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Understanding fan pressures and its impact on football club sustainability: insights from the Colombian context. 理解球迷压力及其对足球俱乐部可持续性的影响:来自哥伦比亚背景的见解。
IF 2.3 Q2 SPORT SCIENCES Pub Date : 2024-12-17 eCollection Date: 2024-01-01 DOI: 10.3389/fspor.2024.1508164
Juan Alejandro Hernández-Hernández, Abraham Londoño-Pineda, Jose Alejandro Cano

The framework of stakeholder pressures in sports industries, and in the specific case of football, has been used to identify the reasons why management bodies incorporate interested parties into their business strategy. This is primarily contingent on the pressures that interested parties generate. One of the most influential stakeholders is the fan base, given the emotional attachment that this type of sport evokes in them, commonly referred to as "the fan's affective connection." Despite the existence of studies on diverse typologies of fans, no investigation has been conducted into the impact these have on the sustainability outcomes of football clubs. Moreover, most existing studies have focused on European leagues, with a pronounced emphasis on the environmental dimension of sustainability. Therefore, the aim of this research is to evaluate the impact of diverse fan types on the sustainability performance of Colombian football clubs, with a specific focus on the triple bottom line approach. To this end, two major fan typologies-active and non-active-were defined based on the findings of the literature review, as well as the pressures associated with solidarity-based factors. A conceptual model and an estimation based on the structural equation model related the different fan typologies and their associated pressures to sustainability outcomes. The results indicate that among the solidarity-based pressures, fans valued social commitment the most, followed by the promotion of women's football and the fight against racism. Environmental engagement was the least relevant, but still positively rated, suggesting the need for awareness-raising efforts to extend fans' sustainability practices beyond the stadium. The findings of this research can inform strategies for football clubs to engage fans and improve their sustainability performance across economic, social and environmental dimensions.

体育产业中利益相关者压力的框架,以及在足球的具体情况下,已经被用来确定管理机构将利益相关者纳入其商业战略的原因。这主要取决于有关各方产生的压力。最具影响力的利益相关者之一是球迷基础,因为这种类型的运动在他们身上唤起了情感依恋,通常被称为“球迷的情感联系”。尽管存在对不同类型球迷的研究,但尚未对这些对足球俱乐部可持续性结果的影响进行调查。此外,大多数现有的研究都集中在欧洲联赛,强调可持续发展的环境层面。因此,本研究的目的是评估不同球迷类型对哥伦比亚足球俱乐部可持续发展绩效的影响,并特别关注三重底线方法。为此,根据文献综述的发现,以及与团结性因素相关的压力,定义了两种主要的扇类型——活跃扇和非活跃扇。概念模型和基于结构方程模型的估算将不同扇类型及其相关压力与可持续性结果联系起来。结果表明,在基于团结的压力中,球迷最重视社会承诺,其次是促进女子足球和反对种族主义。环境参与是最不相关的,但仍然得到了积极的评价,这表明需要提高意识,将球迷的可持续发展实践延伸到球场之外。这项研究的结果可以为足球俱乐部提供战略信息,以吸引球迷,并提高他们在经济、社会和环境方面的可持续性表现。
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引用次数: 0
From theory to practice: modeling performance in breaking. 从理论到实践:造型表现在突破。
IF 2.3 Q2 SPORT SCIENCES Pub Date : 2024-12-17 eCollection Date: 2024-01-01 DOI: 10.3389/fspor.2024.1489456
Lucie Lerebourg, Brice Guignard
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引用次数: 0
The snow must go on: how German cross-country skiers maintained training and performance in the face of COVID-19 lockdowns. 雪必须继续:面对COVID-19封锁,德国越野滑雪运动员如何保持训练和表现。
IF 2.3 Q2 SPORT SCIENCES Pub Date : 2024-12-17 eCollection Date: 2024-01-01 DOI: 10.3389/fspor.2024.1499738
H Kock, A Schürer, C A Staunton, Helen G Hanstock

Background: The Covid-19 pandemic in 2020 led to disruption of sporting events, with athletes obliged to comply with national lockdown restrictions.

