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Environmental influence on the prevalence and pattern of airway dysfunction in elite athletes

Levai, Irisz Karolina, Hull, James H, Loosemore, Mike, Greenwell, Jon, Whyte, Greg, Dickinson, John W. (2016) Environmental influence on the prevalence and pattern of airway dysfunction in elite athletes. Respirology, 21 (8). pp. 1391-1396. ISSN 1440-1843. (doi:10.1111/resp.12859) (KAR id:57161)

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Abstract

BACKGROUND AND OBJECTIVE: Elite swimming and boxing require athletes to achieve relatively high minute ventilation. The combination of a sustained high ventilation and provocative training environment may impact the susceptibility of athletes to exercise-induced bronchoconstriction (EIB). The purpose of this study was to evaluate the prevalence of EIB in elite Great British (GB) boxers and swimmers. METHODS: Boxers (n=38, mean age: 22.1 ± 3.1 years) and swimmers (n=44, mean age: 21.1 ± 2.6 years) volunteered for the study. Athletes completed an exercise-induced respiratory symptom questionnaire, baseline assessment of fraction of exhaled nitric oxide (FeNO), maximal spirometry manoeuvres and a eucapnic voluntary hyperpnoea (EVH) challenge. EIB was confirmed if forced expiratory volume in 1 s (FEV1 ) reduced by ≥10% from baseline at two time points post-EVH challenge. RESULTS: The prevalence of EIB was greater in elite swimmers (30 of 44; 68%) than in boxers (3 of 38; 8%) (P<0.001). Twenty-two out of the 33 (67%) EVH-positive athletes had no prior diagnosis of asthma/EIB. Moreover, 12% (6 of 49) of the EVH-negative athletes had a previous diagnosis of asthma/EIB. We found a correlation between FeNO and FEV1 change in lung function post-EVH challenge in swimmers (r=0.32; P=0.04) but not in boxers (r=0.24; P=0.15). CONCLUSION: The prevalence of EIB was ninefold greater in swimmers when compared with boxers. Athletes who train and compete in provocative environments at sustained high ventilation may have an increased susceptibility to EIB. It is not entirely clear whether increased susceptibility to EIB affects elite sporting performance and long-term airway health in elite athletes.

Item Type: Article
DOI/Identification number: 10.1111/resp.12859
Uncontrolled keywords: asthma, athlete's care, exercise‐induced bronchoconstriction, sport, training environment
Subjects: R Medicine > RC Internal medicine > RC1200 Sports medicine
R Medicine > RC Internal medicine > RC1235 Physiology of sports
Divisions: Divisions > Division of Natural Sciences > School of Sport and Exercise Sciences
Depositing User: John Dickinson
Date Deposited: 09 Sep 2016 13:57 UTC
Last Modified: 16 Feb 2021 13:37 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/57161 (The current URI for this page, for reference purposes)
Dickinson, John W.: https://orcid.org/0000-0002-1824-7402
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