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  • MakaleAçık Erişim2026Scopus SJRQ1
    Effects of inspiratory muscle training combined with circadian rhythm-based running programs in male children football players

    Konca, Erkan; Yilmaz, Coşkun; Saç, Ajlan; Dal, Suzan; Halmatov, Medera; Akıllıoğlu, Osman; Bayrakdaroğlu, Serdar

    Background: Inspiratory muscle training (IMT) has been suggested to improve respiratory function and physical performance; however, evidence in preadolescent athletes remains limited. This study examined whether adding IMT to circadian rhythm–based running programs would enhance functional and pulmonary outcomes in preadolescent male football players with at least two years of regular football training experience. Methods: Seventy-five boys aged 10–12 years were categorized into morning-, intermediate-, or evening-type groups based on Morningness–Eveningness Scale for Children (MESC) scores, and each chronotype group was assigned to its corresponding running protocol with or without IMT. Over six weeks, participants completed circadian rhythm–based running sessions, and IMT groups performed graded-load IMT. Pre- and post-intervention assessments included agility, six-minute walk test (6MWT), pulmonary function (FVC, FEV₁, FEV₁/FVC), and respiratory muscle strength (MIP, MEP). Results: Agility and 6MWT performance improved most in the morning running + IMT group compared with evening running + IMT and running-only groups (p < 0.001). FVC and FEV₁ increased in both IMT groups, though gains were modest and smaller in the running-only group. Improvements in MIP and MEP did not differ significantly between groups. Conclusion: Combining IMT with morning running produced the greatest improvements in agility and functional performance, while pulmonary gains were moderate and respiratory muscle strength changes were comparable across groups. IMT may provide additional benefit when integrated into chronotype-aligned morning training in preadolescent football players. Trial registration: Effects of Inspiratory Muscle Training Combined with Circadian Rhythm-based Running Programs in Children Football Players, ClinicalTrials.gov: NCT06817486, Date: 27-01-2025.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus1WoS1OpenAlex1
    İncele
  • MakaleAçık Erişim2026Scopus SJRQ1
    Inspiratory muscle training enhances jumping power and shooting performance in elite air pistol athletes

    Aydin, Ahmet Serhat; Yilmaz, Coskun; Söyler, Mehmet; Güney, Gamze; Eyüboglu, Ender; Karakulak, Izzet; Ceylan, Tulay; Altug, Tolga; Burac, Daniela Giconda; Sahinler, Yunus

    Background Inspiratory muscle training (IMT) has been shown to enhance respiratory efficiency, postural stabilization, and neuromuscular coordination in athletic populations. However, its effects in precision sports such as air pistol shooting remain insufficiently explored. This study investigated the impact of a 4-week IMT program on respiratory muscle strength, explosive lower-limb performance, reaction time, and shooting accuracy in competitive air pistol athletes. Methods Twenty trained male air pistol athletes (age 18-35 years) were randomly assigned to an IMT group (n = 10) or a control group (n = 10). The IMT group performed supervised inspiratory muscle training twice daily (30 breaths/session), six days per week, for four weeks, using a threshold-loading device set initially at 40% of maximal inspiratory pressure (MIP), with progressive overload applied weekly. Both groups maintained their regular shooting training routines. Pre- and post-intervention assessments included countermovement jump (CMJ) and squat jump (SJ) performance (OptoJump), visual and auditory reaction time (Cognitech), and shooting performance evaluated via the SCATT system. A two-way repeated-measures ANOVA (group & times; time) was used for statistical analysis. Results Significant group & times; time interactions were observed for CMJ height (p < 0.001, eta & sup2;p = 0.618), CMJ power (p = 0.007, eta & sup2;p = 0.345), SJ height (p = 0.050, eta & sup2;p = 0.184), and SJ power (p = 0.050, eta & sup2;p = 0.181), indicating meaningful improvements in explosive performance in the IMT group. Shooting accuracy demonstrated a large and statistically significant interaction effect (p < 0.001, eta & sup2;p = 0.532), with substantial improvement observed only in the IMT group. Reaction time variables showed favourable but non-significant trends (p > 0.05). Conclusion A short-term IMT intervention significantly enhanced lower-limb explosive performance and shooting accuracy in competitive air pistol athletes without altering overall training load. These findings suggest that IMT may represent an effective, low-cost adjunct strategy to improve neuromuscular stability and fine-motor precision in precision-sport athletes.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2026Scopus SJRQ1
    Short-Term Inspiratory Muscle Training Enhances Functional and Metabolic Health in Older Adults

