THE EFFECTS OF MAXIMAL AND SUB MAXIMAL AEROBIC EXERCISE ON BRONCHOSPASM INDICES IN NON ATHLETIC PEOPLE

Öz

THE EFFECTS OF MAXIMAL AND SUB MAXIMAL AEROBIC EXERCISE ON BRONCHOSPASM INDICES IN NON ATHLETIC PEOPLE

Öz

Background: Exercise-induced bronchospasm EIB is a transient airway obstruction that occursduring and after the exercise. Exercise-induced bronchospasm is observed in healthy individualsas well as the asthmatic and allergic rhinitis patients. Research question: The study compared theeffects of one session of submaximal aerobic exercise and a maximal one on the prevalence ofexercise-induced bronchospasm in non-athletic students. Type of study: An experimental study,using human subjects, was designed. Methods: 20 non-athletic male students participated in twosessions of aerobic exercise. The prevalence of EIB was investigated among them. The criteria forassessing exercise-induced bronchospasm were ≥10% fall in FEV1, ≥15% fall in FEF25 -75%, or≥25% fall in PEFR. Results: The results revealed that the maximal exercise did not affect FEF2575% and PEF, but it led to a meaningful reduction in FEV1. Contrarily, the submaximal exerciseaffected none of these indices. That is, in both protocols the same result was obtained for PEF andFEF25-75. Moreover, the prevalence of EIB was 15% in the submaximal exercise and 20% in themaximal one. Actually, this difference was significant. Conclusion: This study demonstrated that incontrast to the subjects who performed submaximal exercise, those who participated in themaximal protocol showed more changes in the pulmonary function indices and the prevalence ofEIB was greater among them

Anahtar Kelimeler

• EIB,pulmonary function indices,sub maximal,maximal

Kaynakça

1. 1. Allen TW. Return-to-play following exercise-induced bronchoconstriction. Clin J Sport Med, 2005. 15(6): 421- 425.
2. 2. Anna Lűcia B, Cabral Gleice M, Conceição Crìstìna HF, et al. Exercise-induced bronchospasm in children – effects of asthma severity. American Journal of Respiratory and Crit. Care Med., 1999. 159: 1819-1823.
3. 3. Anderson SD. How does exercise cause asthma attacks? Curr Opin Allergy Clin Immunol, 2006. 6: 37-42.
4. 4. Anderson SD, Daviskas E. The mechanism of exercise-induced asthma is … J Allergy Clin Immunol, 2000. 106:453-9.
5. 5. Anderson SD, Holzer K. Exercise-induced asthma: is it the right diagnosis in elite athletes? J Allergy Clin Immunol, 2000. 106: 419-428.
6. 6. Anderson SD, Kippelen P. Air way injury as a mechanism for exercise-induced bronchoconstriction in elite athletes. J Allergy Clin Immunol, 2008. 122: 225-235.
7. 7. Bar-Or O, Neuman I, Dotan R. Effects of dry and humid climates on exercise-induced asthma in children and preadolescents. Allergy Clin Immunol, 1997. 60(3): 163-8.
8. 8. Bjermer L, Larsson L. Obstructive symptoms in athletes: is it asthma and what to do about it. Respire Med, 1996. 90(1): 1-3.

