Sport Asthma

Significant research

The following publication list provides a source for those wishing to learn more about exercise-induced asthma (EIA) in athletes. The list is not intended to be comprehensive but to provide a useful overview of the available literature. Readers are particularly directed to European Respiratory Society Monograph, which provides a detailed overview of this topic.

Overview of EIA

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  • Hull JH, Ansley L, Garrod R, Dickinson JW. Exercise induced bronchoconstriction in athletes: should we screen? Med Sci Sports Exerc. 39(12):2117-2124, 2007. [abstract]
  • Parsons, J. P. and J. G. Mastronarde. Exercise-induced bronchoconstriction in athletes. Chest. 128:3966-3974, 2005. [abstract]

Prevalence of EIA

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  • Helenius, I. J., H. O. Tikkanen, and T. Haahtela. Exercise-induced bronchospasm at low temperature in elite runners. Thorax. 51:628-629, 1996. [abstract]
  • Helenius, I. J., H. O. Tikkanen, and T. Haahtela. Occurrence of exercise induced bronchospasm in elite runners: dependence on atopy and exposure to cold air and pollen. Br J Sports Med. 32:125-129, 1998. [abstract]
  • Weiler, J. M. and E. J. Ryan, 3rd. Asthma in United States olympic athletes who participated in the 1998 olympic winter games. J Allergy Clin Immunol. 106:267-271, 2000. [abstract]
  • Wilber, R. L., K. W. Rundell, L. Szmedra, D. M. Jenkinson, J. Im, and S. D. Drake. Incidence of exercise-induced bronchospasm in Olympic winter sport athletes. Med Sci Sports Exerc. 32:732-737, 2000. [abstract]
  • Knoepfli, B. H., M. Luke-Zeitoun, S. P. von Duvillard, A. Burki, C. Bachlechner, and H. Keller. A high incidence of exercise-induced bronchoconstriction in triathletes of the Swiss National Team. Br J Sports Med, 2007. [abstract]

Diagnosing EIA

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  • Rundell, K. W., J. Im, L. B. Mayers, R. L. Wilber, L. Szmedra, and H. R. Schmitz. Self-reported symptoms and exercise-induced asthma in the elite athlete. Med Sci Sports Exerc. 33:208-213, 2001. [abstract]
  • Delgado, L., K. H. Carlsen, and K. Larsson. Asthma-like conditions in athletes. In: European Monograph - Diagnosis, Prevention and Treatment of Exercise-Related Asthma, Respiratory and Allergic Disorders in Sport. K. H. Carlsen (Ed.), 2005, pp. 67-72. [abstract]
  • Parsons, J. P., J. M. O'Brien, M. R. Lucarelli, and J. G. Mastronarde. Differences in the evaluation and management of exercise-induced bronchospasm between family physicians and pulmonologists. J Asthma. 43:379-384, 2006. [abstract]
  • Langdeau, J. B. and L. P. Boulet. Is asthma over- or under-diagnosed in athletes? Respir Med. 97:109-114, 2003. [abstract]

Testing for EIA

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  • Anderson, S. D., G. J. Argyros, H. Magnussen, and K. Holzer. Provocation by eucapnic voluntary hyperpnoea to identify exercise induced bronchoconstriction. Br J Sports Med. 35:344-347, 2001. [abstract]
  • Rundell, K. W., S. D. Anderson, B. A. Spiering, and D. A. Judelson. Field exercise vs laboratory eucapnic voluntary hyperventilation to identify airway hyperresponsiveness in elite cold weather athletes. Chest. 125:909-915, 2004. [abstract]
  • Dickinson, J. W., G. P. Whyte, A. K. McConnell, and M. G. Harries. Impact of changes in the IOC-MC asthma criteria: a British perspective. Thorax. 60:629-632, 2005. [abstract]
  • Eliasson, A. H., Y. Y. Phillips, K. R. Rajagopal, and R. S. Howard. Sensitivity and specificity of bronchial provocation testing. An evaluation of four techniques in exercise-induced bronchospasm. Chest. 102:347-355, 1992. [abstract]
  • Holzer, K., S. D. Anderson, and J. Douglass. Exercise in elite summer athletes: Challenges for diagnosis. J Allergy Clin Immunol. 110:374-380, 2002. [abstract]
  • Holzer, K. and P. Brukner. Screening of athletes for exercise-induced bronchoconstriction. Clin J Sport Med. 14:134-138, 2004. [abstract]
  • Hong, G. and N. Mahamitra. Medical screening of the athlete: How does asthma fit in? Clin Rev Allergy Immunol. 29:97-111, 2005. [abstract]

