Exercise in Sub-zero Temperatures and Airway Health: Implications for Athletes With Special Focus on Heat-and-Moisture-Exchanging Breathing Devices

Asthma is highly prevalent among winter endurance athletes. This “occupational disease” of cross-country skiers, among others, was acknowledged during the 1990s, with the pathogenesis attributed to repeated and prolonged exposure to cold, dry air combined with high rates of ventilation during exerci...

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Main Authors: Helen G. Hanstock, Mats Ainegren, Nikolai Stenfors
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-04-01
Series:Frontiers in Sports and Active Living
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fspor.2020.00034/full
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author Helen G. Hanstock
Mats Ainegren
Nikolai Stenfors
author_facet Helen G. Hanstock
Mats Ainegren
Nikolai Stenfors
author_sort Helen G. Hanstock
collection DOAJ
description Asthma is highly prevalent among winter endurance athletes. This “occupational disease” of cross-country skiers, among others, was acknowledged during the 1990s, with the pathogenesis attributed to repeated and prolonged exposure to cold, dry air combined with high rates of ventilation during exercise. Nevertheless, more than 25 years later, the prevalence of asthma among Scandinavian cross-country skiers is unchanged, and prevention remains a primary concern for sports physicians. Heat-and-moisture-exchanging breathing devices (HMEs) prevent exercise-induced bronchoconstriction in subjects with pre-existing disease and may have potential as a preventative intervention for healthy athletes undertaking training and competition in winter endurance sports. Herein we firstly provide an overview of the influence of temperature and humidity on airway health and the implications for athletes training and competing in sub-zero temperatures. We thereafter describe the properties and effects of HMEs, identify gaps in current understanding, and suggest avenues for future research.
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spelling doaj.art-e6c0f99492c7416e94ddb392c2502d832022-12-22T01:14:05ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672020-04-01210.3389/fspor.2020.00034490297Exercise in Sub-zero Temperatures and Airway Health: Implications for Athletes With Special Focus on Heat-and-Moisture-Exchanging Breathing DevicesHelen G. Hanstock0Mats Ainegren1Nikolai Stenfors2Swedish Winter Sports Research Centre, Department of Health Sciences, Mid Sweden University, Östersund, SwedenSports Tech Research Centre, Department of Quality Management and Mechanical Engineering, Mid Sweden University, Östersund, SwedenDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, SwedenAsthma is highly prevalent among winter endurance athletes. This “occupational disease” of cross-country skiers, among others, was acknowledged during the 1990s, with the pathogenesis attributed to repeated and prolonged exposure to cold, dry air combined with high rates of ventilation during exercise. Nevertheless, more than 25 years later, the prevalence of asthma among Scandinavian cross-country skiers is unchanged, and prevention remains a primary concern for sports physicians. Heat-and-moisture-exchanging breathing devices (HMEs) prevent exercise-induced bronchoconstriction in subjects with pre-existing disease and may have potential as a preventative intervention for healthy athletes undertaking training and competition in winter endurance sports. Herein we firstly provide an overview of the influence of temperature and humidity on airway health and the implications for athletes training and competing in sub-zero temperatures. We thereafter describe the properties and effects of HMEs, identify gaps in current understanding, and suggest avenues for future research.https://www.frontiersin.org/article/10.3389/fspor.2020.00034/fullasthmaairway inflammationexerciseexercise-induced bronchoconstriction (EIB)cross-country skiingwinter sports
spellingShingle Helen G. Hanstock
Mats Ainegren
Nikolai Stenfors
Exercise in Sub-zero Temperatures and Airway Health: Implications for Athletes With Special Focus on Heat-and-Moisture-Exchanging Breathing Devices
Frontiers in Sports and Active Living
asthma
airway inflammation
exercise
exercise-induced bronchoconstriction (EIB)
cross-country skiing
winter sports
title Exercise in Sub-zero Temperatures and Airway Health: Implications for Athletes With Special Focus on Heat-and-Moisture-Exchanging Breathing Devices
title_full Exercise in Sub-zero Temperatures and Airway Health: Implications for Athletes With Special Focus on Heat-and-Moisture-Exchanging Breathing Devices
title_fullStr Exercise in Sub-zero Temperatures and Airway Health: Implications for Athletes With Special Focus on Heat-and-Moisture-Exchanging Breathing Devices
title_full_unstemmed Exercise in Sub-zero Temperatures and Airway Health: Implications for Athletes With Special Focus on Heat-and-Moisture-Exchanging Breathing Devices
title_short Exercise in Sub-zero Temperatures and Airway Health: Implications for Athletes With Special Focus on Heat-and-Moisture-Exchanging Breathing Devices
title_sort exercise in sub zero temperatures and airway health implications for athletes with special focus on heat and moisture exchanging breathing devices
topic asthma
airway inflammation
exercise
exercise-induced bronchoconstriction (EIB)
cross-country skiing
winter sports
url https://www.frontiersin.org/article/10.3389/fspor.2020.00034/full
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AT nikolaistenfors exerciseinsubzerotemperaturesandairwayhealthimplicationsforathleteswithspecialfocusonheatandmoistureexchangingbreathingdevices