ReviewSports medicine (Auckland, N.Z.)2019
Pulmonary and Respiratory Muscle Function in Response to Marathon and Ultra-Marathon Running: A Review.
Review in Sports medicine (Auckland, N.Z.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Reliability and validity of ultrasonography in evaluating the thickness, excursion, stiffness, and strain rate of respiratory muscles in non-hospitalized individuals: a systematic review.BMC oral health · 2023Pooled it
- Lung function decline after mountain ultra-marathon is accompanied by reduced inspiratory pressure but not by detectable changes in CC16.European journal of applied physiology · 2026Article
- Response to Comment on: "Cardiac Fatigue in Male Athletes with Exercise-Induced Pulmonary Impairments After a Very Long-Distance Triathlon".Sports medicine (Auckland, N.Z.) · 2026Article
- 24-Hour Ultra-Marathon Running: A Narrative Review of Performance Factors and Physiological Impacts.Sports medicine - open · 2026Review
- Assessment of Inspiratory Muscle Endurance in Healthy Adults by Recording Breathing Characteristics.Thoracic research and practice · 2025Article
- Multiple Organ Phenotype of Fatigue.Biomolecules · 2025Review
- Cardiac Fatigue in Male Athletes with Exercise-Induced Pulmonary Impairments After a Very Long-Distance Triathlon.Sports medicine (Auckland, N.Z.) · 2025Article
- Acid-Base and Electrolyte Balance Responses in the Performance of Female Ultramarathon Runners in a 45 km Mountain Race.Nutrients · 2025Article
- Physiology and Pathophysiology of Marathon Running: A narrative Review.Sports medicine - open · 2025Review
- Effects of isometric training and R.I.C.E. treatment on the arm muscle performance of swimmers with elbow pain.Scientific reports · 2024Article
- A preliminary exploration of the regression equation for performance in amateur half-marathon runners: a perspective based on respiratory muscle function.Frontiers in physiology · 2024Article
- Evaluation of the electrocardiogram RVJournal of clinical hypertension (Greenwich, Conn.) · 2023Article
- Cardiorespiratory optimal point as a submaximal evaluation tool in endurance athletes: An exploratory study.Frontiers in physiology · 2023Article
- Potential Long-Term Health Problems Associated with Ultra-Endurance Running: A Narrative Review.Sports medicine (Auckland, N.Z.) · 2022Review
- Effect of Nursing Outcome-Oriented Intervention on Airway Management in Elderly Long-Term Bedridden Patients.Computational and mathematical methods in medicine · 2022Article
- Pulmonary and Inspiratory Muscle Function Response to a Mountain Ultramarathon.Journal of sports science & medicine · 2021Article
- Intercostal Muscles Oxygenation and Breathing Pattern during Exercise in Competitive Marathon Runners.International journal of environmental research and public health · 2021Article
- Do Sex Differences in Physiology Confer a Female Advantage in Ultra-Endurance Sport?Sports medicine (Auckland, N.Z.) · 2021Review
- Does Cold-Water Endurance Swimming Affect Pulmonary Function in Healthy Adults?Sports (Basel, Switzerland) · 2021Article
- Long-term health issues in ultraendurance runners: should we be concerned?BMJ open sport & exercise medicine · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The physiological demands of marathon and ultra-marathon running are substantial, affecting multiple body systems. There have been several reviews on the physiological contraindications of participation; nevertheless, the respiratory implications have received relatively little attention. This paper provides an up-to-date review of the literature pertaining to acute pulmonary and respiratory muscle responses to marathon and ultra-marathon running. Pulmonary function was most commonly assessed using spirometry, with infrequent use of techniques including single-breath rebreathe and whole-body plethysmography. All studies observed statistically significant post-race reductions in one-or-more metrics of pulmonary function, with or without evidence of airway obstruction. Nevertheless, an independent analysis revealed that post-race values rarely fell below the lower-limit of normal and are unlikely, therefore, to be clinically significant. This highlights the virtue of healthy baseline parameters prior to competition and, although speculative, there may be more potent clinical manifestations in individuals with below-average baseline function, or those with pre-existing respiratory disorders (e.g., asthma). Respiratory muscle fatigue was most commonly assessed indirectly using maximal static mouth-pressure manoeuvres, and respiratory muscle endurance via maximum voluntary ventilation (MVV
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Registered trials
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 OpenQuestion graph.