Efficacy of Diaphragmatic Breathing and Balloon-Blowing Load Exercises in Improving Lung Capacity Among Athlete Runners

Authors

  • Rofi’ Nurul ‘Aini Universitas Sebelas Maret, Indonesia
  • Slamet Riyadi Universitas Sebelas Maret, Indonesia
  • Muchsin Doewes Universitas Sebelas Maret, Indonesia

DOI:

https://doi.org/10.51278/bce.v6i2.2626

Keywords:

Diaphragmatic Breathing, Balloon-Blowing, Lung Capacity, Runners

Abstract

Lung capacity is an important physiological component that plays a role in the performance of middle- and long-distance runners. Breathing exercises based on strengthening respiratory muscles, such as diaphragmatic breathing and balloon-blowing load exercise have been shown to contribute to improved lung function. This study aims to analyze the effectiveness of DB and BBE in increasing lung capacity in university runners, taking into account differences in age range. The study used a 2×2 factorial experimental design with two types of exercise diaphragmatic breathing and balloon-blowing load exercise and two age categories ≤19 years and >19 years. The study sample was UNS runners selected through a total sampling technique. All participants underwent a four-week training program with a frequency of three times per week and a duration of 30–45 minutes per session. Lung capacity was measured using spirometry in the pre-test and post-test phases. The results showed that both DB and BBE provided a significant increase in lung capacity compared to baseline. BBE showed a greater increase than DB, indicating the effectiveness of expiratory load in training pulmonary ventilation capacity. The findings confirm that a diaphragmatic control-based breathing intervention and expiratory resistance can induce ventilatory adaptations relevant to a young athletic population. Analysis showed that age and training type did not significantly influence pretest and posttest responses, indicating that both intervention models have the potential for relatively universal benefits for young adult runners. Through a structured, 12-session intervention design, this study adds to the evidence that simple, inexpensive, and easy-to-implement breathing exercises can be an effective strategy for supporting athletes' respiratory function. Limitations such as the small sample size, short intervention duration, and the lack of additional mechanistic measurements suggest the need for further research to provide a more comprehensive picture. Overall, this study makes a significant contribution to the literature on respiratory training and confirms the potential of breathing exercises as an important component of a runner's physical capacity development program.

References

Abouzeid, N., ELnaggar, M., FathAllah, H., & Amira, M. (2023). Eight Weeks of High-Intensity Interval Training Using Elevation Mask May Improve Cardiorespiratory Fitness, Pulmonary Functions, and Hematological Variables in University Athletes. International Journal of Environmental Research and Public Health, 20(4). https://doi.org/10.3390/ijerph20043533

Adi, P. W., Hendarto, S., Purnama, S. K., Doewes, R. I., Sugiyanto, & Doewes, M. (2023). Methods Of Physical Exercise As A Way To Optimize The Physical Condition Of Football Players: A Systematic Review. In South Eastern European Journal of Public Health (Vol. 20). https://doi.org/10.56801/seejph.vi.377

Alqorniy, A. U., & Iwandana, D. T. (2025). Survei Kebugaran Jantung Paru (Vo2Max) pada Siswa SMK N 1 Saptosari Dengan Menggunakan Metode Rockport Fitnes Wallking Test di Kabupaten Gunungkidul Yogyakarta. Jurnal Pusat Studi Pendidikan Rakyat. https://doi.org/10.51178/jpspr.v5i3.2835

Braschler, L., Nikolaidis, P. T., Thuany, M., Chlíbková, D., Rosemann, T., Weiss, K., Wilhelm, M., & Knechtle, B. (2025). Physiology and Pathophysiology of Marathon Running: A narrative Review. Sports Medicine - Open, 11(1). https://doi.org/10.1186/s40798-025-00810-3

Bunlam, K., Rojnawee, S., Pojsupap, S., Suksawat, Y., & Tongtako, W. (2024). Enhancing Respiratory Muscle Strength and Asthma Control in Children with Asthma: The Impact of Balloon-Breathing Exercise. Physical Activity and Health, 8(1), 10–19. https://doi.org/10.5334/paah.321

