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<title>Effects on Respiratory Pressures, Spirometry Biomarkers, and Sports Performance after Inspiratory Muscle Training in a Physically Active Population by Powerbreath®: A Systematic Review and Meta-Analysis</title>
<creator>Fernández-Lázaro, Diego</creator>
<creator>Corchete, Luis A.</creator>
<creator>García, Juan F.</creator>
<creator>Jerves Donoso, David</creator>
<creator>Lantarón-Caeiro, Eva</creator>
<creator>Cobreros Mielgo, Raúl</creator>
<creator>Mielgo Ayuso, Juan</creator>
<creator>Gallego-Gallego, David</creator>
<creator>Seco-Calvo, Jesús</creator>
<subject>Inspiratory muscle training</subject>
<subject>Powerbreath</subject>
<subject>Maximal inspiratory pressure</subject>
<subject>Forced vital capacity</subject>
<subject>Sports performance</subject>
<subject>Exercise</subject>
<subject>Meta-analysis</subject>
<description>Sports performance in athletes can be limited by respiratory factors, so it is understandable&#xd;
to propose that inspiratory muscle training (IMT) can improve respiratory function and exercise&#xd;
performance. Power-Breathe® (PwB) is a sectorized respiratory muscle training tool that uses a&#xd;
resistive load to train IMT. There is currently a growing interest in respiratory muscle training,&#xd;
so we set out to systematically assess the effects of IMT with PwB on respiratory parameters and&#xd;
athletic performance in physically active, healthy adults. Based on the Preferred Reporting Items&#xd;
for Systematic Reviews and Meta-Analyses (PRISMA) guideline, the Cochrane and PEDro scales to&#xd;
assess methodological quality, effect size using the Rosenthal formula, and the Cochrane tool for&#xd;
estimation of risk of bias, studies searchable in Medline, Web of Science, and Cochrane. In addition,&#xd;
for the performance of the meta-analysis, the documentation and quantification of the heterogeneity&#xd;
in each meta-analysis were directed through the Cochran’s Q test and the I2 statistic; in addition, a&#xd;
publication bias analysis was performed using funnel plots. Of the total of 241 studies identified&#xd;
in the search, 11 studies for the systematic review and nine for the meta-analysis met the exclusion&#xd;
and/or inclusion criteria. IMT, with PwB, showed significant improvements in maximal inspiratory&#xd;
pressure (MIP) and substantial improvements in forced vital capacity (FVC) in the meta-analysis results. Also, sports performance was significantly increased by IMT with PwB. In conclusion, the&#xd;
use of PwB is an IMT tool that improves respiratory and sports performance.</description>
<date>2023-03-20</date>
<date>2023-03-20</date>
<date>2022-12</date>
<type>info:eu-repo/semantics/article</type>
<identifier>http://hdl.handle.net/10259/7556</identifier>
<identifier>10.3390/biology12010056</identifier>
<identifier>2079-7737</identifier>
<language>eng</language>
<relation>Biology. 2022, V. 12, n. 1, 56</relation>
<relation>https://doi.org/10.3390/biology12010056</relation>
<rights>http://creativecommons.org/licenses/by/4.0/</rights>
<rights>info:eu-repo/semantics/openAccess</rights>
<rights>Atribución 4.0 Internacional</rights>
<publisher>MDPI</publisher>
</thesis></metadata></record></GetRecord></OAI-PMH>