Asthma in elite athletes

There is a high prevalence of asthma among elite performance athletes, particularly those who train and compete with high ventilation rates in austere environments, such as cross country skiers and swimmers. How best to assess, diagnose, and treat asthma or exercise-induced bronchoconstriction (EIB)...

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Bibliographic Details
Main Authors: Martin, N, Pavord, I
Format: Journal article
Language:English
Published: 2010
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author Martin, N
Pavord, I
author_facet Martin, N
Pavord, I
author_sort Martin, N
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description There is a high prevalence of asthma among elite performance athletes, particularly those who train and compete with high ventilation rates in austere environments, such as cross country skiers and swimmers. How best to assess, diagnose, and treat asthma or exercise-induced bronchoconstriction (EIB) in athletes remains controversial. The underlying high cardiorespiratory fitness levels of athletes make the diagnostic process more complex as do a variety of both common and rare alternative diagnoses that must be considered. To add to this, the pathophysiology of EIB in athletes is believed to differ significantly from the exercise-induced asthma seen in clinical patients, with less allergic inflammation and less steroid responsive airways pathology. This review aims to examine the underlying differences in EIB and exercise-induced asthma, to discuss diagnostic testing, and to look at the evidence that suggests how we should direct management and therapy. This discussion raises a number of questions about the diagnosis and treatment of airways symptoms in athletes, and it also suggests how future research should be targeted to answer these questions. Copyright © 2010 by Lippincott Williams and Wilkins.
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spelling oxford-uuid:81ae34e8-c7fc-4a27-ba15-031d08b2e4f12022-03-26T21:31:48ZAsthma in elite athletesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:81ae34e8-c7fc-4a27-ba15-031d08b2e4f1EnglishSymplectic Elements at Oxford2010Martin, NPavord, IThere is a high prevalence of asthma among elite performance athletes, particularly those who train and compete with high ventilation rates in austere environments, such as cross country skiers and swimmers. How best to assess, diagnose, and treat asthma or exercise-induced bronchoconstriction (EIB) in athletes remains controversial. The underlying high cardiorespiratory fitness levels of athletes make the diagnostic process more complex as do a variety of both common and rare alternative diagnoses that must be considered. To add to this, the pathophysiology of EIB in athletes is believed to differ significantly from the exercise-induced asthma seen in clinical patients, with less allergic inflammation and less steroid responsive airways pathology. This review aims to examine the underlying differences in EIB and exercise-induced asthma, to discuss diagnostic testing, and to look at the evidence that suggests how we should direct management and therapy. This discussion raises a number of questions about the diagnosis and treatment of airways symptoms in athletes, and it also suggests how future research should be targeted to answer these questions. Copyright © 2010 by Lippincott Williams and Wilkins.
spellingShingle Martin, N
Pavord, I
Asthma in elite athletes
title Asthma in elite athletes
title_full Asthma in elite athletes
title_fullStr Asthma in elite athletes
title_full_unstemmed Asthma in elite athletes
title_short Asthma in elite athletes
title_sort asthma in elite athletes
work_keys_str_mv AT martinn asthmaineliteathletes
AT pavordi asthmaineliteathletes