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    Effect of Inspiratory Muscle Training on Diaphragm and Abdominal Wall Muscle Thickness with Fatty Liver Density in Elderly Women: A Randomized Controlled Trial
    (MDPI, 2025) Gökçelik, Eda; Yılmaz, Coşkun; Budak, Cemalettin; Soylu, Hakan Hüseyin; Bayrakdaroğlu, Serdar; Ceylan, Halil İbrahim; Muntean, Raul Ioan; Küçük, Hamza; Ceylan, Levent
    Background and Objectives: Post-menopausal estrogen decline is considered a contributing factor to sarcopenia, and inspiratory muscle training (IMT) may provide benefits in this demographic. This study examined the impact of a four-week IMT program on diaphragm thickness, abdominal wall muscle thickness (AWMT; transversus abdominis, internal oblique, and external oblique), and liver fat percentage in healthy elderly women. Materials and Methods: Twenty-six women aged 60-80 years were randomly assigned to an IMT group (n = 13) or a control group (n = 13). The IMT group used the PowerBreathe (R) Classic device at 40% of maximal inspiratory pressure (MIP), with weekly increments of 10%. Training was performed twice daily, five days per week, with 30 breathing cycles per session (60 per day). The control group maintained their usual routines. AWMT, diaphragm thickness (DT), and fatty liver density (FLD) were measured by a radiologist before and after the intervention. Results: After four weeks, the IMT group showed significant improvements in all parameters compared to controls. Mid-diaphragm thickness (MDT) increased by 11.44% (effect size (ES) = 0.358, p < 0.001) versus 0.76% in controls (p = 0.271). Posterior diaphragm thickness (PDT) improved by 7.48% (ES = 0.282, p < 0.001) versus 0.38% (p = 0.564). Right AWMT increased by 12.7% (ES = 0.492, p < 0.001) compared to 0.10% (p = 0.872), and left AWMT increased by 9.93% (ES = 0.395, p < 0.001) versus 2.64% (p = 0.014). FLD improved by 11.79% (ES = 0.959, p < 0.001) in the IMT group, while the control group showed no meaningful change (-0.13%, p = 0.847). Conclusions: A short-term IMT protocol significantly enhanced diaphragm and AWMT and reduced liver fat in elderly women. These findings support the use of IMT as a simple, non-invasive intervention to preserve musculoskeletal and metabolic health in aging populations.
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    Impact of an 8-week high-intensity bodyweight interval training on body composition and blood lipid metabolism in young women with overweight
    (FRONTIERS MEDIA SA, 2025) Yamaner, Emre; Turgut, Tuna; Aksoy, Ayşe; Demirkıran, Burhan; Çamiçi, Furkan; Ceylan, Levent
    Background A physically inactive lifestyle is associated with an increased risk of obesity, dyslipidemia and metabolic disorders, especially in women. While high-intensity training methods have been extensively studied in male populations, the physiological and metabolic effects of high-intensity interval resistance training (HIIRT) in overweight women are understudied. The aim of this study was to investigate the effects of an 8-week HIIRT program on body composition and lipid metabolism in women.Methods A total of 30 women (mean age: 23.13 +/- 4.03 years, mean BMI: 31.21 +/- 2.92 kg/m2) participated in an 8-week HIIRT program. Body composition was measured before and after the intervention using bioelectrical impedance analysis (BIA), while blood lipid parameters (triglycerides, total cholesterol, LDL, and HDL) were analyzed. Paired-sample t-tests were performed to determine the significance of the changes in body composition and lipid metabolism, using Cohen's d effect size for interpretation.Results The HIIRT program led to significant improvements in body composition, with body weight decreasing by 11.4 kg (p = 0.001, d = 0.96) and fat percentage decreasing by 3.1% (p = 0.001, d = 0.92). In addition, blood lipid profiles improved significantly, with triglycerides (-8.9 mg/dL, p = 0.001, d = 0.81, medium effect), total cholesterol (-19.7 mg/dL, p = 0,020, d = 1.98, large effect), and LDL (-8.2 mg/dL, p = 0.004, d = 1.96, large effect) decreased, while HDL increased by +10 mg/dL (p = 0.006, d >= 2.0, very large effect). These results underline the positive effects of HIIRT on lipid metabolism and cardiovascular health.Conclusion The results suggest that HIIRT is an effective and time-efficient training model for improving body composition and metabolic health in women. The combination of high-intensity interval training principles with resistance exercise optimizes fat oxidation, improves fat metabolism and supports cardiovascular function. Given its efficacy, HIIRT could be a valuable strategy for treating metabolic disorders and reducing the risks of physically inactive behavior. Future research should focus on long-term adaptations and individual variability in metabolic responses to optimize HIIRT programs for broader populations.
