Skip to main content
Erschienen in: European Journal of Applied Physiology 6/2008

01.08.2008 | Original Article

Pulmonary adaptations to swim and inspiratory muscle training

verfasst von: Timothy D. Mickleborough, Joel M. Stager, Ken Chatham, Martin R. Lindley, Alina A. Ionescu

Erschienen in: European Journal of Applied Physiology | Ausgabe 6/2008

Einloggen, um Zugang zu erhalten

Abstract

Because the anomalous respiratory characteristics of competitive swimmers have been suggested to be due to inspiratory muscle work, the respiratory muscle and pulmonary function of 30 competitively trained swimmers was assessed at the beginning and end of an intensive 12-week swim training (ST) program. Swimmers (n = 10) combined ST with either inspiratory muscle training (IMT) set at 80% sustained maximal inspiratory pressure (SMIP) with progressively increased work–rest ratios until task failure for 3-days per week (ST + IMT) or ST with sham-IMT (ST + SHAM-IMT, n = 10), or acted as controls (ST only, ST, n = 10). Measures of respiratory and pulmonary function were assessed at the beginning and end of the 12 week study period. There were no significant differences (P > 0.05) in respiratory and pulmonary function between groups (ST + IMT, ST + SHAM-IMT and ST) at baseline and at the end of the 12 week study period. However, within all groups significant increases (P < 0.05) were observed in a number of respiratory and pulmonary function variables at the end of the 12 week study, such as maximal inspiratory and expiratory pressure, inspiratory power output, forced vital capacity, forced expiratory and inspiratory volume in 1-s, total lung capacity and diffusion capacity of the lung. This study has demonstrated that there are no appreciable differences in terms of respiratory changes between elite swimmers undergoing a competitive ST program and those undergoing respiratory muscle training using the flow-resistive IMT device employed in the present study; as yet, the causal mechanisms involved are undefined.
Literatur
Zurück zum Zitat American Thoracic Society (1995a) Single-breath carbon monoxide diffusing capacity (transfer factor). Recommendations for a standard technique—1995 update. Am J Respir Crit Care Med 152:2185–2198 American Thoracic Society (1995a) Single-breath carbon monoxide diffusing capacity (transfer factor). Recommendations for a standard technique—1995 update. Am J Respir Crit Care Med 152:2185–2198
Zurück zum Zitat American Thoracic Society (1995b) Standardization of spirometry—1994 update. Am J Respir Crit Care Med 152:1107–1136 American Thoracic Society (1995b) Standardization of spirometry—1994 update. Am J Respir Crit Care Med 152:1107–1136
Zurück zum Zitat Andrew GM, Becklake MR, Guleria JS, Bates DV (1972) Heart and lung functions in swimmers and nonathletes during growth. J Appl Physiol 32:245–251PubMed Andrew GM, Becklake MR, Guleria JS, Bates DV (1972) Heart and lung functions in swimmers and nonathletes during growth. J Appl Physiol 32:245–251PubMed
Zurück zum Zitat Armour J, Donnelly PM, Bye PT (1993) The large lungs of elite swimmers: an increased alveolar number? Eur Respir J 6:237–247PubMed Armour J, Donnelly PM, Bye PT (1993) The large lungs of elite swimmers: an increased alveolar number? Eur Respir J 6:237–247PubMed
Zurück zum Zitat ATS/ERS Statement on respiratory muscle testing (2002) Am J Respir Crit Care Med 166:518–624 ATS/ERS Statement on respiratory muscle testing (2002) Am J Respir Crit Care Med 166:518–624
Zurück zum Zitat Barr-Or O, Unithan V, Illescas C (1994) Physiologic considerations in age group swimming. Med Sport Sci 39:199–205 Barr-Or O, Unithan V, Illescas C (1994) Physiologic considerations in age group swimming. Med Sport Sci 39:199–205
