(Ivanhoe Newswire)-- Children who undergo brief periods of intense
exercise may exhibit lung dysfunction or other symptoms similar to those
experienced by asthma patients, even when no history of asthma exists.
The study was conducted by researchers at the University of California's Irvine
and Miller Children's Hospital.
"Studies have shown that in adults, vigorous exercise can cause wheezing and a
decrease in pulmonary function testing (PFT), even when there is no prior
history of asthma," lead author Alladdin Abosaida, M.D, was quoted as saying.
"However, the extent of exercise-associated PFT abnormality in healthy children
has received relatively less attention. The results of this study indicate that
short bouts of heavy exercise do cause a decrease in lung function testing in
healthy children without a history of asthma or allergies."
Dr. Abosaida and colleagues examined the effects of exercise in 56 healthy
children with no clinical history of asthma or allergy. They measured the
children’s lung function following each exercise test.
"We evaluated two exercise protocols in each child – a constant work rate
exercise test commonly used for evaluation of exercise-induced asthma, and a
progressive exercise test typically used to determine an individual's aerobic
capacity," said Dr. Abosaida.
Nearly half of the children tested had at least one abnormal result when
pulmonary function was measured following exercise. Decrements in PFT
measurements typically occurred when bronchial tubes became constricted in
response to rigorous activity. This effect, called bronchoconstriction, can
arise as the result of an inflammatory response triggered by heavy exercise.
"We did not expect to see pulmonary function abnormalities after short periods
of heavy exercise in such a large number of healthy children in our subject
population," Dr. Abosaida said. "We speculate that either the inflammatory
response to exercise or cellular changes that may occur as the result of
dehydration of the airway surface, or both, led to mild airway obstruction."
"More studies are needed to understand the pathogenesis and management plan of
exercise-induced bronchoconstriction in healthy children," he added. "In
addition, further comparisons are needed between the two exercise protocols for
screening of bronchoconstriction to avoid the false negative results that may
occur by using a single type of test."
SOURCE: Presented at the American Thoracic Society (ATS) 2010 International
Conference, New Orleans, May 18, 2010.