Cough in the Athlete

Boulet, Louis Philippe; Turmel, Julie; Irwin, Richard S.; Altman, Kenneth W.; Barker, Alan F.; Birring, Surinder S.; Blackhall, Fiona; Bolser, Donald C.; Braman, Sidney S.; Brightling, Christopher E.; Callahan-Lyon, Priscilla; Chang, Anne B.; Cowley, Terrie; Davenport, Paul; Ebihara, Satoru; Escalante, Patricio; Feinstein, Anthony; Field, Stephen K.; Fisher, Dina; French, Cynthia T.; Gibson, Peter G.; Gold, Philip M.; Harding, Susan M.; Harnden, Anthony; Hill, Adam T.; Kahrilas, Peter J.; Keogh, Karina A.; Lai, Kefang; Lane, Andrew P.; Lim, Kaiser G.; Malesker, Mark A.; Mazzone, Peter J.; McGarvey, Lorcan; Murad, M. Hassan; Newcombe, Peter; Nguyen, Huong Q.; Oppenheimer, John; Rosen, Mark J.; Rubin, Bruce K.; Ryu, Jay H.; Smith, Jaclyn A.; Tarlo, Susan M.; Vertigan, Anne E.; Wang, Gang; Weinberger, Miles; Weir, Kelly A.

doi:10.1016/j.chest.2016.10.054

Cited by 24 publications

(10 citation statements)

References 71 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, all participants grew up in the same inland geographic region, and all were exposed to the same mountainous environment during the winter months preceding the study. This, potentially, would have increased the prevalence of respiratory symptoms, because cold dry air and mountainous environments have recently been cited as the most potent for the development of symptoms following exercise in athletes [ 53 ]. Relative to young athletic individuals in Sweden [ 23 ], our results show higher prevalence, but compared to athletes in Quebec, Canada, we observed the same prevalence of symptoms after exercise [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

Are Respiratory Responses to Cold Air Exercise Different in Females Compared to Males? Implications for Exercise in Cold Air Environments

Kennedy

Lenz

Niedermeier

et al. 2020

IJERPH

View full text Add to dashboard Cite

Research has shown that cold air exercise causes significant respiratory dysfunction, especially in female athletes. However, how female and male athletes respond to cold air exercise is not known. Thus, we aimed to compare acute respiratory responses (function, recovery and symptoms) in males and females after high-intensity cold air exercise. Eighteen (nine female) athletes completed two environmental chamber running trials at 0 °C and −20 °C (humidity 34 ± 5%) on different days in a randomized starting order. Spirometry was performed pre, 3, 6, 10, 15 and 20 min post. Respiratory symptoms were measured posttrial and heart rate and rating of perceived exertion were assessed during each trial. No significant differences in delta change (pre to post) were found at either temperature between sexes for FEV1, FVC, FEF50% and FEF25–75%. At −20 °C, FEV1 decreased similarly in both sexes (males: 7.5%, females: 6.3%) but not at 0 °C, p = 0.003. Postexertion respiratory function recovery and reported symptoms were not different between sexes at either temperature. These results indicate no sex-based differences in acute respiratory responses (function, recovery and symptoms) to cold air exercise. However, intense exercise at −20 °C is challenging to the respiratory system in both sexes and may lead to altered respiratory responses compared to mild winter conditions like 0 °C.

show abstract

Section: Discussionmentioning

confidence: 99%

Are Respiratory Responses to Cold Air Exercise Different in Females Compared to Males? Implications for Exercise in Cold Air Environments

Kennedy

Lenz

Niedermeier

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Management guidelines for cough in athletes have recently been published. 76 Cough is a frequent symptom in athletes, associated with exposure to the sport training environment, especially in winter athletes, and predominantly following intense exercise. 76 , 77 The management of chronic cough in athletes should take into account the most frequent causes (asthma, exercise induced bronchoconstriction, respiratory tract infection, upper airway cough) and environmental exposure related to sport training environment.…”

Section: Chronic Cough In Specific Populationsmentioning

confidence: 99%

“… 76 , 77 The management of chronic cough in athletes should take into account the most frequent causes (asthma, exercise induced bronchoconstriction, respiratory tract infection, upper airway cough) and environmental exposure related to sport training environment. 76 …”

Section: Chronic Cough In Specific Populationsmentioning

confidence: 99%

Managing patients with chronic cough: challenges and solutions

Perotin-Collard¹,

Claire²,

Dewolf³

et al. 2018

TCRM

View full text Add to dashboard Cite

Chronic cough is a common complaint and a frequent cause of medical consultation. Its management can be difficult. We present here an overview of the current guidelines for the management of chronic cough. Different steps are detailed, including the initial research of an obvious etiology and alert signs that should lead to further investigation of underlying condition. The diagnosis of the most frequent causes: asthma, non-asthmatic eosinophilic bronchitis, gastroesophageal reflux disease and upper airway cough syndrome should be considered, assessed and treated accordingly. Recent advances have been made in the comprehension of refractory chronic cough pathophysiology as well as its pharmacologic and non-pharmacologic treatment, especially speech pathology therapy.

show abstract

“…The recent CHEST Guideline and Expert Panel Report [9] highlights this fact, however does acknowledge there are a small number of studies that have specifically evaluated the effect of treatments on cough in athletic individuals (Table 3). At this time therefore, until further studies have been performed in athletes, current guidelines for the general population should be applied for the evaluation and treatment of cough in athletes, taking into account specific training context and anti-doping regulations [9]. I medication is taken that is prohibited, however detailed information can be found regarding antidoping regulations for any medication at www.globaldro.org.…”

Section: Cough In Athletesmentioning

confidence: 99%

“…Coughing also appears to become more prominent and problematic over the course of an athlete s competitive season [6]. Regardless, our knowledge in this area still remains at a relatively embryonic stage and there are very few well-conducted treatment trials for cough in athletic populations [9]. This review aims to provide an overview of cough in athletic individuals, with a focus on the impact, possible pathophysiological mechanisms and current treatment options.…”

Section: Introductionmentioning

confidence: 99%

Cough in exercise and athletes

Hull

Dickinson

Jackson

2017

Pulmonary Pharmacology & Therapeutics

View full text Add to dashboard Cite

Cough is the most common respiratory symptom reported by athletes and can significantly impact on health status, ability to train and athletic performance. The presence of cough in an athlete is typically taken to indicate exercise-induced bronchoconstriction (EIB), yet in many athletes with chronic cough there is no objective evidence of airway hyper-responsiveness (AHR) or heightened airway inflammation. Moreover, cough in athletes often fails to respond to a therapeutic asthma strategy, thus further work is urgently needed to progress our understanding of the pathophysiology of exercise-associated cough in this unique population. This article provides an overview of the current state of knowledge of exercise-associated cough in athletes. The article summarises our understanding of pathophysiological basis of cough in this context and provides a pragmatic clinical approach to this problem.

show abstract

Cough in the Athlete

Cited by 24 publications

References 71 publications

Are Respiratory Responses to Cold Air Exercise Different in Females Compared to Males? Implications for Exercise in Cold Air Environments

Are Respiratory Responses to Cold Air Exercise Different in Females Compared to Males? Implications for Exercise in Cold Air Environments

Managing patients with chronic cough: challenges and solutions

Cough in exercise and athletes

Contact Info

Product

Resources

About