Clinical inquiries. What best prevents exercise-induced bronchoconstriction for a child with asthma?

J Fam Pract. 2006 Jul;55(7):631-3.

Abstract

Inhaled short-acting beta-agonists (SABAs) are most effective in preventing exercise-induced bronchoconstriction, followed by inhaled mast cell stabilizers and anticholinergic agents (strength of recommendation [SOR]: A, multiple randomized control trials [RCTs]). Less evidence supports the use of leukotriene antagonists and inhaled corticosteroids, either individually or in combination (SOR: B). Underlying asthma, which commonly contributes to exercise-induced bronchoconstriction, should be diagnosed and controlled first (SOR: C).

Publication types

  • Review

MeSH terms

  • Adrenergic beta-Agonists / therapeutic use*
  • Asthma / etiology
  • Asthma / prevention & control*
  • Child
  • Cholinergic Antagonists / therapeutic use
  • Exercise
  • Forced Expiratory Volume / drug effects
  • Humans
  • Mast Cells / drug effects

Substances

  • Adrenergic beta-Agonists
  • Cholinergic Antagonists