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RESEARCH PRODUCT
Determinants of dynamic inspiratory muscle strength in healthy trained elderly.
Anabel ForteCristina Blasco-lafargaPablo MonteagudoPablo MonteagudoJordi Monferrer-marínAinoa RoldánAna Blasco Cordellatsubject
SpirometryMalemedicine.medical_specialtyHealth StatusPhysical fitnessPopulationPhysical activity030209 endocrinology & metabolism030204 cardiovascular system & hematologypredictive equationsinspiratory muscle strength03 medical and health sciencesWearable Electronic Devices0302 clinical medicinePhysical medicine and rehabilitationMedicineHumansLung volumesnormal valuesMuscle Strengtheducationrespiratory trainingExerciseAgedAged 80 and overeducation.field_of_studymedicine.diagnostic_testbusiness.industryCardiorespiratory fitnessInspiratory muscleRegression analysisGeneral Medicineclinical assessmentRespiratory MusclesRespiratory Function TestsCardiorespiratory FitnessSpainBody CompositionFemalefunctional assessmentbusinessdescription
Background: The S-Index assessed by means of electronic devices is a measure of Inspiratory Muscle Strength (IMS) that highly correlates with the maximal inspiratory pressure (MIP). The variables involved when using regression models for the prediction of IMS/MIP depend on both the sample characteristics and the device or protocol used. In light of the scarce information on the influence of physical activity (PA) on IMS in healthy older adults (OA), together with the incorporation of new assessment devices, the objectives of this research are: 1) to determine which factors influence the IMS in a group of trained OA, using a portable electronic device; and 2) to propose a regression model to improve its assessment and training. Methods: One hundred and fifty-nine individuals were assessed for body composition, lung capacity, IMS, and PA. A total of 92 individuals (72.73 ± 4.99 years) were considered for the final sample. Results: Using age, sex, and weight as control variables, forced expiratory volume in the first second (FEV1) is the variable which is most likely to be included in the model (80%), without physical fitness appearing to be decisive. In the absence of spirometric variables, cardiorespiratory fitness (6MWT) takes on this role in a predictive model (16%). Conclusions: This is the first study proposing IMS predictive formulas considering spirometry and/or physical fitness results for a Spanish, healthy, and trained OAs population. A predictive formula including also the spirometric variables (mainly the FEV1) might better predict the inspiratory muscle strength. In addition, physical and respiratory functions confirm to be different, so it is necessary for the inspiratory muscles to be trained in a specific way.
year | journal | country | edition | language |
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2021-07-20 | Postgraduate medicine |