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Exercise-Induced Bronchospasm and Allergy

Sport is an essential part of childhood, with precious and acknowledged positive health effects but the impact of exercise-induced bronchoconstriction (EIB) significantly reduces participation in physical activity. It is important to recognize EIB, differentiating EIB with or without asthma if the t...

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Autores principales: Caggiano, Serena, Cutrera, Renato, Di Marco, Antonio, Turchetta, Attilio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5462910/
https://www.ncbi.nlm.nih.gov/pubmed/28642859
http://dx.doi.org/10.3389/fped.2017.00131
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author Caggiano, Serena
Cutrera, Renato
Di Marco, Antonio
Turchetta, Attilio
author_facet Caggiano, Serena
Cutrera, Renato
Di Marco, Antonio
Turchetta, Attilio
author_sort Caggiano, Serena
collection PubMed
description Sport is an essential part of childhood, with precious and acknowledged positive health effects but the impact of exercise-induced bronchoconstriction (EIB) significantly reduces participation in physical activity. It is important to recognize EIB, differentiating EIB with or without asthma if the transient narrowing of the airways after exercise is associated with asthmatic symptoms or not, in the way to select the most appropriate treatment among the many treatment options available today. Therapy is prescribed based on symptoms severity but diagnosis of EIB is established by changes in lung function provoked by exercise evaluating by direct and indirect tests. Sometimes, in younger children it is difficult to obtain the registration of difference between the preexercise forced expiratory volume in the first second (FEV1) value and the lowest FEV1 value recorded within 30 min after exercise, defined as the gold standard, but interrupter resistance, in association with spirometry, has been showed to be a valid alternative in preschool age. Atopy is the main risk factor, as demonstrated by epidemiologic data showing that among the estimated pediatric population with EIB up to 40% of them have allergic rhinitis and 30% of these patients may develop adult asthma, according with atopic march. Adopting the right treatment and prevention, selecting sports with no marked hyperventilation and excessive cooling of the airways, children with EIB can be able to take part in physical activity like all others.
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spelling pubmed-54629102017-06-22 Exercise-Induced Bronchospasm and Allergy Caggiano, Serena Cutrera, Renato Di Marco, Antonio Turchetta, Attilio Front Pediatr Pediatrics Sport is an essential part of childhood, with precious and acknowledged positive health effects but the impact of exercise-induced bronchoconstriction (EIB) significantly reduces participation in physical activity. It is important to recognize EIB, differentiating EIB with or without asthma if the transient narrowing of the airways after exercise is associated with asthmatic symptoms or not, in the way to select the most appropriate treatment among the many treatment options available today. Therapy is prescribed based on symptoms severity but diagnosis of EIB is established by changes in lung function provoked by exercise evaluating by direct and indirect tests. Sometimes, in younger children it is difficult to obtain the registration of difference between the preexercise forced expiratory volume in the first second (FEV1) value and the lowest FEV1 value recorded within 30 min after exercise, defined as the gold standard, but interrupter resistance, in association with spirometry, has been showed to be a valid alternative in preschool age. Atopy is the main risk factor, as demonstrated by epidemiologic data showing that among the estimated pediatric population with EIB up to 40% of them have allergic rhinitis and 30% of these patients may develop adult asthma, according with atopic march. Adopting the right treatment and prevention, selecting sports with no marked hyperventilation and excessive cooling of the airways, children with EIB can be able to take part in physical activity like all others. Frontiers Media S.A. 2017-06-08 /pmc/articles/PMC5462910/ /pubmed/28642859 http://dx.doi.org/10.3389/fped.2017.00131 Text en Copyright © 2017 Caggiano, Cutrera, Di Marco and Turchetta. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Caggiano, Serena
Cutrera, Renato
Di Marco, Antonio
Turchetta, Attilio
Exercise-Induced Bronchospasm and Allergy
title Exercise-Induced Bronchospasm and Allergy
title_full Exercise-Induced Bronchospasm and Allergy
title_fullStr Exercise-Induced Bronchospasm and Allergy
title_full_unstemmed Exercise-Induced Bronchospasm and Allergy
title_short Exercise-Induced Bronchospasm and Allergy
title_sort exercise-induced bronchospasm and allergy
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5462910/
https://www.ncbi.nlm.nih.gov/pubmed/28642859
http://dx.doi.org/10.3389/fped.2017.00131
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