Exercise-induced bronchospasm in children
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Clinical and Biomedical Research |
Texto Completo: | https://seer.ufrgs.br/index.php/hcpa/article/view/125267 |
Resumo: | We review the concept, pathophysiology, clinical diagnosis, pulmonary function tests, and treatment of exercise-induced bronchospasm in children. Exercise-induced bronchospasm is the acute narrowing of the airway that is triggered by vigorous physical activity in individuals with airway hyperreactivity. It is characterized by several degrees of obstruction occurring some minutes after the end of exercise. A late responsemay also occur, usually in children. Exercise-induced bronchospasm in children affects up to 15% of general population, and it is more prevalent in asthmatics. Diagnosis is suggested by typical history, and confirmed by specific tests. The clinical presentation is variable. Its diagnosis is confirmed by a recorded fall in the peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1 ) of 15% or higher after exercise, or by a decrease in the forced expiratory flow at 25-75% (FEF25-75) of 20% in relation to baseline measurements. Many theories try to explain the pathophysiology of this condition. Beta-2 agonists are the most common drugs used in the treatment of exerciseinduced bronchospasm and in prophylaxis. Mast cell stabilizing agents and leukotriene antagonists can also be used. Exercise-induced bronchospasm should be remembered in asthmatic patients that present symptoms on exercising. Although there is a large amount of informationavailable about therapeutic options, there is still much to be explored in this field of study |
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Exercise-induced bronchospasm in childrenBroncoespasmo induzido pelo exercício na infânciaAsmahiperatividade brônquicacriançasbroncoconstriçãoatividade físicaAsthmabronchial hyperreactivitychildrenairway constrictionphysical activityWe review the concept, pathophysiology, clinical diagnosis, pulmonary function tests, and treatment of exercise-induced bronchospasm in children. Exercise-induced bronchospasm is the acute narrowing of the airway that is triggered by vigorous physical activity in individuals with airway hyperreactivity. It is characterized by several degrees of obstruction occurring some minutes after the end of exercise. A late responsemay also occur, usually in children. Exercise-induced bronchospasm in children affects up to 15% of general population, and it is more prevalent in asthmatics. Diagnosis is suggested by typical history, and confirmed by specific tests. The clinical presentation is variable. Its diagnosis is confirmed by a recorded fall in the peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1 ) of 15% or higher after exercise, or by a decrease in the forced expiratory flow at 25-75% (FEF25-75) of 20% in relation to baseline measurements. Many theories try to explain the pathophysiology of this condition. Beta-2 agonists are the most common drugs used in the treatment of exerciseinduced bronchospasm and in prophylaxis. Mast cell stabilizing agents and leukotriene antagonists can also be used. Exercise-induced bronchospasm should be remembered in asthmatic patients that present symptoms on exercising. Although there is a large amount of informationavailable about therapeutic options, there is still much to be explored in this field of studyNeste trabalho, são revisados conceitos atuais sobre definição, fisiopatologia, diagnóstico clínico e funcional pulmonar e tratamento do broncoespasmo induzidopelo exercício em crianças. O broncoespasmo induzido pelo exercício é o estreitamento da via aérea desencadeado por atividade física em pessoas comreatividade brônquica aumentada. Caracteriza-se por vários graus de obstrução ao fluxo aéreo, ocorrendo minutos após a finalização do exercício. Pode seguir-setambém uma resposta tardia, especialmente em crianças. Atinge 15% da população geral, mais freqüentemente asmáticos. A apresentação clínica é variável. O diagnóstico é confirmado por uma queda no pico de fluxo expiratório (PFE) ou no volume expiratório final no primeiro segundo (VEF1) de 15% ou mais após o exercício, ou uma redução no fluxo expiratório forçado de 25 a 75% da capacidade vital (FEF25-75) de 20%. Várias teorias tentam explicar sua fisiopatologia. Os beta2-agonistas são, até o momento, as drogas mais usadas no tratamento e profilaxia do broncoespasmoinduzido pelo exercício. Inibidores da degranulação dos mastócitos e antagonistas dos leucotrienos também são utilizados. O broncoespasmo induzido pelo exercício deve ser especialmente lembrado naqueles pacientes asmáticos com sintomas ao exercício. Embora muito já se conheça em termos de alternativas terapêuticas, esta é uma área ainda parcialmente explorada.HCPA/FAMED/UFRGS2022-06-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed Article"A Convite dos Editoresapplication/pdfhttps://seer.ufrgs.br/index.php/hcpa/article/view/125267Clinical & Biomedical Research; Vol. 20 No. 1 (2000): Revista HCPAClinical and Biomedical Research; v. 20 n. 1 (2000): Revista HCPA2357-9730reponame:Clinical and Biomedical Researchinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSporhttps://seer.ufrgs.br/index.php/hcpa/article/view/125267/85193http://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessC. Marostica, Paulo José R. Silva, Alexandre S. Souza, André Henrique Traiber, Cristiane O. Fonseca, Deisi Letícia Werner, Juliana A.P. Machado, Maria Mônica 2022-09-16T16:33:00Zoai:seer.ufrgs.br:article/125267Revistahttps://www.seer.ufrgs.br/index.php/hcpaPUBhttps://seer.ufrgs.br/index.php/hcpa/oai||cbr@hcpa.edu.br2357-97302357-9730opendoar:2022-09-16T16:33Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.none.fl_str_mv |
