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Exercise-induced bronchospasm-a review

R J Shephard

    Medicine and Science in Sports
    |January 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Exercise-induced bronchospasm (EIB) is a common condition affecting airways during exercise. Reviewing its causes and treatments, cromolyn drugs are recommended for athletes before competition.

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    Area of Science:

    • Sports Medicine
    • Pulmonology
    • Pediatrics

    Background:

    • Exercise-induced bronchospasm (EIB) is a prevalent condition, especially in pediatric populations.
    • It manifests as airway narrowing a few minutes post-exercise, peaking within 10-15 minutes and typically resolving within an hour.

    Purpose of the Study:

    • To review the nature, causes, and treatment of exercise-induced bronchospasm (EIB).
    • To provide guidance for sports physicians on managing EIB in athletes.

    Main Methods:

    • Literature review of exercise-induced bronchospasm (EIB).
    • Analysis of contributing factors including reflex stimulation, neural discharge, prostaglandins, and mast-cell sensitization.
    • Evaluation of various pharmacological treatments.

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    Main Results:

    • EIB primarily affects large airways and is multifactorial in origin.
    • Effective treatments include beta agonists, theophylline, and cromolyn glycate.
    • Cromolyn drugs show promise when administered pre-competition.

    Conclusions:

    • Understanding the multifactorial causes of EIB is crucial for effective management.
    • A range of treatments are available, with cromolyn drugs offering a practical pre-event strategy for athletes.
    • Early intervention and appropriate medication can mitigate EIB symptoms in exercising individuals.