2012
DOI: 10.1136/bjsports-2011-090821
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Airway dysfunction in swimmers: Table 1

Abstract: Elite competitive swimmers are particularly affected by airway disorders that are probably related to regular and intense training sessions in a chlorinated environment. Upper and lower airway respiratory symptoms, rhinitis, airway hyper-responsiveness, and exercise-induced bronchoconstriction are highly prevalent in these athletes, but their influence on athletic performance is still unclear. The authors reviewed the main upper and lower respiratory ailments observed in competitive swimmers who train in indoo… Show more

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Cited by 61 publications
(47 citation statements)
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“…Accordingly, as many as 74% of elite swimmers report nasal obstruction, rhinorrhea, sneezing, and nasal itching throughout a training season, consistent with reports of as many as 76% of swimmers having symptomatic or asymptomatic airway hyperresponsiveness, exercise-induced bronchoconstriction, or both (Bougault & Boulet, 2012). The causes of these high rates of respiratory issues in elite swimmers are not entirely clear but may relate to low breathing frequency or high and forceful breathing or tidal volumes that favor increased respiratory penetration of volatile chlorinated products right at the pool surface (Bougault & Boulet, 2012). Athletes with asthma may benefit from antioxidant therapy that has yielded beneficial clinical outcomes in nonathletic patients (Wood et al, 2012).…”
Section: Air and Water Pollutionsupporting
confidence: 66%
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“…Accordingly, as many as 74% of elite swimmers report nasal obstruction, rhinorrhea, sneezing, and nasal itching throughout a training season, consistent with reports of as many as 76% of swimmers having symptomatic or asymptomatic airway hyperresponsiveness, exercise-induced bronchoconstriction, or both (Bougault & Boulet, 2012). The causes of these high rates of respiratory issues in elite swimmers are not entirely clear but may relate to low breathing frequency or high and forceful breathing or tidal volumes that favor increased respiratory penetration of volatile chlorinated products right at the pool surface (Bougault & Boulet, 2012). Athletes with asthma may benefit from antioxidant therapy that has yielded beneficial clinical outcomes in nonathletic patients (Wood et al, 2012).…”
Section: Air and Water Pollutionsupporting
confidence: 66%
“…The primary preventive strategy is avoidance by having athletes train indoors away from outdoor venues at higher risk of air pollution. In aquatic sports, some athletes experience intermittent respiratory issues related to chlorination of pool water and poor air quality (Bougault & Boulet, 2012, 2013. Accordingly, as many as 74% of elite swimmers report nasal obstruction, rhinorrhea, sneezing, and nasal itching throughout a training season, consistent with reports of as many as 76% of swimmers having symptomatic or asymptomatic airway hyperresponsiveness, exercise-induced bronchoconstriction, or both (Bougault & Boulet, 2012).…”
Section: Air and Water Pollutionmentioning
confidence: 84%
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“…Other environmental triggers include chlorine in swimming pools [13,14] chemicals from resurfacing ice hockey rinks [15], and in urban areas from automobile exhaust [16]. EIB may be underestimated as athletes have been shown to be poor perceivers of bronchospasm [17,18] and lack awareness of symptoms [19,20].…”
Section: Epidemiologymentioning
confidence: 99%
“…Swimmers are exposed to (chlorine) chloramine and NCl3 gases used to disinfect pools. [8] As a result, swimmers experience asthma, allergic rhinitis, non-allergic rhinitis, and lower airway hyperreactivity more frequently. [8] Respiratory system diseases caused by harmful particles in the air have been discussed in many studies.…”
mentioning
confidence: 99%