RT info:eu-repo/semantics/article T1 Analysis of the potential of the Elevation Training Mask on biomarkers, respiratory parameters, and sports performance indicators: What ergogenic mechanisms are involved? Systematic review A1 Fernández Lázaro, Diego A1 Fernández Lázaro, César Ignacio A1 Novo, Silvia A1 Mielgo Ayuso, Juan Francisco A1 Seco Calvo, Jesús Ángel A2 Fisioterapia K1 Deporte K1 Fisioterapia K1 Biological markers K1 Hypoxia K1 Pulmonary function K1 Respiratory training K1 Sports performance K1 Ventilatory restriction masks AB [EN] Introduction: The Elevation Training Mask (ETM) is a respiratory muscle loading device that works by reducing airflow through a valvular system. The ETM was originally intended to simulate altitude by allowing the application of hypoxia during exercise and has been growing in popularity among athletes. Objective: To systematically review studies evaluating the effect of ETM associated with exercise on biomarkers, respiratory parameters, and sports performance indicators in physically active subjects. Material and method: A structured search following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was performed in the Medline database (PubMed) until October 2021. Results: Six studies are included reporting that the use of ETM in comparison with the control group, presented a greater tendency to increase in forced inspiratory vital capacity, forced vital capacity, without significant changes in pulmonary function; it did not affect the total load volume of strength training but attenuated the speed of execution; it significantly increased cerebral oxygenation and decreased oxygen saturation; heart rate was higher while inter-beat interval and sympatho-vagal balance were lower; there were no changes in hematological variables although there was a tendency to decrease muscle damage and attenuate the direct catabolic effect derived from exercise; no improvements in sports performance were observed. Conclusion: The use of ETM as an altitude simulation device induces, if at all, a mild hypoxic stimulus that is clearly insufficient to trigger adaptive physiological responses on target organ systems. However, it could have some utility as a respiratory training system without combined exercise load by adequately adjusting the working resistances on the respiratory muscles PB Federación Española de Medicina del Deporte SN 0212-8799 LK https://hdl.handle.net/10612/19402 UL https://hdl.handle.net/10612/19402 NO Fernández-Lázaro, D., Fernandez-Lazaro, C. I., Novo, S., Mielgo-Ayuso, J., & Seco-Calvo, J. (2022). Analysis of the potential of the Elevation Training Mask on biomarkers, respiratory parameters, and sports performance indicators: What ergogenic mechanisms are involved? Systematic review. Archivos de Medicina del Deporte, 39(1), 10-18. https://doi.org/10.18176/ARCHMEDDEPORTE.00069 DS BULERIA. Repositorio Institucional de la Universidad de León RD Jul 12, 2024