Self-reported exercise-induced dyspnea and airways obstruction assessed by oscillometry and spirometry in adolescents.
exercise-induced bronchoconstriction
exercise-induced dyspnea
exercise-induced laryngeal obstruction
forced oscillation technique
Journal
Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
ISSN: 1399-3038
Titre abrégé: Pediatr Allergy Immunol
Pays: England
ID NLM: 9106718
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
revised:
15
11
2021
received:
23
09
2021
accepted:
16
11
2021
pubmed:
20
11
2021
medline:
18
3
2022
entrez:
19
11
2021
Statut:
ppublish
Résumé
Self-reported exercise-induced dyspnea (EID) is common among adolescents. Possible underlying pathologies are exercise-induced bronchoconstriction (EIB) and laryngeal obstruction (EILO). The forced oscillation technique (FOT) may evaluate exercise-induced changes in airway caliber. To investigate in adolescents the relationship between EID, EIB (post-exercise fall in forced expiratory volume in 1s (FEV One hundred and forty-three subjects (97 with EID) of 13-15 years old underwent a standardized exercise challenge with FOT measurement and spirometry repeatedly performed between 2 and 30 min post-exercise. EILO was studied in a subset of 123 adolescents. Subjects showing greater changes than the healthy subgroup in the modulus of the inspiratory impedance were considered FOT responders. EID-nonEIB subjects presented similar post-exercise changes in all FOT parameters to nonEID-nonEIB adolescents. Changes in all FOT parameters correlated with FEV FOT can be used to identify post-exercise changes in lower airway function. However, EID has a modest relation with both FEV
Sections du résumé
BACKGROUND
Self-reported exercise-induced dyspnea (EID) is common among adolescents. Possible underlying pathologies are exercise-induced bronchoconstriction (EIB) and laryngeal obstruction (EILO). The forced oscillation technique (FOT) may evaluate exercise-induced changes in airway caliber.
AIM
To investigate in adolescents the relationship between EID, EIB (post-exercise fall in forced expiratory volume in 1s (FEV
METHODS
One hundred and forty-three subjects (97 with EID) of 13-15 years old underwent a standardized exercise challenge with FOT measurement and spirometry repeatedly performed between 2 and 30 min post-exercise. EILO was studied in a subset of 123 adolescents. Subjects showing greater changes than the healthy subgroup in the modulus of the inspiratory impedance were considered FOT responders.
RESULTS
EID-nonEIB subjects presented similar post-exercise changes in all FOT parameters to nonEID-nonEIB adolescents. Changes in all FOT parameters correlated with FEV
CONCLUSION
FOT can be used to identify post-exercise changes in lower airway function. However, EID has a modest relation with both FEV
Identifiants
pubmed: 34797002
doi: 10.1111/pai.13702
pmc: PMC9299675
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13702Informations de copyright
© 2021 The Authors. Pediatric Allergy and Immunology published by European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd.
Références
Respir Res. 2010 Sep 01;11:120
pubmed: 20807446
Med Sci Sports Exerc. 2001 Feb;33(2):208-13
pubmed: 11224807
Respir Med. 2019 Jul - Aug;154:76-81
pubmed: 31226623
Clin Physiol Funct Imaging. 2021 Sep;41(5):401-407
pubmed: 33914403
Eur Respir J. 2006 May;27(5):983-91
pubmed: 16446315
Breathe (Sheff). 2016 Jun;12(2):120-9
pubmed: 27408630
Pediatr Pulmonol. 2011 Sep;46(9):849-56
pubmed: 21560266
Pediatr Allergy Immunol. 2022 Jan;33(1):e13702
pubmed: 34797002
Am J Respir Crit Care Med. 2019 Oct 15;200(8):e70-e88
pubmed: 31613151
J Allergy Clin Immunol. 2016 Nov;138(5):1292-1295.e36
pubmed: 27665489
Eur Respir J. 2020 Feb 27;55(2):
pubmed: 31772002
Pediatr Res. 2013 Apr;73(4 Pt 1):464-8
pubmed: 23269119
ERJ Open Res. 2017 Jul 28;3(3):
pubmed: 28765826
Pediatr Pulmonol. 2008 Dec;43(12):1193-7
pubmed: 18988256
Eur Clin Respir J. 2014 Oct 17;1:
pubmed: 26557240
Pediatr Pulmonol. 2008 Jun;43(6):538-44
pubmed: 18433041
J Investig Allergol Clin Immunol. 2010;20(7):575-81
pubmed: 21313998
Am J Respir Crit Care Med. 2005 Apr 15;171(8):912-30
pubmed: 15817806
Eur Respir J. 2017 Sep 9;50(3):
pubmed: 28889105
Phys Sportsmed. 2012 May;40(2):28-33
pubmed: 22759603
Thorax. 2015 Jan;70(1):57-63
pubmed: 25380758
Front Physiol. 2019 Nov 15;10:1411
pubmed: 31803065
Front Pediatr. 2017 Jun 28;5:150
pubmed: 28702452
Eur Respir J. 1999 Sep;14(3):659-68
pubmed: 10543290
Respir Med. 2010 Nov;104(11):1760-3
pubmed: 20705442
Pediatr Res. 2010 Dec;68(6):537-41
pubmed: 20736883
Chest. 2005 Oct;128(4):2412-9
pubmed: 16236903
Respir Physiol Neurobiol. 2005 Aug 25;148(1-2):179-94
pubmed: 15990365
J Allergy Clin Immunol Pract. 2013 Jul-Aug;1(4):387-93
pubmed: 24565544
J Pediatr. 2002 Sep;141(3):343-8
pubmed: 12219053
Thorax. 2007 Sep;62(9):758-66
pubmed: 17504817
Ann Biomed Eng. 2013 May;41(5):990-1002
pubmed: 23297001
Pediatr Allergy Immunol. 2021 Nov;32(8):1700-1708
pubmed: 34324737
Eur Respir J. 2006 Jul;28(1):89-95
pubmed: 16571612
J Am Coll Cardiol. 2001 Jan;37(1):153-6
pubmed: 11153730
Paediatr Respir Rev. 2005 Dec;6(4):278-84
pubmed: 16298311
J Asthma. 2016;53(1):62-8
pubmed: 26291140
Respirology. 2016 Aug;21(6):1134-6
pubmed: 26799544
Respir Med. 2014 Jun;108(6):852-8
pubmed: 24731799
J Appl Physiol (1985). 2010 Jul;109(1):47-52
pubmed: 20466805
Respir Care. 2016 May;61(5):571-6
pubmed: 26860398