Zurück zum Zitat Bisschop A, Gayan-Ramirez G, Rollier H, Gosselink R, Dom R, de Bock V, Decramer M (1997) Intermittent inspiratory muscle training induces fiber hypertrophy in rat diaphragm. Am J Respir Crit Care Med 155:1583–1589PubMed Bisschop A, Gayan-Ramirez G, Rollier H, Gosselink R, Dom R, de Bock V, Decramer M (1997) Intermittent inspiratory muscle training induces fiber hypertrophy in rat diaphragm. Am J Respir Crit Care Med 155:1583–1589PubMed
Zurück zum Zitat Bottinelli R, Schiaffino S, Reggiani C (1991) Force-velocity relations and heavy chain isoform compositions of skinned fibers from rat skeletal muscle. J Physiol 437:655–672PubMed Bottinelli R, Schiaffino S, Reggiani C (1991) Force-velocity relations and heavy chain isoform compositions of skinned fibers from rat skeletal muscle. J Physiol 437:655–672PubMed
Zurück zum Zitat Chatham K, Baldwin J, Griffiths H, Summers L, Enright S (1999) Inspiratory muscle training improves shuttle run performance in healthy subjects. Physio J 85:676–683 Chatham K, Baldwin J, Griffiths H, Summers L, Enright S (1999) Inspiratory muscle training improves shuttle run performance in healthy subjects. Physio J 85:676–683
Zurück zum Zitat Chatham K, Ionescu AA, Nixon LS, Shale DJ (2004) A short-term comparsion of two methods of sputum expectoration in cystic fibrosis. Eur Respir J 23:435–439CrossRefPubMed Chatham K, Ionescu AA, Nixon LS, Shale DJ (2004) A short-term comparsion of two methods of sputum expectoration in cystic fibrosis. Eur Respir J 23:435–439CrossRefPubMed
Zurück zum Zitat Clanton TL, Dixon GF, Drake J, Gadek JE (1987) Effects of swim training on lung volumes and inspiratory muscle conditioning. J Appl Physiol 62:39–46PubMed Clanton TL, Dixon GF, Drake J, Gadek JE (1987) Effects of swim training on lung volumes and inspiratory muscle conditioning. J Appl Physiol 62:39–46PubMed
Zurück zum Zitat Cordain L, Stager J (1988) Pulmonary structure and function in swimmers. Sports Med 6:271–278CrossRefPubMed Cordain L, Stager J (1988) Pulmonary structure and function in swimmers. Sports Med 6:271–278CrossRefPubMed
Zurück zum Zitat Cordain L, Tucker A, Moon D (1990) Lung volumes and maximal respiratory pressures in collegiate swimmers and runners. Res Q Exerc Sport 61:70–74PubMed Cordain L, Tucker A, Moon D (1990) Lung volumes and maximal respiratory pressures in collegiate swimmers and runners. Res Q Exerc Sport 61:70–74PubMed
Zurück zum Zitat Courteix D, Obert P, Lecoq AM, Guenon P, Koch G (1997) Effect of intensive swimming training on lung volumes, airway resistance and on the maximal expiratory flow-volume relationship in prepubertal girls. Eur J Appl Physiol Occup Physiol 76:264–269CrossRefPubMed Courteix D, Obert P, Lecoq AM, Guenon P, Koch G (1997) Effect of intensive swimming training on lung volumes, airway resistance and on the maximal expiratory flow-volume relationship in prepubertal girls. Eur J Appl Physiol Occup Physiol 76:264–269CrossRefPubMed
Zurück zum Zitat Dempsey JA, Gledhill N, Reddan WG, Forster HV, Hanson PG, Claremont AD (1977) Pulmonary adaptation to exercise: effects of exercise type and duration, chronic hypoxia and physical training. Ann NY Acad Sci 301:243–261CrossRefPubMed Dempsey JA, Gledhill N, Reddan WG, Forster HV, Hanson PG, Claremont AD (1977) Pulmonary adaptation to exercise: effects of exercise type and duration, chronic hypoxia and physical training. Ann NY Acad Sci 301:243–261CrossRefPubMed
Zurück zum Zitat Doherty M, Dimitriou L (1997) Comparison of lung volume in Greek swimmers, land based athletes, and sedentary controls using allometric scaling. Br J Sports Med 31:337–341PubMed Doherty M, Dimitriou L (1997) Comparison of lung volume in Greek swimmers, land based athletes, and sedentary controls using allometric scaling. Br J Sports Med 31:337–341PubMed