Purpose: To investigate the effect of the Covid-19 pandemic restrictions on national-team XC skiers' annual and weekly training distribution from training diaries, results from submaximal and maximal physiological roller ski tests, and competition results from the International Ski and Snowboard Federation (FIS) world cup.

Methods: Annual and weekly training type (specific, non-specific, strength, other) and intensity distribution (TID) data were collected for 12 German XC-skiers (Tier 4/5; BM: 67 ± 7 kg; age 26 ± 3 years; 6♀: V̇O2max 61.3 ± 3.4 ml · kg · min-1; 6♂: V̇O2max 72.5 ± 6.2 ml · kg · min-1). TID was categorized using a 5-zone scale with Zones 1-2 representative of intensities below the first lactate threshold (LT1), zone 3 between LT1 and LT2, and zones 4-5 above LT2. Training data were grouped by lockdown periods in season 20/21 (L1/L2) and compared to data from the corresponding weeks in 19/20 (C1/C2). Laboratory testing was performed in the general preparation period prior to competition for both seasons. Differences between seasons (C1/C2 vs. L1/L2) in training and performance variables were analysed using repeated-measures ANOVA and linear mixed models.

Results: Total annual training duration increased by 9% during 20/21 (928 ± 79 h · year-1) compared to 19/20 (852 ± 73 h · year-1). During L1, skiers achieved a greater weekly training duration (mean differences (Δ: 7.7 h · week-1) compared to C1, due to an increase in non-specific training (Δ: 7.0 h · week-1), whereas L2 resulted in greater weekly training compared with C2 due to a higher specific endurance training volume (Δ: 1.4 h · week-1). In 20/21 skiers performed a higher volume of Zone 1 (Δ: 149 h · year-1). Laboratory test- and FIS racing performance improved from 19/20 to 20/21.

Conclusion: German XC skiers' training characteristics, laboratory- and racing performance were significantly different between the two seasons. In fact, training duration as well as laboratory- and racing performance increased from 19/20 to 20/21. In spite of seasonal variation in performance and training within an Olympic cycle these findings might suggest that skiers adapted their training effectively to pandemic constraints, ultimately enhancing performance outcomes.

背景:2020年的Covid-19大流行导致体育赛事中断,运动员必须遵守国家封锁限制。目的:通过训练日记、次极限和最大极限生理测试结果以及国际滑雪和单板滑雪联合会(FIS)世界杯比赛结果,探讨新冠肺炎疫情限制对国家队XC滑雪运动员年度和每周训练分布的影响。方法:收集12名德国xc滑雪者(Tier 4/5;BM: 67±7 kg;年龄26±3岁;6♀:V²max 61.3±3.4 ml·kg·min-1;6♂:V (O2max) 72.5±6.2 ml·kg·min-1)。TID使用5区量表进行分类,1-2区代表强度低于第一个乳酸阈值(LT1), 3区介于LT1和LT2之间,4-5区高于LT2。按20/21赛季(L1/L2)的封锁期对训练数据进行分组,并与19/20赛季(C1/C2)相应周的数据进行比较。实验室测试是在两个赛季比赛前的一般准备阶段进行的。使用重复测量方差分析和线性混合模型分析不同季节(C1/C2 vs. L1/L2)训练和表现变量的差异。结果:与19/20(852±73 h·年-1)相比,20/21年度总培训时间增加了9%(928±79 h·年-1)。在L1阶段,由于非特异性训练的增加(Δx¯:7.0 h·week-1),与C1阶段相比,滑雪者获得了更长的每周训练时间(平均差异(Δx¯:7.7 h·week-1),而L2阶段由于更高的特定耐力训练量(Δx¯:1.4 h·week-1),与C2阶段相比,滑雪者获得了更大的每周训练时间。在20/21年,滑雪者表现出更高的1区量(Δx¯:149 h·year-1)。实验室测试-和FIS赛车性能从19/20提高到20/21。结论:德国越野滑雪运动员的训练特点、实验室和比赛成绩在两个赛季之间存在显著差异。事实上,训练时间以及实验室和比赛表现从19/20增加到20/21。尽管在奥运会周期内,表现和训练存在季节性差异,但这些发现可能表明,滑雪运动员有效地调整了训练,以适应大流行的限制,最终提高了成绩。
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引用次数: 0
Reliability agreement in foul and penalty judgements between officials in the Swedish hockey league. 瑞典冰球联盟裁判对犯规和罚球判罚的可靠性一致。
IF 2.3 Q2 SPORT SCIENCES Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.3389/fspor.2024.1425040
Glenn Björklund, Olivia Procter, Mikael Swarén

