Exercise-induced Bronchospasm In Children

Randolph, Christopher

doi:10.1007/s12016-007-8035-0

Cited by 27 publications

(24 citation statements)

References 109 publications

(203 reference statements)

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“…Together with the frequent nocturnal awakenings due to dyspnea, EIAO may hamper social contacts. Exercise is a common trigger of bronchial hyperresponsiveness and may cause cough, wheezing, and chest tightness [63, 64]. EIAO is indicative of insufficiently controlled asthma [65].…”

Section: Childhood Asthmamentioning

confidence: 99%

Childhood Asthma: Diagnosis and Treatment

Aalderen

2012

Scientifica

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Many children suffer from recurrent coughing, wheezing and chest tightness. In preschool children one third of all children have these symptoms before the age of six, but only 40% of these wheezing preschoolers will continue to have asthma. In older school-aged children the majority of the children have asthma. Quality of life is affected by asthma control. Sleep disruption and exercised induced airflow limitation have a negative impact on participation in sports and social activities, and may influence family life. The goal of asthma therapy is to achieve asthma control, but only a limited number of patients are able to reach total control. This may be due to an incorrect diagnosis, co-morbidities or poor inhalation technique, but in the majority of cases non-adherence is the main reason for therapy failures. However, partnership with the parents and the child is important in order to set individually chosen goals of therapy and may be of help to improve control. Non-pharmacological measures aim at avoiding tobacco smoke, and when a child is sensitised, to avoid allergens. In pharmacological management international guidelines such as the GINA guideline and the British Guideline on the Management of Asthma are leading.

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Section: Childhood Asthmamentioning

confidence: 99%

Childhood Asthma: Diagnosis and Treatment

Aalderen

2012

Scientifica

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“…With the high ventilation rates associated with higher oxygen requirements during vigorous exercise, and the increased role of mouth breathing, the warming and humidification function of the upper airways is inadequate or bypassed. Cold and dry air can cause changes in osmolality in the airway epithelium, which leads to an inflammatory state (5,6) that involves the release of proinflammatory cytokines or mediators, including chemokines, histamine, or leukotrienes. The cold air can also stimulate cholinergic receptors, which may lead to an added bronchoconstrictive effect.…”

Section: Air Temperaturementioning

confidence: 99%

Exercise-Induced Asthma

Afrasiabi

2011

Bronchial Asthma

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“…The use of the term “exercise-induced asthma” (EIA) began during the 1960’s 1. Subsequently the terms “EIA” and “exercise-induced bronchospasm” (EIB) are often used interchangeably 2.…”

Section: Introduction To Eia and Management Strategy Overviewmentioning

confidence: 99%

“…Subsequently the terms “EIA” and “exercise-induced bronchospasm” (EIB) are often used interchangeably 2. However, EIB specifically denotes the reduction in lung function after a standardized exercise test 1,3,4. “Exercise-induced bronchoconstriction” is another term that has been used in the literature 5.…”

Section: Introduction To Eia and Management Strategy Overviewmentioning

confidence: 99%

Exercise-induced asthma: critical analysis of the protective role of montelukast

Carver¹

2009

JAA

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Exercise-induced asthma/exercise-induced bronchospasm (EIA/EIB) is a prevalent and clinically important disease affecting young children through older adulthood. These terms are often used interchangeably and the differences are not clearly defined in the literature. The pathogenesis of EIA/EIB may be different in those with persistent asthma compared to those with exercise-induced symptoms only. The natural history of EIA is unclear and may be different for elite athletes. Leukotriene biology has helped the understanding of EIB. The type and intensity of exercise are important factors for EIB. Exercise participation is necessary for proper development and control of EIA is recommended. Symptoms of EIB should be confirmed by proper testing. Biologic markers may also be helpful in diagnosis. Not all exercise symptoms are from EIB. Many medication and nonpharmacologic treatments are available. Asthma education is an important component of managing EIA. Many medications have been tested and the comparisons are complicated. Montelukast is a US Food and Drug Administration-approved asthma and EIB controller and has a number of potential advantages to other asthma medications including short onset of action, ease of use, and lack of tolerance. Not all patients improve with montelukast and rescue medication should be available.

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Exercise-induced Bronchospasm In Children

Cited by 27 publications

References 109 publications

Childhood Asthma: Diagnosis and Treatment

Childhood Asthma: Diagnosis and Treatment

Exercise-Induced Asthma

Exercise-induced asthma: critical analysis of the protective role of montelukast

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