Zurück zum Zitat Eastwood PR, Hillman DR, Morton AR, Finucane KE (1998) The effects of learning on the ventilatory responses to inspiratory threshold loading. Am J Respir Crit Care Med 158:1190–1196PubMed Eastwood PR, Hillman DR, Morton AR, Finucane KE (1998) The effects of learning on the ventilatory responses to inspiratory threshold loading. Am J Respir Crit Care Med 158:1190–1196PubMed
Zurück zum Zitat Enright S, Chatham K, Ionescu AA, Unnithan VB, Shale DJ (2004) Inspiratory muscle training improves lung function and exercise capacity in adults with cystic fibrosis. Chest 126:405–411CrossRefPubMed Enright S, Chatham K, Ionescu AA, Unnithan VB, Shale DJ (2004) Inspiratory muscle training improves lung function and exercise capacity in adults with cystic fibrosis. Chest 126:405–411CrossRefPubMed
Zurück zum Zitat Enright SJ, Unnithan VB, Heward C, Withnall L, Davies DH (2006) Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy. Phys Ther 86:345–354PubMed Enright SJ, Unnithan VB, Heward C, Withnall L, Davies DH (2006) Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy. Phys Ther 86:345–354PubMed
Zurück zum Zitat Fanta CH, Leith DE, Brown R (1983) Maximal shortening of inspiratory muscles: effect of training. J Appl Physiol 54:1618–1623PubMed Fanta CH, Leith DE, Brown R (1983) Maximal shortening of inspiratory muscles: effect of training. J Appl Physiol 54:1618–1623PubMed
Zurück zum Zitat Gething A, Williams M, Passfield L, Davies B (2003) A comparison of maximal and submaximal inspiratory muscle training protocols. J Sports Sci 21:322–323 (Abstract) Gething A, Williams M, Passfield L, Davies B (2003) A comparison of maximal and submaximal inspiratory muscle training protocols. J Sports Sci 21:322–323 (Abstract)
Zurück zum Zitat Gething AD, Passfield L, Davies B (2004a) The effects of different inspiratory muscle training intensities on exercising heart rate and perceived exertion. Eur J Appl Physiol 92:50–55CrossRefPubMed Gething AD, Passfield L, Davies B (2004a) The effects of different inspiratory muscle training intensities on exercising heart rate and perceived exertion. Eur J Appl Physiol 92:50–55CrossRefPubMed
Zurück zum Zitat Gething AD, Williams M, Davies B (2004b) Inspiratory resistive loading improves cycling capacity: a placebo controlled trial. Br J Sports Med 38:730–736CrossRefPubMed Gething AD, Williams M, Davies B (2004b) Inspiratory resistive loading improves cycling capacity: a placebo controlled trial. Br J Sports Med 38:730–736CrossRefPubMed
Zurück zum Zitat Harms CA (2006) Does gender affect pulmonary function and exercise capacity? Respir Physiol Neurobiol 151:124–131CrossRefPubMed Harms CA (2006) Does gender affect pulmonary function and exercise capacity? Respir Physiol Neurobiol 151:124–131CrossRefPubMed
Zurück zum Zitat Hill NS, Jacoby C, Farber HW (1991) Effect of an endurance triathlon on pulmonary function. Med Sci Sports Exerc 23:1260–1264PubMed Hill NS, Jacoby C, Farber HW (1991) Effect of an endurance triathlon on pulmonary function. Med Sci Sports Exerc 23:1260–1264PubMed
Zurück zum Zitat Kaufmann DA, Swenson EW (1981) Pulmonary changes during marathon training: a longitudinal study. Respiration 41:217–223PubMed Kaufmann DA, Swenson EW (1981) Pulmonary changes during marathon training: a longitudinal study. Respiration 41:217–223PubMed
Zurück zum Zitat Kohl J, Koller EA, Brandenberger M, Cardenas M, Boutellier U (1997) Effect of exercise-induced hyperventilation on airway resistance and cycling endurance. Eur J Appl Physiol Occup Physiol 75:305–311CrossRefPubMed Kohl J, Koller EA, Brandenberger M, Cardenas M, Boutellier U (1997) Effect of exercise-induced hyperventilation on airway resistance and cycling endurance. Eur J Appl Physiol Occup Physiol 75:305–311CrossRefPubMed