Implications of EIA

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  • Amital, H., M. Glikson, M. Burstein, A. Afek, R. Sinnreich, Y. Weiss, and V. Israeli. Clinical characteristics of unexpected death among young enlisted military personnel: results of a three-decade retrospective surveillance. Chest. 126:528-533, 2004. [abstract]
  • Brukner, P., K. Holzer, L. Davies, and L. Irving. The impact of exercise-induced bronchoconstriction on exercise performance. Med Sci Sports Exerc. 39:S30, 2007. [abstract]
  • Beck, K. C., K. P. Offord, and P. D. Scanlon. Bronchoconstriction occurring during exercise in asthmatic subjects. Am J Respir Crit Care Med. 149:352-357, 1994. [abstract]
  • Becker, J. M., J. Rogers, G. Rossini, H. Mirchandani, and G. E. D'Alonzo, Jr. Asthma deaths during sports: report of a 7-year experience. J Allergy Clin Immunol. 113:264-267, 2004. [abstract]
  • Stensrud, T., S. Berntsen, and K. H. Carlsen. Exercise capacity and exercise-induced bronchoconstriction (EIB) in a cold environment. Respir Med. 101:1529-1536, 2007. [abstract]

Management of EIA

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  • Mickleborough, T. D., R. L. Murray, A. A. Ionescu, and M. R. Lindley. Fish oil supplementation reduces severity of exercise-induced bronchoconstriction in elite athletes. Am J Respir Crit Care Med. 168:1181-1189, 2003. [abstract]
  • Parsons, J. P. and J. G. Mastronarde. Exercise-induced bronchoconstriction in athletes. Chest. 128:3966-3974, 2005. [abstract]

Consensus statements

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  • Weiler, J. M., S. Bonini, R. Coifman, T. Craig, L. Delgado, M. Capao-Filipe, D. Passali, C. Randolph, and W. Storms. American Academy of Allergy, Asthma & Immunology Work Group Report: Exercise-induced asthma. J Allergy Clin Immunol. 119:1349-1358, 2007. [abstract]
  • European Respiratory Society Monograph. Diagnosis, Prevention and Treatment of Exercise-Related Asthma, Respiratory and Allergic Disorders in Sport. K. H. Carlsen (Ed.), 2005. [abstract]
  • Carlsen, K. H., S. D. Anderson, L. Bjermer, S. Bonini, V. Brusasco, W. Canonica, J. Cummiskey, L. Delgado, S. R. Del Giacco, F. Drobnic, T. Haahtela, K. Larsson, P. Palange, T. Popov, P. van Cauwenberge. Exercise-induced asthma, respiratory and allergic disorders in elite athletes: epidemiology, mechanisms and diagnosis: Part I of the report from the Joint Task Force of the European Respiratory Society (ERS) and the European Academy of Allergy and Clinical Immunology (EAACI) in cooperation with GA²LEN. Allergy. 63:387-403, 2008 [abstract]
  • Carlsen, K. H., S. D. Anderson, L. Bjermer, S. Bonini, V. Brusasco, W. Canonica, J. Cummiskey, L. Delgado, S. R. Del Giacco, F. Drobnic, T. Haahtela, K. Larsson, P. Palange, T. Popov, P. van Cauwenberge. Treatment of exercise-induced asthma, respiratory and allergic disorders in sports and the relationship to doping: Part II of the report from the Joint Task Force of European Respiratory Society (ERS) and European Academy of Allergy and Clinical Immunology (EAACI) in cooperation with GA²LEN. Allergy. 63:492-505, 2008. [abstract]