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Exercise-induced asthma in children.

John Massie1

  • 1Department of Respiratory Medicine, and Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, Victoria, Australia. massiej@cryptic.rch.unimelb.edu.au

Paediatric Drugs
|April 19, 2002
PubMed
Summary

Exercise-induced asthma (EIA) in children is often unrecognized. Effective management strategies are crucial for maintaining children's physical activity and development.

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Area of Science:

  • Pediatric Pulmonology
  • Sports Medicine
  • Allergy and Immunology

Background:

  • Exercise-induced asthma (EIA) is common in children but often underdiagnosed due to symptom underreporting or avoidance behaviors.
  • Accurate diagnosis of EIA, differentiating it from other exertional dyspnea causes, is critical for appropriate management.
  • Managing EIA in children presents unique challenges due to unpredictable and prolonged physical activities.

Purpose of the Study:

  • To clarify the diagnosis of exercise-induced asthma in pediatric populations.
  • To outline effective management and treatment strategies for exercise-induced asthma in children.
  • To emphasize the importance of physical activity for children's development and social well-being.

Main Methods:

  • Review of current diagnostic criteria for exercise-induced asthma in children.
  • Analysis of pharmacological and non-pharmacological treatment options for pediatric EIA.
  • Consideration of factors influencing treatment choices, including activity patterns and asthma persistence.

Main Results:

  • Many children with EIA can be effectively managed with pre-exercise short-acting beta(2)-adrenoceptor agonists.
  • Treatment approaches for more severe or persistent EIA may involve cromones, leukotriene modifiers, inhaled corticosteroids, or long-acting beta(2)-adrenoceptor agonists.
  • Warm-up exercises can be beneficial but are often impractical for children with EIA.

Conclusions:

  • Successful management of EIA in children requires age-appropriate medication delivery and tailored treatment plans.
  • Maintaining physical activity is essential for children's healthy development, necessitating effective EIA control.
  • A comprehensive approach considering diagnosis, treatment options, and practical delivery is key for managing pediatric EIA.

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