青少年休运动员运动诱发的支气管收缩:潜在的查策略
Janne Goossens1, Josefien Vandekerckhove1,2, Anne-Charlotte Jonckheere1
1Allergy and Clinical Immunology Research Group, Department of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.
运动引起的支气管收缩 (EIB) 影响22%的青少年运动员. 使用问卷和肺功能测试的系统查方法可以有效地检测EIB在这个人群中.
科学领域:
- 运动医学 运动医学
- 肺部病理学 肺部病理学
- 儿童田径运动 儿童田径运动
背景情况:
- 运动员进行强烈的体育炼会增加运动引起的支气管收缩 (EIB) 的风险.
- 了解EIB的患病率和优化查方法对于青少年运动员至关重要.
研究的目的:
- 确定EIB在青少年运动员中的患病率.
- 探索有效的选策略,以在这个人口群体中识别EIB.
主要方法:
- 一组327名青少年运动员 (12-18岁) 接受了螺旋测量,对EIB进行eucapnic自愿性高呼吸 (EVH) 测试,测量FeNO,皮肤刺伤测试和取血样.
- 参与者填写了经过验证的问卷,包括AQUA©,ACT,ACQ和与症状相关的调查.
- 评估重点是螺旋测量,EVH测试,FeNO,过敏测试,血清标志物和问卷.
主要成果:
- 22%的运动员被诊断出EIB;14%的运动员先前被诊断出喘,40%的运动员是阿托皮性喘.
- 阳性EIB运动员更年轻,FEV1/FVC减少,EVH后可逆性增加.
- AQUA©分数≥6和运动引起的喘息是阳性EVH测试的显著预测因素.
结论:
- 一种系统的呼吸道查方法,包括问卷,肺功能测试和FeNO,提高了EIB在青少年运动员中的检测.
- 运动员中的EIB与先前暴露于空气污染有关,突出环境因素.
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