Introduction: Officials are essential in terms of player safety and injury prevention, especially in contact team sports such as ice hockey, where numerous fast pace and high force contacts occur. If against the rules, these collisions can result in penalties. However, there is limited literature on the inter-rater reliability of the officials' decisions. Hence, the purpose was to investigate the theoretical reliability agreement between professional ice hockey officials in the Swedish Hockey League (SHL).

Method: Fifty video clips with different match situations were shown to 33 professional ice hockey officials in the SHL. Each situation was shown three times and the officials had 20 s between each video clip to answer which offence and penalty they would judge. The answers were anonymously collected using an online questionnaire. Fleiss' kappa was used to assess the reliability agreement between the referees, for each situation.

Results: The Fleiss' kappa values for all officials were 0.63 and 0.35 for offences and penalties, respectively. Referees and linesmen had similar kappa values for offences (0.64 vs. 0.64), as well as for penalties (0.38 vs. 0.35).

Conclusion: The results show that the suggested methodology can be used to identify situations where officials agree and disagree. In ice hockey, poor agreement regarding penalties can depend on the chosen offence as the rulebook limits the availability of penalties, based on the chosen offence. This can create issues, as there are situations where different offences are equally correct but will result in different penalties.

在球员安全和防止受伤方面,官员是必不可少的,特别是在像冰球这样的身体接触团体运动中,在那里会发生许多快节奏和高强度的接触。如果违反规则,这些碰撞可能会导致处罚。然而,关于官员决策的等级间可靠性的文献有限。因此,本研究的目的是调查瑞典冰球联盟(SHL)职业冰球官员之间的理论信度一致性。方法:对33名冰球专业裁判播放50段不同比赛场景的录像片段。每种情况都播放了三次,裁判在每段视频之间有20秒的时间来回答他们要判断的犯规和处罚。这些答案是通过在线问卷匿名收集的。使用Fleiss kappa来评估每个情况下裁判之间的可靠性一致性。结果:所有官员的Fleiss kappa值在违规和处罚方面分别为0.63和0.35。裁判和边裁对犯规的kappa值相似(0.64比0.64),对点球的kappa值也相似(0.38比0.35)。结论:结果表明,建议的方法可用于识别官员同意和不同意的情况。在冰球比赛中,关于处罚的不一致可能取决于所选的犯规,因为规则手册限制了基于所选犯规的处罚的可用性。这可能会产生问题,因为在某些情况下,不同的违规行为同样正确,但会导致不同的处罚。
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引用次数: 0
Editorial: What is esports performance? 编辑:什么是电子竞技表现?
IF 2.3 Q2 SPORT SCIENCES Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.3389/fspor.2024.1538686
David Ekdahl, Ivo van Hilvoorde, Zuzanna Aleksandra Rucińska, Susanne Ravn
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引用次数: 0
The effect of a combined compression-tactile stimulating sock on postural stability. 压缩-触觉组合刺激袜对姿势稳定性的影响。
IF 2.3 Q2 SPORT SCIENCES Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.3389/fspor.2024.1516182
Ashleigh Marchant, Sarah B Wallwork, Jeremy Witchalls, Nick Ball, Gordon Waddington

