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Published in: Clinical Autonomic Research 4/2015

01-08-2015 | Short Communication

Inspiratory muscle training in patients with diabetic autonomic neuropathy: a randomized clinical trial

Authors: Diogo Machado Kaminski, Beatriz D. Schaan, Antônio Marcos Vargas da Silva, Pedro Paulo Soares, Pedro Dal Lago

Published in: Clinical Autonomic Research | Issue 4/2015

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Abstract

Aims and methods

We evaluated the effects of an 8-week inspiratory muscle training (IMT, n = 5) or placebo IMT (P-IMT, n = 5) on maximal respiratory pressures, pulmonary function, functional capacity, and cardiac autonomic control in patients with type 2 diabetes and diabetic autonomic neuropathy (DAN).

Results and conclusions

The IMT group had a greater increase in maximum inspiratory pressure as compared to P-IMT (p < 0.05). The IMT improved inspiratory muscle strength in patients with DAN.
Literature
1.
go back to reference Arikan H, Bellur N, Caliskan H, Saglam M, Vardar-Yagli N, Calik E, Inal-Ince D, Savci S, Yuce Ege M, Firat H, Ardic S (2012) Inspiratory muscle training in obstructive sleep apnea syndrome. Eur Respir J 40 Arikan H, Bellur N, Caliskan H, Saglam M, Vardar-Yagli N, Calik E, Inal-Ince D, Savci S, Yuce Ege M, Firat H, Ardic S (2012) Inspiratory muscle training in obstructive sleep apnea syndrome. Eur Respir J 40
2.
go back to reference Chiappa GR, Roseguini BT, Vieira PJ, Alves CN, Tavares A, Winkelmann ER, Ferlin EL, Stein R, Ribeiro JP (2008) Inspiratory muscle training improves blood flow to resting and exercising limbs in patients with chronic heart failure. J Am Coll Cardiol 51:1663–1671CrossRefPubMed Chiappa GR, Roseguini BT, Vieira PJ, Alves CN, Tavares A, Winkelmann ER, Ferlin EL, Stein R, Ribeiro JP (2008) Inspiratory muscle training improves blood flow to resting and exercising limbs in patients with chronic heart failure. J Am Coll Cardiol 51:1663–1671CrossRefPubMed
3.
go back to reference Correa AP, Ribeiro JP, Balzan FM, Mundstock L, Ferlin EL, Moraes RS (2011) Inspiratory muscle training in type 2 diabetes with inspiratory muscle weakness. Med Sci Sports Exerc 43:1135–1141CrossRefPubMed Correa AP, Ribeiro JP, Balzan FM, Mundstock L, Ferlin EL, Moraes RS (2011) Inspiratory muscle training in type 2 diabetes with inspiratory muscle weakness. Med Sci Sports Exerc 43:1135–1141CrossRefPubMed
4.
go back to reference Dall’Ago P, Chiappa GR, Guths H, Stein R, Ribeiro JP (2006) Inspiratory muscle training in patients with heart failure and inspiratory muscle weakness: a randomized trial. J Am Coll Cardiol 47:757–763CrossRefPubMed Dall’Ago P, Chiappa GR, Guths H, Stein R, Ribeiro JP (2006) Inspiratory muscle training in patients with heart failure and inspiratory muscle weakness: a randomized trial. J Am Coll Cardiol 47:757–763CrossRefPubMed
5.
go back to reference Ewing DJ, Campbell IW, Clarke BF (1980) The natural history of diabetic autonomic neuropathy. Q J Med 49:95–108PubMed Ewing DJ, Campbell IW, Clarke BF (1980) The natural history of diabetic autonomic neuropathy. Q J Med 49:95–108PubMed
6.
go back to reference Ewing DJ, Clarke BF (1982) Diagnosis and management of diabetic autonomic neuropathy. Br Med J (Clin Res Ed) 285:916–918CrossRef Ewing DJ, Clarke BF (1982) Diagnosis and management of diabetic autonomic neuropathy. Br Med J (Clin Res Ed) 285:916–918CrossRef
7.
go back to reference Ferreira JB, Plentz RD, Stein C, Casali KR, Arena R, Lago PD (2013) Inspiratory muscle training reduces blood pressure and sympathetic activity in hypertensive patients: a randomized controlled trial. Int J Cardiol 166:61–67CrossRefPubMed Ferreira JB, Plentz RD, Stein C, Casali KR, Arena R, Lago PD (2013) Inspiratory muscle training reduces blood pressure and sympathetic activity in hypertensive patients: a randomized controlled trial. Int J Cardiol 166:61–67CrossRefPubMed