9. 9. Brusasco V, Crimi E. Allergy and sports: exerciseinduced asthma. Int J Sports Med, 1994. 15: 184-186.
10. 10. Burney PG, Luczynska C, Chinn S, et al. The European community respiratory health survey. Eur Respir J, 1994. 7 (5): 954-960.
11. 11. Carlsen KH, Anderson SD, Bjermer L, et al. Exerciseinduced asthma, respiratory and allergic disorders in elite athletes: epidemiology, mechanisms and diagnosis. Allergy, 2008. 63: 387-403.
12. 12. Crapo RO, Casaburi R, Coates AL, et al. Guidelines for methacholine and exercise challenge testing-1999. Am J Respir Crit Care Med, 2000. 161: 309-329.
13. 13. Custovic A, Arifhodzic N, Robinson A, et al. Exercise testing revisited: the response to exercise in normal and atopic children. Chest, 1994. 105: 1127-32.
14. 14. Ehteshami-Afshar A, Asadian A, Zahmatkesh MM. Exercise-induced bronchospasm in soccer players. Tanaffos, 2002. 1(2): 35-39.
15. 15. Feinstein RA, Larussa J, Wang-Dohlman A, Bartolucci AA. Screening adolescent athletes for exercise-induced asthma. Clin J Sport Med, 1996. 6: 119-123.
16. 16. Giacomoni M, Bernard T, Gavarry O, et al. Diurnal variations in ventilator and cardiorespiratory responses to submaximal treadmill exercise in females. Eur J Appl Physiol Occup Physiol, 1999. 80(6): 591-7.
17. 17. .Helenius I, Haahtela T. Allergy and Asthma in elite summer sport athletes. J Allergy Clin Immunol, 2000. 106: 444-452.
18. 18. Helenius IJ, Tikkanen HO, Haahtela T. Occurrence of exercise-induces bronchospasm in elite runners: dependence on atopyand exposure to cold air and pollen. Br J Sports Med, 1998. 32: 125-129.
19. 19. Hendrickson CD, Lynch JM, Gleeson K. Exerciseinduced asthma: a clinical perspective. Lung, 1994. 172: 1-14.
20. 20. Holzer K, Brukner P. Screening of athletes for exercise-induced bronchoconstriction. Clin J Sport Med, 2004. 14: 134-138.
21. 21. Hull JH, Ansley L, Garrod R, et al. Exercise-induced bronchoconstriction in athletes: should we screen? Med Sci Sports Exerc, 2007. 39(12): 2117-2124.
22. 22. Kağan Ûçok, Senol Dane, Hakk1 Gökbel, et al. Prevalence of exercise-induced bronchospasm in long distance runners trained in cold weather. Lung, 2004. 182: 265-270.
23. 23. Katz RM. Exercise-induced asthma in the Olympic athlete. J Asthma, 1992. 29(4): 227-8.
24. 24. Kayle JM. Exxercise-induced pulmonary syndrome. Med Clin North Am, 1994. 78: 413-421.
25. 25. Kukafka DS, Lang DM, Porter S, et al. Exerciseinduced bronchospasm in high school athletes via a free running test. Chest, 1998. 114: 1613-1622.
26. 26. Langdeau BJ, Turcotte H, Bowie MD, et al. Air way hyper responsiveness in elite athletes. AM J Respir Cri Care Med, 2000. 161: 1479-1484.
27. 27. Mannix ET, Manfredi F, Farber MO. A comparison of two challenge tests for identifying exercise-induced bronchospasm in figure skaters. Chest, 1999. 115: 649- 653.
28. 28. Mansourian MA, Jamali M, Mansourian N, et al. Exercise-induced bronchospasm among students of Tehran University of Medical Sciences. Allergy Asthma Proc. (Iran), 2004. 29-43.
29. 29. Massie J. Exercise-induced asthma in children. Paediatr Drugs .2002; 4(4):267-78.
30. 30. Milgrom H, Taussig LM. Keepping children with exercise-induced aasthma active. Pediatrics, 1999. 104: e38.
31. 31. Miller MR, Crapo R, Hankinson J, et al. Standardization of lung function testing standardization of spirometry. Eur Respir J, 2005. 26: 319-338. 32. Nystad W, Haris J, Borgen JS. Asthma and wheezing among Norwegian elite athletes. Med Sci Sports Exerc, 2000. 32(2): 266-270.
32. 33. Ogston J, Butcher JD. A sport-specific protocol for diagnosing exercise-induced asthma in cross-country skiers. Clin J Sport Med, 2002. 12: 291-295.
