Effects of inspiratory muscle training on lung function, muscle oxygenation and functional capacity in older adults
- Rodrigo Yáñez-Sepúlveda 1
- Gladys Orellana-Lepe 2
- Matías Monsalves-Álvarez 1
- Marcelo Tuesta 1
- Aldo Vásquez-Bonilla 3
- Lilian Castro-Tapia 2
- Pamela Ruiz 4
- Jacqueline Páez-Herrera 5
- Jorge Olivares-Arancibia 6
- María Martínez-Olcina 7
- Ildefonso Alvear-Órdenes 8
- Alejandro Martínez-Rodríguez 7
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1
Universidad Andrés Bello
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2
Universidad Viña del Mar
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3
Universidad de Extremadura
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4
Universidad de Playa Ancha de Ciencias de la Educación
infoUniversidad de Playa Ancha de Ciencias de la Educación
Valparaíso, Chile
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5
Pontificia Universidad Católica de Valparaíso
info
- 6 Universidad de las Américas
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7
Universitat d'Alacant
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8
Universidad de León
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ISSN: 1579-1726, 1988-2041
Year of publication: 2025
Issue: 66
Pages: 285-296
Type: Article
More publications in: Retos: nuevas tendencias en educación física, deporte y recreación
Abstract
Background and objective. Inspiratory muscle training (IMT) generates positive effects on physical performance, but there is little evidence on the effects on muscle resaturation in older adults. The study aimed to assess the impact of a 4-week Inspiratory Muscle Training (IMT) program on peak dynamic inspiratory strength, lung function, muscle oxygenation and func-tional capacity in functionally independent older adults. Material and methods. Twelve randomized older adults (EG= n6; 68.8 2.6 years; SCG=n6, 71.5 4.7years) completed the study. A 4-week IMT program was applied, along with general phys-ical activity recommendations. Activities of daily living, lung flow and volumes, peak dynamic inspiratory force (S-index), peak inspiratory flow (MIF), muscle resaturation velocity (ΔTSIre-oxy) by NIRS and the Senior Fitness Test battery were assessed preand postintervention. Results. Improvements in the EG in the Chair Stand Test (p=0.013; η²p=0.474), Biceps Curl Test (p=0.015; η²p=0.463) and 6 minutes walking test (p=0.011; η²p=0.495), while in the control group changes were observed only in Biceps Curl Test (p=0.004; η²p=0.589). An increase in EG was observed in the S-Index (p=0.038; η²p=0.363) with a high effect on peak inspiratory flow (MIF) (p=0.138; η²p=0.206), finally EG showed a high effect size on muscle resaturation velocity at the end of exercise (p=0.213; η²p=0.187; Δ=-31%). Conclusions. Short IMT program increases S-index, physical capacity and muscle oxygenation velocity. IMTmay be a complementary intervention strategy in older adults to improve their physical fitness and peripheral vascular response.
Bibliographic References
- Bherer, L., Langeard, A., Kaushal, N., Vrinceanu, T., Desjardins-Crépeau, L., Langlois, F., & Kramer, A. (2021). Physical Exercise Training Effect and Mediation through Cardiorespiratory Fitness on Dual-Task Performances Differ in Younger–Old and Older–Old Adults. Journals Gerontol. Ser. B, 76(2), 219–228. https://doi.org/10.1093/geronb/gbz066
- Carrion, B., Wells, A., Mayhew, J. & Koch, A. (2019). Concordance among Bioelectrical Impedance Anal-ysis Measures of Percent Body Fat in Athletic Young Adults. Int. J. Exerc. Sci., 12(4), 324-331. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6355131/
- Chung, S., Rosenberry, R., Ryan, T., Munson, M., Dombrowsky, T., Park, S., Nasirian, A., Haykowsky, M. & Nelson, M. (2018). Near‐infrared Spectroscopy Detects Age‐related Differences in Skeletal Mus-cle Oxidative Function: Promising Implications for Geroscience. Physiol. Rep., 6(3), e13588. https://doi.org/10.14814/phy2.13588
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed ed.). Hillsdale, NJ: Law-rence Erlbaum.
