Self-reported symptoms and exercise-induced asthma in the elite athlete

Rundell, Kenneth W.; Im, Joohee; Mayers, Lester; Wilber, Randall L.; Szmedra, L.; Schmitz, Heather R.

doi:10.1097/00005768-200102000-00006

Cited by 287 publications

(242 citation statements)

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“…Recently, Anderson et al (7,16) as well as Fitch (17) (2) showed in a questionnaire-based report a prevalence of doctor-diagnosed asthma of 14% in 155 actively competing skiers compared with 5% in twice-matched controls; moreover, the prevalence of asthma diagnosis increased with increasing age in the actively competing skiers. This was followed by reports of high prevalence in Norwegian and Swedish skiers (18), in competitive figure skaters (19,20), in elite cold-weather athletes (21) and among participants in the 1998 American Olympic National team for winter sports including gold medallists (22).…”

Section: Asthma and Bhr Among Athletesmentioning

confidence: 97%

Exercise‐induced asthma, respiratory and allergic disorders in elite athletes: epidemiology, mechanisms and diagnosis: Part I of the report from the Joint Task Force of the European Respiratory Society (ERS) and the European Academy of Allergy and Clinical Immunology (EAACI) in cooperation with GA²LEN

Carlsen

Anderson

Bjermer³

et al. 2008

Allergy

289

269

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Aims: To analyze the changes in the prevalence of asthma, bronchial hyperresponsiveness (BHR) and allergies in elite athletes over the past years, to review the specific pathogenetic features of these conditions and to make recommendations for their diagnosis. Methods: The Task Force reviewed present literature by searching Medline up to November 2006 for relevant papers by the search words: asthma, bronchial responsiveness, EIB, athletes and sports. Sign criteria were used to assess level of evidence and grades of recommendation.Results: The problems of sports-related asthma and allergy are outlined. Epidemiological evidence for an increased prevalence of asthma and BHR among competitive athletes, especially in endurance sports, is provided. The mechanisms for development of asthma and bronchial hyperresponsiveness in athletes are outlined. Criteria are given for the diagnosis of asthma and exercise induced asthma in the athlete. Conclusions: The prevalence of asthma and bronchial hyperresponsiveness is markedly increased in athletes, especially within endurance sports. Environmental factors often contribute. Recommendations for the diagnosis of asthma in athletes are outlined.

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Section: Asthma and Bhr Among Athletesmentioning

confidence: 97%

Exercise‐induced asthma, respiratory and allergic disorders in elite athletes: epidemiology, mechanisms and diagnosis: Part I of the report from the Joint Task Force of the European Respiratory Society (ERS) and the European Academy of Allergy and Clinical Immunology (EAACI) in cooperation with GA²LEN

Carlsen

Anderson

Bjermer³

et al. 2008

Allergy

289

269

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“…Our results are similar to those of previous studies suggesting that self-reported symptoms are not associated with testing positive when performing a standardized EIB test. 5,[15][16][17] This is clinically relevant from both an overdiagnosis and underdiagnosis perspective. A previous report indicated that the majority of physicians may overdiagnose and treat EIB with short-acting ␤ agonists based on symptoms alone, without assessing the athlete during an exercise challenge.…”

Section: Prevalence and Symptomsmentioning

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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“…The diagnosis of EIB in athletes, is often suspected by clinicians following an assessment of symptoms alone; with treatment frequently commenced without objective confirmation (4). This is despite evidence from several studies indicating that there is a poor relationship between the presence of respiratory symptoms and objective evidence of EIB (5)(6)(7)(8). It is thus recommended that respiratory symptoms should not be relied upon and that objective testing (e.g.…”

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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Self-reported symptoms and exercise-induced asthma in the elite athlete

Cited by 287 publications

References 0 publications

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

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

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