Asthma in runners.

BMJ

Published: October 1994

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2541557PMC
http://dx.doi.org/10.1136/bmj.309.6961.1087DOI Listing

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Spontaneous pneumomediastinum (SPM) is a rare but described complication of exercise-induced bronchoconstriction (EIB), more commonly observed in children with asthma. We present a 23-year-old active duty military male and avid distance runner who developed progressive radiating retrosternal chest pain preceded by wheezing and coughing paroxysm. A chest computed tomography revealed extensive pneumomediastinum.

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Background: To support efforts to increase social prescribing and reduce levels of physical inactivity, parkrun UK and the Royal College of General Practitioners together developed the parkrun practice initiative to link general practices to local parkruns (free, weekly, timed, physical activity events). General practice staff are encouraged to take part in parkrun events themselves and to encourage patients to participate.

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Amateur runners more influenced than elite runners by temperature and air pollution during the UK's Great North Run half marathon.

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October 2022

School of Geography, Earth and Environmental Sciences, University of Birmingham, Birmingham B15 2TT, United Kingdom. Electronic address:

The short- and long-term impacts of air pollution on human health are well documented and include cardiovascular, neurological, immune system and developmental damage. Additionally, the irritant qualities of air pollutants can cause respiratory and cardiovascular distress. This can be heightened during exercise and especially so for those with respiratory conditions such as asthma.

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Article Synopsis
  • A study of 76,654 distant runners examined how many use chronic prescription medications (CPM) based on age, sex, and race distance (21.1 km vs. 56 km).
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  • The most common types of CPM used included medications for lowering blood pressure, cholesterol, asthma, and anxiety/depression, indicating potential risks for medical issues during races.
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While asthma and exercise-induced bronchoconstriction (EIB) can explain some cases of exertional dyspnea, the differential diagnosis of dyspnea is extensive. Dysfunctional breathing (DB) is a condition that is often overlooked and underdiagnosed. Pharmacologic treatments are available and widely utilized by clinicians for exertional dyspnea, but a better understanding of the non-pharmacologic treatments as well as psychological factors that play a role in DB can provide professional, elite amateurs, and recreational athletes with more therapeutic options.

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