Previous research has demonstrated that postural stability may be improved by increasing stimulation to the somatosensory system. Wearing lower limb compression garments or textured in-soles have been found to be effective short-term methods for improving postural stability, hypothesized to be due to enhanced tactile feedback. The aim of this study was to assess whether a combined compression-tactile sock increases postural stability in healthy adults, compared to barefoot. Participants completed a sensory organization test (SOT) to assess postural stability under two conditions: (a) barefoot, and (b) wearing a compression sock with a textured inner lining (small rubber nodules on the skin side of the sole). SOT composite scores and three sensory scores - somatosensory, vestibular, visual - were assessed between the two conditions to identify whether wearing the socks was associated with enhanced postural stability. Comparisons between the two conditions were analyzed via a paired t-test for the (i) entire group, and an ANOVA when the group was split into (ii) "high performers" and "low performers", according to their baseline performance on the SOT. Fifty-four participants (28 females, 26 males, mean age 40 ± 14 years) completed the study. SOT scores were not different between the compression-tactile sock and barefoot conditions when analyzed as an entire group (p > 0.0125), or when the group was split into performance groups (p > 0.0125). These findings demonstrate that, for healthy adults, mixed compression and tactile stimulation socks do not appear to be associated with improved postural stability, when measured using the sensory organization test. Although prior research indicates that wearing a compression-tactile sock improves somatosensory acuity compared to being barefoot, these benefits do not seem to carry over to postural stability. It may be that in healthy adults, the additional sensory feedback becomes redundant, or the SOT is not challenging enough for this study population.

先前的研究表明,体位稳定性可以通过增加对躯体感觉系统的刺激而得到改善。穿着下肢压缩服或有纹理的鞋底已被发现是改善姿势稳定性的有效短期方法,假设是由于增强的触觉反馈。这项研究的目的是评估与光脚相比,一个组合的压缩触觉袜子是否能提高健康成年人的姿势稳定性。参与者完成了一个感觉组织测试(SOT)来评估两种情况下的姿势稳定性:(a)赤脚,(b)穿着有纹理内衬的压缩袜(鞋底皮肤一侧的小橡胶结节)。在两种情况下评估SOT综合评分和三种感觉评分——体感、前庭、视觉评分,以确定穿袜子是否与增强的姿势稳定性有关。两种情况之间的比较通过配对t检验对(i)整个组进行分析,并在组分为(ii)时进行方差分析。“高绩效”和“低绩效”,根据他们在SOT上的基准表现。54名参与者(女性28人,男性26人,平均年龄40±14岁)完成了研究。当作为一个整体分析时(p > 0.0125),或者当组被分成表现组时(p > 0.0125),穿着压缩触觉袜子和赤脚的条件下的SOT分数没有差异。这些发现表明,当使用感觉组织测试测量时,对于健康成年人来说,混合压缩和触觉刺激的袜子似乎与改善姿势稳定性无关。尽管先前的研究表明,与赤脚相比,穿压缩触觉袜子能提高体感灵敏度,但这些好处似乎并没有延续到姿势的稳定性上。可能是在健康的成年人中,额外的感觉反馈变得多余,或者SOT对这个研究人群来说没有足够的挑战性。
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引用次数: 0
Response of infrared thermography related parameters to (non-)sport specific exercise and relationship with internal load parameters in individual and team sport athletes-a systematic review. 红外热成像相关参数对(非)运动专项训练的响应及其与个人和团体运动运动员内负荷参数的关系——系统综述
IF 2.3 Q2 SPORT SCIENCES Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.3389/fspor.2024.1479608
Lukas Masur, Florian Brand, Peter Düking

Introduction: Monitoring internal load is crucial for athletes but often requires invasive methods for muscle-related parameters, limiting practicality. Infrared thermography (IRT) related parameters might overcome this limitation. This systematic review aimed to examine the available literature on the response of IRT related parameters to (non-)sport specific exercise and reveal relationships with internal load parameters in athletic populations.

Methods: Four scientific databases were systematically searched (February 2024) with keywords related to IRT, load, and sports disciplines. Risk of bias was evaluated using QUADAS-2. Main inclusion criteria for studies were i) reporting of IRT related parameters and other internal load parameters prior/post (non-)sport specific exercise ii) inclusion of least Tier 2 athletes ≥ 18 years. After identifying n = 10,538 studies, 13 articles (n = 231 participants) were included.

Results: Following (non-)sport specific exercise in athletic populations, the majority of relevant studies showed a decrease in IRT related parameters within 15 min, while studies showed an increase in IRT related parameters following 30 min, 24 h, 48 h, and 72 h after exercise cessation. Relationships between alterations in IRT related parameters and other internal load parameters are inconsistent across the literature.

Conclusion: While the majority of studies show an increase in IRT related parameters following (non-)sport specific exercise, relationships with other internal load parameters and underlying physiological mechanisms evoking IRT related alterations are not conclusively revealed in athletic populations. Future research needs to assess the relationship of IRT related parameters especially with inflammatory parameters in athletic populations following (non-)sport specific exercise. Practitioners might assess IRT related parameters in conjunction with other load parameters.

