Asthma Control and Asthma Medication Use among Swedish Elite Endurance Athletes

Persson, Hampus; Lindberg, Anne; Stenfors, Nikolai

doi:10.1155/2018/4646852

Cited by 5 publications

(7 citation statements)

References 23 publications

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“…Asthma control in skiers has been recently studied in two Swedish studies. 5,6 The first study included elite crosscountry skiers and orienteers and found that 82% of the athletes had well-controlled asthma, 6 but the results were not divided based on the sport. Among adolescent crosscountry skiers aged 12-15 years (n = 20), the median Asthma Control Test (ACT) score was 21, suggesting wellcontrolled asthma.…”

Section: Introductionmentioning

confidence: 99%

Higher prevalence but later age at onset of asthma in cross‐country skiers compared with general population

Mäki-Heikkilä

Karjalainen

Parkkari

et al. 2021

Scandinavian Med Sci Sports

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Asthma is a heterogeneous disease characterized by variable airway obstruction and is usually associated with chronic airway inflammation. 1 Asthma is common in cross-country skiers, with a prevalence of approximately 21%. 2 This may be related to years of endurance training and high ventilation rates. During winter, cross-country skiers expose themselves to cold and dry air conditions, which strains the airways. The asthma endotype in

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Section: Introductionmentioning

confidence: 99%

Higher prevalence but later age at onset of asthma in cross‐country skiers compared with general population

Mäki-Heikkilä

Karjalainen

Parkkari

et al. 2021

Scandinavian Med Sci Sports

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“…We also find it reasonable that not all athletes with current asthma used HMEs. A large proportion of Swedish skiers have well‐controlled asthma 19 and thus little need of HMEs. Also, some of the skiers in the present study did not experience relief by HMEs or felt HMEs hindered their training.…”

Section: Discussionmentioning

confidence: 99%

“…Of the 191 responding skiers, 167 (87%) were cross-country skiers, and the remaining 24 (13%) were biathletes. The respondents had a mean (range) age of 17 (15)(16)(17)(18)(19) years; 101 (53%) were women. A majority of the skiers (55%) trained 10-13 h/wk, while six skiers trained <6 h/wk, and three skiers trained ≥18 h/wk.…”

Section: Study Populationmentioning

confidence: 99%

Usage of and attitudes toward heat‐ and moisture‐exchanging breathing devices among adolescent skiers

et al. 2020

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Heat-and moisture-exchanging breathing devices (HME) humidify and heat-inhaled air and prevent exercise-induced bronchoconstriction. HMEs have potential as primary preventers against airway damage and asthma induced by exercise in sub-zero temperatures. HME usage among athletes has not been previously investigated. This study surveyed the usage of and attitudes toward HMEs among elite skiers. We invited all 347 students from Swedish National Elite Sports Schools in cross-country skiing and biathlon to participate in a web-survey. The response rate was 55%, 53% were women, 30% had asthma, and 87% were cross-country skiers. Their mean (range) age was 17 (15-19) years. HMEs were used often or occasionally by 71% of respondents, while 68% reported respiratory symptoms while training in sub-zero temperatures. The most common temperature threshold for using HMEs was −15°C.Almost all participants believed that HMEs prevent airway problems induced by training in cold. The participants were motivated, and confident in succeeding, to increase their HME usage during exercise in −10°C or colder, if recommended. Swedish adolescent skiers commonly use HMEs and have positive attitudes toward increased HME usage. HMEs may constitute a simple and effective prevention strategy against airway symptoms and asthma among winter endurance athletes.

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“…On the contrary, an increased use of SABA/LABA is an indication, for the treating physician, to introduce or increase the use of controller medication, such as ICS, and thus reduced the need for SABA. Elite cross-country skiers with asthma do not appear to use more SABA/LABA than a reference group of patients with asthma [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Asthma and Asthma Medication Are Common among Recreational Athletes Participating in Endurance Sport Competitions

Näsman

Irewall

Hållmarker

et al. 2018

Canadian Respiratory Journal

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Background Asthma prevalence is high among elite endurance athletes, but little is known about its prevalence among competitive recreational athletes. The aim of this study was to determine the prevalence of self-reported asthma and asthma medication use among competitive recreational endurance athletes and their association with training. Methods A web survey on asthma and medication was conducted among 38,603 adult participants of three Swedish endurance competitions (cross-country running, cross-country skiing, and swimming). Results The overall response rate was 29%. The prevalence of self-reported asthma (physician-diagnosed asthma and use of asthma medication in the last 12 months) was 12%. Among those reporting asthma, 23% used inhaled corticosteroids and long-acting beta-agonists daily. We found no association between training volume and daily use of asthma medication, except a trend in relation to short-acting beta-agonists. Independent predictors of self-reported asthma were female sex, allergic rhinitis, previous eczema, family history of asthma, cycling, and training for >5 h 50 min/week. Conclusions The prevalence of self-reported asthma among Swedish competitive recreational endurance athletes appears to be higher than that in the general Swedish population. A large proportion of recreational athletes were reported with asthma use medications, indicating an association between high physical activity and self-reported asthma among competitive recreational athletes.

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Asthma Control and Asthma Medication Use among Swedish Elite Endurance Athletes

Cited by 5 publications

References 23 publications

Higher prevalence but later age at onset of asthma in cross‐country skiers compared with general population

Higher prevalence but later age at onset of asthma in cross‐country skiers compared with general population

Usage of and attitudes toward heat‐ and moisture‐exchanging breathing devices among adolescent skiers

Asthma and Asthma Medication Are Common among Recreational Athletes Participating in Endurance Sport Competitions

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