4,233 results match your criteria: "Exercise-Induced Asthma"

Article Synopsis
  • Exercise-induced bronchoconstriction (EIB) is when airways narrow during or after exercise, causing symptoms like wheezing and shortness of breath, and it's important to differentiate it from exercise-induced asthma (EIA).
  • EIB is commonly seen in young athletes, especially those with allergies, suggesting a connection between allergic reactions and respiratory issues during exercise due to various influencing factors.
  • Effective management of EIB in children requires accurate diagnosis and a mix of medication and lifestyle changes, with recent research shedding light on the condition's relationship with allergies and sports participation.
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Designing and validating an experimental protocol to induce airway narrowing in older adults with and without asthma.

Biomed Eng Online

March 2024

KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, 550 University Ave, Toronto, M5G 2A2, ON, Canada.

Background: Persons with asthma may experience excessive airway narrowing due to exercise or exposure to cold air, worsening their daily functionality. Exercise has several benefits for asthma control, but it may induce airway narrowing in some persons with asthma. When combined with cold temperatures, it introduces another layer of challenges.

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Background: The relationship between current pet keeping and allergic diseases, including bronchial asthma in adolescents, is controversial. This study was conducted to evaluate these associations among children aged 13-14 years in Yazd.

Methods: This study is part of a multicenter cross-sectional study of the Global Asthma Network (GAN) in Yazd, Iran, in 2020, in which 5141adolescents enrolled.

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Article Synopsis
  • Exercise-induced laryngeal obstruction (EILO) involves temporary narrowing or closure of the larynx during intense physical activity, mainly affecting teens and young adults.
  • Symptoms often resemble those of exercise-induced asthma, including difficulty breathing, wheezing, and tightness in the throat.
  • The article aims to shed light on EILO, discussing its diagnosis and management since it is frequently overlooked in clinical settings.
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Introduction: Exercise-induced laryngeal obstruction (EILO) is a condition in which laryngeal structures inappropriately obstruct the upper airway during exercise. The standard diagnostic test for EILO is the continuous laryngoscopy during exercise (CLE) test, usually performed with an incremental work rate protocol regardless of the nature of the triggering event. Typically, laryngeal obstruction occurs only briefly at the end of an incremental test, near peak work capacity.

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Article Synopsis
  • The methacholine challenge test (MCT) is a key method for assessing airway hyperresponsiveness, particularly for diagnosing and treating bronchial asthma.
  • A consensus group of experts in respiratory health has updated guidelines on MCT usage, focusing on common clinical issues, preparation, safety, and result interpretation.
  • The updated guidelines specify who should undergo the MCT, outline absolute contraindications, and aim to assist healthcare practitioners in effectively using the test for patient assessment and treatment decisions.
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Temporal Association Between Vaping and Risk of Cardiac Events.

Mayo Clin Proc

February 2024

Department of Molecular Pharmacology & Experimental Therapeutics (Windland Smith Rice Sudden Death Genomics Laboratory), Mayo Clinic, Rochester, MN, USA; Department of Cardiovascular Medicine (Division of Heart Rhythm Services, Windland Smith Rice Genetic Heart Rhythm Clinic), Mayo Clinic, Rochester, MN, USA; Department of Pediatric and Adolescent Medicine (Division of Pediatric Cardiology), Mayo Clinic, Rochester, MN, USA. Electronic address:

Objective: To describe our early observations with sudden cardiac arrest (SCA) and sudden death (SD) in patients using vape products.

Patients And Methods: A retrospective analysis of Mayo Clinic's Windland Smith Rice Genetic Heart Rhythm Clinic and Sudden Death Genomics Laboratory was performed on all SCA survivors and decedents who presented between January 1, 2007, and December 31, 2021, to identify patients/decedents with a history of vaping. Data abstraction included patient demographics, clinical characteristics, and documented use of vape products.

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Are Questionnaires Helpful To Predict Exercise-Induced Bronchoconstriction (EIB) And Exercise-Induced Laryngeal Obstruction (EILO)?

Klin Padiatr

February 2024

Goethe-University Frankfurt, University Hospital, Department of Pediatrics, Pneumology, Allergology, Infectious Diseases, Gastroenterology, Germany.

Objective: Exercise induced laryngeal obstruction (EILO) is an important differential diagnosis to exercise induced bronchoconstriction (EIB) and diagnosed via continuous laryngoscopy while exercising (CLE). However, availability of CLE is limited to specialized centres. And without CLE EILO is often misdiagnosed as EIB.