- Cortopassi, F., Gurung, P. & Pinto-Plata, V. (2017). Chronic Obstructive Pulmonary Disease in Elderly Patients. Clin Geriatr Med., 33(4), 539-552. https://doi.org/10.1016/j.cger.2017.06.006
- Ferraro, F., Gavin, J., Wainwright. T. & McConnell, A. (2022). Association Between Inspiratory Muscle Function and Balance Ability in Older People: A Pooled Data Analysis Before and After Inspira-tory Muscle Training. J. Aging Phys. Act., 30(3), 421–433. https://doi.org/10.1123/japa.2020-050
- Fortes, J., Borges, M., Marques, M., Oliveira, R., Rocha, L., Castro, M., Esquivel, M & Borges, D. (2021). Effects of Inspiratory Muscle Training Using an Electronic Device on Patients Undergoing Car-diac Surgery: A Randomized Controlled Trial. Int. J. Cardiovasc. Sci., 34(1), 44–52. https://doi.org/10.36660/ijcs.20190093
- Graham, B., Steenbruggen, I., Miller, M., Barjaktarevic, I., Cooper, B., Hall, G., Hallstrand, T., Kaminsky, D., McCarthy, K. & McCormack, M. (2019). Standardization of Spirometry 2019 Update. An Official American Thoracic Society and European Respiratory Society Technical Statement. Am. J. Respir. Crit. Care Med., 200(8), e70–e88. https://doi.org/10.1164/rccm.201908-1590ST
- Guralnik, B., Hansen, O., Henrichsen, H., Beltrán-Pitarch, B., Østerberg, F., Shiv., L., Marangoni, T., Stilling-Andersen, A., Cagliani, A., Hansen, M., Nielsen, P., Oprins, H., Vermeersch, B., Adelmann, C., Dutta, S., Borup, K., Mihiretie, B. & Petersen, D. (2021). 3ω Correction Method for Eliminating Re-sistance Measurement Error Due to Joule Heating. Rev. Sci. Instrum. 92(9). https://doi.org/10.1063/5.0063998
- Hamaoka, T., McCully, K., Niwayama, M. & Chance, B. (2011). The Use of Muscle Near-Infrared Spec-troscopy in Sport, Health and Medical Sciences: Recent Developments. Philos. Trans. R. Soc. A Math. Phys. Eng. Sci., 369(1955), 4591–4604. https://doi.org/10.1098/rsta.2011.0298
- Hopman-Rock, M., van Hirtum, H., de Vreede, P. & Freiberger, E. (2019). Activities of Daily Living in Older Community-Dwelling Persons: A Systematic Review of Psychometric Properties of In-struments. Aging Clin. Exp. Res., 31, 917–925. https://doi.org/10.1007/s40520-018-1034-6
- Hurst, C., Weston, K., McLaren, S. & Weston, M. (2019). The Effects of Same-Session Combined Exercise Training on Cardiorespiratory and Functional Fitness in Older Adults: A Systematic Review and Meta-Analysis. Aging Clin. Exp. Res. 31, 1701–1717. https://doi.org/10.1007/s40520-019-01124-7
- Jones, B., Parry, D. & Cooper, C. (2018). Underwater Near-Infrared Spectroscopy Can Measure Training Adaptations in Adolescent Swimmers. PeerJ., 6, e4393. https://doi.org/10.7717/peerj.4393
- Jones, S., Chiesa, S., Chaturvedi, N. & Hughes, A. (2016). Recent developments in near-infrared spectros-copy (NIRS) for the assessment of local skeletal muscle microvascular function and capacity to utilise oxygen. Artery Res., 16, 25-33. https://doi.org/10.1016/j.artres.2016.09.001
- Joshi, P. (2024). Pulmonary Diseases in Older Patients: Understanding and Addressing the Challen-ges. Geriatrics (Basel), 9(2), 34. https://doi.org/10.3390/geriatrics9020034
- Kim, S., Shin, M., Lee, J., Huh, S. & Shin, Y. (2022). Effects of a New Respiratory Muscle Training Device in Community-Dwelling Elderly Men: An Open-Label, Randomized, Non-Inferiority Trial. BMC Geriatr., 22, 155. https://doi.org/10.1186/s12877-022-02828-8
- Kurzaj, M., Dziubek, W., Porębska, M. & Rożek-Piechura, K. (2019). Can Inspiratory Muscle Training Improve Exercise Tolerance and Lower Limb Function After Myocardial Infarction? Med. Sci. Monit. Int. Med. J. Exp. Clin. Res., 25, 5159–5169. https://doi.org/10.12659/MSM.914684
