Inspiratory muscle training improves pulmonary functions and respiratory muscle strength in healthy male smokers

Bostancı, Özgür; Mayda, Hakan; Yılmaz, Coşkun; Kabadayı, Menderes; Yılmaz, Ali Kerim; Özdal, Mustafa

doi:10.1016/j.resp.2019.04.001

Cited by 29 publications

(28 citation statements)

References 43 publications

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“…Spirometrically occult airways and lung parenchymal disease, pulmonary microvascular disease, gas exchange, and respiratory muscle abnormalities could potentially contribute to decrease exercise tolerance due to exertional dyspnea in symptomatic smokers (Hamari et al, 2010; Estépar et al, 2013; Rennard and Drummond, 2015; Elbehairy et al, 2016; Woodruff et al, 2016; Bodduluri et al, 2017; Martinez et al, 2017; Bostanci et al, 2019). Airway disease with chronic bronchitic symptoms is largely recognized in smokers without COPD (Rennard and Drummond, 2015; Woodruff et al, 2016; Martinez et al, 2017).…”

Section: Respiratory Abnormalitiesmentioning

confidence: 99%

“…Finally, there is limited evidence that some smokers may present with reduced inspiratory muscle strength (Formiga et al, 2018; Bostanci et al, 2019) and endurance though this is not a universal finding (Elbehairy et al, 2016). Owing to exquisitive sensitivity of the diaphragm to hypoxia (Zhu et al, 2005; Lewis and O’Halloran, 2016), low-grade inflammation (Haegens et al, 2012), and oxidative stress (Lawler and Powers, 1998; Barreiro et al, 2006), it remains possible that it might suffer the consequences of chronic smoking.…”

Section: Respiratory Abnormalitiesmentioning

confidence: 99%

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Cardiopulmonary and Muscular Interactions: Potential Implications for Exercise (In)tolerance in Symptomatic Smokers Without Chronic Obstructive Pulmonary Disease

et al. 2019

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Smoking and physical inactivity are important preventable causes of disability and early death worldwide. Reduced exercise tolerance has been described in smokers, even in those who do not fulfill the extant physiological criteria for chronic obstructive pulmonary disease (COPD) and are not particularly sedentary. In this context, it is widely accepted that exercise capacity depends on complex cardio-pulmonary interactions which support oxygen (O 2 ) delivery to muscle mitochondria. Although peripheral muscular factors, O 2 transport disturbances (including the effects of increased carboxyhemoglobin) and autonomic nervous system unbalance have been emphasized, other derangements have been more recently described, including early microscopic emphysema, pulmonary microvascular disease, ventilatory and gas exchange inefficiency, and left ventricular diastolic dysfunction. Using an integrative physiological approach, the present review summarizes the recent advances in knowledge on the effects of smoking on the lung-heart-muscle axis under the stress of exercise. Special attention is given to the mechanisms connecting physiological abnormalities such as early cardio-pulmonary derangements, inadequate oxygen delivery and utilization, and generalized bioenergetic disturbances at the muscular level with the negative sensations (sense of heightened muscle effort and breathlessness) that may decrease the tolerance of smokers to physical exercise. A deeper understanding of the systemic effects of smoking in subjects who did not (yet) show evidences of COPD and ischemic heart disease – two devastating smoking related diseases – might prove instrumental to fight their ever-growing burden.

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Section: Respiratory Abnormalitiesmentioning

confidence: 99%

Section: Respiratory Abnormalitiesmentioning

confidence: 99%

Cardiopulmonary and Muscular Interactions: Potential Implications for Exercise (In)tolerance in Symptomatic Smokers Without Chronic Obstructive Pulmonary Disease

et al. 2019

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“…We found that inspiratory muscle strength was significantly lower in the patients with PAH who has tobacco smoke exposure. The previous studies showed that healthy smoker individuals had reduced inspiratory muscle strength compared to the nonsmokers (28,29). Enright et al (30) showed significantly lower maximal inspiratory pressure in the older people who are current smokers than those who are the nonsmokers.…”

Section: Discussionmentioning

confidence: 97%

Effect of Tobacco Smoke Exposure on Functional Capacity, Respiratory Muscle Strength, and Physical Activity Level in Patients with Pulmonary Arterial Hypertension: A Preliminary Study

Kahraman¹,

Tanriverdi̇²,

Özsoy³

et al. 2020

J Basic Clin Health Sci

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It is known that tobacco smoke exposure is a risk factor for the development of pulmonary arterial hypertension (PAH). In addition, tobacco smoke exposure can cause numerous health problems. This study aimed to compare functional capacity, respiratory muscle strength, and physical activity level between the patients with PAH who have or do not have tobacco smoke exposure.Methods: Seventeen patients with PAH who has tobacco smoke exposure and 20 nonsmoker patients were included in this cross-sectional study. Tobacco smoke exposure was defined as current smokers, ex-smokers, and passive smokers. The study outcomes included the maximal inspiratory and expiratory pressure measurement, 6-minute walk test, and physical activity.Results: There was no significant difference for age, gender, body mass index, pulmonary arterial pressure, and functional class between the two groups (p>0.05). Inspiratory muscle strength (p=0.035), functional exercise capacity (p=0.040) and physical activity level (p=0.034) were lower in patients with tobacco smoke expose compared to the nonsmokers. Conclusion:The results of this study showed that functional capacity, respiratory muscle strength, and physical activity level were significantly lower in patients with tobacco smoke expose than the nonsmoker patients with PAH. These findings suggest that tobacco smoking is not only associated with PAH risk but also numerous health problems, specifically important ones for this population.

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“…Respiratory muscle following the principle of strength and endurance training responds to increasing load of IMT by recruiting motor units that promotes muscle strength. Also, studies have shown reversal of negative effect of smoking followed by IMT [4] , [16] . Thus, this study aims to observe the effect of IMT on combined effect of smoking and abdominal surgery in pulmonary function and functional capacity.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of inspiratory muscle training (IMT) on pulmonary function and functional capacity in chronic smoker's v/s non-smokers patients undergoing open abdominal surgery - A study protocol

Shah

Amaravdi

Samuel

et al. 2020

International Journal of Surgery Protocols

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Inspiratory muscle training improves pulmonary functions and respiratory muscle strength in healthy male smokers

Cited by 29 publications

References 43 publications

Cardiopulmonary and Muscular Interactions: Potential Implications for Exercise (In)tolerance in Symptomatic Smokers Without Chronic Obstructive Pulmonary Disease

Cardiopulmonary and Muscular Interactions: Potential Implications for Exercise (In)tolerance in Symptomatic Smokers Without Chronic Obstructive Pulmonary Disease

Effect of Tobacco Smoke Exposure on Functional Capacity, Respiratory Muscle Strength, and Physical Activity Level in Patients with Pulmonary Arterial Hypertension: A Preliminary Study

Effectiveness of inspiratory muscle training (IMT) on pulmonary function and functional capacity in chronic smoker's v/s non-smokers patients undergoing open abdominal surgery - A study protocol

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