Respiratory health of elite athletes – preventing airway injury: a critical review
Identifieur interne : 000454 ( Istex/Checkpoint ); précédent : 000453; suivant : 000455Respiratory health of elite athletes – preventing airway injury: a critical review
Auteurs : Pascale Kippelen [Royaume-Uni] ; Kenneth D. Fitch [Australie] ; Sandra Doreen Anderson [Australie] ; Valerie Bougault [France] ; Louis-Philippe Boulet [Canada] ; Kenneth William Rundell [États-Unis] ; Malcolm Sue-Chu [Norvège] ; Donald C. Mckenzie [Canada]Source :
- British Journal of Sports Medicine [ 0306-3674 ] ; 2012-06.
Descripteurs français
- Wicri :
- topic : Allergie, Déshydratation, Polluant.
English descriptors
- KwdEn :
- Acute effects, Airborne pollutants, Airway, Airway cooling, Airway dysfunction, Airway epithelial cells, Airway epithelial injury, Airway epithelium, Airway hyperresponsiveness, Airway injury, Airway surface, Allergy, Allergy clin immunol, Animal studies, Antioxidant, Antioxidant supplementation, Antioxidant supplements, Appl physiol, Arterial hypoxemia, Asthma, Athlete, Bronchial hyperresponsiveness, Bronchial responsiveness, Bronchoconstriction, Brunel university, Chlorinated, Clin, Cold environment, Competition rules, Critical review, Dehydration, Dehydration stress, Dysfunction, Elite athletes, Elite endurance athletes, Elite swimmers, Environmental factors, Epithelial, Epithelial cells, Epithelium, Exerc, Experimental data, February, Federation internationale, Functional changes, Gure skaters, High levels, High prevalence, High ventilation, Hockey players, Hyperresponsiveness, Immune system, Immunol, Indoor chlorinated, Inhal toxicol, Inhalation, Inhaled, Inhaled corticosteroids, Inspiratory stridor, Intense training, Intermittent exercises, January, Lung function, Murine model, Nasal breathing, Nitrogen trichloride, Noxious agents, Olympic athletes, Online, Oxidative stress, Particulate matter, Pharmacological agents, Physical forces, Physiol, Pollutant, Pool water, Prevention strategies, Protective effect, Pulmonary function, Respir, Respir crit care, Respiratory symptoms, Respiratory tract infection, Rhinitis, Rundell, Serum pneumoproteins, Skier, Sports exerc, Sports medicine, Supplementation, Susceptible athletes, Swimmer, Synchronised swimmers, Toxicol, Training schedules, Uorine particles, Vocal cord dysfunction, Water content, Water loss, Western australia, Wind chill factor, Young athletes.
- Teeft :
- Acute effects, Airborne pollutants, Airway, Airway cooling, Airway dysfunction, Airway epithelial cells, Airway epithelial injury, Airway epithelium, Airway hyperresponsiveness, Airway injury, Airway surface, Allergy, Allergy clin immunol, Animal studies, Antioxidant, Antioxidant supplementation, Antioxidant supplements, Appl physiol, Arterial hypoxemia, Asthma, Athlete, Bronchial hyperresponsiveness, Bronchial responsiveness, Bronchoconstriction, Brunel university, Chlorinated, Clin, Cold environment, Competition rules, Critical review, Dehydration, Dehydration stress, Dysfunction, Elite athletes, Elite endurance athletes, Elite swimmers, Environmental factors, Epithelial, Epithelial cells, Epithelium, Exerc, Experimental data, February, Federation internationale, Functional changes, Gure skaters, High levels, High prevalence, High ventilation, Hockey players, Hyperresponsiveness, Immune system, Immunol, Indoor chlorinated, Inhal toxicol, Inhalation, Inhaled, Inhaled corticosteroids, Inspiratory stridor, Intense training, Intermittent exercises, January, Lung function, Murine model, Nasal breathing, Nitrogen trichloride, Noxious agents, Olympic athletes, Online, Oxidative stress, Particulate matter, Pharmacological agents, Physical forces, Physiol, Pollutant, Pool water, Prevention strategies, Protective effect, Pulmonary function, Respir, Respir crit care, Respiratory symptoms, Respiratory tract infection, Rhinitis, Rundell, Serum pneumoproteins, Skier, Sports exerc, Sports medicine, Supplementation, Susceptible athletes, Swimmer, Synchronised swimmers, Toxicol, Training schedules, Uorine particles, Vocal cord dysfunction, Water content, Water loss, Western australia, Wind chill factor, Young athletes.
