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Misdiagnosis of exercise-induced bronchoconstriction in professional soccer players.

Ansley, L., Kippelen, P., Dickinson, John W., Hull, J.H.K. (2012) Misdiagnosis of exercise-induced bronchoconstriction in professional soccer players. Allergy: European Journal of Allergy and Clinical Immunology, 67 (3). pp. 390-395. ISSN 1398-9995. (doi:10.1111/j.1398-9995.2011.02762.x) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:43900)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided. (Contact us about this Publication)
Official URL
http://dx.doi.org/10.1111/j.1398-9995.2011.02762.x

Abstract

BACKGROUND

Physicians typically rely heavily on self-reported symptoms to make a diagnosis of exercise-induced bronchoconstriction (EIB). However, in elite sport, respiratory symptoms have poor diagnostic value. In 2009, following a change in international sports regulations, all elite athletes suspected of asthma and/or EIB were required to undergo pulmonary function testing (PFT) to permit the use of inhaled ?(2)-agonists. The aim of this study was to examine the diagnostic accuracy of physician diagnosis of asthma/EIB in English professional soccer players.

METHODS

Sixty-five players with a physician diagnosis of asthma/EIB were referred for pulmonary function assessment. Medication usage and respiratory symptoms were recorded by questionnaire. A bronchial provocation test with dry air was conducted in 42 players and a mannitol challenge in 18 players. Five players with abnormal resting spirometry performed a bronchodilator test.

RESULTS

Of the 65 players assessed, 57 (88%) indicated regular use of asthma medication. Respiratory symptoms during exercise were reported by 57 (88%) players. Only 33 (51%) of the players tested had a positive bronchodilator or bronchial provocation test. Neither symptoms nor the use of inhaled corticosteroids were predictive of pulmonary function tests' outcome.

CONCLUSION

A high proportion of English professional soccer players medicated for asthma/EIB (a third with reliever therapy only) do not present reversible airway obstruction or airway hyperresponsiveness to indirect stimuli. This underlines the importance of objective PFT to support a symptoms-based diagnosis of asthma/EIB in athletes.

Item Type: Article
DOI/Identification number: 10.1111/j.1398-9995.2011.02762.x
Uncontrolled keywords: asthma; athletes; bronchial provocation; eucapnic voluntary hyperpnoea; football; mannitol
Subjects: R Medicine > RC Internal medicine > RC1200 Sports medicine
Divisions: Divisions > Division of Natural Sciences > School of Sport and Exercise Sciences
Depositing User: John Dickinson
Date Deposited: 27 Nov 2014 12:44 UTC
Last Modified: 16 Feb 2021 12:56 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/43900 (The current URI for this page, for reference purposes)
Dickinson, John W.: https://orcid.org/0000-0002-1824-7402
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