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Related Experiment Videos

The relationship between exercise-induced asthma and plasma catecholamines.

R Dosani1, G R Van Loon, N K Burki

  • 1Department of Medicine, University of Kentucky Medical Center, Lexington 40536-0084.

The American Review of Respiratory Disease
|October 1, 1987
PubMed
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In asthmatics, a second exercise bout causes less bronchoconstriction due to a refractory period. This study explored the link between this refractory response and sympathoadrenal function in asthma patients.

Area of Science:

  • Exercise physiology
  • Pulmonary medicine
  • Biochemistry

Background:

  • Exercise is a known trigger for bronchoconstriction in asthmatics.
  • A subsequent exercise bout within 30-90 minutes elicits a reduced bronchoconstrictor response, a phenomenon termed the refractory period.
  • The physiological basis for this refractory period in asthma remains unclear.

Purpose of the Study:

  • To investigate the relationship between the exercise-induced bronchoconstriction refractory period and sympathoadrenal function in asthmatic individuals.
  • To compare responses in normal subjects, asthmatics without an exercise-induced bronchoconstrictor response, and asthmatics with such a response.

Main Methods:

  • Evaluated 6 healthy subjects and 12 stable asthmatics (divided into two groups based on exercise response).

Related Experiment Videos

  • Subjects underwent two standardized treadmill exercise periods (E1 and E2) separated by 30-90 minutes.
  • Measured spirometry and plasma catecholamine levels (epinephrine, norepinephrine, dopamine) before and at intervals after each exercise period.
  • Main Results:

    • Baseline plasma dopamine levels were significantly higher in asthmatics with an exercise-induced bronchoconstrictor response (Group 3) compared to others.
    • Groups 1 (normal) and 2 (asthmatics without response) showed no significant FEV1 changes after E1 or E2.
    • Group 3 asthmatics exhibited significant FEV1 decline after E1 (-14.4%) and E2 (-8.8%), with a significantly blunted response to E2 compared to E1.

    Conclusions:

    • Elevated baseline plasma dopamine may be associated with exercise-induced bronchoconstriction in asthmatics.
    • The refractory period observed after the second exercise bout in asthmatics is characterized by a significantly reduced decline in FEV1.
    • Sympathoadrenal function, particularly dopamine levels, may play a role in modulating the refractory response to exercise in asthma.