Effects of Different Inspiratory Muscle Training Protocols on Exercise Capacity, Respiratory Muscle Strength, and Health-Related Quality of Life in Patients with Hypertension

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dc.authoridKATAYIFCI, NIHAN/0000-0002-1218-3831
dc.authoridDOGRU HUZMELI, Esra/0000-0002-7025-8192
dc.authoridHuzmeli, Irem/0000-0003-3400-6016
dc.contributor.authorHuzmeli, Irem
dc.contributor.authorKatayifci, Nihan
dc.contributor.authorYalcin, Fatih
dc.contributor.authorHuzmeli, Esra Dogru
dc.date.accessioned2024-09-18T21:06:29Z
dc.date.available2024-09-18T21:06:29Z
dc.date.issued2024
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractAim. This study aimed to explore how varying inspiratory muscle training workloads affect exercise capacity, health-related quality of life (HrQoL), depression, peripheral and respiratory muscle strength, pulmonary function, dyspnea, fatigue, and physical activity levels in hypertension (HT) patients. Methods. A randomized, controlled three-arm study. Forty-five patients (58.37 +/- 8.53 y, 7F/38M) with HT received IMT (7 days/8 weeks) by POWERbreathe (R) Classic LR device and were randomized to control group (CG, 10% maximal inspiratory pressure (MIP), n: 15), low-load group (LLG, 30% MIP), and high-load group (HLG, %50 MIP). Exercise capacity, HrQoL, depression, peripheral and respiratory muscle strength, pulmonary function, fatigue, physical activity level, dyspnea, and sleep quality were evaluated before and after the training. Results. Exercise capacity, physical functioning, peripheral muscle strength, and resting dyspnea were statistically significantly improved in HLG and LLG after the training compared to CG . Similar improvements in perception of depression, fatigue, and sleep quality were seen within and between the groups . Statistically significant differences were found within all the groups in terms of MIP and PEF values of respiratory functions . The superior improvement in the physical activity level was found in the HLG . Discussion. High-load IMT was particularly effective in increasing physical activity level, peripheral muscle strength, exercise capacity, and improved HrQoL. Low-load IMT was effective in reducing dyspnea and improving respiratory function. Device-guided breathing exercises decreased blood pressure, improved sleep quality, and strengthened respiratory muscles. IMT, an efficient method, is suggested for inclusion in rehabilitation programs due to its capacity to increase physical activity, exercise capacity, and peripheral muscle strength, enhance HrQoL and respiratory function, and alleviate dyspnea. Also, the efficacy of IMT should be investigated with different training protocols such as endurance IMT or functional IMT in HT patients.en_US
dc.description.sponsorshipMustafa Kemal niversitesi; Hatay Mustafa Kemal Universityen_US
dc.description.sponsorshipThis study was funded by the Hatay Mustafa Kemal University.en_US
dc.identifier.doi10.1155/2024/4136457
dc.identifier.issn1368-5031
dc.identifier.issn1742-1241
dc.identifier.pmid38344141en_US
dc.identifier.scopus2-s2.0-85185116371en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1155/2024/4136457
dc.identifier.urihttps://hdl.handle.net/20.500.12483/13634
dc.identifier.volume2024en_US
dc.identifier.wosWOS:001160449200001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWiley-Hindawien_US
dc.relation.ispartofInternational Journal of Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectRandomized Controlled-Trialen_US
dc.subjectPhysical-Activityen_US
dc.subjectBlood-Pressureen_US
dc.subjectFunctional-Capacityen_US
dc.subjectPulmonary-Functionen_US
dc.subjectTreat Principleen_US
dc.subjectLung-Functionen_US
dc.subjectFatigueen_US
dc.subjectAssociationen_US
dc.subjectReliabilityen_US
dc.titleEffects of Different Inspiratory Muscle Training Protocols on Exercise Capacity, Respiratory Muscle Strength, and Health-Related Quality of Life in Patients with Hypertensionen_US
dc.typeArticleen_US

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