Document Detail

The free running athletic screening test as a screening test for exercise-induced asthma in high school.
MedLine Citation:
PMID:  9134067     Owner:  NLM     Status:  MEDLINE    
As part of a multicenter study envisioned by the American College of Allergy Sports Committee to screen for exercise-induced asthma, 303 high school students, freshman and sophomore gym classes, completed a questionnaire concerning exercise-related asthma, chronic asthma, and atopy. The study group included 124 females (41%) and 179 males (59%) with an average and median age of 15 years and a range of 13-17 years, and included 99% Caucasian and 1% nonCaucasian students, all attending the same parochial high school. After obtaining informed consent, 112 (37%) agreed to a free running test with initial challenge on an outdoor cinder track during April-June 1995. All challenges were conducted between 8:00 A.M. and noon with relative-humidity 59% and average temperature 15 degrees C. The challenge consisted of 7 minutes of continuous running on the cinder track with a doubling of pulse rate to 160/min during the run. Peak expiratory flows were taken at baseline, 0, 5, and 10 minutes postexercise. Twenty nine of 112 (26%) of the students were initially assessed as positive challenges, defined as a 15% decline in peak flow following exercise on the first challenge. However, four students self-recovered; thus 25 of 112 (22%) were qualified as true positives. Of these 25, 20 (80%) agreed to be reexercised. Fourteen of 20 (70%) were positive, yielding a prevalence rate of 14/112 (12.5%). Sixteen of these 20 (80%) were then exercised a third time using spirometry pre- and postexercise. Eight were positive, yielding a prevalence rate of 8/112 (7%). The questionnaire correlated significantly with the challenge, particularly when read by section (p = 0.000001) rather than globally positive or negative (p = 0.00008), with a specificity of 64%, sensitivity of 94%, positive predictive value of 44%, and negative predictive value of 97%. In summary, inexpensive and familiar free-running tests can be a useful screening test to confirm the questionnaire which is sensitive (94%) in ruling in, but has low specificity (64%) in ruling out, exercise-induced asthma.
C Randolph; B Fraser; C Matasavage
Related Documents :
16284647 - National athletic trainers' association position statement: management of asthma in ath...
3339187 - Circulating concentrations of histamine, neutrophil chemotactic activity, and catechola...
17532237 - Stereoacuity is affected by induced phoria but returns toward baseline during vergence ...
24261057 - Exercise therapy for improved neck muscle function in helicopter aircrew.
1506937 - Heart rate response of firefighters to actual emergencies. implications for cardiorespi...
10901527 - Late complications and quality of life after atrial correction of transposition of the ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Allergy and asthma proceedings : the official journal of regional and state allergy societies     Volume:  18     ISSN:  1088-5412     ISO Abbreviation:  Allergy Asthma Proc     Publication Date:    1997 Mar-Apr
Date Detail:
Created Date:  1997-07-15     Completed Date:  1997-07-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9603640     Medline TA:  Allergy Asthma Proc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  93-8     Citation Subset:  IM    
St. Mary's Hospital, Division of Yale Regional Pediatric Program, Connecticut, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Asthma, Exercise-Induced / epidemiology,  prevention & control*
Mass Screening / methods*
Sensitivity and Specificity
Comment In:
Allergy Asthma Proc. 1997 Sep-Oct;18(5):311-2   [PMID:  9337425 ]

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

Previous Document:  Incidence of exercise-induced asthma in high school population in British Columbia.
Next Document:  The perennial pattern of clinical symptoms in children monosensitized to Olea europaea pollen allerg...