Zurück zum Zitat Kollias J, Boileau RA, Bartlett HL, Buskirk ER (1972) Pulmonary function and physical conditioning in lean and obese subjects. Arch Environ Health 25:146–150PubMed Kollias J, Boileau RA, Bartlett HL, Buskirk ER (1972) Pulmonary function and physical conditioning in lean and obese subjects. Arch Environ Health 25:146–150PubMed
Zurück zum Zitat Lavoie J-M, Leger LA, Leone M, Provencher PJ (1985) A maximal multistage swim test to determine the functional and maximal aerobic power of competitive swimmers. J Swim Res 1:17–22 Lavoie J-M, Leger LA, Leone M, Provencher PJ (1985) A maximal multistage swim test to determine the functional and maximal aerobic power of competitive swimmers. J Swim Res 1:17–22
Zurück zum Zitat Leith DE, Bradley M (1976) Ventilatory muscle strength and endurance training. J Appl Physiol 41:508–516PubMed Leith DE, Bradley M (1976) Ventilatory muscle strength and endurance training. J Appl Physiol 41:508–516PubMed
Zurück zum Zitat Linari M, Bottinelli R, Pellegrino MA, Reconditi M, Reggiani C, Lombardi V (2004) The mechanism of the force response to stretch in human skinned muscle fibres with different myosin isoforms. J Physiol (Lond) 554:335–352CrossRef Linari M, Bottinelli R, Pellegrino MA, Reconditi M, Reggiani C, Lombardi V (2004) The mechanism of the force response to stretch in human skinned muscle fibres with different myosin isoforms. J Physiol (Lond) 554:335–352CrossRef
Zurück zum Zitat Lindley MR, Mickleborough TD, Thorniley CS, Bown RM (2004) Effect of learning and reliability on measures of inspiratory muscle function using a computerised resistive pressure manometer. Am J Respir Crit Care Med 169:A442 (Abstract) Lindley MR, Mickleborough TD, Thorniley CS, Bown RM (2004) Effect of learning and reliability on measures of inspiratory muscle function using a computerised resistive pressure manometer. Am J Respir Crit Care Med 169:A442 (Abstract)
Zurück zum Zitat Lomax ME, McConnell AK (2003) Inspiratory muscle fatigue in swimmers after a single 200 m swim. J Sports Sci 21:659–664CrossRefPubMed Lomax ME, McConnell AK (2003) Inspiratory muscle fatigue in swimmers after a single 200 m swim. J Sports Sci 21:659–664CrossRefPubMed
Zurück zum Zitat Magel JR, Andersen KL (1969) Pulmonary diffusing capacity and cardiac output in young trained Norwegian swimmers and untrained subjects. Med Sci Sports 1:131–139 Magel JR, Andersen KL (1969) Pulmonary diffusing capacity and cardiac output in young trained Norwegian swimmers and untrained subjects. Med Sci Sports 1:131–139
Zurück zum Zitat Martin BJ, Stager JM (1981) Ventilatory endurance in athletes and non-athletes. Med Sci Sports Exerc 13:21–26PubMed Martin BJ, Stager JM (1981) Ventilatory endurance in athletes and non-athletes. Med Sci Sports Exerc 13:21–26PubMed
Zurück zum Zitat McConnell AK, Romer LM (2004) Respiratory muscle training in healthy humans: resolving the controversy. Int J Sports Med 25:284–293CrossRefPubMed McConnell AK, Romer LM (2004) Respiratory muscle training in healthy humans: resolving the controversy. Int J Sports Med 25:284–293CrossRefPubMed
Zurück zum Zitat Mickleborough TD, Nichols T, Chatham K, Lindley MR, Ionescu AA, Shale DJ (2003) The effect of high and low-intensity inspiratory muscle training on the physiological response to exercise in recreational runners. Am J Respir Crit Care Med 167:A541 (Abstract) Mickleborough TD, Nichols T, Chatham K, Lindley MR, Ionescu AA, Shale DJ (2003) The effect of high and low-intensity inspiratory muscle training on the physiological response to exercise in recreational runners. Am J Respir Crit Care Med 167:A541 (Abstract)
