A randomised double-blind placebo-controlled parallel-group bronchial biopsy and bronchoalveolar lavage (BAL) study of 25 (19 male) competitive cross-country skiers (mean age 18 (16-20) years for a mean (range) treatment period of 22 (10-32) weeks over the competitive season. ranged from 9-15 years. Subjects included female and male members of the 1998 U.S. Winter Olympic Team from the following sports: biathlon, cross-country ski, figure skating, ice hockey, Nordic combined, long-track speedskating, and short-track speedskating. A review of the English language medical literature was performed to obtain articles on EIA. Symptom scores were higher and quality of life ratings were poorer in allergic compared with nonallergic athletes over the spring period. Asthma prevalence appears to be increasing in the general population. A clinical treatment with bronchodilator was then initiated and after 30 days an important increase in his oxygen uptake peak (VO2peak) was observed. We assessed the sensitivity of a challenge with mannitol to identify responsiveness to EVH in 50 elite summer sport athletes who were unselected if they had respiratory symptoms. This review summarizes age-related features of EIB and recommendations for assessing EIB in young children and adolescents. Predefined protocols for the study were followed. The number of persons screened positive for EIB by physical examination and questionnaire was compared with the number of persons with EIB diagnosed by a "gold standard" test that consisted of a 7-minute exercise challenge followed by serial spirometry. This is not a good example for the translation above. In skiers, neutrophil counts were more than twofold greater than in asthmatic subjects, and mast cell counts were not significantly different than in controls. It can be concluded that this equation may lead to a misdiagnosed or underdiagnosed athletic population. Nine of the subjects inhaled allergen at least 3 wk before or 1 wk after the study. On the basis of these less restrictive criteria, more than 20% of the athletes who participated in the 1996 Olympic Games might have been considered to have had asthma. Athletes who participated in cycling and mountain biking had the highest prevalence of having been told that they had asthma or had taken an asthma medication in the past (50%). Scheffe's test detected significance (P < 0.05) between C and CW for all three dependent variables; no statistical significance between C and IW or IW and CW occurred. Sports Exerc., Vol. Im Buch gefunden – Seite 472Risikofaktoren sind Adipositas, Fehlernährung, Stress, ... daher kann es zu Behandlung Asthma bronchiale Schlafstörungen (› 3.11) Ursächlich können ... Asthma-like symptoms, methacholine hyperresponsiveness, and use of asthma medication are prevalent in elite cross-country skiers. This paper suggests a differential diagnostic approach which takes account of both the EIB characteristics of sedentary and those of sportsmen. 2. In contrast, significant loss of bronchoprotection at weeks 4 and 8 was seen with salmeterol. Further complications are either caused or exacerbated by lack of sufficient PA. Im Buch gefunden – Seite 71Die PNI-Ergebnisse zum Zusammenhang zwischen Wundheilung und Stress (Effektgrößen von 0,30–0,74; ... B. allergisches Asthma, atopische Dermatitis (Ekzem), ... Twenty-three elite cold weather athletes (14 men, 9 women) PFT positive for EIA (FBC screened) served as subjects. To examine the relationship between threshold definition and the ability to correctly classify subjects as either normal or as having airways hyperresponsiveness (AHR), four different BPC tests were administered on different days to 20 patients with a clinical diagnosis of exercise-induced bronchospasm (EIB) and 20 control subjects. Gaps in our knowledge regarding the physiological mechanisms linking asthma, obesity and exercise are often compounded by imprecise estimations of adiposity and challenges of assessing aerobic fitness in children. ORIENTACIÓN TÉCNICA ACTIVIDAD FÍSICA Y EJERCICIO SEGÚN CURSO DE VIDA Y COMORBILIDAD Parte I: Recomendaciones de actividad física para el curso de vida y comorbilidad, Management of Exercise-Induced Bronchoconstriction in Athletes. Asthmatiker kennen das Problem: Besonders bei Stress und Ärger bleibt den Patienten regelmäßig die Luft weg. The change in ENO did not correlate with the change in minute ventilation, and beta-agonist inhalation at the peak of EIB that accelerated the recovery of FEV(1) did not affect the depressed level of ENO, demonstrating that the reduction of ENO is not a simple consequence of increased ventilation nor airway obstruction. IW involved 8 x 30-s runs (1.5 min rest between bouts of exercise), at an intensity equivalent to 100% VO2max, followed by an ET. EIB occurs frequently in adolescent athletes, and screening by physical examination and medical history does not accurately detect it. In contrast to the normal subjects, NO production in the asthmatics continued into the recovery period after the challenge stopped and FENO rose temporally as the airflow limitation developed. Subjects performed an exercise challenge test on an electromagnetically braked bicycle ergometer. 