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The main change seen on PFT is an approximately 20% drop in FRC (that portion of a breath that can still be exhaled after normal resting exhalation), due to a decrease in both expiratory reserve volume (ERV) and residual volume (RV).
Many literature reports emphasize the fact that morbidly obese patients have reduced expiratory reserve volume (ERV) and reduced al functional residual capacity (FRC), as well as restrictive respiratory behavior in many cases.
The mechanism by which changes in respiratory function occur may be due to greater relaxation of respiratory muscles induced by supra spinal mechanisms which increase expiratory reserve volume contributing to a rise in vital capacity.
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