    Konca, Erkan; Yilmaz, Coskun; Bayrakdaroglu, Serdar; Ceylan, Halil Ibrahim; Arslan, Ayla; Ocak, Hakan; Karakulak, Izzet; Sari, Rifat; Uzun, Recep Nur; Soylu, Hakan Huseyin

    Background: Age-related declines in respiratory muscle strength and ventilatory efficiency can impair functional capacity and metabolic health in older adults. Inspiratory muscle training (IMT) has been proposed as a practical intervention to counteract these changes, yet its systemic effects remain unclear. This study aimed to examine the effects of short-term IMT on functional capacity, diaphragm thickness, and liver tissue characteristics in healthy elderly men. Methods: Thirty community-dwelling men aged 60-80 years were randomly assigned to an IMT or control group. The IMT group performed four weeks of breathing exercises using a POWERbreathe (R) device at 40% of maximal inspiratory pressure, with a weekly 10% increase in pressure. Pre- and post-intervention assessments included the six-minute walk test (6MWT), diaphragm thickness and liver density via computed tomography, and quality of life (QoL; SF-12). Results: Four weeks of inspiratory muscle training significantly improved diaphragm thickness (11.7%), fatty liver density (FLD) (+16.7%), and six-minute walk performance (+5.3%), with large time x group effects favoring the IMT group. While the physical quality of life showed modest, comparable improvements, mental health outcomes demonstrated a moderate, time-dependent improvement without a significant group-by-time interaction. Conclusions: Short-term IMT improved diaphragmatic function and functional capacity in older men and was associated with favorable changes in a liver-related biomarker; however, given that only a single liver-related metric was assessed, these findings should not be interpreted as evidence of overall improvements in liver health.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus1WoS1OpenAlex3
    İncele
  • MakaleAçık Erişim2025Scopus SJRQ2
    Effects of inspiratory muscle training on 1RM performance and body composition in professional natural bodybuilders

    Çelikel, Baha Engin; Yılmaz, Coşkun; Demir, Alper; Sezer, Süreyya Yonca; Ceylan, Levent; Ceylan, Tülay; Tan, Çetin

    Background: The effect of inspiratory muscle training on upper limbs One Rep Maximum (1RM) in professional natural bodybuilders is still unclear. Our aim of this study is to investigate the effects of a 6 weeks inspiratory muscle training on 1RM results. Methods: This study included 14 athletes, that had participated in international bodybuilding competitions. Each athlete had been training for minimum of 5 years and at least 5 h per week. The participants were randomly divided into two groups: inspiratory muscle training (IMT) and control (CON) groups. The IMT group and CON group consisted of seven subjects. While the control group continued with the normal training regime, the IMT group additionally performed inspiratory muscle training with the resistance setting of the PowerBreathe® Classic device set to 40% of the participant’s MIP. Prior to and during the 6-week training period, the bench press 1 RM, anthropometry, pulmonary function tests, and maximal inspiratory (MIP) and expiratory (MEP) pressure measurements were obtained. A nutrition protocol developed by a qualified dietician was implemented for each athlete. Results: The mean maximal strength of the respiratory muscle training group changed by 14.39%, whereas that of the control group changed by 9.43% (p = 0.012). The changes in the mean FVC (p = 0.000), FEV1 (p = 0.001), PEF (p = 0.064), MIP (p = 0.001), and maximal expiratory pressure (p = 0.017) were greater in the IMT group. The mean circumferences of the shoulder (p = 0.004), chest (p = 0.008), arm (p = 0.004), and neck (p = 0.003) improved more in the IMT group than in the CON group. A reduction in abdominal measurement was observed in the IMT group (p = 0.039), whereas no notable discrepancy was identified in body fat percentage (p = 0.295). Conclusion: In conclusion we identified that the addition of progressive loading inspiratory muscle training for competition preparation programs in professional natural bodybuilders will further improve their respiratory function, respiratory muscle strength, maximal strength, and muscle development. This research provides valuable insights into how IMT influences bodybuilding training outcomes, potentially guiding future interventions and program designs to better support strength development and body composition in bodybuilding training contexts.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus12WoS13OpenAlex14
    İncele
  • MakaleAçık Erişim2025Scopus SJRQ2
    Inspiratory muscle training in natural bodybuilders: adaptations in diaphragm muscle thickness and maximal strength