Abstract
Elite athletes, particularly those engaged in endurance sports and those exposed chronically to airborne pollutants/irritants or allergens, are at increased risk for upper and lower airway dysfunction. Airway epithelial injury may be caused by dehydration and physical stress applied to the airways during severe exercise hyperpnoea and/or by inhalation of noxious agents. This is thought to initiate an inflammatory cascade/repair process that, ultimately, could lead to airway hyperresponsiveness (AHR) and asthma in susceptible athletes. The authors review the evidence relating to prevention or reduction of the risk of AHR/asthma development. Appropriate measures should be implemented when athletes exercise strenuously in an attempt to attenuate the dehydration stress and reduce the exposure to noxious airborne agents. Environmental interventions are the most important. Non-pharmacological strategies can assist, but currently, pharmacological measures have not been demonstrated to be effective. Whether early prevention of airway injury in elite athletes can prevent or reduce progression to AHR/asthma remains to be established.
Url:
DOI: 10.1136/bjsports-2012-091056
Affiliations:
- Australie, Canada, France, Norvège, Royaume-Uni, États-Unis
- Hauts-de-France, Nord-Pas-de-Calais, Pennsylvanie, Trøndelag
- Lille, Trondheim
Links toward previous steps (curation, corpus...)
Links to Exploration step
ISTEX:4F7EC469790D0AA3F9C581D2FF08D4A800C795E2Le document en format XML
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Fitch</name></author><author><name sortKey="Anderson, Sandra Doreen" sort="Anderson, Sandra Doreen" uniqKey="Anderson S" first="Sandra Doreen" last="Anderson">Sandra Doreen Anderson</name></author><author><name sortKey="Bougault, Valerie" sort="Bougault, Valerie" uniqKey="Bougault V" first="Valerie" last="Bougault">Valerie Bougault</name></author><author><name sortKey="Boulet, Louis Philippe" sort="Boulet, Louis Philippe" uniqKey="Boulet L" first="Louis-Philippe" last="Boulet">Louis-Philippe Boulet</name></author><author><name sortKey="Rundell, Kenneth William" sort="Rundell, Kenneth William" uniqKey="Rundell K" first="Kenneth William" last="Rundell">Kenneth William Rundell</name></author><author><name sortKey="Sue Chu, Malcolm" sort="Sue Chu, Malcolm" uniqKey="Sue Chu M" first="Malcolm" last="Sue-Chu">Malcolm Sue-Chu</name></author><author><name sortKey="Mckenzie, Donald C" sort="Mckenzie, Donald C" uniqKey="Mckenzie D" first="Donald C" last="Mckenzie">Donald C. 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xml:lang="en"><term>Acute effects</term><term>Airborne pollutants</term><term>Airway</term><term>Airway cooling</term><term>Airway dysfunction</term><term>Airway epithelial cells</term><term>Airway epithelial injury</term><term>Airway epithelium</term><term>Airway hyperresponsiveness</term><term>Airway injury</term><term>Airway surface</term><term>Allergy</term><term>Allergy clin immunol</term><term>Animal studies</term><term>Antioxidant</term><term>Antioxidant supplementation</term><term>Antioxidant supplements</term><term>Appl physiol</term><term>Arterial hypoxemia</term><term>Asthma</term><term>Athlete</term><term>Bronchial hyperresponsiveness</term><term>Bronchial responsiveness</term><term>Bronchoconstriction</term><term>Brunel university</term><term>Chlorinated</term><term>Clin</term><term>Cold environment</term><term>Competition rules</term><term>Critical review</term><term>Dehydration</term><term>Dehydration stress</term><term>Dysfunction</term><term>Elite athletes</term><term>Elite endurance athletes</term><term>Elite swimmers</term><term>Environmental factors</term><term>Epithelial</term><term>Epithelial cells</term><term>Epithelium</term><term>Exerc</term><term>Experimental data</term><term>February</term><term>Federation internationale</term><term>Functional changes</term><term>Gure