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Parasympathetic Activity and Bronchial Hyperresponsiveness in Athletes
Julie Stang1, Trine Stensrud, Petter Mowinckel
11Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, NORWAY; 2Department of Pediatrics, Oslo University Hospital, NORWAY; and 3Faculty of Medicine, University of Oslo, NORWAY.
Endurance athletes like swimmers and skiers show high asthma rates. Increased parasympathetic nervous activity is linked to bronchial hyperresponsiveness (BHR) in swimmers, but not skiers, suggesting sport type influences asthma development.
Area of Science:
- Exercise physiology
- Pulmonary medicine
- Autonomic nervous system function
Background:
- A high prevalence of asthma and bronchial hyperresponsiveness (BHR) is observed in swimmers and cross-country skiers.
- Increased parasympathetic nervous activity is hypothesized to contribute to asthma development in endurance athletes.
Purpose of the Study:
- To assess the associations between BHR and parasympathetic activity.
- To compare these associations in healthy and asthmatic swimmers, cross-country skiers, and nonathlete controls.
Main Methods:
- Parasympathetic activity was measured using pupillometry and heart rate variability (cardiac vagal index).
- Bronchial hyperresponsiveness was assessed via methacholine challenge (PD20met).
- Data were analyzed using robust regression analysis.
Main Results:
- Bronchial hyperresponsiveness (PD20met) was negatively associated with cardiac vagal index across all participants.
- This association was stronger in swimmers compared to controls and not significant in cross-country skiers.
- Swimmers exhibited a stronger link between parasympathetic activity and BHR, particularly in pupil response.
Conclusions:
- Parasympathetic activity measured via heart rate variability is more strongly related to BHR than pupillary response.
- The type of sport significantly influences BHR severity and its relationship with parasympathetic activity.
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