    Güler, Iskender; Yilmaz, Coskun; Soylu, Hakan Hueseyin; Birinci, Muersit Ceyhun; Arslan, Ayla; Ocak, Hakan; Çayir, Huseyin; Kavuran, Korhan; Saç, Ajlan; Uçar, Mine Akkus

    Background: The effect of inspiratory muscle training on diaphragm muscle thickness (DT) and one repetition maximal (1RM) in professional natural bodybuilders is still unclear. The aim of the study was to investigate the effect of inspiratory muscle training on diaphragm muscle thickness and 1RM in professional natural bodybuilders. Methods: The study comprised a total of 22 athletes who participated in bodybuilding competitions. Each athlete had undergone a minimum of 5 years of training, with a minimum weekly commitment of 5 hours. Participants were randomly divided into two groups: inspiratory muscle training (IMT) and control (CON). The CON continued their normal training regime, while the IMT group also performed inspiratory muscle training with a 10% weekly increase by setting the resistance setting of the PowerBreathe (R) Classic device to 40% of the participant's maximum inspiratory pressure (MIP). Prior to and during the 4-week training period, 1RM bench press measurements and diaphragm muscle thickness measurements were obtained. Results: In the comparison of 1RM power values before and after training, it was determined that the IMT group (%: 11.20) had 6.3% more post-activation performance enhancement compared to the CON group (%: 4.9) (p < 0.001). In the study, it was determined that a higher level of significant post-activation performance enhancement was obtained in the IMT group compared to the CON group in the diaphragm muscle thickness inspiratory phase (DT ins) and ekspiratory phase (DT eks) parameters at 20.36% and 19.46%, respectively. Conclusion: In conclusion, we determined that the addition of progressive loading inspiratory muscle training to preparation programmes in natural bodybuilders will improve diaphragm muscle thickness, 1RM physical performance. In particular, it shows that the diaphragm muscle should be considered not only as a muscle that supports respiration, but also as a muscle that contributes to power generation by optimising intra-abdominal pressure.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus5WoS5OpenAlex5
    İncele
  • MakaleAçık Erişim2025Scopus SJRQ2
    Effect of Inspiratory Muscle Training on Diaphragm and Abdominal Wall Muscle Thickness with Fatty Liver Density in Elderly Women: A Randomized Controlled Trial

    Gökçelik, Eda; Yilmaz, Coskun; Budak, Cemallettin; Soylu, Hakan Huseyin; Bayrakdaroglu, Serdar; Ceylan, Halil Ibrahim; Muntean, Raul Ioan; Küçük, Hamza; Ceylan, Levent

    Background and Objectives: Post-menopausal estrogen decline is considered a contributing factor to sarcopenia, and inspiratory muscle training (IMT) may provide benefits in this demographic. This study examined the impact of a four-week IMT program on diaphragm thickness, abdominal wall muscle thickness (AWMT; transversus abdominis, internal oblique, and external oblique), and liver fat percentage in healthy elderly women. Materials and Methods: Twenty-six women aged 60-80 years were randomly assigned to an IMT group (n = 13) or a control group (n = 13). The IMT group used the PowerBreathe (R) Classic device at 40% of maximal inspiratory pressure (MIP), with weekly increments of 10%. Training was performed twice daily, five days per week, with 30 breathing cycles per session (60 per day). The control group maintained their usual routines. AWMT, diaphragm thickness (DT), and fatty liver density (FLD) were measured by a radiologist before and after the intervention. Results: After four weeks, the IMT group showed significant improvements in all parameters compared to controls. Mid-diaphragm thickness (MDT) increased by 11.44% (effect size (ES) = 0.358, p < 0.001) versus 0.76% in controls (p = 0.271). Posterior diaphragm thickness (PDT) improved by 7.48% (ES = 0.282, p < 0.001) versus 0.38% (p = 0.564). Right AWMT increased by 12.7% (ES = 0.492, p < 0.001) compared to 0.10% (p = 0.872), and left AWMT increased by 9.93% (ES = 0.395, p < 0.001) versus 2.64% (p = 0.014). FLD improved by 11.79% (ES = 0.959, p < 0.001) in the IMT group, while the control group showed no meaningful change (-0.13%, p = 0.847). Conclusions: A short-term IMT protocol significantly enhanced diaphragm and AWMT and reduced liver fat in elderly women. These findings support the use of IMT as a simple, non-invasive intervention to preserve musculoskeletal and metabolic health in aging populations.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
    AtıfScopus4WoS4OpenAlex6
    İncele