Zurück zum Zitat Miller RL, Robison E, McCloskey JB, Picken J (1989) Pulmonary diffusing capacity as a predictor of performance in competitive swimming. J Sports Med Phys Fitness 29:91–96PubMed Miller RL, Robison E, McCloskey JB, Picken J (1989) Pulmonary diffusing capacity as a predictor of performance in competitive swimming. J Sports Med Phys Fitness 29:91–96PubMed
Zurück zum Zitat Mostyn EM, Helle S, Gee JBL, Bentivoglio LG, Bates DV (1963) Pulmonary diffusion capacity of athletes. J Appl Physiol 18:687–695PubMed Mostyn EM, Helle S, Gee JBL, Bentivoglio LG, Bates DV (1963) Pulmonary diffusion capacity of athletes. J Appl Physiol 18:687–695PubMed
Zurück zum Zitat Pherwani AV, Desai AG, Solepure AB (1989) A study of pulmonary function of competitive swimmers. Indian J Physiol Pharmacol 33:228–232PubMed Pherwani AV, Desai AG, Solepure AB (1989) A study of pulmonary function of competitive swimmers. Indian J Physiol Pharmacol 33:228–232PubMed
Zurück zum Zitat Powers SK, Lawler J, Criswell D, Dodd S, Grinton S, Bagby G, Silverman H (1990) Endurance-training-induced cellular adaptations in respiratory muscles. J Appl Physiol 68:2114–2118PubMed Powers SK, Lawler J, Criswell D, Dodd S, Grinton S, Bagby G, Silverman H (1990) Endurance-training-induced cellular adaptations in respiratory muscles. J Appl Physiol 68:2114–2118PubMed
Zurück zum Zitat Powers SK, Criswell D, Lieu F-K, Dodd S, Silverman H (1992) Diaphragmatic fiber type specific adaptation to endurance exercise. Respir Physiol 89:195–207CrossRefPubMed Powers SK, Criswell D, Lieu F-K, Dodd S, Silverman H (1992) Diaphragmatic fiber type specific adaptation to endurance exercise. Respir Physiol 89:195–207CrossRefPubMed
Zurück zum Zitat Reuschlein PS, Reddan WG, Burpee J, Gee JB, Rankin J (1968) Effect of physical training on the pulmonary diffusing capacity during submaximal work. J Appl Physiol 24:152–158PubMed Reuschlein PS, Reddan WG, Burpee J, Gee JB, Rankin J (1968) Effect of physical training on the pulmonary diffusing capacity during submaximal work. J Appl Physiol 24:152–158PubMed
Zurück zum Zitat Rodriguez FA (2000) Maximal oxygen uptake and cardiorespiratory response to maximal 400-m free swimming, running and cycling tests in competitive swimmers. J Sports Med Phys Fitness 40:87–95PubMed Rodriguez FA (2000) Maximal oxygen uptake and cardiorespiratory response to maximal 400-m free swimming, running and cycling tests in competitive swimmers. J Sports Med Phys Fitness 40:87–95PubMed
Zurück zum Zitat Rollier H, Bisschop A, Gayan-Ramirez G, Gosselink R, Decramer M (1998) Low load inspiratory muscle training increases diaphragmatic fiber dimensions in rats. Am J Respir Crit Care Med 157:833–839PubMed Rollier H, Bisschop A, Gayan-Ramirez G, Gosselink R, Decramer M (1998) Low load inspiratory muscle training increases diaphragmatic fiber dimensions in rats. Am J Respir Crit Care Med 157:833–839PubMed
Zurück zum Zitat Schoenberg JB, Beck GJ, Bouhuys A (1978) Growth and decay of pulmonary function in healthy blacks and whites. Respir Physiol 33:367–393CrossRefPubMed Schoenberg JB, Beck GJ, Bouhuys A (1978) Growth and decay of pulmonary function in healthy blacks and whites. Respir Physiol 33:367–393CrossRefPubMed
Zurück zum Zitat Sinning WE, Adrian MJ (1968) Cardiorespiratory changes in college women due to a season of competitive basketball. J Appl Physiol 25:720–724PubMed Sinning WE, Adrian MJ (1968) Cardiorespiratory changes in college women due to a season of competitive basketball. J Appl Physiol 25:720–724PubMed
Zurück zum Zitat Tzelepis GE, Vega DL, Cohen ME, Fulambarker AM, Patel KK, McCool FD (1994) Pressure-flow specificity of inspiratory muscle training. J Appl Physiol 77:795–801PubMed Tzelepis GE, Vega DL, Cohen ME, Fulambarker AM, Patel KK, McCool FD (1994) Pressure-flow specificity of inspiratory muscle training. J Appl Physiol 77:795–801PubMed
