{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T21:42:33Z","timestamp":1783114953390,"version":"3.54.6"},"reference-count":33,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Physiology &amp; Behavior"],"published-print":{"date-parts":[[2025,10]]},"DOI":"10.1016\/j.physbeh.2025.114991","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T11:29:09Z","timestamp":1749554949000},"page":"114991","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Inspiratory muscle glycemic threshold in COPD: functional and clinical associations in incremental testing"],"prefix":"10.1016","volume":"299","author":[{"given":"Wasly S.","family":"Silva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe J.","family":"Aidar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4100-8765","authenticated-orcid":false,"given":"Georgian","family":"Badicu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana D.","family":"Andrade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia F.","family":"S\u00e1","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 B.","family":"Neto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca Paolo","family":"Ardig\u00f2","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jefferson","family":"Petto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.physbeh.2025.114991_bib0001","article-title":"Inspiratory muscle training, with or without concomitant pulmonary rehabilitation, for chronic obstructive pulmonary disease (COPD)","author":"Ammous","year":"2023","journal-title":"Cochr. Datab. System. Rev."},{"issue":"7","key":"10.1016\/j.physbeh.2025.114991_bib0002","doi-asserted-by":"crossref","first-page":"2178","DOI":"10.1111\/crj.12905","article-title":"Effects of inspiratory muscle training in COPD patients: a systematic review and meta-analysis","volume":"12","author":"Beaumont","year":"2018","journal-title":"Clin. Respir. J."},{"issue":"4","key":"10.1016\/j.physbeh.2025.114991_bib0003","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1016\/j.jacc.2005.09.052","article-title":"Inspiratory muscle training in patients with heart failure and Inspiratory muscle weakness","volume":"47","author":"Dall\u2019Ago","year":"2006","journal-title":"J. Am. Coll. Cardiol."},{"issue":"10","key":"10.1016\/j.physbeh.2025.114991_bib0004","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.33963\/KP.a2021.0101","article-title":"The effect of exercise training and physiotherapy on diastolic function, exercise capacity and quality of life in patients with heart failure with preserved ejection fraction: a systematic review and meta-analysis","volume":"79","author":"Zhuang","year":"2021","journal-title":"Kardiol. Pol."},{"issue":"6","key":"10.1016\/j.physbeh.2025.114991_bib0005","doi-asserted-by":"crossref","DOI":"10.21470\/1678-9741-2019-0448","article-title":"Inspiratory muscle training based on Anaerobic threshold on the functional capacity of patients after coronary artery bypass grafting: clinical trial","volume":"35","author":"Cordeiro","year":"2020","journal-title":"Brazil. J. Cardiovascul. Surg."},{"issue":"4","key":"10.1016\/j.physbeh.2025.114991_bib0006","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.cmet.2007.03.006","article-title":"The GLUT4 glucose transporter","volume":"5","author":"Huang","year":"2007","journal-title":"Cell Metab."},{"issue":"3","key":"10.1016\/j.physbeh.2025.114991_bib0007","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1152\/physrev.00038.2012","article-title":"Exercise, GLUT4, and skeletal muscle glucose uptake","volume":"93","author":"Richter","year":"2013","journal-title":"Physiol. Rev."},{"key":"10.1016\/j.physbeh.2025.114991_bib0008","doi-asserted-by":"crossref","unstructured":"Trefts, E., Williams, A.S., & Wasserman, D.H. (2015). Exercise and the regulation of hepatic metabolism (pp. 203\u2013225). https:\/\/doi.org\/10.1016\/bs.pmbts.2015.07.010.","DOI":"10.1016\/bs.pmbts.2015.07.010"},{"issue":"6","key":"10.1016\/j.physbeh.2025.114991_bib0009","article-title":"Identifica\u00e7\u00e3o do limiar de lactato e limiar glic\u00eamico em exerc\u00edcios resistidos ARTIGO ORIGINAL","volume":"12","author":"Carlos de Oliveira","year":"2006","journal-title":"Rev. Bras. Med. Esport."