33. 34. Parkkari J, Laitinen J, Pohjantahti H. Exercise-induced bronchospasm among healthy elite cross country skiers and non-athletic students. Sports Medicine, 2002. 13: 998-102.
34. 35. Parsons J, Kaeding CH, Philips G, et al. Prevalence of exercise-induced bronchospasm in a cohort of varsity college athletes. The American College of Sports Medicine, 2007. 39(9): 1487-1492.
35. 36. Parsons JP, Mastronarde JG. Exercise-induced bronchoconstriction in athletes. Chest, 2005. 128: 3966- 3974.
36. 37. Pohjantahti J, Laitinen J, Parkkari H. Exercise-induced bronchospasm among healthy elite cross-country skiers and non-athletic students. Scand J Med Sci Spports, 2005. 15: 324-328.
37. 38. Provost-Craig MA, Arbour KS, Sestili DC, et al. The incidence of exercise-induced bronchospasm in competitive figure skaters. J Asthma, 1996. 33(1): 67-71.
38. 39. Randolph C. Exercise-induced bronchospasm in children. Clinic Rev Allerg Immunol, 2008. 34(2): 205-226.
39. 40. Rogers IR, Inglis S, Speedy D, et al. Changes in respiratory function during a wilderness multisport endurance competition. Wilderness and Environmental Medicine, 2001. 12(1): 13-16.
40. 41. Rundell KW, Im J, Mayers LB, et al. Self-reported symptoms and exercise-induced asthma in elite athlete. Med Sci Sports Exerc, 2001. 33:208-213.
41. 42. Rundell KW, Jenkinson MD. Exercise-induced bronchospasm in the elite athlete. Sports Med, 2002. 32(9): 583-600.
42. 43. Rundell KW, Slee JB. Exercise and other direct challenges to demonstrate asthma or exercise-induced bronchospasm in Competitive figure skaters. J Asthma, 1996. 33(1): 67-71.
43. 44. Rundell KW, Spiering BA. Inspiratory stridor in elite athletes. Chest, 2003. 123: 468–474.
44. 45. Rundell KW, Spiering BA, Judelson DA, et al. Bronchoconstriction during cross-country skiing: is there really a refractory? Med Sci Sports Exerc, 2003. 35: 18– 26.
45. 46. Rundell KW, Wilber RL, Szmedra L, et al. Exerciseinduced asthma screening of elite athletes: field versus laboratory exercise challenge. Med Sci Sports Exerc, 2000. 32: 309–316.
46. 47. Sallaoui R, Chamari K, Chtara M, Alaranta A, Manai Y, Ghedira H, Amri M. Asthma in Tunisian elite athletes. Sports Medicine, 2007. 28: 271-275.
47. 48. Spector SL. Update on exercise-induced asthma. Ann Allergy 1993. 71: 571–577.
48. 49. Storms WW. Exercise-induced asthma: diagnosis and treatment for the recreational or elite athlete. Med Sci Sports Exerc, 1999. 31: 33-38.
49. 50. Storms WW. Review of exercise-induced asthma. Med Sci Sports Exerc, 2003. 35: 1464–1470.
50. 51. Sudhir P, Prasad CE. Prevalence of exercise-induced bronchospasm in schoolchildren: an urban–rural comparison. Journal of Tropical Pediatrics, 2003. 49(2): 104-108.
51. 52. Thole RT, Sallis RE, Rubin AL, et al. Exercise-induced bronchospasm prevalence in collegiate cross-country runners. Med Sci Sports Exerc, 2001. 33(10): 1641-1646.
52. 53. Ugur Dal MD, Erdogan T, Helvaci I. A workload equation for a bicycle ergometer is not sufficient to elicit exercise-induced bronchoconstriction in athletes. International SportMed Journal, 2010. 11(1): 226-234.
53. 54. Ünal M, Şahinkaya T, Namarasl D, et al. The prevalence of exercise-induced bronchoconstriction in elite athletes. Journal of Sports Science and Medicine, 2004. 3: 57-5.
54. 55. Vermeire P. National Heart, Lung, and Blood Institute. National Institute of Health: International Consensus Report on Diagnosis and Treatment of Asthma. Bethesda, MD: NIH, 1992. publication No. 92–3091.104:138.
55. 56. Ziaee V, Yousefi A, Movahedi M, et al. The prevalence of exercise-induced bronchospasm in soccer player children, ages 7 to 16 years. Iran J Allergy Asthma Immunol, 2007. 6(1): 33-36