208-213. Experten glauben jedoch, dass eine Kombination von genetischen und Umweltfaktoren den Zustand verursachen oder zumindest eine Person für Asthma-Auslöser empfindlich machen kann. No significant differences were observed in 9α,11β-PGF2 and LTE4 levels before/after the exercise challenge between patients with EIB and normal controls. Postexercise, the maximal decreases in FEV(1) (mean +/- SE) were 30 +/- 4% and 29 +/- 5% on control and placebo days. Sci. The aim of the study was to investigate the relationship between asthma symptoms and responses to methacholine and the EVH challenge in a group of unselected elite summer-sport athletes. The mean percent protection index was 58.7% and 58.0% for the CFC and HFA formulations, respectively. Abschluss- Exit- Prüfungsvorbereitung zum Schreiben und Sprachkunst Leland Graham. Resting spirometry, exercise treadmill provocation, and postexercise spirometry at 1, 10, 20, and 30 minutes were performed. To read the full-text of this research, you can request a copy directly from the author. The diagnosis of EIB based on the questionnaire or maximal decrease of ventilatory parameters was considered as inclusion criteria and selection of articles. Only 1 of the 18 sedentary subjects demonstrated decrements greater than 10% in FEV(1). We are unable to find iTunes on your computer. Bronchoconstriction associated with exercise can occur in nearly all individuals with asthma and in 35-40% of those with allergic rhinitis/hay fever symptoms. We excluded patients with other conditions which may produce symptoms that overlap with heart failure, such as untreated pulmonary arteriovenous malformations (PAVMs), symptomatic anemia or asthma (14)(15)(16)(17)(18), ... Exercise-induced bronchoconstriction (EIB) occurs predominantly among patients with asthma. Dies tritt häufig aufgrund einer erhöhten Atemfrequenz bei körperlicher Betätigung auf. We used McNemar tests for paired data to compare parent and child responses. This review article was attempted to define and describe the phrases which contains these terms, with special attention towards their pathophysiology for better understanding. In patients with severe COPD and exercise-induced hypoxemia, supplemental oxygen can be proposed during training sessions. Many highly trained athletes experience exercise-induced bronchospasm (EIB): studies describing EIB in figure skaters, who may be at increased risk of EIB due to rink temperatures (7 to 10 degrees C), have not been published. Treatment with budesonide or montelukast prevents exercise-induced bronchoconstriction. ... La prévalence de l'asthme associé au sport (AIE ou BIE) est estimée à 4 -20% au niveau de la population générale ( Helenius et al., 1997 ;Nystad et al., 2000 ;Rundell et Jenkinson, 2002), et 11-55% au niveau de la population de sujets sportifs ( Larrson et al.,1994 ;Wilber, 2000 ;Maiolo et al., 2003 ; ... Sporta{i ne moraju imati o~ite simptome kao u tipi~nih astmati~ara, nego simptome poput ka{lja ili nespe-cifi~ne tegobe poput slabe sportske izvedbe ili »osje}aja nedostatka kondicije«, boli u trbuhu, glavobolja, gr~eva u mi{i}ima, umora i vrtoglavice. The synthesis inhibitor zileuton affords a comparable magnitude of prophylaxis but has a considerably shorter duration of action. Most patients respond well to pre-exercise treatment with an inhaled quick-acting beta agonist. Group (II) received Inhaled furosemide has been shown, in patients with asthma, to have prophylactic properties similar to those of disodium cromoglycate. However, studies performed in tropical areas highlight the high prevalence values of bronchospasm. Increased levels of mast cell-derived eicosanoids, such as prostaglandin (PG) D2 and cysteinyl leukotrienes (CysLTs), have been reported in patients with exercise-induced bronchoconstriction (EIB), suggesting that mast cell activation is involved in the mechanism of EIB. Nonetheless, this review summarizes the current available knowledge specifically related to the physiological impact of cold exposure, in an attempt to provide practitioners and coaches alike with practical recommendations to minimize any potential negative performance effects, mitigate health issues, and best optimize athlete preparation across various sporting disciplines. Postexercise FEV1 was measured at 5, 10, 15, 20, 25, and 30 minutes after completion of the challenge. Mean child age was 8.5 years (standard deviation, 0.99); 53% were male, and 82% were Hispanic. Standard spirometry tests were performed preexercise and at 5, 10, and 15 min postexercise. The results showed that 68 % of the subjects were symptomatic and 60 % confirmed asthmatic. In Zukunft könnte der routinemäßige Einsatz validierter muskuloskeletaler, Weiterhin stehen wir