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The consequent changes in airways, lung parenchyma and pulmonary vasculature lead to increased resistive, elastic and threshold loads and impaired capacity of the respiratory muscle pump. COPD is characterized by progressive expiratory flow limitation. During exercise, increases in respiratory rate lead to shortening of expiratory time with consequent gas trapping. The resultant increase in end\u2010expiratory lung volume is referred to as dynamic hyperinflation. Dynamic hyperinflation leads to further load\u2013capacity imbalance with consequent increased neural respiratory drive to maintain ventilatory homeostasis, which is closely related to exertional breathlessness intensity. Neuromechanical dissociation, resulting in uncoupling of increased neural respiratory drive from ventilatory output, develops due to mechanical limitations on tidal volume expansion and reduced force\u2010generating capacity of the diaphragm as dynamic hyperinflation progresses during exercise. This review provides an overview of methods of measuring dynamic hyperinflation in COPD and clinical interventions that aim to alleviate lung hyperinflation and improve exercise tolerance.<\/jats:p>","DOI":"10.1113\/ep091459","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T16:59:58Z","timestamp":1770310798000},"page":"2476-2484","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Exercise\u2010induced dynamic hyperinflation in chronic obstructive pulmonary disease"],"prefix":"10.1113","volume":"111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5245-9911","authenticated-orcid":false,"given":"Rebecca F.","family":"D'Cruz","sequence":"first","affiliation":[{"name":"Lane Fox Respiratory Service, Guys and St Thomas\u2019 NHS Foundation Trust  London UK"},{"name":"Centre for Human and Applied Physiological Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominic","family":"Wilkins","sequence":"additional","affiliation":[{"name":"Lane Fox Respiratory Service, Guys and St Thomas\u2019 NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline J.","family":"Jolley","sequence":"additional","affiliation":[{"name":"Centre for Human and Applied Physiological Sciences King's College London  London UK"},{"name":"Department of Respiratory Medicine King's College Hospital NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.05.020415"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2007.01.021"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S104616"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.156.2.9612089"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)00470-6"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.157.5.9607081"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjresp-2024-002698"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1183\/20734735.0224-2020"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00709-2020"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2021.06.050"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12931-018-0721-3"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2014.03.009"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201504-0841OC"},{"key":"e_1_2_11_15_1","unstructured":"Global Burden of Disease Study Collaborators. 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