ArticleThoracic research and practice2026
Does Pulmonary Function Testing Affect Autonomic Nervous System Activity?
Article in Thoracic research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThe 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
methodsForty-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).
resultsComparison 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.
conclusionRespiratory 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.
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