Influence of Respiratory Muscle Training on Objective and Subjective Training Load Measures in Triathletes

NCT ID: NCT05936398

Last Updated: 2023-07-07

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 16 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-03-01
• Study Completion Date: 2023-04-30

Brief Summary

Two groups of healthy, highly trained triathletes trained respiratory muscles with one of the two methods: voluntary isocapnic hyperpnoea (VIH) or inspiratory pressure threshold loading (IPTL). The main purpose of this study was to accurately and thoroughly assess the potential extra load that RMT puts on athletes and determine if there are significant differences in RMT-induced load between the investigated training methods.

Informed written consent was obtained from the all study participants. All procedures were carried out in accordance with the Declaration of Helsinki.

Detailed Description

The study was conducted as a randomized controlled trial with two parallel groups. Whereas participants and data collectors were aware of the allocated training method, the data analysts and laboratory technicians performing biochemistry assays were kept blinded to the allocation. The participants were assigned at random to either VIH or IPTL training group to perform RMT with progressive overload for 6 weeks.

Three training sessions (week 1, 4, 6) were monitor to assess the potential extra load that RMT puts on athletes and determine if there are significant differences in RMT-induced load between the investigated training methods.

Blood samples used for acid-base balance (pH), partial pressure of oxygen (pO2), partial pressure for carbon dioxide (pCO2), partial pressure for bicarbonate ion (HCO3-), and blood lactate (bLa) were collected immediately after cessation of the exercise and MPQ was presented 1' after cessation of the exercise. Blood samples for cortisol (C) and testosterone (T) were collected 5' after cessation of the exercise. The second S-Index Test was performed between minute 5 and minute 7 after cessation of the exercise. RPE was assessed 10' after cessation of the exercise. The participants again answered MPQ after 24h and 48h after the monitored RMT sessions.

Informed written consent was obtained from the all study participants. All procedures were carried out in accordance with the Declaration of Helsinki.

Conditions

Athletic Performance

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

Voluntary Isocapnic Hyperpnoea (VIH)

Group performing respiratory muscle training with Voluntary Isocapnic Hyperpnoea (VIH) method.

Group Type: ACTIVE_COMPARATOR

Respiratory Muscle Training - VIH

Intervention Type: BEHAVIORAL

The VIH group will train every second day with gradual progression based on session length and breathing frequency. Participants will begin with 3 minutes of exercise with a frequency of 20 breaths·min-1 during the first session and add no more than 1 minute or 2 breaths·min-1 with each consecutive session.

Inspiratory Pressure Threshold Loading (IPTL)

Group performing respiratory muscle training with Inspiratory Pressure Threshold Loading (IPTL) method.

Group Type: ACTIVE_COMPARATOR

Respiratory Muscle Training - ITPL

Intervention Type: BEHAVIORAL

The IPTL group will train 5 days a week, twice a day, with at least 6 hours break between sessions. The session will consist of 30 dynamic inspiratory maneuvers with progressive overload based on gradually increased resistance. The VIH group will train every second day with gradual progression based on session length and breathing frequency. Participants will begin with 3 minutes of exercise with a frequency of 20 breaths·min-1 during the first session and add no more than 1 minute or 2 breaths·min-1 with each consecutive session.

Interventions

Respiratory Muscle Training - VIH

The VIH group will train every second day with gradual progression based on session length and breathing frequency. Participants will begin with 3 minutes of exercise with a frequency of 20 breaths·min-1 during the first session and add no more than 1 minute or 2 breaths·min-1 with each consecutive session.

Intervention Type: BEHAVIORAL

Respiratory Muscle Training - ITPL

The IPTL group will train 5 days a week, twice a day, with at least 6 hours break between sessions. The session will consist of 30 dynamic inspiratory maneuvers with progressive overload based on gradually increased resistance. The VIH group will train every second day with gradual progression based on session length and breathing frequency. Participants will begin with 3 minutes of exercise with a frequency of 20 breaths·min-1 during the first session and add no more than 1 minute or 2 breaths·min-1 with each consecutive session.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• valid medical certificate to compete sports professionally,
• lack of ongoing medication intake,
• lack of any medical condition,
• lack of previous experience with RMT,
• lack of previous experience with RMT,
• performance caliber corresponding to at HighlyTrained/Elite (Participant Classification Framework, McKay 2022),
• at least 6 years of triathlon training,
• average training volume over 12 hours per week during last 6 weeks.

Exclusion Criteria

• any ongoing medication intake or medical condition.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Institute of Sport - National Research Institute, Poland

OTHER

Sponsor Role: lead

Responsible Party

Tomasz Kowalski

Specialist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Institute of Sport - National Research Institute

Warsaw, , Poland

Countries

Poland

Other Identifiers

TK02/2023

Identifier Type: -

Identifier Source: org_study_id