Document Detail

Is asthma over- or under-diagnosed in athletes?
MedLine Citation:
PMID:  12587959     Owner:  NLM     Status:  MEDLINE    
A high prevalence of asthma has been reported in athletes. However, studies in this population usually show an even higher prevalence of airway hyperresponsiveness (AHR) and exercise-induced bronchoconstriction (EIB). This report compares studies on self-reported or physician-diagnosed asthma in athletes with those using objective measures of airflow limitation or airway responsiveness. The higher prevalence of AHR (or EIB) measured in athletes, when compared with the prevalence of self-reported or physician-diagnosed asthma, suggests that abnormal airway responses are common in athletes, although they are infrequently associated with troublesome respiratory symptoms. This may indicate underdiagnosis of asthma in athletes, possibly due to an underreporting of respiratory symptoms or a reduction in perception of nociceptive sensations with repeated exercise over time, or it may simply mean that high-level training is associated with asymptomatic AHR. In athletes, as in the general population, the use of subjective methods such as surveys and questionnaires results in an underestimation ofthe prevalence of airway dysfunction when compared with objective measurements. The significance of these observations is unknown, and there is a need to determine their long-term consequences for athletes.
J B Langdeau; L P Boulet
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Respiratory medicine     Volume:  97     ISSN:  0954-6111     ISO Abbreviation:  Respir Med     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-02-17     Completed Date:  2003-05-13     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8908438     Medline TA:  Respir Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  109-14     Citation Subset:  IM    
Institut Universitaire de cardiologie et de pneumologie de l'Université Laval, Hôpital Laval, Québec, Canada.
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MeSH Terms
Asthma, Exercise-Induced / diagnosis*,  epidemiology,  physiopathology
Bronchial Hyperreactivity / physiopathology
Bronchoconstriction / physiology
Diagnostic Errors
Forced Expiratory Volume / physiology

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

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