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Exercise-induced bronchoconstriction in elite athletes: a narrative review
1Department of research, Shenyang Sport University, Shenyang, Liaoning, China.
The Physician and Sportsmedicine
|November 14, 2022
Summary
Exercise-induced bronchoconstriction (EIB) is common in elite athletes, affecting performance. Early diagnosis and management, considering anti-doping rules, are crucial for respiratory health and athletic success.
Area of Science:
- Sports Medicine
- Pulmonology
- Exercise Physiology
Background:
- Exercise-induced bronchoconstriction (EIB) is a prevalent chronic condition in elite athletes.
- Untreated EIB negatively impacts athletic performance and respiratory health.
- Increased awareness and detection of EIB in elite athletes are noted.
Purpose of the Study:
- To review the risk factors, prevention strategies, diagnostic methods, and medication options for EIB in elite athletes.
- To examine current anti-doping policies relevant to EIB treatment.
- To provide references for managing EIB in this population.
Main Methods:
- This study is a narrative review.
- Literature search on EIB in elite athletes, focusing on risk, prevention, diagnosis, treatment, and anti-doping.
- Synthesis of findings to provide comprehensive guidance.
Main Results:
- Endurance, winter, and water sports athletes exhibit higher EIB prevalence.
- Preventive measures include adaptive warm-ups and heat exchange masks in cold conditions.
- Recommended diagnostic tests are exercise challenge tests and eucapnic voluntary hyperpnea.
Conclusions:
- Effective prevention and diagnosis are key for managing EIB in athletes.
- Medication-based treatments like inhaled corticosteroids and beta-2 agonists are utilized.
- Adherence to anti-doping regulations is essential when prescribing medications for EIB.
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