Effects of surgical correction of nasal obstruction on running economy.

IF 2.7 3区医学 Q2 PHYSIOLOGY

European Journal of Applied Physiology Pub Date : 2025-10-03 DOI:10.1007/s00421-025-06009-4

T Melekoğlu, B Arslan, A Işın, A Türk, M Akdağ, M Turhan

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引用次数: 0

Abstract

Purpose: This study aimed to investigate the effects of surgical correction of nasal obstruction on aerobic performance parameters in athletes with nasal obstruction. Specifically, we examined changes in running economy (RE), oxygen uptake (VO₂), and ventilatory responses following nasal surgery. Although previous studies have explored the effects of nasal airflow on exercise, this is the first to directly assess the impact of surgical intervention on physiological determinants of athletic performance.

Methods: Eleven male athletes diagnosed with nasal obstruction (experimental group, EG) and 11 matched athletes without nasal issues (control group, CG) participated. Nasal patency was evaluated using acoustic rhinometry, while subjective symptoms were assessed using the Nasal Obstruction Symptom Evaluation (NOSE) scale and Epworth Sleepiness Scale (ESS). All participants performed an incremental treadmill test to assess running economy, gas exchange, and ventilatory parameters both before and 2-3 months after surgery.

Results: Post-surgery, the EG showed significant improvements in nasal patency and sleep quality, with NOSE scores decreasing from 61.36 ± 15.83 to 8.64 ± 10.27 and ESS scores from 5.09 ± 2.12 to 3.09 ± 1.76. Additionally, oxygen consumption decreased, and ventilation volume increased during the submaximal treadmill stages in the EG. A statistically significant Group × Time interaction was found for RE (p = .005), indicating greater improvements in oxygen cost in the surgical group.

Conclusion: Surgical correction of nasal obstruction significantly improves running economy and ventilatory efficiency by reducing upper airway resistance and respiratory muscle workload. These adaptations may enhance aerobic performance in athletes with nasal obstruction.

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鼻塞手术矫治对跑步经济性的影响。

目的：本研究旨在探讨鼻塞手术矫正对鼻塞运动员有氧运动性能参数的影响。具体来说，我们检查了鼻腔手术后运行经济性（RE）、摄氧量（VO 2）和通气反应的变化。虽然以前的研究已经探讨了鼻腔气流对运动的影响，但这是第一次直接评估手术干预对运动成绩生理决定因素的影响。方法：11名诊断为鼻塞的男性运动员（实验组，EG）和11名匹配的无鼻部问题的运动员（对照组，CG）。采用听鼻测量法评估鼻通畅程度，采用鼻塞症状评估量表（NOSE）和Epworth嗜睡量表（ESS）评估主观症状。所有参与者在手术前和手术后2-3个月进行了渐进式跑步机测试，以评估跑步经济性、气体交换和通气参数。结果：术后EG患者鼻窦通畅程度及睡眠质量均有明显改善，其中NOSE评分由61.36±15.83降至8.64±10.27，ESS评分由5.09±2.12降至3.09±1.76。此外，在EG的亚最大跑步机阶段，氧气消耗减少，通气量增加。RE组与时间的交互作用有统计学意义（p =）。005)，表明手术组在氧耗方面有更大的改善。结论：鼻塞手术矫正通过减少上呼吸道阻力和呼吸肌负荷，显著提高了患者的运行经济性和通气效率。这些适应可以提高鼻塞运动员的有氧运动表现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Applied Physiology 医学-生理学

CiteScore

6.00

自引率

6.70%

发文量

227

审稿时长

3 months

期刊介绍： The European Journal of Applied Physiology (EJAP) aims to promote mechanistic advances in human integrative and translational physiology. Physiology is viewed broadly, having overlapping context with related disciplines such as biomechanics, biochemistry, endocrinology, ergonomics, immunology, motor control, and nutrition. EJAP welcomes studies dealing with physical exercise, training and performance. Studies addressing physiological mechanisms are preferred over descriptive studies. Papers dealing with animal models or pathophysiological conditions are not excluded from consideration, but must be clearly relevant to human physiology.