Comparison of the second and third measurements revealed no significant differences in RMSSD or average HR; however, significant changes were observed in the low-frequency (LF) and high-frequency (HF) components and in the LF/HF ratio. Conclusion: Respiratory maneuvers during PFT may temporarily alter ANS activity, particularly affecting parasympathetic-sympathetic balance. The differences between the first and second measurements emphasize the importance of adequate rest periods before HRV assessment. Measurements taken prior to PFT appear to be more reliable for the accurate evaluation of autonomic function.
dc.identifier.citationYalçın, G., Erdoğmuş Gülcan, S., & Kavlak, E. (2026). Does Pulmonary Function Testing Affect Autonomic Nervous System Activity?. Thoracic research and practice, 27(2), 83–89. https://doi.org/10.4274/ThoracResPract.2026.2025-8-1
dc.identifier.doi10.4274/ThoracResPract.2026.2025-8-1
dc.identifier.endpage89
dc.identifier.issn2979-9139
dc.identifier.issue2
dc.identifier.scopusqualityQ3
dc.identifier.startpage83
dc.identifier.urihttps://dspace.mudanya.edu.tr/handle/20.500.14362/436
dc.identifier.volume27
dc.identifier.wosWOS:001719635000001
dc.identifier.wosqualityQ4
dc.institutionauthorYalçın, Gülay
dc.institutionauthorErdoğmuş Gülcan, Server
dc.language.isoen
dc.publisherGALENOS PUBL HOUSE
dc.relation.journalTHORACIC RESEARCH AND PRACTICE
dc.relation.publicationcategoryMakale- Uluslararası- Hakemli Dergi- Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectAutonomic nervous system
dc.subjecthealth economics
dc.subjectheart rate variability
dc.subjectpulmonary function test.
dc.titleDoes Pulmonary Function Testing Affect Autonomic Nervous System Activity?
dc.typeMakale
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