PT - JOURNAL ARTICLE AU - Paolo B. Dominelli AU - Yannick Molgat-Seon TI - Sex, gender and the pulmonary physiology of exercise AID - 10.1183/16000617.0074-2021 DP - 2022 Mar 31 TA - European Respiratory Review PG - 210074 VI - 31 IP - 163 4099 - http://err.ersjournals.com/content/31/163/210074.short 4100 - http://err.ersjournals.com/content/31/163/210074.full SO - EUROPEAN RESPIRATORY REVIEW2022 Mar 31; 31 AB - In this review, we detail how the pulmonary system's response to exercise is impacted by both sex and gender in healthy humans across the lifespan. First, the rationale for why sex and gender differences should be considered is explored, and then anatomical differences are highlighted, namely that females typically have smaller lungs and airways than males. Thereafter, we describe how these anatomical differences can impact functional aspects such as respiratory muscle energetics and activation, mechanical ventilatory constraints, diaphragm fatigue, and pulmonary gas exchange in healthy adults and children. Finally, we detail how gender can impact the pulmonary response to exercise.Biological sex can influence the pulmonary response to exercise in healthy individuals across the lifespan https://bit.ly/3ejMDrv