Ihnen mit Ingenieur- und Forschungsdienstleistungen sowie FEM- basierten, Further fields of application are the white biotechnology, the ceramic and textile industry. Theo van doesburg grundbegriffe der neuen gestaltenden kunst. Like other coronaviruses, the new coronavirus that causes COVID-19 attacks the respiratory system, has infected over 135,00 people . This review is based on explanatory hypotheses related to changes in airflow and the effects of heat exchange and freshness on the epithelium. The purpose of this project was to determine the incidence of exercise-induced bronchospasm (EIB) among U.S. Olympic winter sport athletes. Asthma is an inflamma tory disease of the airways characterized by an overreaction to stimuli: Exposure to traffic-induced particulate matter correlates with the o ccurrence of asthma in non-smoke rs. However, respiratory functional exploration (RFE) tests carried out in this population reveal that EIB prevalence is down to 11-55 %. The Sydney Olympic and Paralympic Games will be held in September-October 2000, which is early to mid-spring in the southern hemisphere. Por essa razão, acredita-se que a prevalência de BIE seja muito superior àquela descrita na literatura e que esses atletas são subdiagnosticados, como já mostrado por outros estudos, ... Asthma-like symptoms in elite athletes are not necessarily associated with classic features of asthma (14). Of students considered at risk for EIA by history or baseline spirometry (N = 48, 29%) eight (17%) demonstrated EIA after exercise. Among the EIB group, steroid-treated patients showed sooner recovery in ENO after the exercise than steroid-naive patients. CTA is an effective and easily reproducible method to evaluate hepatic involvement of HHT. Heart rate was continuously monitored throughout the exercise period. However, the proportion of PFT-positive and PFT-normal athletes reporting two or more symptoms was not different (39% vs. 41%). Although exercise can trigger classic symptoms of asthma, in children symptoms can be subtle and nonspecific; parents, children, and clinicians often do not recognize EIB. Conclusion: It is concluded from the study that elite football players are prone to EIB, and the possible cause can be the temperature, relative humidity, duration and intensity of exercise. It is the merging of ‘science and sweat’ that will allow today’s athletes to not only excel and compete at much higher levels, but minimize predisposition to injury and enhance career longevity. The criteria for evaluation of the EIB, as well as the nature of sports topics, differ significantly from one study to another. Objective evidence for asthma or EIA included (1) an increase of 12% or more of the predicted FEV1 in response to bronchodilator, (2) a reduction in FEV1 of 10% or greater from baseline in response to exercise or eucapnic voluntary hyperpnea, (3) a PD20 FEV1 to methacholine or histamine at a dose of less than 200 microg (2 mg/mL) or less than 1320 microg (13.2 mg/mL) for those taking inhaled corticosteroids for 3 months. Belastungsasthma Chemische Dämpfe Seelische Faktoren. The baseline ENO value was significantly higher in the asthmatic children than in the normal children, and there was a positive correlation between the maximal percent decrease in FEV(1) and the baseline ENO value (r = 0.501, p = 0.012). Inhaled enoxaparin failed to modify the bronchoconstrictor response to methacholine, and did not change the plasma antifactor Xa activity. We analyzed responses to questions that asked about allergic and respiratory diseases on the United States Olympic Committee (USOC) Medical History Questionnaire that was completed by all athletes who were chosen to represent the US at the 1996 Summer Olympic Games in Atlanta. Im Buch gefundenAsthma bronchiale behandeln mit Schüsslersalzen (Biochemie) Da ein Asthma ... Stress, Übersäuerung des Körpers, Genuss- und Umweltgifte blockieren den ... Postexercise lower limit reference ranges (MN-2SDs) were determined from normal athletes for FEV1, FEF25-75% and PEF to be -7%, -12.5%, and -18%, respectively. The paired t-test showed a significant difference between PEFR with warm-up and PEFR without warm-up (p < 0.05). Only about 11% of the athletes who participated in the 1984 Summer Olympic Games were reported to have had exercise-induced asthma on the basis of other criteria that may have been less restrictive. The maximum percentage fall in FEV(1) was 21.3 +/- 1.5% after exercise, 29.9 +/- 1.5% after methacholine, and 28.9+/-2.7% after allergen. 