Exercise-induced bronchospasm in children Broncoespasmo induzido pelo exercício na infância |
title |
Exercise-induced bronchospasm in children |
spellingShingle |
Exercise-induced bronchospasm in children C. Marostica, Paulo José Asma hiperatividade brônquica crianças broncoconstrição atividade física Asthma bronchial hyperreactivity children airway constriction physical activity |
title_short |
Exercise-induced bronchospasm in children |
title_full |
Exercise-induced bronchospasm in children |
title_fullStr |
Exercise-induced bronchospasm in children |
title_full_unstemmed |
Exercise-induced bronchospasm in children |
title_sort |
Exercise-induced bronchospasm in children |
author |
C. Marostica, Paulo José |
author_facet |
C. Marostica, Paulo José R. Silva, Alexandre S. Souza, André Henrique Traiber, Cristiane O. Fonseca, Deisi Letícia Werner, Juliana A.P. Machado, Maria Mônica |
author_role |
author |
author2 |
R. Silva, Alexandre S. Souza, André Henrique Traiber, Cristiane O. Fonseca, Deisi Letícia Werner, Juliana A.P. Machado, Maria Mônica |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
C. Marostica, Paulo José R. Silva, Alexandre S. Souza, André Henrique Traiber, Cristiane O. Fonseca, Deisi Letícia Werner, Juliana A.P. Machado, Maria Mônica |
dc.subject.por.fl_str_mv |
Asma hiperatividade brônquica crianças broncoconstrição atividade física Asthma bronchial hyperreactivity children airway constriction physical activity |
topic |
Asma hiperatividade brônquica crianças broncoconstrição atividade física Asthma bronchial hyperreactivity children airway constriction physical activity |
description |
We review the concept, pathophysiology, clinical diagnosis, pulmonary function tests, and treatment of exercise-induced bronchospasm in children. Exercise-induced bronchospasm is the acute narrowing of the airway that is triggered by vigorous physical activity in individuals with airway hyperreactivity. It is characterized by several degrees of obstruction occurring some minutes after the end of exercise. A late responsemay also occur, usually in children. Exercise-induced bronchospasm in children affects up to 15% of general population, and it is more prevalent in asthmatics. Diagnosis is suggested by typical history, and confirmed by specific tests. The clinical presentation is variable. Its diagnosis is confirmed by a recorded fall in the peak expiratory flow (PEF) or forced expiratory volume in 1 second (FEV1 ) of 15% or higher after exercise, or by a decrease in the forced expiratory flow at 25-75% (FEF25-75) of 20% in relation to baseline measurements. Many theories try to explain the pathophysiology of this condition. Beta-2 agonists are the most common drugs used in the treatment of exerciseinduced bronchospasm and in prophylaxis. Mast cell stabilizing agents and leukotriene antagonists can also be used. Exercise-induced bronchospasm should be remembered in asthmatic patients that present symptoms on exercising. Although there is a large amount of informationavailable about therapeutic options, there is still much to be explored in this field of study |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-15 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article" A Convite dos Editores |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://seer.ufrgs.br/index.php/hcpa/article/view/125267 |
url |
https://seer.ufrgs.br/index.php/hcpa/article/view/125267 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://seer.ufrgs.br/index.php/hcpa/article/view/125267/85193 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
HCPA/FAMED/UFRGS |
publisher.none.fl_str_mv |
HCPA/FAMED/UFRGS |
dc.source.none.fl_str_mv |
Clinical & Biomedical Research; Vol. 20 No. 1 (2000): Revista HCPA Clinical and Biomedical Research; v. 20 n. 1 (2000): Revista HCPA 2357-9730 reponame:Clinical and Biomedical Research instname:Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS |
instname_str |
Universidade Federal do Rio Grande do Sul (UFRGS) |
instacron_str |
UFRGS |
institution |
UFRGS |
reponame_str |
Clinical and Biomedical Research |
collection |
Clinical and Biomedical Research |
repository.name.fl_str_mv |
Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS) |
repository.mail.fl_str_mv |
||cbr@hcpa.edu.br |
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1799767056925589504 |