Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 70 (4), 339-42

The Value of Screening for Risk of Exercise-Induced Asthma in High School Athletes

  • PMID: 8466100

The Value of Screening for Risk of Exercise-Induced Asthma in High School Athletes

N T Rupp et al. Ann Allergy.


Exercise challenges were performed on 166 middle and high school student athletes (aged 12 to 18 years) to evaluate undiagnosed exercise-induced asthma (EIA). Seventy-three percent were male, 70% were white, and 30% were black. All students completed a questionnaire and were briefly interviewed to elicit risk factors for EIA. Resting spirometry, exercise treadmill provocation, and postexercise spirometry at 1, 10, 20, and 30 minutes were performed. Twenty-two students had reductions in FEV1 > or = 15% from baseline; 15 of these had FEV1 reductions > or = 20%. Of students considered at risk for EIA by history or baseline spirometry (N = 48, 29%) eight (17%) demonstrated EIA after exercise. Of students with no risk factors (N = 118, 71%), 14 (12%) demonstrated EIA after exercise, but would not have been identified without exercise challenge. The overall incidence of EIA was 12%, a rate that is consistent with previous studies of college and Olympic athletes. Sixty-four percent of students identified with EIA were not considered at risk by routine screening methods. History and spirometry alone may not be adequate as screening tools for EIA in adolescents.

Similar articles

  • Asthma Screening of High School Athletes: Identifying the Undiagnosed and Poorly Controlled
    SI Hammerman et al. Ann Allergy Asthma Immunol 88 (4), 380-4. PMID 11995669.
    The free running test is a good test for identifying and assessing the athlete with EIA. The PEFR meter is not a good screening tool for EIA in the high school athlete. A …
  • Length of Postexercise Assessment in the Determination of Exercise-Induced Bronchospasm
    DS Brudno et al. Ann Allergy 73 (3), 227-31. PMID 8092556.
    Exercise challenges were performed on 397 middle and high school athletes to detect unrecognized exercise-induced bronchospasm. All challenges were completed by a standar …
  • Exercise-induced Asthma Among Thai Asthmatic Children
    P Vichyanond et al. J Med Assoc Thai 85 Suppl 2, S579-85. PMID 12403235.
    The prevalence of EIA in Thai children is much lower than figures reported in studies from Western countries. By using a significant fall of FEV1's as the diagnostic crit …
  • Keeping Children With Exercise-Induced Asthma Active
    H Milgrom et al. Pediatrics 104 (3), e38. PMID 10469821. - Review
    Exercise-induced bronchospasm, exercise-induced bronchoconstriction, and exercise-induced asthma (EIA) are all terms used to describe the phenomenon of transient airflow …
  • Exercise-induced Asthma
    KH Carlsen et al. Paediatr Respir Rev 3 (2), 154-60. PMID 12297065. - Review
    Exercise-induced asthma (EIA) is common in asthmatic children and adolescents. Since it may cause limitations to daily life activities in up to 30%, mastering EIA is impo …
See all similar articles

Cited by 16 PubMed Central articles

See all "Cited by" articles

LinkOut - more resources