Is asthma over- or under-diagnosed in athletes?

Respiratory Medicine

Volumn 97, Issue 2, 2003, Pages 109-114

  Langdeau, J B ^a   Boulet, Louis Philippe ^a  

^a LAVAL UNIVERSITY   (Canada)

Author keywords

Airway hyperresponsiveness; Asthma; Athletes; Exercise induced bronchoconstriction; Perception of bronchoconstriction

Indexed keywords

ATHLETE; BRONCHOSPASM; BRONCHUS HYPERREACTIVITY; CLINICAL OBSERVATION; CONTROLLED STUDY; HEALTH SURVEY; HUMAN; LUNG FUNCTION TEST; MEASUREMENT; NOCICEPTION; OCCUPATIONAL ASTHMA; PREVALENCE; PRIORITY JOURNAL; QUESTIONNAIRE; RESPIRATORY TRACT DISEASE; REVIEW; SELF REPORT; SYMPTOMATOLOGY; TRAINING;

EID: 0037292290     PISSN: 09546111     EISSN: None     Source Type: Journal    
DOI: 10.1053/rmed.2003.1451     Document Type: Review

References (45)

1. Helenius IJ, Haahtela T. Allergy and asthma in elite summer sport athletes. J Allergy Clin Immunol 2000; 106: 444-452.
2. Langdeau J-B, Turcotte H, Bowie DM, Jobin J, Desgagné P, Boulet L-P. Airway hyperresponsiveness in elite athletes. Am J Respir Crit Care Med 2000; 161: 1479-84.
3. Wilber RL, Kenneth WR, Szmedra L, Jenkinson DM, Joohee IM, Sean DD. Incidence of exercise-induced bronchospam in Olympic winter sport athletes. Med Sci Sports Exerc 2000; 32: 732-737.
4. Mannix ET, Manfredi F, Farber MO. A comparison of two challenge tests for identifying exercise-induced bronchospasm in figure skaters. Chest 1999; 115: 649-653.
5. Leuppi JD, Kuhn M, Comminot C, Reinhart WH. High prevalence of bronchial hyperresponsiveness and asthma in ice hockey players. Eur Respir J 1998; 12: 13-16.
6. Helenius IJ, Tikkanen HO, Sarna S, Haahtela T. Asthma and increased bronchial responsiveness in elite athletes: atopy and sport event as risk factors. J Allergy Clin Immunol 1998; 101: 646-652.
7. Helenius IJ, Rytilä P, Metso T, Haahtela T, Venge H, Tikkanen HO. Respiratory symptoms, bronchial responsiveness, and cellular characteristics of induced sputum in elite swimmers. Allergy 1998; 53: 346-352.
8. Schoene RB, Giboney K, Schimmel C, et al. Spirometry and airway reactivity in elite track and field athletes. Clin J Sport Med 1997; 7: 257-261.
9. Potts J. Factors associated with respiratory problems in swimmers. Sports Med 1996; 21: 256-261.
10. Mannix ET, Farber MO, Palange P, Galassetti P, Manfredi F. Exercise-induced asthma in figure skaters. Chest 1996; 109: 312-315.
11. Provost-Craig MA, Arbour KS, Sestili DC, Chabalko JJ, Ekinci E. The incidence of exercise-induced bronchospasm in competitive figure skaters. J Asthma 1996; 33: 67-71.
12. Sue-Chu M, Larsson L, Bjermer L. Prevalence of asthma in young cross-country skiers in central Scandinavia: differences between Norway and Sweden. Respir Med 1996; 90: 99-105.
13. Feinstein RA, LaRussa J, Wang-Dohlman A, Bartolucci AA. Screening adolescent athletes for exercise-induced asthma. Clin J Sport Med 1996; 6: 119-23.
14. Brudno DS, Wagner JM, Rupp NT. Length of postexercise assessment in the determination of exercise-induced bronchospasm. Ann Allergy 1994; 73: 227-231.
15. Pierson W, Voy RO. Exercise-induced bronchospasm in the XXIII Summer Olympic Games. N Engl Reg Allergy Proc 1988; 9: 209-213.
16. Weiler JM, Metzger WJ, Donnelly AL, Crowley ET, Sharath MD. Prevalence of bronchial hyperresponsiveness in highly trained athletes. Chest 1986; 90: 23-28.
17. Weiler JM, Ryan III EJ. Asthma in United States Olympic athletes who participated in the 1998 Olympic Winter Games. J Allergy Clin Immunol 2000; 106: 267-271.
18. Nystad W, Harris J, Borgen JS. Asthma and wheezing among Norwegian elite athletes. Med Sci Sports Exerc 2000; 32: 266-270.
19. Weiler JM, Layton T, Hunt M. Asthma in United States Olympic athletes who participated in the 1996 Summer Games. J Allergy Clin Immunol 1998; 102: 722-726.
20. Helenius IJ, Tikkanen HO, Haahtela T. Association between type of training and risk of asthma in elite athletes. Thorax 1997; 52: 157-160.
21. Kujala UM, Sarna S, Kaprio J, Koskenvuo M. Asthma and other pulmonary diseases in former elite athletes. Thorax 1996; 51: 288-292.