简介:监测内部负荷对运动员来说是至关重要的,但通常需要对肌肉相关参数进行侵入性方法,限制了实用性。红外热成像(IRT)相关参数可以克服这一限制。本系统综述旨在检查有关IRT相关参数对(非)运动特定运动的反应的现有文献,并揭示运动人群中内部负荷参数的关系。方法:系统检索4个科学数据库(2024年2月),检索关键词为IRT、负荷、运动学科。使用QUADAS-2评估偏倚风险。研究的主要纳入标准是i)报告IRT相关参数和其他内部负荷参数之前/之后(非)特定运动ii)纳入至少2级运动员≥18岁。在确定了n = 10,538项研究后,纳入了13篇文章(n = 231名参与者)。结果:在运动人群中进行(非)特定运动后,大多数相关研究显示,IRT相关参数在运动停止后15分钟内下降,而研究显示,在运动停止后30分钟、24小时、48小时和72小时后,IRT相关参数增加。IRT相关参数的变化与其他内部负载参数之间的关系在文献中并不一致。结论:虽然大多数研究表明,在(非)运动特定运动后,IRT相关参数增加,但在运动人群中,与其他内部负荷参数和引发IRT相关改变的潜在生理机制的关系并没有得到最终的揭示。未来的研究需要评估IRT相关参数的关系,特别是与运动人群在(非)运动特异性运动后的炎症参数的关系。从业者可以结合其他负载参数评估IRT相关参数。
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引用次数: 0
Supporting a lifetime of fitness for the military veteran athlete: a narrative review. 支持退伍军人运动员终身健身:叙事回顾。
IF 2.3 Q2 SPORT SCIENCES Pub Date : 2024-12-12 eCollection Date: 2024-01-01 DOI: 10.3389/fspor.2024.1510422
Melissa J Tinney, Chantal Nguyen

The military veteran starts their career at peak physical fitness. Once injured or retired, physical activity for the veteran is integral to rehabilitation, recovery, and ongoing wellness. This may require adaptation for continued participation in physical activity. The military veteran, in the United States, has access to resources which can facilitate ongoing physical activity, engagement in competitive and recreational sports, no matter what age or ability. Reviewing the current literature will help understand the scope of programs available, their outcomes, and strategies employed to support a lifetime of fitness that may be applied to other populations and health care systems.

这位退伍军人在身体健康的巅峰时期开始了他们的职业生涯。一旦受伤或退役,体育活动对退伍军人的康复、恢复和持续健康是不可或缺的。这可能需要适应继续参加体育活动。在美国,退伍军人无论年龄或能力如何,都有机会获得资源,促进持续的体育活动,参与竞争性和娱乐性运动。回顾目前的文献将有助于了解现有项目的范围、结果以及用于支持终身健身的策略,这些策略可能适用于其他人群和医疗保健系统。
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引用次数: 0
Optimizing active recovery strategies for finger flexor fatigue. 优化主动恢复策略的手指屈肌疲劳。
IF 2.3 Q2 SPORT SCIENCES Pub Date : 2024-12-12 eCollection Date: 2024-01-01 DOI: 10.3389/fspor.2024.1480205
Dominika Krupková, James J Tufano, Jiří Baláš

Introduction: Active recovery (AR) is used during exercise training; however, it is unclear whether the AR should involve the whole body, only the upper extremities, or only the lower extremities when aiming to maintain localized upper body performance. Therefore, this study aimed to evaluate the impact of different AR strategies on repeated intermittent finger flexor performance leading to exhaustion.

Methods: A crossover trial involving a familiarization session and three laboratory visits, each including three exhaustive intermittent isometric tests at 60% of finger flexor maximal voluntary contraction separated by 22 min of randomly assigned AR: walking, intermittent hanging, and climbing.

