Evidence map›Paper›PMID 42260804›Full record

Trial reportMedicine2026

Comparative effectiveness of progressive moderate- to high-intensity peripheral and inspiratory muscle training combined with aerobic exercise in community-dwelling older adults: A randomized clinical trial.

Sezen Uyanik, Buket Akinci

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Sezen UyanikHealth Services Vocational School, Department of Health Care Services, Çanakkale Onsekiz Mart University, Canakkale, Türkiye.ORCID 0000-0002-7109-8557
Buket AkinciFaculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Biruni University, Istanbul, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to compare the effects of moderate- to high-intensity peripheral and inspiratory muscle training, when combined with aerobic training, on muscle strength, respiratory muscle strength, physical performance, functional capacity, sarcopenia, and quality of life in older adults.

methodsThirty-four community-dwelling older adults were randomly assigned to either the peripheral muscle training (PMT) group (n = 17) or the inspiratory muscle training (IMT) group (n = 17). Participants in the PMT group performed resistance training targeting both the upper and lower extremities at 60 to 80% of their one-repetition maximum (1RM). In contrast, the IMT group engaged in IMT at 60 to 80% of their baseline maximum inspiratory pressure (MIP), using a threshold IMT device. Both groups additionally participated in supervised step-aerobic sessions twice weekly for 10 weeks, aiming for 50 to 70% of their individual maximum heart rate. Outcome measures included hand grip strength, MIP, maximum expiratory pressure (MEP), the 6-minute walk test (6-MWT), the Short Physical Performance Battery (SPPB), the SARC-F questionnaire, and the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD). All assessments were conducted at baseline and repeated after completion of the 10-week training program in both groups.

resultsBetween-group comparisons of pre- to post-intervention changes revealed a significant difference in the WHOQOL-OLD death and dying subscale, with greater improvement observed in the IMT group (P = .019, d = 0.185). In the PMT group, significant post-intervention increases were observed in MEP (P = .003, d = 0.876), MEP% (P = .002, d = 0.932), 6-MWT (P = .001, d = 0.974), and the WHOQOL-OLD sensory abilities subscale (P = .035, d = 0.528). In the IMT group, significant improvements were noted in MIP (P = .002, d = 0.788), MIP% (P = .001, d = 1.032), 6-MWT (P = .003, d = 0.889), and the WHOQOL-OLD death and dying subscale (P = .040, d = 0.564).

conclusionThis study demonstrates that moderate- to high-intensity PMT and IMT, when combined with aerobic training, significantly enhances respiratory muscle strength, functional capacity, and quality of life in community-dwelling older adults.

Indexed as

Breathing ExercisesExerciseResistance TrainingRespiratory MusclesAgedAged, 80 and overFemaleHand StrengthHumansIndependent LivingMaleMuscle StrengthPhysical Functional PerformanceQuality of LifeSarcopeniafunctional capacityinspiratory muscle trainingmuscle strengtholder adultsPeripheral muscle trainingquality of life

Identifiers

PMID42260804
PMCPMC13246120

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.