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Respiratory health of elite athletes – preventing airway injury: a critical review

Identifieur interne : 000F05 ( Istex/Curation ); précédent : 000F04; suivant : 000F06

Respiratory 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.

RBID : ISTEX:4F7EC469790D0AA3F9C581D2FF08D4A800C795E2

Descripteurs français

Wicri :
- topic : Allergie, Déshydratation, Polluant.

English descriptors

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:

https://api.istex.fr/document/4F7EC469790D0AA3F9C581D2FF08D4A800C795E2/fulltext/pdf

DOI: 10.1136/bjsports-2012-091056

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Le document en format XML

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<affiliation wicri:level="1"><mods:affiliation>Centre for Sports Medicine & Human Performance, Brunel University, Uxbridge, UK</mods:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Sports Medicine & Human Performance, Brunel University, Uxbridge</wicri:regionArea>
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<author><name sortKey="Fitch, Kenneth D" sort="Fitch, Kenneth D" uniqKey="Fitch K" first="Kenneth D" last="Fitch">Kenneth D. Fitch</name>
<affiliation wicri:level="1"><mods:affiliation>School of Sports Science, Exercise and Health, Faculty of Life Sciences, University of Western Australia, Crawley, Western Australia, Australia</mods:affiliation>
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<author><name sortKey="Anderson, Sandra Doreen" sort="Anderson, Sandra Doreen" uniqKey="Anderson S" first="Sandra Doreen" last="Anderson">Sandra Doreen Anderson</name>
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<author><name sortKey="Bougault, Valerie" sort="Bougault, Valerie" uniqKey="Bougault V" first="Valerie" last="Bougault">Valerie Bougault</name>
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<profileDesc><textClass><keywords scheme="KwdEn" 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>
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<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>
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<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>
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Respiratory health of elite athletes – preventing airway injury: a critical review

Respiratory health of elite athletes – preventing airway injury: a critical review

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

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