Results: The impulse (Nꞏs) significantly decreased from the first to third trials after walking (-18.4%, P = 0.002, d = 0.78), climbing (-29.5%, P < 0.001, d = 1.48), and hanging (-27.2%, P < 0.001, d = 1.22). In the third trial, the impulse from the intermittent test was significantly higher after walking (21,253 ± 5,650 Nꞏs) than after hanging (18,618 ± 5,174 Nꞏs, P = 0.013, d = 0.49) and after climbing (18,508 ± 4,435 Nꞏs, P = 0.009, d = 0.54).

Conclusions: The results show that easy climbing or intermittent isolated forearm contractions should not be used as AR strategies to maintain subsequent performance in comparison to walking, indicating that using the same muscle group for AR should be avoided between exhaustive isometric contractions.

简介:主动恢复(AR)用于运动训练;然而,目前尚不清楚的是,当旨在维持局部上肢表现时,AR是应该包括整个身体,仅上肢,还是仅包括下肢。因此,本研究旨在评估不同的AR策略对反复间歇性手指屈肌性能导致疲劳的影响。方法:一项交叉试验,包括熟悉环节和三次实验室访问,每次包括三次详尽的间歇性等长测试,在60%的手指屈肌最大自愿收缩时,间隔22分钟随机分配的AR:步行,间歇性悬挂和攀登。结果:行走(-18.4%,P = 0.002, d = 0.78)、攀爬(-29.5%,P = 1.48)、悬挂(-27.2%,P = 1.22)后的冲量(Nꞏs)在第1 ~ 3次试验中显著降低。在第三次试验中,间歇试验产生的冲量在行走后(21,253±5,650 Nꞏs)明显高于悬挂后(18,618±5,174 Nꞏs, P = 0.013, d = 0.49)和攀爬后(18,508±4,435 Nꞏs, P = 0.009, d = 0.54)。结论:结果表明,与步行相比,轻松的攀爬或间歇性孤立的前臂收缩不应作为维持后续表现的AR策略,这表明在穷力性等长收缩之间应避免使用同一肌肉群进行AR。
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引用次数: 0
Acute and chronic effects of inspiratory muscle training in patients with type 2 diabetes mellitus: a systematic review of randomized controlled trials. 吸气肌训练对2型糖尿病患者的急性和慢性影响:随机对照试验的系统回顾
IF 2.3 Q2 SPORT SCIENCES Pub Date : 2024-12-11 eCollection Date: 2024-01-01 DOI: 10.3389/fspor.2024.1423308
Zoé Breuil-Marsal, Clémence Godek, Amandine Lotti, Patrick Feiereisen, Isabela Roque Marçal, Patricia Rehder-Santos, Juliana Cristina Milan-Mattos, Raphael Martins de Abreu

Objectives: To conduct a systematic review to determine the acute and chronic effects of inspiratory muscle training (IMT) in type 2 diabetes mellitus (T2DM) patients on cardiac autonomic function, glucose variability, inspiratory muscle strength and endurance, hemodynamic variables, and exercise capacity.

Methods: A search was carried out according to a specific search strategy, following the PRISMA statement, and three independent reviewers have undertaken the article selection process. Searches were carried out in June 2023, on the following electronic databases: EMBASE, MEDLINE (PubMed), SCOPUS (Elsevier), and Web of Science. The methodological quality of the studies was assessed using the PEDro scale. The search was limited to English-language, randomized controlled trials (RCTs), involving T2DM patients (>18 years old, with or without autonomic neuropathy, and/or inspiratory muscle weakness) following an acute or chronic intervention protocol based on IMT. Exclusion criteria were reviews, clinical trials, case studies, theses, dissertations, scientific conference abstracts, subjects with other chronic respiratory/neurological/cardiovascular diseases, and studies addressing other breathing exercises.

Results: The search strategy identified 1,352 studies, of which eight (two involving acute and six involving chronic IMT effects) were included. A total of 214 adults aged 52-63 years (51/49 male/female ratio), with BMI ranging from 27 to 36.8 kg/m², were included. The results demonstrated that after IMT, acute effects were reported, such as reduced glucose levels and an increase in the parasympathetic pathway, but also chronic effects including improved inspiratory muscle strength, endurance, and exercise capacity.

Conclusion: Although some methodological differences among the studies were found, IMT may have beneficial effects on cardiac autonomic function, glucose level control, inspiratory muscle strength/endurance as well as exercise capacity. However, further studies are necessary to confirm these benefits.

