Asthma deaths during sports☆Report of a 7-year experience

Becker, Jack M.; Rogers, John H.; Rossini, Gregory; Mirchandani, Haresh G.; D’Alonzo, Gilbert E.

doi:10.1016/j.jaci.2003.10.052

Cited by 150 publications

(94 citation statements)

References 30 publications

(30 reference statements)

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“…8 Furthermore, asthma triggered during sports is a common cause of sports-related deaths in children. 9 The pathobiology that makes this group of asthmatic subjects susceptible to bronchoconstriction after a short period of exercise remains poorly understood. Because the exercise challenge test used to identify EIB is the maximum stimulus for EIB, 10 asthmatic subjects with and without EIB can be readily identified by threshold responses to a standardized exercise challenge test.…”

mentioning

confidence: 99%

Airway immunopathology of asthma with exercise-induced bronchoconstriction

Hallstrand

Moody

Aitken

et al. 2005

Journal of Allergy and Clinical Immunology

124

100

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mentioning

confidence: 99%

Airway immunopathology of asthma with exercise-induced bronchoconstriction

Hallstrand

Moody

Aitken

et al. 2005

Journal of Allergy and Clinical Immunology

124

100

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“…A recent 7-year study of asthma-related fatalities in sport [58] found that of 61 deaths most occurred in athletes aged under 20 (prevalent group 10-14), with basketball one of the two most frequent activities precipitating a fatal episode (track was the other).…”

Section: Injury Severitymentioning

confidence: 99%

Basketball Injuries

Harmer¹

2005

Medicine and Sport Science

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Objective:To identify and quantify, to the best extent possible from the existing literature, injury characteristics and factors (risk; protective) associated with injury in young basketball players. Data Sources: Database searches principally involving Medline and SportDiscus. In addition, web-based searching and filtering of the reference lists of papers found in the preliminary searches were utilized. Main Results: Few well-controlled studies of this population have been conducted. However, from the information available: basketball is the most frequent cause of sports-related emergency department visits for youth and adolescents; the risk of being injured in a game is greater than for practice; girls are more likely to be injured than boys, especially with knee and ankle injuries and the knee injuries are more likely to be severe; acute injuries are more common than chronic; strains/sprains are the most common types of injuries but overall time loss is minimal, indicating that the majority of pediatric basketball injuries are minor (less than 7 days away from activity). Intervention studies show that: mouthguards reduce orofacial/dental injuries; mouthguard use can be increased in young players; neuromuscular training can reduce the incidence of knee injuries in female participants; postural sway is related to risk of ankle injury. Conclusions: The current state of epidemiological research involving youth and adolescent basketball injuries is poor. With an increasing number of young participants, in situations ranging from informal play and physical education classes to organized community and school teams, the need for comprehensive and authoritative information on risk and protective factors is significant.

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“…7,8 More importantly, the potential for a severe episode of EIB leading to mortality has been noted in athletes. A 7-y study by Becker et al 9 reported 61 EIB-related deaths during competition or practice, with 81% of these deaths occurring in athletes Ͻ21 y old.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Exercise-Induced Bronchoconstriction Measured by Standardized Testing in Healthy College Athletes

et al. 2016

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BACKGROUND: Exercise-induced bronchoconstriction (EIB) can lead to long-term respiratory illness and even death. EIB prevalence rates are both high and variable in college athletes. Prevalence rates may be underestimated due to ineffective testing and screening. The purpose of this study was to investigate the prevalence of EIB in college athletes by a standardized EIB test that can be used on many college campuses. In addition, we assessed the usefulness of self-reporting EIB/asthma (1) history, (2) symptoms, and (3) respiratory medication obtained from a simple screening questionnaire for predicting an EIB-positive athlete. METHODS: A standardized EIB test and self-report questionnaire were administered to college athletes on 10 different sports teams. Information collected included pulmonary function (spirometry), expired gas analysis (maximal oxygen uptake), CO 2 production, minute ventilation, EIB/asthma history, current symptoms, and medication use. RESULTS: Results showed that 34 of 80 athletes (42.5%) were EIB-positive by standardized exercise testing. The majority (76.5 and 58.8%) of the 34 athletes who tested positive self-reported a negative history or no symptoms, respectively. Also, 79.4% of the athletes who tested positive for EIB reported not using a respiratory medication. There were no significant differences in a positive EIB test when assessing interactions for history (P ‫؍‬ .93), current symptoms (P ‫؍‬ .12), or respiratory medication use (P ‫؍‬ .66). CONCLUSIONS: A high proportion of college athletes tested positive for EIB when using a standardized test. Positive history, current symptoms of EIB/asthma, and respiratory medication use were not predictive of a positive test. Many EIB-positive athletes are not using a respiratory medication. More work is needed to develop an effective screening tool and improve education for EIB in college athletes.

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Asthma deaths during sports☆Report of a 7-year experience

Cited by 150 publications

References 30 publications

Airway immunopathology of asthma with exercise-induced bronchoconstriction

Airway immunopathology of asthma with exercise-induced bronchoconstriction

Basketball Injuries

Prevalence of Exercise-Induced Bronchoconstriction Measured by Standardized Testing in Healthy College Athletes

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