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Background: Evaluating oscillometry parameters separately for the inspiratory and expiratory breath phases and their within-breath differences can help to identify exercise-induced bronchoconstriction (EIB) in pediatric outpatients disclosing exercise-induced symptoms (EIS).

Aims: To assess the response in impedance parameters following an exercise challenge in patients reporting EIS.

Methods: Sixty-eight patients reporting EIS (34 asthmatics and 34 suspected of asthma, age mean = 10.

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Article Synopsis
  • - The study examined the rising prevalence of asthma among school-age children in the Jazan Region, Saudi Arabia, utilizing a sample of 1368 children from March to June 2023 based on the ISAAC protocol.
  • - Results indicated that 28.0% experienced life-long wheezing, while 29.2% and 30.9% had wheezing in the last year and during exercise, respectively, with various risk factors identified, such as having pets and indoor plants, as well as living near industrial areas.
  • - The findings suggest that asthma prevalence is higher than previously known in this region, and a strong correlation exists between identified risk factors and asthma symptoms, emphasizing the need for targeted interventions.
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Long-term PM exposure is associated with asthma prevalence and exhaled nitric oxide levels in children.

Pediatr Res

January 2024

Institute of Environmental and Occupational Health Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan, ROC.

Background: Exhaled nitric oxide concentration (FENO) is a marker of airway inflammation. This study aimed to evaluate the association of air pollution exposure with FENO levels and asthma prevalence with respiratory symptoms in school children.

Methods: We analyzed 4736 school children who reside in six townships near industrial areas in central Taiwan.

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Article Synopsis
  • - Asthma affects millions globally and is especially prevalent among elite athletes, with respiratory conditions like exercise-induced bronchoconstriction (EIB) affecting 20% to 70% of them, depending on the sport and other factors.
  • - EIB can impact athletic performance as exercise triggers asthma symptoms, but regular physical activity may also enhance lung function; however, athletes with asthma may exhibit different responses to treatment due to unique factors like airway sensitivity and environmental exposure.
  • - Diagnosing EIB requires specific tests since standard lung function tests may appear normal; exercise tests are particularly effective, distinguishing between EIB with asthma (EIBA) and without asthma (EIBwA).
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Respiratory oscillometry testing in relation to exercise in healthy and asthmatic Thoroughbreds.

Equine Vet J

January 2025

Equine Sports Medicine Laboratory "Franco Tradati", Department of Veterinary Medicine and Animal Sciences, Università degli Studi di Milano, Lodi, Italy.

Article Synopsis
  • Racehorses can experience changes in lung function during exercise, with potential differences between those that are healthy and those with mild equine asthma (MEA).
  • A study involving 14 Thoroughbred racehorses sought to compare lung function using respiratory oscillometry and its correlation with fitness levels.
  • Results showed that MEA horses had higher respiratory resistance post-exercise compared to healthy horses, while oscillometry parameters in MEA horses remained stable over time; however, the study identified limitations like a small sample size and potential impacts from upper airway obstructions.
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Article Synopsis
  • Rhinitis is a common chronic nasal condition in children that is linked to asthma, although its development over time is not well understood.
  • * The study tracked 688 children from infancy to age 11, identifying five types of rhinitis trajectories and their relationship to asthma symptoms through various questionnaires and assessments.
  • * Results indicated that persistent and late-onset frequent rhinitis types were strongly associated with higher asthma diagnosis rates and more frequent asthma symptoms.
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A proposal to account for the stimulus, the mechanism, and the mediators released in exercise-induced bronchoconstriction.

Front Allergy

November 2023

Division of Sport, Health and Exercise Sciences, College of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, United Kingdom.

Article Synopsis
  • Exercise induced bronchoconstriction (EIB) is the temporary narrowing of airways that occurs after intense physical activity, commonly affecting individuals with asthma and elite athletes.
  • The main trigger for EIB is the loss of water from the airway surface, caused by the evaporation of air that has been inhaled during exercise.
  • This dehydration increases the osmolarity of the airway surface liquid, leading to the release of inflammatory mediators like histamines, which result in the contraction of bronchial smooth muscle and airway narrowing.
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Exercise-induced bronchoconstriction (EIB) is usually assessed by changes in forced expiratory volume in 1 s (FEV ) which is effort dependent. The purpose of this study was to determine whether the diaphragm electromyogram (EMG ) recorded from chest wall surface electrodes could be used to reflect changes in airway resistance during an exercise challenge test and to distinguish patients with EIB from those without EIB. Ninety participants with or without asthma history were included in the study.