Cadorin, T. H., Cardoso, J., Castilho, T., Ducati, G. C., Maba, R., Wamosy, G., Isabel, C., & Schivinski, S. (2025). Blowing devices , resources and incentive screens during respiratory physiotherapy : a systematic review. BMC Pulmonary Medicine. https://doi.org/10.1186/s12890-025-03801-y

Dasa, M. S., Friborg, O., Kristoffersen, M., Pettersen, G., Sundgot-Borgen, J., & Rosenvinge, J. H. (2022). Accuracy of Tracking Devices’ Ability to Assess Exercise Energy Expenditure in Professional Female Soccer Players: Implications for Quantifying Energy Availability. International Journal of Environmental Research and Public Health, 19(8), 1–11. https://doi.org/10.3390/ijerph19084770

Deliceoğlu, G., Kabak, B., Çakır, V. O., Ceylan, H. İ., Raul-Ioan, M., Alexe, D. I., & Stefanica, V. (2024). Respiratory Muscle Strength as a Predictor of VO2max and Aerobic Endurance in Competitive Athletes. Applied Sciences (Switzerland), 14(19). https://doi.org/10.3390/app14198976

Dridi, R., Dridi, N., Govindasamy, K., Gmada, N., Aouadi, R., Guénard, H., Laher, I., Saeidi, A., Suzuki, K., Hackney, A. C., & Zouhal, H. (2021). Effects of endurance training intensity on pulmonary diffusing capacity at rest and after maximal aerobic exercise in young athletes. International Journal of Environmental Research and Public Health, 18(23). https://doi.org/10.3390/ijerph182312359

Ellyas, I. S., Sugiyanto, Hidayatullah, M. F., Doewes, M., Doewes, R. I., & Umar, F. (2021). The effects of high-intensity interval training on cardiorespiratory fitness and il-6 in adolescents. International Journal of Human Movement and Sports Sciences, 9(3). https://doi.org/10.13189/saj.2021.090324

Eswaramoorthi, V., Abdullah, M. R., Raj, N. B., Musa, R. M., & Maliki, A. B. H. M. (2021a). Synchronized breathing with pelvic floor contractions expands maximum voluntary ventilation in young soccer players. International Journal of Human Movement and Sports Sciences, 9(1), 149–155. https://doi.org/10.13189/saj.2021.090121

Eswaramoorthi, V., Abdullah, M. R., Raj, N. B., Musa, R. M., & Maliki, A. B. H. M. (2021b). Synchronized breathing with pelvic floor contractions increase the lower limb power in young football players. International Journal of Human Movement and Sports Sciences, 9(2), 163–170. https://doi.org/10.13189/saj.2021.090201

Greiwe, J., Gruenke, J., & Zeiger, J. S. (2022). The impact of mental toughness and postural abnormalities on dysfunctional breathing in athletes. Journal of Asthma, 59(4), 730–738. https://doi.org/10.1080/02770903.2021.1871739

Grzebisz, N. (2020). Cardiovascular adaptations to four months training in middle-aged amateur long-distance skiers. Diagnostics, 10(7), 1–9. https://doi.org/10.3390/diagnostics10070442

Harbour, E., Farlock, R., Marko, D., Bahenský, P., & Schwameder, H. (2025). Sports bra tightness affects respiratory muscle fatigue, breathing pattern, and perceptual responses during running. Journal of Sports Sciences, 43(17), 1871–1884. https://doi.org/10.1080/02640414.2025.2526277

Ida Zubaida, Mohamad Anugrah, S., Tripayogo, R., Prama Dhani, D., & Tri Iwandana, D. (2022). Tingkat Kesehatan dan Karakteristik Kardiorespiratori Lansia di Provinsi Banten. Journal of Sport Coaching and Physical Education, 7(1).