Zurück zum Zitat Tzelepis GE, Kasas V, McCool FD (1999) Inspiratory muscle adaptations following pressure or flow training in humans. Eur J Appl Physiol Occup Physiol 79:467–471CrossRefPubMed Tzelepis GE, Kasas V, McCool FD (1999) Inspiratory muscle adaptations following pressure or flow training in humans. Eur J Appl Physiol Occup Physiol 79:467–471CrossRefPubMed
Zurück zum Zitat Vaccaro P, Zauner CW, Updyke WF (1977) Resting and exercise respiratory function in well trained child swimmers. J Sports Med Phys Fitness 17:297–306PubMed Vaccaro P, Zauner CW, Updyke WF (1977) Resting and exercise respiratory function in well trained child swimmers. J Sports Med Phys Fitness 17:297–306PubMed
Zurück zum Zitat Vaccaro P, Clarke DH, Morris AF (1980) Physiological characteristics of young well-trained swimmers. Eur J Appl Physiol Occup Physiol 44:61–66CrossRefPubMed Vaccaro P, Clarke DH, Morris AF (1980) Physiological characteristics of young well-trained swimmers. Eur J Appl Physiol Occup Physiol 44:61–66CrossRefPubMed
Zurück zum Zitat Wells GD, Plyley M, Thomas S, Goodman L, Duffin J (2005) Effects of concurrent inspiratory and expiratory muscle training on respiratory and exercise performance in competitive swimmers. Eur J Appl Physiol 94:527–540CrossRefPubMed Wells GD, Plyley M, Thomas S, Goodman L, Duffin J (2005) Effects of concurrent inspiratory and expiratory muscle training on respiratory and exercise performance in competitive swimmers. Eur J Appl Physiol 94:527–540CrossRefPubMed
Zurück zum Zitat Wilmore JH, Vodak PA, Parr RB, Girandola RN, Billing JE (1980) Further simplification of a method for determination of residual lung volume. Med Sci Sports Exerc 12:216–218PubMed Wilmore JH, Vodak PA, Parr RB, Girandola RN, Billing JE (1980) Further simplification of a method for determination of residual lung volume. Med Sci Sports Exerc 12:216–218PubMed
Zurück zum Zitat Wylegala JA, Pendergast DR, Gosselin LE, Warkander DE, Lundgren CE (2007) Respiratory muscle training improves swimming endurance in divers. Eur J Appl Physiol 99:393–404CrossRefPubMed Wylegala JA, Pendergast DR, Gosselin LE, Warkander DE, Lundgren CE (2007) Respiratory muscle training improves swimming endurance in divers. Eur J Appl Physiol 99:393–404CrossRefPubMed
Zurück zum Zitat Yost LJ, Zauner CW, Jaeger MJ (1981) Pulmonary diffusing capacity and physical working capacity in swimmers and non-swimmers during growth. Respiration 42:8–14CrossRefPubMed Yost LJ, Zauner CW, Jaeger MJ (1981) Pulmonary diffusing capacity and physical working capacity in swimmers and non-swimmers during growth. Respiration 42:8–14CrossRefPubMed
Zurück zum Zitat Zauner CW, Benson NY (1981) Physiological alterations in young swimmers during three years of intensive training. J Sports Med 21:179–185 Zauner CW, Benson NY (1981) Physiological alterations in young swimmers during three years of intensive training. J Sports Med 21:179–185
Zurück zum Zitat Zinman R, Gaultier C (1986) Maximal static pressures and lung volumes in young female swimmers. Respir Physiol 64:229–239CrossRefPubMed Zinman R, Gaultier C (1986) Maximal static pressures and lung volumes in young female swimmers. Respir Physiol 64:229–239CrossRefPubMed
Metadaten
Titel
Pulmonary adaptations to swim and inspiratory muscle training
verfasst von
Timothy D. Mickleborough
Joel M. Stager
Ken Chatham
Martin R. Lindley
Alina A. Ionescu
Publikationsdatum
01.08.2008
Verlag
Springer-Verlag
Erschienen in
European Journal of Applied Physiology / Ausgabe 6/2008
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-008-0759-x

