{"id":15772,"date":"2018-05-03T09:16:15","date_gmt":"2018-05-03T15:16:15","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=15772"},"modified":"2023-06-23T10:57:22","modified_gmt":"2023-06-23T16:57:22","slug":"is-exercise-a-risk-for-asthma","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/is-exercise-a-risk-for-asthma\/","title":{"rendered":"Is exercise a risk for asthma?"},"content":{"rendered":"
<\/div>

\"AWhat do soccer great David Beckham, track and field star Jackie Joyner-Kersee and daredevil diver Greg Louganis have in common besides winning Olympic medals? They all suffer from what used<\/em> to be called exercise-induced asthma. Used to be.<\/p>\n

Now it\u2019s more correctly called exercise-induced bronchoconstriction, or EIB.<\/p>\n

\u201cExercise is not a risk factor for asthma; rather it is a trigger of bronchoconstriction,\u201d said Dr. Robert Janata, a pulmonologist and Medical Director of Lung and Respiratory Care at UCHealth Pulmonology Clinic at\u00a0Longs Peak Hospital <\/a>in Longmont.<\/p>\n

EIB is not asthma \u2013 although many people with asthma also suffer from EIB. It is the acute narrowing of the airway that occurs as a result of exercise. But it also occurs in those who do not have asthma. The difference between the two afflictions was clarified in 2010, Janata said. One difference is that EIB rarely occurs at night or when the patient is at rest. The confusion comes because the symptoms are so similar \u2013 coughing, wheezing and dyspnea (shortness of breath).<\/p>\n

EIB is not uncommon \u2013 it affects from 5 to 20 percent of the general population. Asthma affects more than 300 million people worldwide, and about 90 percent of those also have EIB, he said.<\/p>\n

\"A
Dr. Robert Janata<\/figcaption><\/figure>\n

EIB tends to show up more among elite athletes \u2013in about 18 percent of swimmers, 16 percent of cyclers and 12 percent of triathletes. EIB also afflicts about 20 to 35 percent of hockey players and ice skaters, likely triggered by a large volume of relatively cool, dry air and emissions from cleaning equipment.<\/p>\n

Swimmers who experience a longer duration of exposure to chloramines (more than 100 hours) also show a higher prevalence of EIB. (Discontinuation of swimming resulted in decreased EIB.)<\/p>\n

Other triggers include pollution, pollen and other irritants, as well as general air quality, he said, and noted that ozone also plays a role. \u201cHigher levels of ambient ozone, emissions and particulate matter from traffic have been shown to enhance EIB response in asthmatic children,\u201d he said.<\/p>\n

He cites a case study in his presentations on EIB. The subject is a 15-year-old boy who loves sports but can\u2019t keep up with the other players. Shortly after he embarks on an activity, he becomes winded and begins coughing. After taking an exercise test, his lung function had decreased by 25 percent, Janata said.<\/p>\n

That\u2019s typical of EIB.<\/p>\n

\u201cBronchoconstriction typically begins several minutes after exercise, and peaks in about 10 to 15 minutes,\u201d he said. Typical symptoms include: shortness of breath, chest tightness, coughing and wheezing.<\/p>\n

The good news is, therapy can help prevent symptoms induced by exercise and even enhance overall asthma control, Janata said.<\/p>\n

The most common treatment is short-acting inhalers although some patients may do well on long-lasting therapies such as inhaled steroids.<\/p>\n

He also recommends that those who tend to experience
\nEIB take time to warm up prior to their activity and exercise regularly to improve their overall cardiovascular fitness.<\/p>\n

Short-acting therapy such as Albuterol is the most effective quick-acting therapy for EIB when given 5 to 15 minutes prior to starting exercise. It can be effective for as long as 2 to 4 hours. The downside is that it may not prevent bronchoconstriction in as many as 15 to 20 percent of asthmatics, and daily use may lead to tolerance (and, thus, ineffectiveness).<\/p>\n

When used with the case study patient, Albuterol worked well when he could use it, but it wasn\u2019t always possible to use it before all activities. When he changed, and started to use Singulair every night before bed, it almost eliminated his need to use the Albuterol.<\/p>\n

\u201cNow he is able to keep up with the other kids,\u201d Janata said.<\/p>\n

Anyone who thinks they are suffering from EIB should consult with their primary care provider or a specialist for diagnosis and treatment, he said. After all, it didn\u2019t stop dozens of Olympic athletes.<\/p>\n","protected":false},"excerpt":{"rendered":"

What do soccer great David Beckham, track and field star Jackie Joyner-Kersee and daredevil diver Greg Louganis have in common besides winning Olympic medals? They all suffer from what used to be called exercise-induced asthma. Used to be. Now it\u2019s more correctly called exercise-induced bronchoconstriction, or EIB. \u201cExercise is not a risk factor for asthma; […]<\/p>\n","protected":false},"author":18,"featured_media":15774,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6],"tags":[3357,177,9187,315],"class_list":["post-15772","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-living","tag-lung-and-respiratory-care-pulmonology","tag-pulmonology","tag-readysetco","tag-uchealth-longs-peak-hospital"],"acf":[],"yoast_head":"\nIt used to be called exercise-induced asthma. 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