Ivanyshyn, I., Vypasniak, I., Ivanyshyn, Y., Boichuk, R., Vintoniak, O., & Tretiak, D. (2024). Spirographic study of functional reserves of masters’ athletes in track-and field. Pedagogy of Physical Culture and Sports, 28(6), 468–478. https://doi.org/10.15561/26649837.2024.0601

Jun, H. J., Kim, K. J., Nam, K. W., & Kim, C. H. (2016). Effects of breathing exercises on lung capacity and muscle activities of elderly smokers. Journal of Physical Therapy Science, 28(6), 1681–1685. https://doi.org/10.1589/jpts.28.1681

Kanyhina, S. M., Potapenko, M. S., & Kurilets, L. O. (2021). Dependence of reactions of the external respiratory system in athletes on the orientation of the training process. Pathologia, 18(1), 103–111. https://doi.org/10.14739/2310-1237.2021.1.228920

Kato, K., Ikeda, R., Suzuki, J., Hirano-Kawamoto, A., Kamakura, Y., Fujiu-Kurachi, M., Hyodo, M., Izumi, S. I., Koyama, S., Sasaki, K., Nakajima, J., Karaho, T., Kimura, Y., Kumai, Y., Fujimoto, Y., Nito, T., Oku, Y., Kurosawa, H., Kuriyama, S., & Katori, Y. (2021). Questionnaire survey on nurses and speech therapists regarding dysphagia rehabilitation in Japan. Auris Nasus Larynx, 48(2), 241–247. https://doi.org/10.1016/j.anl.2020.08.004

Kirby, N. V., Lucas, S. J. E., Cable, T. G., Armstrong, O. J., Weaver, S. R., & Lucas, R. A. I. (2021). Sex differences in adaptation to intermittent post-exercise sauna bathing in trained middle-distance runners. Sports Medicine - Open, 7(1). https://doi.org/10.1186/s40798-021-00342-6

Kolnes, L. J., Stensrud, T., & Andersen, O. K. (2024). A multidimensional strategy to managing dysfunctional breathing and exercise-induced laryngeal obstruction in adolescent athletes. BMC Sports Science, Medicine and Rehabilitation, 16(1), 1–11. https://doi.org/10.1186/s13102-023-00804-2

Kolnes, L. J., Vollsæter, M., Røksund, O. D., & Stensrud, T. (2019). Physiotherapy improves symptoms of exercise-induced laryngeal obstruction in young elite athletes: A case series. BMJ Open Sport and Exercise Medicine, 5(1). https://doi.org/10.1136/bmjsem-2018-000487

Lopes, T. R., de Oliveira, D. M., Amoroso de Lima, L. A., & Silva, B. M. (2025). Breathing variability during running in athletes: The role of sex, exercise intensity and breathing reserve. Respiratory Physiology and Neurobiology, 331(September 2024), 104350. https://doi.org/10.1016/j.resp.2024.104350

Lyngdoh, J. A., Marbaniang, E., & Sangma, M. A. (2017). A comparative study of lung function of rowers and runners of Manipur. National Journal of Physiology, Pharmacy and Pharmacology, 7(10), 1132–1134. https://doi.org/10.5455/njppp.2017.7.0622629062017

Marugán-Rubio, D., Chicharro, J. L., Becerro-de-Bengoa-Vallejo, R., Losa-Iglesias, M. E., Rodríguez-Sanz, D., Vicente-Campos, D., Molina-Hernández, N., & Calvo-Lobo, C. (2022). Effectiveness of Ultrasonography Visual Biofeedback of the Diaphragm in Conjunction with Inspiratory Muscle Training on Muscle Thickness, Respiratory Pressures, Pain, Disability, Quality of Life and Pulmonary Function in Athletes with Non-Specific Low Bac. Journal of Clinical Medicine, 11(15). https://doi.org/10.3390/jcm11154318

Marugán‐rubio, D., Chicharro, J. L., Becerro‐de‐bengoa‐vallejo, R., Losa‐iglesias, M. E., Rodríguez‐sanz, D., Vicente‐campos, D., Dávila‐sánchez, G. J., & Calvo‐lobo, C. (2021). Concurrent validity and reliability of manual versus specific device transcostal measurements for breathing diaphragm thickness by ultrasonography in lumbopelvic pain athletes. Sensors, 21(13), 1–17. https://doi.org/10.3390/s21134329

Mosley, E., Duncan, S., Jones, K., Herklots, H., Kavanagh, E., & Laborde, S. (2024). A Smartphone Enabled Slow-Paced Breathing Intervention in Dual Career Athletes. Journal of Sport Psychology in Action, 15(3), 149–164. https://doi.org/10.1080/21520704.2023.2194256