Weitere Artikel der Ausgabe 6/2008

European Journal of Applied Physiology 6/2008 Zur Ausgabe

Neu im Fachgebiet Arbeitsmedizin

Das Geschlechterparadoxon in der gesundheitlich beeinträchtigten Lebenszeit – Ende eines Mythos?

Beginnend mit den 1920er-Jahren hat sich eine Vorstellung über die Geschlechterdifferenzen in Gesundheit und Mortalität etabliert, die von Lorber und Moore in dem einprägsamen Satz: „Women get sicker, but men die quicker“, zusammengefasst wurde [ 1 …, S. 13]. Tatsächlich erscheinen vor dem Hintergrund der höheren Lebenserwartung der Frauen die Studienergebnisse zu den Geschlechterdifferenzen in der Morbidität überraschend, wonach Frauen im Durchschnitt einen schlechteren Gesundheitszustand aufweisen als Männer [

Gesunde Lebenserwartung: Ein kritischer Blick auf Nutzen und Potenziale des demographischen Gesundheitsindikators

Open Access Leitthema

Die demographische Alterung hat vielfältige gesellschaftliche Konsequenzen, deren Ausmaß wesentlich vom Gesundheitszustand der Bevölkerung abhängt. Um diesen analysieren und bewerten zu können, wurden spezielle Kennziffern entwickelt, die in …

Wie hat sich die Lebenserwartung ohne funktionelle Einschränkungen in Deutschland entwickelt? Eine Analyse mit Daten des Deutschen Alterssurveys (DEAS)

Deutschland erfährt, wie andere Hocheinkommensstaaten, aufgrund kontinuierlich rückläufiger Mortalität und niedriger Geburtenraten tiefgreifende demografische Veränderungen. Der demografische Wandel führt in Deutschland zu einem zunehmend höheren …

Hitzeschutz im Fokus der hessischen Betreuungs- und Pflegeaufsicht

Open Access Klimawandel Übersichtsartikel

Im Sommer 2023 kündigte das Bundesministerium für Gesundheit (BMG) einen nationalen Hitzeschutzplan an und forderte die Länder auf, zu prüfen, „ob die Warnstufen des [Deutschen Wetterdienstes] DWD mit der Durchführung von Akutmaßnahmen …