},{"issue":"2","key":"10.1016\/j.physbeh.2025.114991_bib0010","doi-asserted-by":"crossref","first-page":"223","DOI":"10.17267\/2238-2704rpf.v8i2.1926","article-title":"Compara\u00e7\u00e3o da for\u00e7a e resist\u00eancia dos m\u00fasculos inspirat\u00f3rios entre ativos e sedent\u00e1rios","volume":"8","author":"De Oliveira","year":"2018","journal-title":"Revista Pesquisa Em Fisioterapia"},{"issue":"3","key":"10.1016\/j.physbeh.2025.114991_bib0011","doi-asserted-by":"crossref","first-page":"165","DOI":"10.33155\/j.ramd.2021.06.003","article-title":"Blood glucose threshold of the inspiratory muscles: is it possible to determine it by Borg?","volume":"14","author":"Petto","year":"2021","journal-title":"Revista Andaluza de Medicina Del Deporte"},{"issue":"4","key":"10.1016\/j.physbeh.2025.114991_bib34","doi-asserted-by":"crossref","first-page":"2300239","DOI":"10.1183\/13993003.00239-2023","article-title":"Global initiative for chronic obstructive lung disease 2023 report: GOLD executive summary","volume":"61","author":"Agust\u00ed","year":"2023","journal-title":"Eur Respir J"},{"issue":"6 Pt 2","key":"10.1016\/j.physbeh.2025.114991_bib0012","first-page":"1","article-title":"Epidemiology Standardization Project (American Thoracic Society)","volume":"118","author":"Ferris","year":"1978","journal-title":"Am. Rev. Respir. Dis."},{"issue":"4","key":"10.1016\/j.physbeh.2025.114991_bib0013","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1590\/S1806-37132013000400002","article-title":"Portuguese-language version of the COPD Assessment Test: validation for use in Brazil","volume":"39","author":"Silva","year":"2013","journal-title":"Jornal Brasileiro de Pneumologia"},{"key":"10.1016\/j.physbeh.2025.114991_bib0014","unstructured":"T, X.H., C, I.M., Neto R., F. J., H, A.M., Z, R.V., C, S.A., A, F.F., Santos E., dos J., D, S.R., C, B.M., A, F.A., L R., M. T., A, F.N., C P., C. A., R, C.O., & A F., R. J. (2013). V Diretriz Brasileira De DislipiDemias e preVen\u00e7\u00e3o Da aterosclerose. www.arquivosonline.com.br."},{"issue":"10","key":"10.1016\/j.physbeh.2025.114991_bib0015","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.4187\/respcare.06058","article-title":"Assessment of maximum dynamic inspiratory pressure","volume":"63","author":"Silva","year":"2018","journal-title":"Respir. Care"},{"issue":"6","key":"10.1016\/j.physbeh.2025.114991_bib0016","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.1183\/09031936.00150314","article-title":"An official European Respiratory Society\/American Thoracic Society technical standard: field walking tests in chronic respiratory disease","volume":"44","author":"Holland","year":"2014","journal-title":"Eur. Respir. J."},{"issue":"5","key":"10.1016\/j.physbeh.2025.114991_bib0017","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1249\/00005768-198205000-00012","article-title":"Psychophysical bases of perceived exertion","volume":"14","author":"Borg","year":"1982","journal-title":"Med. Sci. Sport. Exerc."},{"issue":"6","key":"10.1016\/j.physbeh.2025.114991_bib0018","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1590\/S1413-35552012005000122","article-title":"Reference equations for the six-minute walk distance based on a Brazilian multicenter study","volume":"17","author":"Britto","year":"2013","journal-title":"Braz. J. Phys. Ther."},{"issue":"04","key":"10.1016\/j.physbeh.2025.114991_bib0019","doi-asserted-by":"crossref","first-page":"600","DOI":"10.4181\/RNC.2013.21.870.4p","article-title":"Aplicabilidade Cl\u00ednica da Variabilidade da Frequ\u00eancia Card\u00edaca","volume":"21","author":"Lopes","year":"2014","journal-title":"Revista Neuroci\u00eancias"},{"issue":"1","key":"10.1016\/j.physbeh.2025.114991_bib0020","first-page":"130","article-title":"Assessment of subjective perceived exertion at the Anaerobic threshold with the Borg CR-10 scale","volume":"10","author":"Zamun\u00e9r","year":"2011","journal-title":"J. Sport. Sci. Med."},{"issue":"12","key":"10.1016\/j.physbeh.2025.114991_bib0021","doi-asserted-by":"crossref","first-page":"2246","DOI":"10.1093\/ptj\/pzaa165","article-title":"Maximal dynamic inspiratory pressure evaluation in heart failure: a comprehensive reliability and agreement study","volume":"100","author":"da Silva","year":"2020","journal-title":"Phys. Ther."