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Is there cardiac autonomic dysfunction in children and adolescents with exercise-induced bronchospasm?

Expert Rev Respir Med

November 2023

Associated Postgraduate Program in Physical Education, Universidade de Pernambuco and Universidade Federal da Paraiba, Recife, Brazil.

Article Synopsis
  • The study investigates how cardiac autonomic modulation is affected in young asthmatics during eucapnic voluntary hyperpnea (EVH), especially focusing on those with and without exercise-induced bronchoconstriction (EIB).
  • It involved 54 asthmatic participants aged 10 to 19, measuring their lung function (FEV) and heart rate variability (HRV) before and after the EVH test.
  • Findings revealed that asthmatics with EIB had a delayed increase in parasympathetic activity after EVH compared to those without EIB, suggesting differences in autonomic nervous system responses related to their condition.
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Neonatal rhinorrhea, heart rate variability, and childhood exercise-induced wheeze.

J Allergy Clin Immunol Glob

November 2023

Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, Sioux Falls, SD.

Background: There is increasing evidence linking infant rhinorrhea to school-age exercise-induced wheeze (EIW) via a parasympathetic nervous system pathway. The ratio of the root mean square of successive differences in heart beats (RMSSD) measured in quiet sleep versus active sleep (RMSSD) is a novel biomarker in asthma.

Objective: We tested the hypotheses that (1) neonatal rhinorrhea predicts childhood EIW independent of other neonatal respiratory symptoms, (2) neonatal RMSSD predicts childhood EIW, and (3) RMSSD mediates the association between neonatal rhinorrhea and childhood EIW.

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The therapeutic role of inspiratory muscle training in the management of asthma: a narrative review.

Am J Physiol Regul Integr Comp Physiol

November 2023

Department of Kinesiology, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana, United States.

Asthma is a disorder of the airways characterized by chronic airway inflammation, hyperresponsiveness, and variable recurring airway obstruction. Treatment options for asthma include pharmacological strategies, whereas nonpharmacological strategies are limited. Established pharmacological approaches to treating asthma may cause unwanted side effects and do not always afford adequate protection against asthma, possibly because of an individual's variable response to medications.

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Background And Aims: Winter endurance athletes have a high prevalence of exercise-induced bronchoconstriction (EIB) and asthma, probably due to repeated and prolonged inhalation of cold and dry air. Heat- and moisture-exchanging devices (HME) warm and humidify inhaled air and prevent EIB. The aim of this study was to share cross-country skiers and biathletes' experiences of training and competition in low temperatures, views on temperature limits, usage of HME, and consequences of cold exposure on their health.

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Background: Atrial fibrillation (AF) has been proposed as a risk factor for exercise-induced pulmonary haemorrhage (EIPH) due to increased pressure in the left atrium.

Objective: To evaluate if AF was associated with EIPH following a standardised exercise test (SET) to fatigue.

Study Design: Two-arm controlled experiment.

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Home ventilation for patients with end-stage chronic obstructive pulmonary disease.

Curr Opin Support Palliat Care

December 2023

Department of Pulmonary Diseases and Home Mechanical Ventilation.

Purpose Of The Review: The number of patients with end-stage chronic obstructive pulmonary disease (COPD) treated with chronic non-invasive ventilation (NIV) has greatly increased. In this review, the authors summarize the evidence for nocturnal NIV and NIV during exercise. The authors discuss the multidisciplinary and advanced care of patients with end-stage COPD treated with NIV.

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Individualised Exercise Training Enhances Antioxidant Buffering Capacity in Idiopathic Pulmonary Fibrosis.

Antioxidants (Basel)

August 2023

NIHR Southampton Biomedical Research Centre, Respiratory and Critical Care, University Hospital Southampton, Southampton SO16 6YD, UK.

Exercise training is recommended for patients with idiopathic pulmonary fibrosis (IPF); however, the mechanism(s) underlying its physiological benefits remain unclear. We investigated the effects of an individualised aerobic interval training programme on exercise capacity and redox status in IPF patients. IPF patients were recruited prospectively to an 8-week, twice-weekly cardiopulmonary exercise test (CPET)-derived structured responsive exercise training programme (SRETP).

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