Okrzymowska, P., Mackala, K., Kucharski, W., & Rozek-Piechura, K. (2025). Inspiratory Muscle Training Included in Therapeutic and Training Regimens for Middle-Distance Runners. Journal of Clinical Medicine, 14(9), 1–20. https://doi.org/10.3390/jcm14093180

Oueslati, F., Berriri, A., Boone, J., & Ahmaidi, S. (2018). Respiratory muscle strength is decreased after maximal incremental exercise in trained runners and cyclists. Respiratory Physiology and Neurobiology, 248(June 2017), 25–30. https://doi.org/10.1016/j.resp.2017.11.005

Pourmanaf, H., Hamzehzadeh, A., & Nikniaz, L. (2020). The effect of physical preparedness levels on serum levels of CC16, SP-D and lung function in endurance runners. Science and Sports, 35(4), 223–227. https://doi.org/10.1016/j.scispo.2019.10.006

Prasetya, B. A., Doewes, M., & Riyadi, S. (2020). Differences influence of drill, small sided games, and combination methods of two method skills on football players on beginners. Health, Sport, Rehabilitation, 6(2), 9–19. https://doi.org/10.34142/HSR.2020.06.02.01

Prastyo, B. W., Sugiyanto, & Doewes, M. (2017). The Development Model of the Basic Techniques of Exercise and Physical Exercise on Futsal Players Level Intermediate. European Journal of Physical Education and Sport Science, 2(3), 50–58.

Primasoni, N., Sugiyanto, S., Hidayatullah, F., & Doewes, M. (2021). Weight Loss through Play-Based Physical Activity for Overweight Children Aged 9-12 Years. International Journal of Human Movement and Sports Sciences, 9(5). https://doi.org/10.13189/saj.2021.090526

Sakamoto, A., Matsumoto, Y., Naito, H., & Chow, C. M. (2025). End-tidal CO2 and ventilation: Novel markers for assessing performance levels in elite long-distance runners. Respiratory Physiology and Neurobiology, 333(December 2024), 104389. https://doi.org/10.1016/j.resp.2024.104389

Sarkar, S., Dutta, S., Chatterjee, S., Tiwana, K., & Saraswat, S. (2024). Influence of Live High Train High on Physiological Training Adaptations and Athletic Performance in Trained Runners: an Observational Cohort Case Study. Central European Journal of Sport Sciences and Medicine, 46(2), 103–115. https://doi.org/10.18276/cej.2024.2-09

Seki, S., Kobayashi, T., Beppu, K., Nojo, M., Hoshina, K., Kikuchi, N., Okamoto, T., Nakazato, K., & Hwang, I. (2024). Association Among MCT1 rs1049434 Polymorphism, Athlete Status, and Physiological Parameters in Japanese Long-Distance Runners. Genes, 15(12). https://doi.org/10.3390/genes15121627

Shaari, J. S., Hooi, L. B., & Siswantoyo. (2019). The effectiveness of psychological skills training program on netball shooting performance. Cakrawala Pendidikan, 38(1), 174–187. https://doi.org/10.21831/cp.v38i1.23206

Sikora, M., Mikołajczyk, R., Łakomy, O., Karpiński, J., Żebrowska, A., Kostorz-Nosal, S., & Jastrzębski, D. (2024). Influence of the breathing pattern on the pulmonary function of endurance-trained athletes. Scientific Reports, 14(1), 1–10. https://doi.org/10.1038/s41598-024-51758-5

Tiller, N. B., Chiesa, S. T., Roberts, J. D., Turner, L. A., Jones, S., & Romer, L. M. (2019). Physiological and pathophysiological consequences of a 25-day ultra-endurance exercise challenge. Frontiers in Physiology, 10(MAY), 1–8. https://doi.org/10.3389/fphys.2019.00589

Downloads

Published

2026-07-11

How to Cite

Rofi’ Nurul ‘Aini, Slamet Riyadi, & Muchsin Doewes. (2026). Efficacy of Diaphragmatic Breathing and Balloon-Blowing Load Exercises in Improving Lung Capacity Among Athlete Runners. Bulletin of Community Engagement, 6(2), 202–213. https://doi.org/10.51278/bce.v6i2.2626

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.