Document Detail

The environment, the airway, and the athlete.
MedLine Citation:
PMID:  21277508     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To review the interaction of environmental factors with host conditions, including atopy, the potential resulting impaired upper and lower airway function, and diagnostic and therapeutic considerations in the athlete.
DATA SOURCES: OVID, MEDLINE, and PubMed searches were performed cross-referencing the keywords asthma, athlete, atopy, bronchospasm, exercise, pollution, and rhinitis.
STUDY SELECTION: Articles were selected based on relevance to the subject matter.
RESULTS: Recent studies have yielded significant advances in our understanding of how intrinsic and extrinsic factors can potentially result in impaired function of the airways of athletes. Extrinsic factors include environmental exposure to temperature, humidity, aeroallergens, irritants, and pollution. Intrinsic factors include atopy, allergic rhinitis, asthma, and anatomical variants. These intrinsic and extrinsic factors can affect both the athlete's quality of life and athletic performance. However, uncertainty remains regarding relative contributions of these factors in explaining the high degree of bronchospasm seen in various populations of athletes with and without asthma, and no consensus exists regarding the most appropriate diagnostic and therapeutic modalities.
CONCLUSIONS: Great variability exists in the presentation, laboratory findings, diagnostic maneuvers, and response to therapeutic measures among populations of athletes in different sports and among individuals. An improved understanding of the unique exposures faced by athletes in different disciplines, of the available tests for pursuing the appropriate diagnosis, and of the available therapies will allow the allergist to provide clinical improvement and allow the athlete to find relief and achieve his/her full potential.
Joshua J Sacha; James M Quinn
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology     Volume:  106     ISSN:  1534-4436     ISO Abbreviation:  Ann. Allergy Asthma Immunol.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-31     Completed Date:  2011-03-14     Revised Date:  2011-09-13    
Medline Journal Info:
Nlm Unique ID:  9503580     Medline TA:  Ann Allergy Asthma Immunol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  81-7; quiz 88     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.
Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, Texas 78236, USA.
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MeSH Terms
Allergens / immunology
Asthma, Exercise-Induced / diagnosis,  etiology*,  therapy
Environmental Exposure / adverse effects*
Irritants / adverse effects
Rhinitis / etiology*,  therapy
Sports Medicine
Reg. No./Substance:
0/Allergens; 0/Irritants
Comment In:
Ann Allergy Asthma Immunol. 2011 Aug;107(2):183-4   [PMID:  21802031 ]

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

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