2017
DOI: 10.1371/journal.pone.0183654
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Aging effects on airflow dynamics and lung function in human bronchioles

Abstract: Background and objectiveThe mortality rate for patients requiring mechanical ventilation is about 35% and this rate increases to about 53% for the elderly. In general, with increasing age, the dynamic lung function and respiratory mechanics are compromised, and several experiments are being conducted to estimate these changes and understand the underlying mechanisms to better treat elderly patients.Materials and methodsHuman tracheobronchial (G1 ~ G9), bronchioles (G10 ~ G22) and alveolar sacs (G23) geometric … Show more

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Cited by 46 publications
(40 citation statements)
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“…The increased airspace also lowers the alveolar surface tension, further hindering the elastic recoil of the lungs [ 90 ]. Alveolar dilation and extracellular matrix component redistribution decrease airway tethering, increasing airway collapsibility, especially of peripheral conducting airways [ 91 , 92 ]. Finally, chest wall compliance decreases as well in the elderly as a result of the calcification of costochondral junctions, costal cartilage, and degenerative joint disease of the spine, as well as osteoporotic fractures increasing dorsal kyphosis.…”
Section: Age-associated Changes In Pulmonary Structure and (Immunementioning
confidence: 99%
“…The increased airspace also lowers the alveolar surface tension, further hindering the elastic recoil of the lungs [ 90 ]. Alveolar dilation and extracellular matrix component redistribution decrease airway tethering, increasing airway collapsibility, especially of peripheral conducting airways [ 91 , 92 ]. Finally, chest wall compliance decreases as well in the elderly as a result of the calcification of costochondral junctions, costal cartilage, and degenerative joint disease of the spine, as well as osteoporotic fractures increasing dorsal kyphosis.…”
Section: Age-associated Changes In Pulmonary Structure and (Immunementioning
confidence: 99%
“…Almost all the available literature, however, considers healthy airways for airflow and particle transport modelling. Yet, volume reduction of the respiratory airways occurs due to age and disease conditions, which creates airflow limitations [13]. Respiratory diseases like asthma also create airway inflammation and obstruct the airway [14][15][16].…”
Section: Introductionmentioning
confidence: 99%
“…The anatomical structure of the human lung impacts the flow field [23,84] and realistic lung airways exhibit highly complex uneven curvatures [26]. Recently, a realistic CT-based anatomical model [15,66,[85][86][87][88][89][90][91] was used to characterize the transitional behaviour of airflow in human bifurcating pathways. In the realistic model, turbulent laryngeal jet follows turbulent flow [23] and the inspiratory flow field is found to be much more complex than in the symmetric lung model [20].…”
Section: Tracheobronchial Regionmentioning
confidence: 99%