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Title: Distinguishing science from pseudoscience in commercial respiratory interventions: An evidence-based guide for health and exercise professionals
Authors: Illidi, CR
Romer, LM
Johnson, MA
Williams, NC
Rossiter, HB
Casaburi, R
Tiller, NB
Keywords: asthma;COPD;exercise;disease;lung function;nutrition;pulmonary
Issue Date: 14-Mar-2023
Publisher: Springer Bature
Citation: Illidi, C.R. et al. (2023) 'Distinguishing science from pseudoscience in commercial respiratory interventions: An evidence-based guide for health and exercise professionals', European Journal of Applied Physiology, 0 (ahead-of-print), pp. 1 - 27. doi: 10.1007/s00421-023-05166-8.
Abstract: Respiratory function has become a global health priority. Not only is chronic respiratory disease a leading cause of worldwide morbidity and mortality, but the COVID-19 pandemic has heightened attention on respiratory health and the means of enhancing it. Subsequently, and inevitably, the respiratory system has become a target of the multi-trillion-dollar health and wellness industry. Numerous commercial, respiratory-related interventions are now coupled to therapeutic and/or ergogenic claims that vary in their plausibility: from the reasonable to the absurd. Moreover, legitimate and illegitimate claims are often conflated in a wellness space that lacks regulation. The abundance of interventions, the range of potential therapeutic targets in the respiratory system, and the wealth of research that varies in quality, all confound the ability for health and exercise professionals to make informed risk-to-benefit assessments with their patients and clients. This review focuses on numerous commercial interventions that purport to improve respiratory health, including nasal dilators, nasal breathing, and systematized breathing interventions (such as pursed-lips breathing), respiratory muscle training, canned oxygen, nutritional supplements, and inhaled L-menthol. For each intervention we describe the premise, examine the plausibility, and systematically contrast commercial claims against the published literature. The overarching aim is to assist health and exercise professionals to distinguish science from pseudoscience and make pragmatic and safe risk-to-benefit decisions.
Description: The full text is free to read and use for the duration of the Covid-19 pandemic at : Articles labelled 'free to read and use' are included in the open access subset. They are still protected by copyright, but are made available under a Creative Commons license, or similar, that generally allows more liberal redistribution and reuse than a traditional copyrighted work. Please refer to the license statement in each article for specific terms of use. The license terms are not identical for all the articles.
Data availability: The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
ISSN: 1439-6319
Other Identifiers: ORCID iD: Lee M. Romer; Nicholas B. Tiller
Appears in Collections:Dept of Life Sciences Embargoed Research Papers

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