Table 1. Summary of Age-Related Changes in the Respiratory System

Pulmonary function FEV1 Decreased
FVC Decreased
Total lung capacity Unchanged
Functional residual capacity Increased
Residual volume Increased
FEV1/FVC Decreased
Peak flow rate Decreased
Anatomical change Air space size Increased
Chest wall compliance Decreased
Total respiratory system compliance Decreased
Elastic recoil Decreased
Respiratory muscle strength Transdiaphragmatic pressure Decreased
Maximal inspiratory pressure Decreased
Maximal expiratory pressure Decreased
Maximal voluntary ventilation Decreased
Gas exchange Diffusing capacity for carbon monoxide Decreased
Defensive mechanism and regulation of breathing Cough ability Decreased
Cough reflex Decreased
Responses to hypoxia and hypercapnia Decreased
Reactivity to airway resistance Decreased
Minute ventilation Unchanged
Tidal volume Decreased
Respiratory rate Increased
Immunology (Bronchoalveolar lavage) Proportion of macrophages Decreased
CD4+/CD8+ ratio Increased
IgA and IgM Increased
Exercise capacity Maximum oxygen consumption Decreased
Dead space ventilation Increased
Responses to hypercapnia during exercise Increased
FEV1: forced expiratory volume in one second, FVC: forced vital capacity.