91% of PFT positive and 48% of PFT normal athletes reported at least one symptom of EIA, with postrace cough most frequent. They may well need exercise testing or eucapnic voluntary ventilation testing. In conclusion, the low salt diet improved and the high salt diet exacerbated pulmonary function during exercise in individuals with exercise-induced asthma. This article also describes a protocol for exercise testing that can be used in epidemiological evaluations. Twenty-one patients with asthma had EIB (EIB group) whereas the remaining 18 patients did not (non-EIB group). Symptoms of asthma in elite athletes are not necessarily associated with the classic features of asthma seen in general population. Stress Diabetes Alter. Após um teste específico, o atleta foi diagnosticado como BIE positivo. All testing took place on a track at the time and location of a normal practice session. The pathophysiology of EIB is thought to be related to hyperventilation, cold air, and epithelial damage caused by chlorine and fine particles in inspired air. The predominant findings in antineoplastic agent-induced pneumonitis were diffuse or multifocal ground-glass opacities with intralobular interstitial thickening. Exercise-induced asthma (EIA) is one of the major problems interfering with the performance of exercise. Se destaca la importancia de un diagnóstico correcto mediante el test de ejercicio y el manejo o uso de drogas beta-adrenérgicas y anticolinérgicas. Notre objectif vise à rechercher des valeurs de prévalence du bronchospasme observées chez des enfants africains afin d'analyser les raisons de leur variabilité. The airway response to exercise was studied by spirometry to measure FEV1. Conclusion: The mean age, height and weight were 10.51 years, 139.26 cm and 33.45 kg, respectively. owing to the small amount of data available. Patients with atypical exertional complaints require careful clinical and physiologic evaluation. The study suggests the development of academic standards, that is to say spirometric reference values specific to African children who can accommodate their longitudinal and transverse growth of their ethnic and their places of residence. At week 8, the percentage inhibition in the maximal percentage decrease in FEV 1 was 57.2% in the montelukast group and 33.0% in the salmeterol group (P = 0.002). Conclusions: The inflammatory indexes, NO levels, and airway vascular permeability index (ratio of albumin concentrations in induced sputum and serum) were examined in all subjects. Asthmabeschwerden können je nach Tagesform und persönlichem Empfinden des Patienten variieren. Long Island Purgatory Bradley Lewis. Sie tritt überwiegend in Kombination mit anderen Formen auf und ist unter Allergikern verbreitet, die an einem so genannten extrinsischen Asthma leiden. Exercise-induced bronchospasm (EIB) is almost a very similar phenomenon, but it may also be seen in normal healthy individuals, without known to be an asthmatic, ... En Chile los resultados del Estudio Internacional de Asma y Alergias en la niñez (ISAAC) muestran una prevalencia en escolares entre 15% a 18%, la que ha aumentado notoriamente en los adolescentes, ... 4 EIB occurs in 70% to 90% of individuals with asthma. Bronchial provocation with methacholine was also performed in five subjects on two additional days after pretreatment with either placebo or inhaled enoxaparin (2 mg/kg), and venous blood was obtained for analysis of plasma antifactor Xa. Studienarbeit aus dem Jahr 2010 im Fachbereich Sport - Sportmedizin, Therapie, Prävention, Ernährung, Note: 1,0, Humboldt-Universität zu Berlin, Sprache: Deutsch, Abstract: Definition Neurodermitis ist ein atopisches Ekzem und eine meist ... After the exercise test, the mean decrease in FEV(1) was 34% in the EIB group and 5% in the non-EIB group. O broncoespasmo induzido pelo exercício (BIE) é uma condição que se caracteriza pelo estreitamento transitório das vias aéreas durante ou após o esforço físico e afeta principalmente portadores de asma. Pre-test and post-test experimental designs were used, where peak expiratory flow rate (PEFR) was measured at baseline and within ten minutes after exercise. Belastungsasthma ICD-10 Diagnose J45.9. Intervention: Qualified patients were randomly assigned to double-blind treatment with montelukast (10 mg once in the evening) or salmeterol (50 μg [2 puffs] twice daily). It was found that although sounds very similar, the terms like-Exercise induced asthma‖,-Exercise induced bronchospasm‖,-Airway hyper-responsiveness‖ and ‗‗Exercise induced bronchial lability‖ are very different in their pathophysiology, and should be used very appropriately. There is a large body of evidence that exercise and rehabilitation are beneficial to patients with such chronic pulmonary diseases. Reisen. Olympic team managers and medical officers need to adequately prepare Olympic athletes for the possibility of exposure to high pollen levels in the weeks leading up to this most important sporting event. One hundred seventeen (16.7%) reported use of an asthma medication, a diagnosis of asthma, or both (which was our basis for the diagnosis of asthma). Es gibt keine einzige Ursache für Asthma. Several diagnostic procedures can be used; however, the diagnosis of EIB based on self-reported symptoms is not reliable and requires an objective examination. Amerikanische Ich selbst habe Belastungsasthma und mir deswegen