目的:对2型糖尿病(T2DM)患者进行系统评价,以确定吸气肌训练(IMT)对心脏自主神经功能、血糖变异性、吸气肌力量和耐力、血流动力学变量和运动能力的急性和慢性影响。方法:按照特定的检索策略,遵循PRISMA声明进行检索,由三名独立审稿人进行文章选择。检索于2023年6月在以下电子数据库上进行:EMBASE, MEDLINE (PubMed), SCOPUS (Elsevier)和Web of Science。研究的方法学质量采用PEDro量表进行评估。该研究仅限于英文随机对照试验(RCTs),涉及T2DM患者(bb0 - 18岁,有或无自主神经病变,和/或吸气肌无力),并遵循基于IMT的急性或慢性干预方案。排除标准包括综述、临床试验、案例研究、论文、学位论文、科学会议摘要、其他慢性呼吸/神经/心血管疾病的受试者,以及涉及其他呼吸练习的研究。结果:检索策略确定了1352项研究,其中8项(2项涉及急性IMT效应,6项涉及慢性IMT效应)被纳入。研究对象为214名年龄在52-63岁之间(男女比例为51/49)的成年人,BMI在27 ~ 36.8 kg/m²之间。结果表明,在IMT后,报告了急性效应,如血糖水平降低和副交感神经通路增加,但也有慢性效应,包括改善吸气肌力量,耐力和运动能力。结论:虽然各研究在方法上存在差异,但IMT可能对心脏自主神经功能、血糖水平控制、吸气肌力量/耐力和运动能力有有益的影响。然而,需要进一步的研究来证实这些益处。
{"title":"Acute and chronic effects of inspiratory muscle training in patients with type 2 diabetes mellitus: a systematic review of randomized controlled trials.","authors":"Zoé Breuil-Marsal, Clémence Godek, Amandine Lotti, Patrick Feiereisen, Isabela Roque Marçal, Patricia Rehder-Santos, Juliana Cristina Milan-Mattos, Raphael Martins de Abreu","doi":"10.3389/fspor.2024.1423308","DOIUrl":"10.3389/fspor.2024.1423308","url":null,"abstract":"<p><strong>Objectives: </strong>To conduct a systematic review to determine the acute and chronic effects of inspiratory muscle training (IMT) in type 2 diabetes mellitus (T2DM) patients on cardiac autonomic function, glucose variability, inspiratory muscle strength and endurance, hemodynamic variables, and exercise capacity.</p><p><strong>Methods: </strong>A search was carried out according to a specific search strategy, following the PRISMA statement, and three independent reviewers have undertaken the article selection process. Searches were carried out in June 2023, on the following electronic databases: EMBASE, MEDLINE (PubMed), SCOPUS (Elsevier), and Web of Science. The methodological quality of the studies was assessed using the PEDro scale. The search was limited to English-language, randomized controlled trials (RCTs), involving T2DM patients (>18 years old, with or without autonomic neuropathy, and/or inspiratory muscle weakness) following an acute or chronic intervention protocol based on IMT. Exclusion criteria were reviews, clinical trials, case studies, theses, dissertations, scientific conference abstracts, subjects with other chronic respiratory/neurological/cardiovascular diseases, and studies addressing other breathing exercises.</p><p><strong>Results: </strong>The search strategy identified 1,352 studies, of which eight (two involving acute and six involving chronic IMT effects) were included. A total of 214 adults aged 52-63 years (51/49 male/female ratio), with BMI ranging from 27 to 36.8 kg/m², were included. The results demonstrated that after IMT, acute effects were reported, such as reduced glucose levels and an increase in the parasympathetic pathway, but also chronic effects including improved inspiratory muscle strength, endurance, and exercise capacity.</p><p><strong>Conclusion: </strong>Although some methodological differences among the studies were found, IMT may have beneficial effects on cardiac autonomic function, glucose level control, inspiratory muscle strength/endurance as well as exercise capacity. However, further studies are necessary to confirm these benefits.</p>","PeriodicalId":12716,"journal":{"name":"Frontiers in Sports and Active Living","volume":"6 ","pages":"1423308"},"PeriodicalIF":2.3,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Frontiers in Sports and Active Living
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