Respiratory Tract Dysfunction in Sportsmen
DOI:
https://doi.org/10.29038/2220-7481-2017-02-169-177Keywords:
bronchial asthma, bronchial hypersensitivity, respiratory tract infections, throat obstruction, sportsmenAbstract
Actuality. Increasing number of macrocycles during athletes’ training focused on the achievement of high sports results leads to lower adaptive potential and as a result to the pre and pathological conditions, including – respiratory tract dysfunction. The aim – to analyze prevalence and reasons of respiratory tract dysfunction in athletes of high qualification. Results. The analysis of modern scientific data indicates high prevalence of asthma among professional sportsmen, skiers – 14–55 %, swimmers – 13–44 %, long-distance runners – 15–24 %. Professional sportsmen have got induced by physical loading laryngeal obstruction that is the main reason of larynx obstruction. The prevalence of this pathology among healthy population is ~ 5 % while among athletes – from 35 % to 70 %. Symptoms that indicate the infection of upper respiratory tract are between 30 to 40 % of the complaints of professional sportsmen in health facilities, especially among runners, cyclists, skiers, swimmers, rowers, and – tennis players and gymnasts. Currently, many experts hold to the hypothesis of «non infectious» nature of symptoms of URTI, likely of allergic nature. Risk factors, mechanisms of respiratory tract dysfunction in sportsmen were analyzed. Conclusions. The prevalence of respiratory tract dysfunction (asthma, induced by physical loading laryngeal obstruction, chronic cough, respiratory infections) among qualified athletes is much bigger than among the normal population. Determining risk factors are atopy, ventilatory needs of the kind of sport and training environment.
References
Parsons, J. P., Hallstrand, T. S., Mastronarde, J. G. et al. (2013). An official American Thoracic Society clinical practice guideline: exercise-induced bronchoconstriction. Am. J. Respir. Crit. Care. Med. № 187. Р. 1016–1027.
Anderson, S. D., Kippelen, Р. et al. (2013). An official American Thoracic Society clinical practice guideline: exercise-induced bronchoconstriction. Am. J. Respir. Crit. Care. Med. № 187. Р. 1016–1027.
Bonini, М., Gramiccioni, С., Fioretti, D. et al. (2015). Asthma, allergy and the Olympics: a 12-year survey in elite athletes. Curr. Opin. Allergy Clin. Immunol. № 15(2). Р. 184–192.
Bermon, S. (2007). Airway inflammation and upper respiratory tract infection in athletes: is there a link? Exerc. Immuno. Rev. № 13. Р. 6–14.
Bonini, M. & Palange, Р. (2015). Exercise-induced bronchoconstriction: new evidence in pathogenesis, diagnosis and treatment. Asthma Research and Practice. № 1. Р. 2–7.
Bougault, V., Turmel, J. & Boulet, L. P. (2011). Airway hyperresponsiveness in elite swimmers: is it a transient phenomenon? Allergy Clin. Immunol. № 127. Р. 892–898.
Couto, M. & Moreira, А. (2016). The athlete "out of breath". Eur. Ann. Allergy Clin. Immunol., № 48(2). Р. 36–45.
Covantev, S., Corlateanu, A. & Botnaru, V. (2016). Exercise-Induced Bronchoconstriction in Athletes. Austin J. Pulm. Respir. Med. № 3(1). Р. 1037–1041.
Moreira, А., Delgado, L., Moreira, Р. et al. (2009). Does exercise increase the risk of upper respiratory tract infections? Br. Med. Bull. № 90. Р. 111–131.
Karjalainen, E. M., Laitinen, А., Sue-Chu, М. et al. (2000). Evidence of airway inflammation and remodeling in ski athletes with and without bronchial hyperresponsiveness to methacholine. Am J Respir Crit Care Med. № 161. Р. 2086–2091.
Żebrowska, А., Głuchowska, В. & Jastrzębski, D. (2015). Endurance training and the risk of bronchial asthma in female cross-country skiers. Adv. Exp. Med. Biol. № 840. Р. 29-34.
Hanks, C. D., Parsons, J., Benninger, C. et al. (2012). Etiology of dyspnea in elite and recreational athletes. Phys Sportsmed. № 40(2). Р. 28-33.
Gleeson, M. & Pyne, D. B. (2016). Respiratory inflammation and infections in high-performance athletes. Immunol Cell Biol. №. 94(2). Р. 124–131.
Lomax, M. (2016). Airway dysfunction in elite swimmers: prevalence, impact, and challenges. Open Access. J. Sports Med. № 12(7). Р. 5563.
Miller, C. C., Calder-Becker, К. & Modave, F. (2010). Swimming-induced pulmonary edema in triathletes. Am. J. Emerg. Med. № 28. Р. 941–946.
Morris, M. J., Allan, P. F. & Perkins, P. J. (2006). Vocal cord dysfunction: etiologies and treatment. Clin. Pulm. Med. №13. Р. 73–86.
Rameau, А., Foltz, R. S., Wagner, K., et al. (2012). Multidisciplinary approach to vocal cord dysfunction diagnosis and treatment in one session: a single institutional outcome study. Int. J. Pediatr.n Otorhinolaryngol. № 76, Р. 31–35.
Navarro, R.R., & Romero, K. (2013). Nasal issues in athletes. Curr. Sports Med. Rep. № 12(1). Р. 22–27.
Paiange, R., Brusasco, V. & Delgado, L. (2005). Exercise and airway pathology: interactions with immune and allergic responses. Eur. Res. Monograph. № 33(10). Р. 10−15.
Rundell, K.W. (2012). Effect of air pollution on athlete health and performance. Br. J. Sports Med. № 46(6), Р. 407–412.
See, K. C., Phua, J. & Lim, T. K. (2016). Trigger factors in asthma and chronic obstructive pulmonary disease: a single-centre cross-sectional study. Singapore Med. J. № 57(10). Р. 561–565.
Rundell, K. W., Im, J., Mayers, L. B. et al. (2001). Self-reported symptoms and exercise-induced asthma in the elite athlete. Med. Sci. Sports Exerc. № 33. Р. 208–213.
Traister, R. S., Fajt, M. L., Petrov, А. А. (2016). The morbidity and cost of vocal cord dysfunction misdiagnosed as asthma. Allergy Asthma Proc. № 37. Р. 25–31.
World Anti-Doping Agency (WADA). World anti-doping code. Date last accessed: March 9, 2016.
Walsh, N. P. & Oliver, S. J. (2016). Exercise, immune function and respiratory infection: An update on the influence of training and environmental stress. Immunol Cell Biol. №. 94(2). Р. 132–139.
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