skaters</term><term>High levels</term><term>High prevalence</term><term>High ventilation</term><term>Hockey players</term><term>Hyperresponsiveness</term><term>Immune system</term><term>Immunol</term><term>Indoor chlorinated</term><term>Inhal toxicol</term><term>Inhalation</term><term>Inhaled</term><term>Inhaled corticosteroids</term><term>Inspiratory stridor</term><term>Intense training</term><term>Intermittent exercises</term><term>January</term><term>Lung function</term><term>Murine model</term><term>Nasal breathing</term><term>Nitrogen trichloride</term><term>Noxious agents</term><term>Olympic athletes</term><term>Online</term><term>Oxidative stress</term><term>Particulate matter</term><term>Pharmacological agents</term><term>Physical forces</term><term>Physiol</term><term>Pollutant</term><term>Pool water</term><term>Prevention strategies</term><term>Protective effect</term><term>Pulmonary function</term><term>Respir</term><term>Respir crit care</term><term>Respiratory symptoms</term><term>Respiratory tract infection</term><term>Rhinitis</term><term>Rundell</term><term>Serum pneumoproteins</term><term>Skier</term><term>Sports exerc</term><term>Sports medicine</term><term>Supplementation</term><term>Susceptible athletes</term><term>Swimmer</term><term>Synchronised swimmers</term><term>Toxicol</term><term>Training schedules</term><term>Uorine particles</term><term>Vocal cord dysfunction</term><term>Water content</term><term>Water loss</term><term>Western australia</term><term>Wind chill factor</term><term>Young athletes</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Acute effects</term><term>Airborne pollutants</term><term>Airway</term><term>Airway cooling</term><term>Airway dysfunction</term><term>Airway epithelial cells</term><term>Airway epithelial injury</term><term>Airway epithelium</term><term>Airway hyperresponsiveness</term><term>Airway injury</term><term>Airway surface</term><term>Allergy</term><term>Allergy clin immunol</term><term>Animal studies</term><term>Antioxidant</term><term>Antioxidant supplementation</term><term>Antioxidant supplements</term><term>Appl physiol</term><term>Arterial hypoxemia</term><term>Asthma</term><term>Athlete</term><term>Bronchial hyperresponsiveness</term><term>Bronchial responsiveness</term><term>Bronchoconstriction</term><term>Brunel university</term><term>Chlorinated</term><term>Clin</term><term>Cold environment</term><term>Competition rules</term><term>Critical review</term><term>Dehydration</term><term>Dehydration stress</term><term>Dysfunction</term><term>Elite athletes</term><term>Elite endurance athletes</term><term>Elite swimmers</term><term>Environmental factors</term><term>Epithelial</term><term>Epithelial cells</term><term>Epithelium</term><term>Exerc</term><term>Experimental data</term><term>February</term><term>Federation internationale</term><term>Functional changes</term><term>Gure skaters</term><term>High levels</term><term>High prevalence</term><term>High ventilation</term><term>Hockey players</term><term>Hyperresponsiveness</term><term>Immune system</term><term>Immunol</term><term>Indoor chlorinated</term><term>Inhal toxicol</term><term>Inhalation</term><term>Inhaled</term><term>Inhaled corticosteroids</term><term>Inspiratory stridor</term><term>Intense training</term><term>Intermittent exercises</term><term>January</term><term>Lung function</term><term>Murine model</term><term>Nasal breathing</term><term>Nitrogen trichloride</term><term>Noxious agents</term><term>Olympic athletes</term><term>Online</term><term>Oxidative stress</term><term>Particulate matter</term><term>Pharmacological agents</term><term>Physical forces</term><term>Physiol</term><term>Pollutant</term><term>Pool water</term><term>Prevention strategies</term><term>Protective effect</term><term>Pulmonary function</term><term>Respir</term><term>Respir crit care</term><term>Respiratory