8.
go back to reference Fuso L, Pitocco D, Longobardi A, Zaccardi F, Contu C, Pozzuto C, Basso S, Varone F, Ghirlanda G, Antonelli Incalzi R (2012) Reduced respiratory muscle strength and endurance in type 2 diabetes mellitus. Diabetes Metab Res Rev 28:370–375CrossRefPubMed Fuso L, Pitocco D, Longobardi A, Zaccardi F, Contu C, Pozzuto C, Basso S, Varone F, Ghirlanda G, Antonelli Incalzi R (2012) Reduced respiratory muscle strength and endurance in type 2 diabetes mellitus. Diabetes Metab Res Rev 28:370–375CrossRefPubMed
9.
go back to reference Kabitz HJ, Sonntag F, Walker D, Schwoerer A, Walterspacher S, Kaufmann S, Beuschlein F, Seufert J, Windisch W (2008) Diabetic polyneuropathy is associated with respiratory muscle impairment in type 2 diabetes. Diabetologia 51:191–197CrossRefPubMed Kabitz HJ, Sonntag F, Walker D, Schwoerer A, Walterspacher S, Kaufmann S, Beuschlein F, Seufert J, Windisch W (2008) Diabetic polyneuropathy is associated with respiratory muscle impairment in type 2 diabetes. Diabetologia 51:191–197CrossRefPubMed
10.
go back to reference Lahiri MK, Kannankeril PJ, Goldberger JJ (2008) Assessment of autonomic function in cardiovascular disease: physiological basis and prognostic implications. J Am Coll Cardiol 51:1725–1733CrossRefPubMed Lahiri MK, Kannankeril PJ, Goldberger JJ (2008) Assessment of autonomic function in cardiovascular disease: physiological basis and prognostic implications. J Am Coll Cardiol 51:1725–1733CrossRefPubMed
11.
go back to reference Mello PR, Guerra GM, Borile S, Rondon MU, Alves MJ, Negrao CE, Dal Lago P, Mostarda C, Irigoyen MC, Consolim-Colombo FM (2012) Inspiratory muscle training reduces sympathetic nervous activity and improves inspiratory muscle weakness and quality of life in patients with chronic heart failure: a clinical trial. J Cardiopulm Rehabil Prev 32:255–261CrossRefPubMed Mello PR, Guerra GM, Borile S, Rondon MU, Alves MJ, Negrao CE, Dal Lago P, Mostarda C, Irigoyen MC, Consolim-Colombo FM (2012) Inspiratory muscle training reduces sympathetic nervous activity and improves inspiratory muscle weakness and quality of life in patients with chronic heart failure: a clinical trial. J Cardiopulm Rehabil Prev 32:255–261CrossRefPubMed
12.
go back to reference Neumann C, Schmid H (1997) Standardization of a computerized method for calculating autonomic function test responses in healthy subjects and patients with diabetes mellitus. Braz J Med Biol Res 30:197–205CrossRefPubMed Neumann C, Schmid H (1997) Standardization of a computerized method for calculating autonomic function test responses in healthy subjects and patients with diabetes mellitus. Braz J Med Biol Res 30:197–205CrossRefPubMed
13.
go back to reference Yeh HC, Punjabi NM, Wang NY, Pankow JS, Duncan BB, Cox CE, Selvin E, Brancati FL (2008) Cross-sectional and prospective study of lung function in adults with type 2 diabetes: the Atherosclerosis Risk in Communities (ARIC) Study. Diabetes Care 31:741–746PubMedCentralCrossRefPubMed Yeh HC, Punjabi NM, Wang NY, Pankow JS, Duncan BB, Cox CE, Selvin E, Brancati FL (2008) Cross-sectional and prospective study of lung function in adults with type 2 diabetes: the Atherosclerosis Risk in Communities (ARIC) Study. Diabetes Care 31:741–746PubMedCentralCrossRefPubMed
Metadata
Title
Inspiratory muscle training in patients with diabetic autonomic neuropathy: a randomized clinical trial
Authors
Diogo Machado Kaminski
Beatriz D. Schaan
Antônio Marcos Vargas da Silva
Pedro Paulo Soares
Pedro Dal Lago
Publication date
01-08-2015
Publisher
Springer Berlin Heidelberg
Published in
Clinical Autonomic Research / Issue 4/2015
Print ISSN: 0959-9851
Electronic ISSN: 1619-1560
DOI
https://doi.org/10.1007/s10286-015-0291-0

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