Exercise-Induced Bronchoconstriction: Background, Prevalence, and Sport Considerations

Immunol Allergy Clin North Am. 2018 May;38(2):205-214. doi: 10.1016/j.iac.2018.01.007. Epub 2018 Mar 2.

Abstract

The transient airway narrowing that occurs as a result of exercise is defined as exercise-induced bronchoconstriction (EIB). The prevalence of EIB has been reported to be up to 90% in asthmatic patients, reflecting the level of disease control. However, EIB may develop even in subjects without clinical asthma, particularly in children, athletes, patients with atopy or rhinitis, and following respiratory infections. The intensity, duration, and type of training have been associated with the occurrence of EIB. In athletes, EIB seems to be only partly reversible, and exercise seems to be a causative factor of airway inflammation and symptoms.

Keywords: Asthma; Athlete; Bronchoconstriction; Exercise; Prevalence; Sport discipline.

Publication types

  • Review

MeSH terms

  • Asthma, Exercise-Induced / drug therapy
  • Asthma, Exercise-Induced / epidemiology*
  • Asthma, Exercise-Induced / immunology
  • Asthma, Exercise-Induced / physiopathology
  • Athletes
  • Comorbidity
  • Exercise / physiology*
  • Female
  • Humans
  • Male
  • Prevalence
  • Respiratory System / immunology
  • Respiratory System / physiopathology
  • Rhinitis, Allergic / drug therapy
  • Rhinitis, Allergic / epidemiology*
  • Rhinitis, Allergic / immunology
  • Rhinitis, Allergic / physiopathology
  • Sex Factors
  • Sports / physiology*