Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Exercise-induced bronchospasm in the elite athlete.

Kenneth W Rundell1, David M Jenkinson

  • 1Human Performance Laboratory, Marywood University, Scranton, Pennsylvania 18509-1598, USA. rundell@es.marywood.edu

Sports Medicine (Auckland, N.Z.)
|July 5, 2002
PubMed
Summary

Exercise-induced bronchospasm (EIB) in athletes is primarily caused by airway drying during intense exercise. Diagnosis requires objective lung function tests, not just symptoms, to manage the condition effectively.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Exercise-Induced Lung Disease: Too Much of a Good Thing?

Pediatric allergy, immunology, and pulmonology·2022
Same author

Chickpea genotypes contrasting for seed yield under terminal drought stress in the field differ for traits related to the control of water use.

Functional plant biology : FPB·2020
Same author

Teen with Psychiatric Diagnoses Improves After Eliminating Medications and Initiating Endurance Sports Training.

Current sports medicine reports·2020
Same author

Exercise-Induced Bronchoconstriction and the Air We Breathe.

Immunology and allergy clinics of North America·2018
Same author

Exercise induced bronchoconstriction in adults: evidence based diagnosis and management.

BMJ (Clinical research ed.)·2016
Same author

Air quality and temperature effects on exercise-induced bronchoconstriction.

Comprehensive Physiology·2015

Area of Science:

  • Sports Medicine
  • Pulmonology
  • Exercise Physiology

Background:

  • Exercise-induced bronchospasm (EIB) affects 10-50% of elite athletes, manifesting as acute airway narrowing during or after exercise.
  • Airway drying due to high ventilation rates during exercise is the primary trigger for EIB.
  • Prevalence is highest in winter sports due to chronic exposure to cold, dry air and indoor pollutants.

Purpose of the Study:

  • To outline the pathophysiology and diagnosis of EIB in elite athletes.
  • To highlight the importance of objective lung function testing for accurate diagnosis.
  • To discuss current medical interventions and challenges in managing EIB.

Main Methods:

  • Review of factors contributing to EIB, including exercise intensity, air quality, and individual predisposition.

Related Experiment Videos

  • Emphasis on objective diagnostic measures: baseline spirometry and bronchial provocation tests.
  • Discussion of diagnostic criteria, such as a 10% fall in FEV1 post-exercise.
  • Main Results:

    • Airway dehydration leads to osmolarity changes, triggering inflammatory mediator release and bronchospasm.
    • Histamine, leukotrienes, and prostanoids are implicated as key mediators.
    • Standard pulmonary function testing before and after high-intensity dry air exercise is the recommended diagnostic approach.

    Conclusions:

    • Accurate EIB diagnosis relies on objective lung function tests, differentiating it from classic asthma.
    • Medical interventions aim for symptom-free training and competition using daily controllers or pre-exercise prophylaxis.
    • Effective EIB management in elite athletes remains challenging, necessitating tailored treatment strategies.