symptoms</term><term>Respiratory tract infection</term><term>Rhinitis</term><term>Rundell</term><term>Serum pneumoproteins</term><term>Skier</term><term>Sports exerc</term><term>Sports medicine</term><term>Supplementation</term><term>Susceptible athletes</term><term>Swimmer</term><term>Synchronised swimmers</term><term>Toxicol</term><term>Training schedules</term><term>Uorine particles</term><term>Vocal cord dysfunction</term><term>Water content</term><term>Water loss</term><term>Western australia</term><term>Wind chill factor</term><term>Young athletes</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Allergie</term><term>Déshydratation</term><term>Polluant</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Elite athletes, particularly those engaged in endurance sports and those exposed chronically to airborne pollutants/irritants or allergens, are at increased risk for upper and lower airway dysfunction. Airway epithelial injury may be caused by dehydration and physical stress applied to the airways during severe exercise hyperpnoea and/or by inhalation of noxious agents. This is thought to initiate an inflammatory cascade/repair process that, ultimately, could lead to airway hyperresponsiveness (AHR) and asthma in susceptible athletes. The authors review the evidence relating to prevention or reduction of the risk of AHR/asthma development. Appropriate measures should be implemented when athletes exercise strenuously in an attempt to attenuate the dehydration stress and reduce the exposure to noxious airborne agents. Environmental interventions are the most important. Non-pharmacological strategies can assist, but currently, pharmacological measures have not been demonstrated to be effective. Whether early prevention of airway injury in elite athletes can prevent or reduce progression to AHR/asthma remains to be established.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Canada</li><li>France</li><li>Norvège</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Hauts-de-France</li><li>Nord-Pas-de-Calais</li><li>Pennsylvanie</li><li>Trøndelag</li></region><settlement><li>Lille</li><li>Trondheim</li></settlement></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Kippelen, Pascale" sort="Kippelen, Pascale" uniqKey="Kippelen P" first="Pascale" last="Kippelen">Pascale Kippelen</name></noRegion></country><country name="Australie"><noRegion><name sortKey="Fitch, Kenneth D" sort="Fitch, Kenneth D" uniqKey="Fitch K" first="Kenneth D" last="Fitch">Kenneth D. Fitch</name></noRegion><name sortKey="Anderson, Sandra Doreen" sort="Anderson, Sandra Doreen" uniqKey="Anderson S" first="Sandra Doreen" last="Anderson">Sandra Doreen Anderson</name></country><country name="France"><region name="Hauts-de-France"><name sortKey="Bougault, Valerie" sort="Bougault, Valerie" uniqKey="Bougault V" first="Valerie" last="Bougault">Valerie Bougault</name></region></country><country name="Canada"><noRegion><name sortKey="Boulet, Louis Philippe" sort="Boulet, Louis Philippe" uniqKey="Boulet L" first="Louis-Philippe" last="Boulet">Louis-Philippe Boulet</name></noRegion><name sortKey="Mckenzie, Donald C" sort="Mckenzie, Donald C" uniqKey="Mckenzie D" first="Donald C" last="Mckenzie">Donald C. Mckenzie</name></country><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Rundell, Kenneth William" sort="Rundell, Kenneth William" uniqKey="Rundell K" first="Kenneth William" last="Rundell">Kenneth William Rundell</name></region></country><country name="Norvège"><region name="Trøndelag"><name sortKey="Sue Chu, Malcolm" sort="Sue Chu, Malcolm" uniqKey="Sue Chu M" first="Malcolm" last="Sue-Chu">Malcolm Sue-Chu</name></region><name sortKey="Sue Chu, Malcolm" sort="Sue Chu, Malcolm" uniqKey="Sue Chu M" first="Malcolm" last="Sue-Chu">Malcolm Sue-Chu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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