Screening for exercise-induced bronchoconstriction in college athletes

Jonathan P. Parsons, David Cosmar, Gary Phillips, Christopher Kaeding, Thomas Best, John G. Mastronarde

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objective. Previous studies have reported that the prevalence of exercise-induced bronchoconstriction (EIB) in athletes is higher than that of the general population. There is increasing evidence that athletes fail to recognize and report symptoms of EIB. As a result, there has been debate whether athletes should be screened for EIB, particularly in high-risk sports. Methods. We prospectively studied 144 athletes from six different varsity sports at a large National Collegiate Athletic Association Division I collegiate athletic program. Baseline demographics and medical history were obtained and the presence of asthma symptoms during exercise was documented. Each athlete subsequently underwent a eucapnic voluntary hyperventilation (EVH) test to document the presence of EIB. Exhaled nitric oxide (eNO) quantification was performed immediately before EVH testing. EIB was defined as a ≥10% decline in forced expiratory volume in 1 second compared with baseline. Results. Only 4 of 144 (2.7%) athletes were EIB-positive after EVH testing. The presence of symptoms was not predictive of EIB as only 2 of the 64 symptomatic athletes (3%) were EIB-positive based on EVH testing. Two of the four athletes who were found to be EIB-positive denied such symptoms. The mean baseline eNO in the four EIB-positive athletes was 13.25 parts per billion (ppb) and 24.5 ppb in the EIB-negative athletes. Conclusions. Our data argue that screening for EIB is not recommended given the surprisingly low prevalence of EIB in the population we studied. In addition, the presence or absence of symptoms was not predictive of EIB and eNO testing was not effective in predicting EIB.

Original languageEnglish (US)
Pages (from-to)153-157
Number of pages5
JournalJournal of Asthma
Volume49
Issue number2
DOIs
StatePublished - Mar 1 2012
Externally publishedYes

Fingerprint

Bronchoconstriction
Athletes
Exercise
Hyperventilation
Sports
Nitric Oxide
Forced Expiratory Volume

Keywords

  • Asthma
  • Athletes
  • Bronchoconstriction
  • Exercise
  • Screening

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Immunology and Allergy
  • Pediatrics, Perinatology, and Child Health

Cite this

Parsons, J. P., Cosmar, D., Phillips, G., Kaeding, C., Best, T., & Mastronarde, J. G. (2012). Screening for exercise-induced bronchoconstriction in college athletes. Journal of Asthma, 49(2), 153-157. https://doi.org/10.3109/02770903.2011.652329

Screening for exercise-induced bronchoconstriction in college athletes. / Parsons, Jonathan P.; Cosmar, David; Phillips, Gary; Kaeding, Christopher; Best, Thomas; Mastronarde, John G.

In: Journal of Asthma, Vol. 49, No. 2, 01.03.2012, p. 153-157.

Research output: Contribution to journalArticle

Parsons, JP, Cosmar, D, Phillips, G, Kaeding, C, Best, T & Mastronarde, JG 2012, 'Screening for exercise-induced bronchoconstriction in college athletes', Journal of Asthma, vol. 49, no. 2, pp. 153-157. https://doi.org/10.3109/02770903.2011.652329
Parsons, Jonathan P. ; Cosmar, David ; Phillips, Gary ; Kaeding, Christopher ; Best, Thomas ; Mastronarde, John G. / Screening for exercise-induced bronchoconstriction in college athletes. In: Journal of Asthma. 2012 ; Vol. 49, No. 2. pp. 153-157.
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