How much work is expended for respiration?

The rate of work expended to move air in the respiratory system has been determined for five different airflow waveshapes, a non-linear respiratory model and five exercise levels. As expected, the rectangular waveshape was the most efficient. Model conditions were then changed one a time: (i) starting lung volume was allowed to vary, (ii) exhalation flow limitation was added, (iii) respiration was considered to be a metabolic burden determining part of the ventilation requirement and (iv) a respirator mask was added. Although there is no direct work advantage to varying initial lung volume, such volume changes appear to be dictated by the asymmetry of lung recoil pressure about the lung relaxation volume; allowing the work of respiration to become a metabolic burden clearly shows why respiratory waveforms change from rest to exercise; and, adding a respirator imposes a severe respiratory burden on the wearer engaging in moderate, heavy and very heavy exercise.