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2015 | 22 | 1 |

Tytuł artykułu

Asthma in athletes and the use of asthma treatment

Treść / Zawartość

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Asthma is a common disease of civilization characterized by a triad of symptoms: coughing, shortness of breath, and wheezing. We know how to diagnose patients with asthma, and the use of provocation tests can accurately determine how big the problem is. Treatment of patients with diagnosed asthma is highly individual. It is based on patient’s education and knowledge of the disease, assessment of the degree of symptoms, possibility of medical treatment and monitoring the patient during the course of drug therapy. The aim of the therapy is to control symptoms associated with asthma. During frequent, intense and prolonged physical exercise at a swimming pool, bronchial shrinking under the influence of the vagus nerve and the hyperventilation of the lower respiratory tract may occur, which are closely related to the changes of humidity and temperature. As a result, a number of irritant effects of chlorine may develop, which can lead to severe asthmatic reactions [2, 4, 7, 9, 10, 12]. This study is a review paper on asthma and exercise-induced asthma in professional swimmers. The first part of the paper is a holistic representation of various aspects of asthma: factors influencing its course, development, diagnosis and therapeutic management. In the second part, the authors discuss the impact of swimming pool water disinfection and hyperventilation on the risk of asthma in swimmers, and to what extent the treatment of asthma in swimmers and professional athletes may count as illegal doping in view of present-day anti-doping regulations.

Słowa kluczowe

Wydawca

-

Rocznik

Tom

22

Numer

1

Opis fizyczny

p.13-18,ref.

Twórcy

autor
  • Department of Sport Medicine and Traumatology, University School of Physical Education, Poznan, Poland
autor
  • Department of Sport Medicine and Traumatology, University School of Physical Education, Poznan, Poland
autor
  • Department of Sport Medicine and Traumatology, University School of Physical Education, Poznan, Poland

Bibliografia

  • 1. Clearie KL, Vaidyanathan S, Williamsson PA, Goudie A, Short P, Schembie S, Lipoworth BJ. Effects of chlorine and exercise on the unified airway in adolescent elite Scottish swimmers. Allergy. 2010; 65: 269-273.
  • 2. Bernard A, Marcucci F, Sardella A, Voisin C. Infant swimming in chlorinated pools and the risks of bronchiolitis, asthma and allergy. Eur Resp J. 2010; 1: 41-47.
  • 3. Joyner BJ, Fiorino EK, Matta-Arroyo E, Needleman JA. Cardiopulmonary exercise testing in children and adolescents with asthma who report symptoms of exercise-induced bronchoconstriction. J Asthma. 2006; 43: 675-678.
  • 4. Thickett KM, McCoach JS, Gerber JM, Sadhra S, Burge PS. Occupational asthma caused by chloramines in indoor swimming-pool air. Eur Resp J. 2002; 19: 827-832.
  • 5. Haahtela T, Malmberg P, Moreira A. Mechanisms of asthma in Olympic athletes - practical implications. Allergy. 2008; 63: 685-694.
  • 6. Rundell KW, Mayers LB, Wilber RL, Szmedra L, Schmitz HR. Self-reported symptoms and exercise-induced asthma in the elite athlete. Med Sci Sports Exerc. 2001; 33: 208-213.
  • 7. Paivinen MK, Keskinen KL, Tikkanen HO. Swimming and asthma: factors underlying respiratory symptoms in competitive swimmers. Clin Resp J. 2010; 4: 97-103.
  • 8. Carlsen KH, Engh G, Mork M, Schoder E. Cold air inhalation and exercise-induced bronchoconstriction in relationship to metacholine bronchial responsiveness: different patterns in asthmatic children and children with other chronic lung diseases. Resp Med. 1998; 92: 309-315.
  • 9. Bernard A, Nickmilder M, Voisin C, Sardella A. Impact of Swimming Pool Attendance on the Respiratory Health of Adolescents. Pediatrics. 2009; 124: 1109-1119.
  • 10. Fitch KD, Sue-Chu M, Anderson SD, Boulet LP, Hancox RJ, McKenzie DC, Backer V Rundell KW, Alonso JM, Kippelen P, Cummiskey JM, Garnier A, Ljungqvist A. Asthma and the elite athlete: summary of the International Olympic Committee's Consensus Conference, Lausanne, Switzerland, January 22-24, 2008. J Allergy Clin Immunol. 2008; 122(2): 254-260.
  • 11. Anderson SD, Douglass J, Holzer K. Exercise in elite summer athletes: challenges for diagnosis. J Allergy Clin Immunol. 2002; 3: 374-380.
  • 12. Nickmilder M, Bernard A. Ecological association between childhood asthma and availability of indoor chlorinated swimming pools in Europe. Occup Envir Med. 2007; 64: 37-46.
  • 13. Bougault V, Boulet LP. Airway dysfunction in swimmers. Br J Sports Med. 2012; 46: 402-406.
  • 14. Bougault V, Tunel J, Levesque B. Respiratory health of swimmers. Sports Med. 2009; 39: 295-312.
  • 15. Bougault V, Loubaki L, Joubert P. Airway remodeling and inflammation in competitive swimmers with and without airway hyperresponsiveness. J Allergy Clin Immunol. 2012; 129: 351-358.
  • 16. Clearie KL, Vaidyanathan S, Williamsson PA, Goudie A, Short P, Schembie S, Lipoworth BJ. Effects of chlorine and exercise on the unified airway in adolescent elite Scottish swimmers. Allergy. 2010; 65: 269-273.
  • 17. Fantuzzi G, Righi E, Predieri G, Giacobazii P, Mastoianni K, Aggazotti G, Prevalence of ocular respiratory and cutaneous symptoms in indoor swimming pool workers and exposure to disinfection by-products (DBPs). Int J Envir Res Pub Health. 2010; 7: 1379-1391.
  • 18. Nemery B, Hoet PHM, Nowak D. Indoor swimming pools, water chlorination and respiratory health. Eur Resp J. 2002; 19: 790-793.
  • 19. Pluim BM, De Hon O, Staal BJ, Limpenes J, Kuipers H, Overbeek SE, Zwinderman AH, Scholten RJPM. B2-agonists and physical performance, a systematic review and meta-analysis of randomized controlled trials. Sports Med. 2011; 41: 30-57.
  • 20. Collomp K, Le Panse B, Candau R, Lecoq AM, De Ceaurriz J. Beta-2 agonists and exercise performance in humans. Sci Sports. 2010; 25: 281-290.
  • 21. Kindermann W. Do inhaled B2-agonists have an ergogenic potential in non-asthmatic competitive athletes? Sports Med. 2007; 37: 95-102.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-553d34fb-4529-4811-80b1-ff1a7270762a
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