Volume 4 Supplement 1

3rd Pediatric Allergy and Asthma Meeting (PAAM)

Open Access

O02 - Exercise-induced bronchoconstriction in young athletes

  • Sven Seys1,
  • Gudrun Marijsse1,
  • Ellen Dilissen1,
  • Thierry Troosters1,
  • Jan Ceuppens1,
  • Koen Peers1,
  • Lieven Dupont1 and
  • Dominique Bullens1
Clinical and Translational Allergy20144(Suppl 1):O2

DOI: 10.1186/2045-7022-4-S1-O2

Published: 28 February 2014

Introduction

Exercise induced bronchoconstriction (EIB) is more prevalent in elite athletes compared to controls. It is however unclear how many young athletes suffer from EIB.

Methods

Football players (n=24), basketball players (n=15), swimmers (n=12) were recruited at the elite sport high school (12-14 years old) in Leuven (Belgium). Age-matched controls (n=7) were recruited among children performing sports at a recreational level. Eucapnic voluntary hyperventilation test was used to assess EIB according to previous standards. Subjects breathed a gas mixture (5% CO2, 21% O2 and 74% N2) at a target rate of 85% of their maximal voluntary ventilation (MVV) per minute (assessed before the EVH test) for 6 minutes. Spirometry was performed at 1, 5, 10 and 15 min after the EVH challenge. EVH test was considered positive if the fall in FEV1 ≥10%. Allergy for house dust mite, grass pollen, tree pollen, weeds, dog and moulds was assessed by skin prick test (considered positive if at least one SPT was positive).

Results

FVC (L) was significantly higher in swimmers compared to controls (p<0.05). EIB (fall in FEV1 ≥10% at EVH test) was diagnosed in 4 out of 12 swimmers, 3 out of 20 football players, 1 out of 11 basketball players and 1 out of 7 control individuals. Only 1 of these individuals (swimmer) had pre-existing asthma. Maximal fall in FEV1 (%) was significantly higher in swimmers (mean: -8.8%) compared to football players (mean: -6.1%), basketball players (mean: -1.0%) and controls (mean: -3.6%) (p=0.027). Allergy was equally distributed among four groups: 7 out of 24 football players, 1 out of 7 controls, 5 out of 11 basketball players, 3 out of 11 swimmers (p=0.94).

Conclusion

Swimmers had highest prevalence of EIB. Maximal fall in FEV1 was significantly higher in swimmers compared to other athletes and controls despite higher FVC levels. Competitive swimmers are exposed to both intense exercise and airborne trichloramine in contrast to other athletes (only intense exercise) and controls. This might explain why airway hyperreactivity is more common in swimmers compared to other athletes.

Authors’ Affiliations

(1)
Catholic University of Leuven

Copyright

© Seys et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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