- Labata-Lezaun, N., González-Rueda, V., Llurda-Almuzara, L., López-de-Celis, C., Rodríguez-Sanz, J., Bosch, J., Vicente-Rodríguez, G., Gorczakowska, D., Araluze-Arizti, P. & Pérez-Bellmut, A. (2023). Effectiveness of multicomponent training on physical performance in older adults: A systematic review and meta-analysis. Arch Gerontol Geriatr., 104:104838. https://doi.org/10.1016/j.archger.2022.104838
- Labott, B., Held, S. & Donath, L. (2020). Grip Strength-Endurance in Ambitious and Recreational Climb-ers: Does the Strength Decrement Index Serve as a Feasible Measure? Int. J. Environ. Res. Public Health, 17(24), 9530. https://doi.org/10.3390/ijerph17249530
- Lachman, M., Lipsitz, L., Lubben, J., Castaneda-Sceppa, C. & Jette, A. (2018). When Adults Don’t Exercise: Behavioral Strategies to Increase Physical Activity in Sedentary Middle-Aged and Older Adults. Innov. Aging, 2, igy007. https://doi.org/10.1093/geroni/igy007
- Langhammer, B. & Stanghelle, J. (2015). The Senior Fitness Test. J Physiother, 61(3),163. https://doi.org/10.1016/j.jphys.2015.04.001
- Mahoney, F. & Barthel. D. (1965). Functional Evaluation: The Barthel Index: A Simple Index of Inde-pendence Useful in Scoring Improvement in the Rehabilitation of the Chronically Ill. Md. State Med. J. https://www.kcl.ac.uk/nmpc/assets/rehab/tools-bi-functional-evaluation-the-barthel-index.pdf
- Manifield, J., Winnard, A., Hume, E., Armstrong, M., Baker, K., Adams, N., Vogiatzis, I., & Barry, G. (2021). Inspiratory Muscle Training for Improving Inspiratory Muscle Strength and Functional Capacity in Older Adults: A Systematic Review and Meta-Analysis. Age Ageing, 50(3), 716–724. http://doi.org/10.1093/ageing/afaa221
- Martin-Sanchez, C., Calvo-Arenillas, J., Barbero-Iglesias, F., Fonseca, E., Sanchez-Santos, J. & Martin-Nogueras, A. (2020). Effects of 12-Week Inspiratory Muscle Training with Low Resistance in Patients with Multiple Sclerosis: A Non-Randomised, Double-Blind, Controlled Trial. Mult. Scler. Relat. Disord., 46, 102574. https://doi.org/10.1016/j.msard.2020.102574
- McCreery, J., Mackintosh, K., Mills-Bennett, R. & McNarry, M. (2021). The Effect of a High-Intensity PrO2Fit Inspiratory Muscle Training Intervention on Physiological and Psychological Health in Adults with Bronchiectasis: A Mixed-Methods Study. Int. J. Environ. Res. Public Health, 18(6), https://doi.org/10.3390/ijerph18063051
- Mehani. S. (2017). Comparative Study of Two Different Respiratory Training Protocols in Elderly Pa-tients with Chronic Obstructive Pulmonary Disease. Clin. Interv. Aging., 1705–1715. https://doi.org/10.2147/CIA.S145688
- Mehmet, H., Yang, A. & Robinson, S. (2020). Measurement of Hand Grip Strength in the Elderly: A Scop-ing Review with Recommendations. J. Bodyw. Mov. Ther., 24, 235–243. https://doi.org/10.1016/j.jbmt.2019.05.029
- Mello, E., Oliveira, A., T. Santanna, T., Soares, P., Rodrigues. G. (2024). Updates in inspiratory muscle training for older adults: A systematic review. Arch Gerontol Geriatr, 127, 105579. https://doi.org/10.1016/j.archger.2024.105579
- Mętel, S., Kostrzon, M., Adamiak, J. & Janus, P. (2023). Respiratory Muscle Function in Older Adults with Chronic Respiratory Diseases after Pulmonary Rehabilitation in Subterranean Salt Chambers. J. Clin. Med. 12, 5120. https://doi.org/10.3390/jcm12155120
- Mikkelsen, M., Juhl, C., Lund, C., Jarden, M., Vinther, A., & Nielsen, D. (2020). The Effect of Exercise-Based Interventions on Health-Related Quality of Life and Physical Function in Older Patients with Cancer Receiving Medical Antineoplastic Treatments: A Systematic Review. Eur. Rev. Aging Phys. Act., 17(18), 1–15. https://doi.org/10.1186/s11556-020-00250-w
- Miller, A. & Enright, P. (2012). PFT Interpretive Strategies: American Thoracic Society/European Res-piratory Society 2005 Guideline Gaps. Respir. Care, 57(1), 27–135. https://doi.org/10.4187/respcare.01503
- Mills, D., Johnson, M., Barnett, Y., Smith, W., & Sharpe, G. (2015). The Effects of Inspiratory Muscle Training in Older Adults. Med. Sci. Sport. Exerc., 47(4), 691–697. https://doi.org/10.1249/MSS.0000000000000474
