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Exercise-induced bronchospasm in the young athlete: guidelines for routine screening and initial management
J M Kyle1, R B Walker, S L Hanshaw
1Department of Family and Community Health, Marshall University School of Medicine, Huntington, WV 25701.
Medicine and Science in Sports and Exercise
|August 1, 1992
Summary
Exercise-induced bronchospasm (EIB) is a common condition in athletes. Diagnosis involves an exercise challenge test, and early treatment with medication or lifestyle changes can improve performance and enjoyment.
Area of Science:
- Sports Medicine
- Pulmonology
- Pediatric Exercise Physiology
Background:
- Exercise-induced bronchospasm (EIB) is a prevalent condition affecting athletes of all levels.
- Symptoms include wheezing, chest tightness, dizziness, and a characteristic post-exercise cough.
- Respiratory heat and water loss are implicated as potential triggers for EIB.
Purpose of the Study:
- To outline the diagnostic criteria for EIB in young athletes.
- To discuss effective nonpharmacological and pharmacological interventions for managing EIB.
- To emphasize the importance of early identification and treatment of EIB.
Main Methods:
- Diagnostic evaluation for suspected EIB involves an exercise challenge test.
- A decrease of 10% or more in peak expiratory flow rate post-exercise confirms the diagnosis.
- Assessment of nonpharmacological strategies like education and fitness evaluation.
Main Results:
- The exercise challenge test is a reliable method for diagnosing EIB.
- Both nonpharmacological and pharmacological interventions effectively reduce airway responsiveness.
- Albuterol inhaler use 15 minutes before exercise is a recommended initial pharmacological approach.
Conclusions:
- Early diagnosis and management of EIB are crucial for young athletes.
- Appropriate interventions can significantly enhance athletic performance and participation.
- Addressing EIB improves the overall sports experience for affected individuals.