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    Inspiratory muscle training in natural bodybuilders: adaptations in diaphragm muscle thickness and maximal strength
    (FRONTIERS MEDIA SA, 2025) Güler, İskender; Yılmaz, Coşkun; Soylu, Hakan Hüseyin; Ceylan, Levent
    Background: The effect of inspiratory muscle training on diaphragm muscle thickness (DT) and one repetition maximal (1RM) in professional natural bodybuilders is still unclear. The aim of the study was to investigate the effect of inspiratory muscle training on diaphragm muscle thickness and 1RM in professional natural bodybuilders. Methods: The study comprised a total of 22 athletes who participated in bodybuilding competitions. Each athlete had undergone a minimum of 5 years of training, with a minimum weekly commitment of 5 hours. Participants were randomly divided into two groups: inspiratory muscle training (IMT) and control (CON). The CON continued their normal training regime, while the IMT group also performed inspiratory muscle training with a 10% weekly increase by setting the resistance setting of the PowerBreathe (R) Classic device to 40% of the participant's maximum inspiratory pressure (MIP). Prior to and during the 4-week training period, 1RM bench press measurements and diaphragm muscle thickness measurements were obtained. Results: In the comparison of 1RM power values before and after training, it was determined that the IMT group (%: 11.20) had 6.3% more post-activation performance enhancement compared to the CON group (%: 4.9) (p < 0.001). In the study, it was determined that a higher level of significant post-activation performance enhancement was obtained in the IMT group compared to the CON group in the diaphragm muscle thickness inspiratory phase (DT ins) and ekspiratory phase (DT eks) parameters at 20.36% and 19.46%, respectively. Conclusion: In conclusion, we determined that the addition of progressive loading inspiratory muscle training to preparation programmes in natural bodybuilders will improve diaphragm muscle thickness, 1RM physical performance. In particular, it shows that the diaphragm muscle should be considered not only as a muscle that supports respiration, but also as a muscle that contributes to power generation by optimising intra-abdominal pressure.
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    Isokinetic Knee Strength as a Predictor of Performance in Elite Ski Mountaineering Sprint Athletes
    (MDPI, 2025) Kural, Burak; Çağlar, Esin Çağla; Uçar, Mine Akkuş; Özer, Uğur; Ceylan, Levent
    Background and Objectives: This study aims to investigate the relationship between isokinetic knee strength and competition performance in elite male ski mountaineering sprint athletes and to identify strength parameters that predict performance and contribute to injury prevention. Materials and Methods: Thirteen male athletes participating in the Ski Mountaineering Turkey Cup final stage were included. Isokinetic knee flexion (FLX) and extension (EXT) strength of dominant (DM) and non-dominant (NDM) legs were measured at angular velocities of 60 degrees/s and 180 degrees/s using the DIERS-Myolin Isometric Muscle Strength Analysis System. Competition performance was evaluated using the ISMF scoring system. Data were analyzed using SPSS 26.0 with Pearson correlation and multiple regression analyses after normality, linearity, and homoscedasticity checks. Results: Strong positive correlations were found between hamstring strength at high angular velocities (180 degrees/s) and performance (DM FLX: r = 0.809; NDM FLX: r = 0.880). Extension strength showed moderate correlations at low velocities (60 degrees/s) (DM EXT: r = 0.677; NDM EXT: r = 0.699). Regression analysis revealed that DM FLX at 180 degrees/s and DM EXT at 60 degrees/s explained 49% of performance variance (Adj. R2 = 0.498). For NDM legs, only 180 degrees/s FLX was a significant predictor (beta = 1.468). Conclusions: High-velocity hamstring strength plays a critical role in ski mountaineering sprint performance, particularly during sudden directional changes and dynamic balance. Quadriceps strength at low velocities contributes to prolonged climbing phases. Moreover, identifying and addressing bilateral strength asymmetries may support injury prevention strategies in elite ski mountaineering athletes. These findings provide scientific support for designing training programs targeting explosive hamstring strength, bilateral symmetry, and injury risk reduction, essential for optimizing performance in the 2026 Winter Olympics sprint discipline.
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    Relationship between certain biochemical parameters an maximal aerobic speed of elite soccer players
    (Mattioli 1885, 2021) Cebi, Mebmet; Ceviker, Abdulkerim; Ozlu, Kurtulus; Elioz, Murat; Yamak, Bade; Kusan, Osman; Ceylan, Levent
    Study Objectives: In this study, it was aimed to evaluate the relationship between vitamin D and lipid profiles of athletes playing football professionally during the season and some metabolic parameters and maximal rate. Methods: 52 male elite soccer players performing in Super League, TFF 2nd League, and TFF 3rd League whose mean age 22.86 +/- 3.55 years, participated in our study. The sport age of the soccer players was 12.2 +/- 1.70 years. The participants attended in at least five 80-minute training periods and performed at least one official competition weekly (through 11 months). In November, blood samplings of the athletes and other parameters were obtained between 09:00 and 10:00 a. m. leading a 12-hour fasting period. The Maximal Aerobic Speed (MAS) measurement developed by Buchheit (2008) to evaluate aerobic power and capacity was used to carry out the study. In order to determine the relationship between the variables of individuals, Pearson Correlation Test was used as the data showed normal distribution. Results: Albumin, Alp, Alt, Ast, B12 vitamin, Ca, Phosphorus, Creatinine, Mg, Free T3, Sodium, Tsh, Ferritin, Folic Acid, Potassium Triglyceride, Glucose, Total Cholesterol, and Free T4 values were found within normal limits. It can be said that athletes had low vitamin D values. It was observed that the participants had low LDL cholesterol values. Variables don't have any significant effects on running time, peak velocity, true vift and VO2 max of biochemical parameters (p>0,05). Conclusion: As a result, it can be concluded that despite the positive relationship between the maximal aerobic velocity test parameters of the footballers and their pre-test biochemical results, it wasn't statistically a meaningful relationship.