22. Hier T, Oseid S. Self-reported asthma and exercise-induced asthma symptoms in high-level competitive cross-country skiers. Scand J Med Sci Sports 1994; 4: 128-133.
23. Voy RO. The U.S. Olympic Committee experience with exercise-induced bronchospasm, 1984. Med Sci Sports Exerc 1986; 18: 328-330.
24. Fitch KD. Management of allergic Olympic athletes. J Allergy Clin Immunol 1984; 73: 722-727.
25. Chowgule RV, Shetye VM, Parmar JR, et al. Prevalence of respiratory symptoms, bronchial hyperreactivity, and asthma in a Megacity. Am J Respir Crit Care Med 1998; 158: 547-554.
26. Joos GF, Kips JC, Pauwels RA. Direct and indirect bronchial responsiveness. Respir Med 1993; 87: 31-37.
27. Kolnaar BG, Folgering H, van den Hoogen HJ, van Weel C. Asymptomatic bronchial hyperresponsiveness in adolescents and young adults. Eur Respir J 1997; 10: 44-50.
28. Laprise C, Boulet L-P. Asymptomatic airway hyperresponsiveness: a three-year follow-up. Am J Respir Crit Care Med 1997; 156: 403-409.
29. Ng TP, Hui KP, Tan WC. Prevalence of asthma and risk factors among Chinese, Malay, and Indian adults in Singapore. Thorax 1994; 49: 347-351.
30. Hahn DL, Beasley JW. Diagnosed and possible undiagnosed asthma: a Wisconsin Research Network (WReN) Study. J Fam Pract 1994; 38: 373-379.
31. Ownby DR, Johnson CC, Peterson EL. Incidence and prevalence of physician-diagnosed asthma in a suburban population of young adults. Ann Allergy Asthma Immunol 1996; 77: 304-308.
32. Manfreda J, Chan-Yeung M, Dimich-Ward M, et al. Prevalence of asthma in Canada. Am J Respir Crit Care Med 1996; 153: A432.
33. Trigg CJ, Bennett JB, Tooley M, Sibbald B, D'Souza MF, Davies RJ. A general practice based survey of bronchial hyperresponsiveness and its relation to symptoms, sex, age, atopy, and smoking. Thorax 1990; 45: 866-872.
34. Renwick DS, Connolly MJ. The relationship between age and bronchial responsiveness: evidence from a population survey. Chest 1999; 115: 660-665.
35. Anderson SD, Holzer K. Exercise-induced asthma: Is it the right diagnosis in elite athletes? J Allergy Clin Immunol 2000; 106: 419-428.
36. Holgate ST, Davis DE, Lackie PM, Wilson SJ, Puddicombe SM, Lordan JL. Epithelial-mesenchymal interactions in the pathogenesis of asthma. J Allergy Clin Immunol 2000; 105: 193-204.
37. Davis MS, Freed AN. Repeated hyperventilation causes peripheral airways inflammation, hyperreactivity, and impaired bronchodilation in dogs. Am J Respir Crit Care Med 2001; 164: 785-789.
38. Larsson K, Tornling G, Gavhed D, Müller-Suur C, Palmberg L. Inhalation of cold air increases the number of inflammatory cells in the lungs in healthy subjects. Eur Respir J 1998; 12: 825-830.
39. Gautrin D, Lapierre JG, Malo JL, Infante-Rivard C. Airway hyperresponsiveness and symptoms of asthma in a six-year follow-up study of childhood asthma. Chest 1999; 116: 1659-1664.
40. Laprise C, Laviolette M, Boutet M, Boulet L-P. Asymptomatic airway hyperresponsiveness: relationships with airway inflammation and remodelling. Eur Respir J 1999; 14: 63-73.
41. Sont JK, Booms P, Bel EH, Vandenbroucke JP, Sterk PJ. The severity of breathlessness during challenges with inhaled methacholine and hypertonic saline in atopic asthmatic subjects. Am J Respir Crit Care Med 1995; 152: 38-44.
42. Boulet L-P, Cournoyer I, Deschenes F, Leblanc P, Nouwen A. Perception of airway obstruction and associated breathlessness in normal and asthmatic subjects: correlation with anxiety and bronchodilator needs. Thorax 1994; 49: 970.
43. Boulet L-P, Deschenes F, Turcotte H, Gignac F. Near-fatal asthma: clinical and physiologic features, perception of bronchoconstriction, and psychologic profile. J Allergy Clin Immunol 1991; 88: 838-846.
44. Turcotte, H, Langdeau, J-B, Bowie, DM, Boulet, L-P. Efficacy of questionnaires on respiratory symptoms to detect airway responsiveness in elite athletes and sedentary subjects. Am J Respir Crit Care Med 1999; 159: A757.
45. Jin R, Choi B, Chan BTB, et al. Physician asthma management practices in Canada. Can Respir J 2000; 7: 456-465.