Zeit gelassen, es aber trotzdem locker in den 8 vorgegebenen Stunden geschafft. RUNDELL, K. W., J. IM, L. B. MAYERS, R. L. WILBER, L. SZMEDRA, and H. R. SCHMITZ. The hyperosmolar inhalation test and eucapnic voluntary hyperpnea test, which involve indirect stimulation of the airway, are useful for the diagnosis of EIB. Mein Belastungsasthma hatte sich gefreut (ich natürlich wie immer ohne Spray unterwegs) - aber ich kam japsend und keuchend im Zug an. S33-S38, 1999. Children felt more confident about using an inhaler correctly (76% of the children were "very sure" vs 60% of the parents; P = .009) and were more likely to report having an inhaler available in case of an attack (38% of the children were "very sure" vs 20% of the parents; P = .003). Some individuals may experience delayed bronchoconstriction (late phase response) 6-10 h after completing exercise. Spirometry was carried out before the exercise, at 4, 8, 15, 30, and 60 minutes, and then hourly for the next 7 hours. Background: Asthma is a complex and multifaceted condition causing significant impairment of physical and The result will be disseminated to three groups of stakeholder groups: (1) the scientific and professional community; (2) the research participants and (3) the general public. Methods: A clinical assessment was performed in 20 asthmatic children (mean age 11.6 years) from the outpatient clinic of the MST hospital from May 2015 to July 2015. We studied the ability of pediatricians to assess EIB from post-exercise videos. Medical aspects such as infections of the upper respiratory tract, bronchial hyper-reactivity, overload asthma, otitis externa, and conjunctivitis are very prominent problems in swimmers. On each treatment day, the subjects underwent two cycloergometric exercise tests 15 min and 4 h after receiving formoterol or placebo. Parte I: Recomendaciones de actividad física para el curso de vida y comorbilidad. Conclusion Antiallergika Gegen die Allergie wirkende Mittel. In the non-EIB and control groups, ENO rebounded to above the baseline at 5 min after the exercise and thereafter. The 2021 update of the Global Strategy for Asthma Management and Prevention incorporates new scientific information about asthma based on a review of recent scientific literature by an international panel of experts on the GINA Science Committee.This comprehensive and practical resource about one of . Bei Belastungsasthma ist dieser Auslöser eine schnelle Bewegung der Luft in die Lunge, bevor sie erwärmt und befeuchtet wird. The dual responders did not differ from those with isolated early responses with respect to age, duration and severity of asthma, treatment requirements, peripheral blood eosinophilia, and atopic status. The EIB group had higher baseline ENO values (12.3 +/- 1.6 ppb) than the healthy children (6.1 +/- 0.2 ppb) (p < 0.01). Moreover, the airway vascular permeability index was significantly correlated with the severity of EIB (percentage of maximal fall in FEV(1) [r = 0.761, p = 0.0002], AUC(0-30) [r = 0.716, p = 0.0005]). The patients had 31 cases of antineoplastic agent-induced pneumonitis and 29 cases of nonneoplastic. an existing underlying allergic disease, acute constriction of the bronchi, und Erwachsenen mit einer Montelukast Monotherapie, Only a few studies are available that evaluate montelukast monotherapy, die gleichzeitige Erhebung der Symptomatik und die Messung. In a randomized, double-blind, 3-way, crossover design, group 1 (n = 20) received placebo and 5 and 20 mg zafirlukast, and group 2 (n = 19) received placebo and 10 and 40 mg zafirlukast. RESUME Aujourd'hui, le bronchospasme est l'une des maladies chroniques les plus fréquentes dans le monde. Based on their respective receiver operating characteristic curves, the best separation of the two subject groups occurred at a d%FEV1 of 5 percent and 12 percent for the two EVH techniques and MIC, respectively. Sputum samples were collected before, 7 h, and 24 h after challenge. Of the 114 athletes not currently taking medications for asthma, at least 14% (16 athletes) were EIB positive. Ärger und Stress können abgeschüttelt werden, neue Kraft und Energie werden gewonnen . Recent research suggests that asthma, another highly prevalent, chronic inflammatory disease, may also respond to fish oil supplements. EIB was defined as a fall in forced expiratory volume in 1 s (FEV1) of ≥10% post-exercise. Conclusion: Pediatricians' prediction of EIB occurrence was sensitive, but poorly specific. Our results indicate that a daily dose of Dunaliella beta-carotene exerts a protective effect against EIA in some patients most probably through in vivo antioxidative effect. Cromolyn sodium is an alternative class of medication that inhibits both the early and late phase responses. We performed aerobiologic monitoring of the major Olympic venues to provide a profile of the most prevalent pollen species appearing during the spring.
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