Document Detail


Pilot study: The effect of reducing treatment on exercise induced bronchoconstriction.
MedLine Citation:
PMID:  20597080     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
METHODS: Nineteen children, aged 8-16 years, with clinically stable asthma, receiving LABA/ICS combination therapy, were analyzed in this open-label pilot study. Children performed an exercise challenge at baseline and 3 weeks after the medication reduction. Best values of spirometric measurements of the forced expiratory volume in 1 sec (FEV(1)) were used for statistical calculations.
RESULTS: Maximum percent fall in FEV(1) was significantly lower after 3 weeks of ICS monotherapy (P = 0.03). Eight of 19 children had a >or=15% fall in FEV(1) after exercise at the initial exercise challenge. In this subgroup, maximum percent fall in FEV(1) after the medication reduction was significantly lower (P < 0.01), and in six children it decreased to <15%, indicating they no longer had EIB.
CONCLUSION: In clinically stable asthmatic children on LABA/ICS combination therapy, the cessation of the LABA can reduce and in most cases abolish EIB.
Authors:
E T G Kersten; J M M Driessen; J C van Leeuwen; B J Thio
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatric pulmonology     Volume:  45     ISSN:  1099-0496     ISO Abbreviation:  Pediatr. Pulmonol.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-30     Completed Date:  2010-12-15     Revised Date:  2011-01-11    
Medline Journal Info:
Nlm Unique ID:  8510590     Medline TA:  Pediatr Pulmonol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  927-33     Citation Subset:  IM    
Copyright Information:
(c) 2010 Wiley-Liss, Inc.
Affiliation:
Department of Pediatrics, Medisch Spectrum Twente, Enschede, the Netherlands. elinkersten@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Administration, Inhalation
Adolescent
Adrenal Cortex Hormones / administration & dosage*
Adrenergic beta-2 Receptor Agonists / administration & dosage*
Asthma, Exercise-Induced / drug therapy*
Child
Drug Administration Schedule
Drug Therapy, Combination
Female
Humans
Male
Pilot Projects
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Adrenergic beta-2 Receptor Agonists

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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