},{"key":"10.1016\/j.physbeh.2025.114991_bib0022","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.aanat.2016.03.008","article-title":"Diaphragm: a vital respiratory muscle in mammals","volume":"205","author":"Lessa","year":"2016","journal-title":"Ann. Anat. - Anatomischer Anzeiger"},{"issue":"3","key":"10.1016\/j.physbeh.2025.114991_bib0023","first-page":"291","article-title":"Inspiratory muscle training in quality of life and functional capacity in cardiotoxicity: case report","volume":"29","author":"Petto","year":"2022","journal-title":"Fisioterapia e Pesquisa"},{"key":"10.1016\/j.physbeh.2025.114991_bib0024","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.physbeh.2017.12.015","article-title":"An integrative perspective of the anaerobic threshold","volume":"205","author":"Sales","year":"2019","journal-title":"Physiol. Behav."},{"issue":"6","key":"10.1016\/j.physbeh.2025.114991_bib0025","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1164\/rccm.200209-1070OC","article-title":"Human diaphragm remodeling associated with chronic obstructive pulmonary disease","volume":"168","author":"Levine","year":"2003","journal-title":"Am. J. Respir. Crit. Care Med."},{"key":"10.1016\/j.physbeh.2025.114991_bib0026","doi-asserted-by":"crossref","first-page":"153","DOI":"10.2147\/COPD.S73717","article-title":"Dynamic hyperinflation and dyspnea during the 6-minute walk test in stable chronic obstructive pulmonary disease patients","author":"Satake","year":"2015","journal-title":"Int. J. Chron. Obstruct. Pulmon. Dis."},{"issue":"2","key":"10.1016\/j.physbeh.2025.114991_bib0027","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1183\/20734735.008116","article-title":"The respiratory muscles during exercise","volume":"12","author":"Aliverti","year":"2016","journal-title":"Breathe"},{"issue":"2","key":"10.1016\/j.physbeh.2025.114991_bib0028","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1113\/EP085366","article-title":"Revisiting dysanapsis: sex-based differences in airways and the mechanics of breathing during exercise","volume":"101","author":"Sheel","year":"2016","journal-title":"Exp. Physiol."},{"issue":"1\u20132","key":"10.1016\/j.physbeh.2025.114991_bib0029","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/S0006-8993(99)02366-5","article-title":"Discharge of group IV phrenic afferent fibers increases during diaphragmatic fatigue","volume":"856","author":"Hill","year":"2000","journal-title":"Brain Res."},{"issue":"9","key":"10.1016\/j.physbeh.2025.114991_bib0030","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1007\/s40279-015-0344-5","article-title":"Role of ratings of perceived exertion during self-paced exercise: what are we actually measuring?","volume":"45","author":"Abbiss","year":"2015","journal-title":"Sport. Med."},{"issue":"1","key":"10.1016\/j.physbeh.2025.114991_bib0031","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/0034-5687(92)90137-L","article-title":"Respiratory-associated thalamic activity is related to level of respiratory drive","volume":"90","author":"Chen","year":"1992","journal-title":"Respir. Physiol."},{"issue":"5","key":"10.1016\/j.physbeh.2025.114991_bib0032","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1590\/1517-86922014200502010","article-title":"Rela\u00e7\u00e3o entre a variabilidade da frequ\u00eancia card\u00edaca e VO 2pico em mulheres ativas","volume":"20","author":"Tambur\u00fas","year":"2014","journal-title":"Revista Brasileira de Medicina Do Esporte"}],"container-title":["Physiology &amp; Behavior"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0031938425001921?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0031938425001921?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T15:32:12Z","timestamp":1778945532000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0031938425001921"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":33,"alternative-id":["S0031938425001921"],"URL":"https:\/\/doi.org\/10.1016\/j.physbeh.2025.114991","relation":{},"ISSN":["0031-9384"],"issn-type":[{"value":"0031-9384","type":"print"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Inspiratory muscle glycemic threshold in COPD: functional and clinical associations in incremental testing","name":"articletitle","label":"Article Title"},{"value":"Physiology & Behavior","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.physbeh.2025.114991","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"114991"}}