Managing respiratory problems in athletes

Hull, James H.; Ansley, Les; Robson-Ansley, Paula; Parsons, Jonathan P.

doi:10.7861/clinmedicine.12-4-351

Cited by 31 publications

(28 citation statements)

References 26 publications

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“…A high level of short-term, clinically relevant, test-retest reproducibility is vital for clinicians to adopt a diagnostic procedure. This is particularly pertinent in the context of EIB where the differential diagnosis for exercise-associated dyspnea is broad (25) and several conditions mimic transient airflow narrowing, e.g. exercise-induced laryngeal obstruction (26).…”

Section: Discussionmentioning

confidence: 99%

Diagnosing Exercise-Induced Bronchoconstriction With Eucapnic Voluntary Hyperpnea: Is One Test Enough?

Price

Ansley

Hull

2015

The Journal of Allergy and Clinical Immunology: In Practice

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275Running title: Reproducibility of eucapnic voluntary hyperpnea. Price et al. 2Funding statement: Nil relevant. Highlights What is already known about this topic?Indirect bronchoprovocation testing, specifically eucapnic voluntary hyperpnoea (EVH) is currently recommended for the diagnosis of exercise-induced bronchoconstriction (EIB).However the clinical reproducibility of this methodology has yet to be appropriately established; presenting a potential for misdiagnosis. What does this article add to our knowledge?This article highlights the need for caution when making a diagnosis of EIB based on a solitary EVH assessment to reduce the potential for misdiagnosis. Indeed when encountering patients with a mild or borderline reduction in lung function post challenge, we recommend that more than one EVH test is performed to exclude or confirm a diagnosis of EIB. How does this study impact current management guidelines?The application of treatment for EIB in recreational athletes should only be initiated when a diagnosis has been correctly established. Price et al. 3ABSTRACT Background: In athletic individuals, a secure diagnosis of exercise-induced

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Section: Discussionmentioning

confidence: 99%

Diagnosing Exercise-Induced Bronchoconstriction With Eucapnic Voluntary Hyperpnea: Is One Test Enough?

Price

Ansley

Hull

2015

The Journal of Allergy and Clinical Immunology: In Practice

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“…normal) from breathlessness associated with an underlying abnormality or pathological condition (2).…”

Section: Introductionmentioning

confidence: 99%

Exercise-induced bronchoconstriction in athletes – A qualitative assessment of symptom perception

Price

Hull

Ansley

et al. 2016

Respiratory Medicine

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“…an orthopaedic specialist (12). This is remarkable given the impact of marginal physiological gains for performance in athletes competing at the elite or professional level.…”

Section: Introductionmentioning

confidence: 99%

Asthma in Elite Athletes

Price

Hull²

2014

Clinical Pulmonary Medicine

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172Running title: Asthma care in athletes 2 ABSTRACT Asthma or exercise-induced bronchoconstriction (EIB) is highly prevalent in athletes and if untreated has the potential to impact on their health and performance. The condition can be diagnosed and managed effectively yet there is concern that the care afforded to elite athletes with this condition is often sub-optimal.In this respect, it is apparent that more could be done to protect athletes from developing airway dysfunction (e.g. by reducing exposure to irritant environments); that the diagnosis of asthma in athletes is often made without secure objective evidence and that athletes may be advised to reduce activity levels in order to improve symptoms.Moreover there appears to be poor surveillance of airway health in athletes when a diagnosis of asthma has been made.Overall this raises the question of who cares about athletes with asthma? The article that follows presents the case of why this is an important clinical area for physicians.The review provides an overview of asthma in athletes with the overall aim of ensuring that respiratory health in this unique population is optimised.

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Managing respiratory problems in athletes

Cited by 31 publications

References 26 publications

Diagnosing Exercise-Induced Bronchoconstriction With Eucapnic Voluntary Hyperpnea: Is One Test Enough?

Diagnosing Exercise-Induced Bronchoconstriction With Eucapnic Voluntary Hyperpnea: Is One Test Enough?

Exercise-induced bronchoconstriction in athletes – A qualitative assessment of symptom perception

Asthma in Elite Athletes

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