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Adolescent Athletes at Risk of Exercise-Induced Bronchoconstriction: A Result of Training or Pre-Existing Asthma?

Exercise may trigger bronchoconstriction, especially in a group of athletes in whom bronchospasm during exercise is reported to occur more frequently than in nonathletes. The aim of this study was to determine the prevalence and environmental risk factors contributing to exercise-induced bronchocons...

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Autores principales: Malewska-Kaczmarek, Kamila, Bobeff, Katarzyna, Mańkowski, Tymoteusz, Podlecka, Daniela, Jerzyńska, Joanna, Stelmach, Iwona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9367722/
https://www.ncbi.nlm.nih.gov/pubmed/35897509
http://dx.doi.org/10.3390/ijerph19159119
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author Malewska-Kaczmarek, Kamila
Bobeff, Katarzyna
Mańkowski, Tymoteusz
Podlecka, Daniela
Jerzyńska, Joanna
Stelmach, Iwona
author_facet Malewska-Kaczmarek, Kamila
Bobeff, Katarzyna
Mańkowski, Tymoteusz
Podlecka, Daniela
Jerzyńska, Joanna
Stelmach, Iwona
author_sort Malewska-Kaczmarek, Kamila
collection PubMed
description Exercise may trigger bronchoconstriction, especially in a group of athletes in whom bronchospasm during exercise is reported to occur more frequently than in nonathletes. The aim of this study was to determine the prevalence and environmental risk factors contributing to exercise-induced bronchoconstriction (EIB) in adolescent athletes. A prospective study was conducted among a group of 101 adolescent athletes who underwent spirometry, exercise challenge, fractional exhaled nitric oxide (FeNO) measurements, and allergy assessment. The study group was divided into three subgroups of athletes based on the most common sports environments: swimmers, “indoor” athletes, and “outdoor” athletes. The clinical evaluation demonstrated a high frequency of EIB in the study group. Moreover, a large proportion of the athletes in whom EIB was observed reported no pre-existing symptoms suggestive of bronchospasm or asthma. Among patients without a previous diagnosis of asthma, clinical evaluation confirmed 22% with positive exercise challenges, compared with 77% of adolescents with negative test results. Moreover, among the athletes with a history of asthma, 39% had positive exercise challenges. Both EIB and asthma are common conditions that affect adolescent athletes. Physicians should pay particular attention to this group, as the symptoms can lead to under- and overdiagnosis.
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spelling pubmed-93677222022-08-12 Adolescent Athletes at Risk of Exercise-Induced Bronchoconstriction: A Result of Training or Pre-Existing Asthma? Malewska-Kaczmarek, Kamila Bobeff, Katarzyna Mańkowski, Tymoteusz Podlecka, Daniela Jerzyńska, Joanna Stelmach, Iwona Int J Environ Res Public Health Article Exercise may trigger bronchoconstriction, especially in a group of athletes in whom bronchospasm during exercise is reported to occur more frequently than in nonathletes. The aim of this study was to determine the prevalence and environmental risk factors contributing to exercise-induced bronchoconstriction (EIB) in adolescent athletes. A prospective study was conducted among a group of 101 adolescent athletes who underwent spirometry, exercise challenge, fractional exhaled nitric oxide (FeNO) measurements, and allergy assessment. The study group was divided into three subgroups of athletes based on the most common sports environments: swimmers, “indoor” athletes, and “outdoor” athletes. The clinical evaluation demonstrated a high frequency of EIB in the study group. Moreover, a large proportion of the athletes in whom EIB was observed reported no pre-existing symptoms suggestive of bronchospasm or asthma. Among patients without a previous diagnosis of asthma, clinical evaluation confirmed 22% with positive exercise challenges, compared with 77% of adolescents with negative test results. Moreover, among the athletes with a history of asthma, 39% had positive exercise challenges. Both EIB and asthma are common conditions that affect adolescent athletes. Physicians should pay particular attention to this group, as the symptoms can lead to under- and overdiagnosis. MDPI 2022-07-26 /pmc/articles/PMC9367722/ /pubmed/35897509 http://dx.doi.org/10.3390/ijerph19159119 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Malewska-Kaczmarek, Kamila
Bobeff, Katarzyna
Mańkowski, Tymoteusz
Podlecka, Daniela
Jerzyńska, Joanna
Stelmach, Iwona
Adolescent Athletes at Risk of Exercise-Induced Bronchoconstriction: A Result of Training or Pre-Existing Asthma?
title Adolescent Athletes at Risk of Exercise-Induced Bronchoconstriction: A Result of Training or Pre-Existing Asthma?
title_full Adolescent Athletes at Risk of Exercise-Induced Bronchoconstriction: A Result of Training or Pre-Existing Asthma?
title_fullStr Adolescent Athletes at Risk of Exercise-Induced Bronchoconstriction: A Result of Training or Pre-Existing Asthma?
title_full_unstemmed Adolescent Athletes at Risk of Exercise-Induced Bronchoconstriction: A Result of Training or Pre-Existing Asthma?
title_short Adolescent Athletes at Risk of Exercise-Induced Bronchoconstriction: A Result of Training or Pre-Existing Asthma?
title_sort adolescent athletes at risk of exercise-induced bronchoconstriction: a result of training or pre-existing asthma?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9367722/
https://www.ncbi.nlm.nih.gov/pubmed/35897509
http://dx.doi.org/10.3390/ijerph19159119
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