A study to assess the prevalence of exercise-induced bronchoconstriction in inter-county hurling

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Date
2017
Authors
Hunt, Eithne
Murphy, B.
Murphy, C.
Crowley, T.
Cronin, Owen
Hay, S.
Stack, M.
Bowen, Bernadette
Ronan, Nicola J.
Greene, E.
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Irish Medical Organisation
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Abstract
Exercise-Induced Bronchoconstriction (EIB) is an acute, transient airway narrowing occurring after exercise which may impact athletic performance. Studies report 10% of the general population and up to 90% of asthmatics experience EIB. Ninety-two players from three elite hurling squads underwent a spirometric field-based provocation test with real-time heart rate monitoring and lactate measurements to ensure adequate exertion. Players with a new diagnosis of EIB and those with a negative field-test but with a previous label of EIB or asthma underwent further reversibility testing and if negative, methacholine challenge. Eight (8.7%) of players had EIB, with one further athlete having asthma with a negative field test. Interestingly, only three out of 12 players who had previously been physician-labelled with EIB or asthma had their diagnosis objectively confirmed. Our study highlights the role of objective testing in EIB.
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Keywords
House dust allergen , Immunoglobulin E , Lactic acid , Adult , Article , Asthma , Athletic performance , Bronchoconstriction , Clinical article , Exercise , Exercise test , Forced expiratory volume , Heart rate , Human , Lung function test , Prevalence , Provocation test , Questionnaire , Radioallergosorbent test , Spirometry , Valsalva maneuver
Citation
Hunt, E. B., Murphy, B., Murphy, C., Crowley, T., Cronin, O., Hay, S., Stack, M., Bowen, B., Ronan, N. J., Greene, E., Eustace, J. A., Plant, B. J. and Murphy, D. M. (2017) 'A study to assess the prevalence of exercise-induced bronchoconstriction in inter-county hurling'. Irish Medical Journal, 110 (10), 655. http://imj.ie/a-study-to-assess-the-prevalence-of-exercise-induced-bronchoconstriction-in-inter-county-hurling/
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© 2017, Irish Medical Organisation. All Rights Reserved.