Evidence map›Paper›PMID 42277899›Full record

ArticleBMC sports science, medicine & rehabilitation2026

Morphological and functional characterization of respiratory muscles in male runners across different race distances: an ultrasound and physiological assessment.

María García-Arrabé, Rebeca Del Prado-Álvarez, Fabien Guérineau, Lucas Le Roux, Marta de la Plaza, Patricia Rico-Mena, Ángel González de la Flor

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Article in BMC sports science, medicine & rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

María García-ArrabéDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, Villaviciosa de Odón, Spain.
Rebeca Del Prado-ÁlvarezDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, Villaviciosa de Odón, Spain.
Fabien GuérineauDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, Villaviciosa de Odón, Spain. fabien.GUERINEAU@universidadeuropea.es.ORCID http://orcid.org/0000-0001-5836-8017
Lucas Le RouxDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, Villaviciosa de Odón, Spain.
Marta de la PlazaDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, Villaviciosa de Odón, Spain.
Patricia Rico-MenaDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, Villaviciosa de Odón, Spain.
Ángel González de la FlorDepartment of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, Villaviciosa de Odón, Spain.ORCID http://orcid.org/0000-0002-7215-3925

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRunning performance depends not only on aerobic capacity but also on the functional integration of the respiratory system and core musculature. However, morphological and functional adaptations of the diaphragm and abdominal muscles across different running disciplines remain insufficiently characterized. The aim of this study is to analyze diaphragm and abdominal muscle morphology using ultrasound, as well as respiratory muscle strength and pulmonary function, in amateur runners classified according to their primary competition distance.

methodsA cross-sectional observational study was conducted including recreational and competitive male runners (18-60 years) with at least two years of training experience. Participants were divided into 3 groups: 5-10 km, half-marathon, and marathon. Diaphragm thickness at end-inspiration (Tdi,ei) and end-expiration (Tdi,ee), and diaphragm thickening fraction (DTF) were assessed by ultrasound. Abdominal muscle thickness (RA, EO, IO, and TrA) was also measured. Respiratory muscle strength was assessed using maximal inspiratory (MIP) and expiratory pressures (MEP), and pulmonary function by spirometry. Group comparisons were performed using one-way ANOVA.

resultsRunners specializing in marathon showed significantly greater diaphragm thickness (Tdi,ei and Tdi,ee) and higher MIP compared with runners specializing in 5-10 km (p < 0.05). Additionally, IO thickness was significantly greater in runners specializing in half-marathon. No significant differences were observed in FEF25-75%, FEV1 or FVC between groups. These findings indicate distance-dependent adaptations in both inspiratory and expiratory musculature.

conclusionsThese findings indicate that running specialization is associated with distance-dependent morphological and functional adaptations of the respiratory system. Marathon runners show greater diaphragm thickness and inspiratory muscle strength, while half-marathon runners exhibit increased IO thickness. No differences in standard spirometric parameters were observed between groups, suggesting that these adaptations are primarily reflected in respiratory muscle structure and strength rather than conventional pulmonary function measures in amateur runners.

Indexed as

Abdominal wall morphologyDiaphragm ultrasound; Endurance runningInspiratory muscle strength (MIP)Respiratory muscle adaptations

Identifiers

PMID42277899
PMCPMC13483643

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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.