- Nanda, R., Liu, M., Yau, C., Shatsky, R., Pusztai, L., Wallace, A., Chien, A., Forero-Torres, A., Ellis, E., Han, H., Clark, A., Albain, K., Boughey, J., Jaskowiak, N, Elias, A., Isaacs, C., Kemmer, K., Helsten, T., Ma-jure, M.,… Esserman, L. (2020). Effect of Pembrolizumab plus Neoadjuvant Chemotherapy on Pathologic Complete Response in Women with Early-Stage Breast Cancer: An Analysis of the Ongoing Phase 2 Adaptively Randomized I-SPY2 Trial. JAMA Oncol. 6(5), 676–684. https://doi.org/10.1001/jamaoncol.2019.6650
- Nagano, A., Wakabayashi, H., Maeda, K., Yokura, Y., Miyazaki, S., Mori, T. & Fujiwara, D. (2021). Respira-tory Sarcopenia and Sarcopenic Respiratory Disability: Concepts, Diagnosis, and Treatment. J Nutr Health Aging, 25(4), 507-515. https://doi.org/10.1007/s12603-021-1587-5
- Ostchega, Y., Dillon, C., Hughes, J., Carroll, M. & Yoon, S. (2007). Trends in Hypertension Prevalence, Awareness, Treatment, and Control in Older US Adults: Data from the National Health and Nu-trition Examination Survey 1988 to 2004. J. Am. Geriatr. Soc. 55 (7), 1056–1065. https://doi.org/10.1111/j.1532-5415.2007.01215.x
- Shalaeva, E. & Messerli, F. (2023). What Is Resistant Arterial Hypertension? Blood Press, 32(1), 2185457. https://doi.org/10.1080/08037051.2023.2185457
- Paradis-Deschênes, P., Joanisse, D., Mauriège, P., Billaut, F. (2020). Ischemic Preconditioning Enhances Aerobic Adaptations to Sprint-Interval Training in Athletes without Altering Systemic Hypoxic Signaling and Immune Function. Front. Sport. Act. Living, 2, 1-16. https://doi.org/10.3389/fspor.2020.00041
- Perrey, S. & Ferrari, M. (2018). Muscle Oximetry in Sports Science: A Systematic Review. Sport. Med., 48, 597–616. https://doi.org/10.1007/s40279-017-0820-1
- Richardson, J. (2011). Eta squared and partial eta squared as measures of effect size in educational re-search. Educ. Res. Rev., 6, 135–147. https://doi.org/10.1016/j.edurev.2010.12.001
- Rodrigues, G., Dal Lago, P. & da Silva Soares, P. (2021). Time-Dependent Effects of Inspiratory Muscle Training and Detraining on Cardiac Autonomic Control in Older Women. Exp. Gerontol., 150, 111357. https://doi.org/10.1016/j.exger.2021.111357
- Ryan, T., Southern, W., Reynolds, M. & McCully, K. (2013) A cross-validation of near-infrared spectros-copy measurements of skeletal muscle oxidative capacity with phosphorus magnetic resonance spectroscopy. J Appl Physiol (1985), 115(12), 1757-1766. https://doi.org/10.1152/japplphysiol.00835.2013
- Seixas, M., Almeida, L., Trevizan, P., Martinez, D., Laterza, M., Vanderlei, L. & Silva, L. (2020). Effects of Inspiratory Muscle Training in Older Adults. Respir. Care, 65(4), 535–544. https://doi.org/10.4187/respcare.06945
- Volianitis, s., McConnell, A. & Jones, A. (2001). Assessment of Maximum Inspiratory PressurePrior Submaximal Respiratory Muscle Activity (‘Warm-Up’) Enhances Maximum Inspiratory Activity and Attenuates the Learning Effect of Repeated Measurement. Respiration, 68(1), 22–27. https://doi.org/10.1159/000050458
- Webb, K., Dominelli, P., Baker, S., Klassen, S., Joyner, M., Senefeld, J. & Wiggins, C. (2022). Influence of High Hemoglobin-Oxygen Affinity on Humans during Hypoxia. Front. Physiol., 12, 763933. https://doi.org/10.3389/fphys.2021.763933
- Wearing, J., Konings, P., Stokes, M. & de Bruin, E. (2018). Handgrip Strength in Old and Oldest Old Swiss Adults–a Cross-Sectional Study. BMC Geriatr., 18, 1–9. https://doi.org/10.1186/s12877-018-0959-0
- Wickerson, L. (2019). Oxygenation during Exercise in Individuals with Interstitial Lung Disease. Uni-versity of Toronto (Canada), ISBN 1088331440.
- World Medical Association. (2013). Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA, 310(20), 2191–2194. https://.doi:10.1001/jama.2013.281053