Disconnect between standardized field-based testing and mannitol challenge in Scottish elite swimmers

Autor: K. L. Clearie, Karen Meldrum, L. Howaniec, Andrew Goudie, Philip M. Short, Pippa Hopkinson, Patricia Burns, Peter A. Williamson, Sriram Vaidyanathan, Brian J. Lipworth
Rok vydání: 2010
Předmět:
Zdroj: Clinical & Experimental Allergy.
ISSN: 1365-2222
0954-7894
Popis: Summary Background Elite swimmers have high rates of rhinoconjunctivitis and exercise-induced bronchoconstriction. Moreover, exposure to chlorine and chlorine metabolites is known to induce bronchial hyper-reactivity. Objective To assess the early and late effects of chlorine and exercise on the unified airway of elite swimmers, and to compare the response to mannitol and field-based exercise challenge. Methods The Scottish national squad underwent exhaled tidal (FENO) and nasal (NNO) nitric oxide measurement, peak nasal inspiratory flow (PNIF), and forced expiratory volume in 1 s before, immediately after, and 4–6 h post-swimming. A sport-specific exercise test was carried out during an intensive lactate set (8 min at 80% maximum hear rate). All swimmers underwent mannitol challenge, and completed a health questionnaire. Results N=61 swimmers were assessed: 8/59 (14%) of swimmers had a positive mannitol challenge. Nine out of 57 (16%) of swimmers had a positive exercise test. Only one swimmer was positive to both. Swimmers with a positive mannitol had a significantly higher baseline FENO (37.3 vs. 18.0 p.p.b., P=0.03) than those with a positive exercise challenge. A significant decrease in FENO was observed pre vs. immediate and delayed post-chlorine exposure: mean (95% CI) 18.7 (15.9–22.0) p.p.b. vs. 15.9 (13.3–19.1) p.p.b. (P
Databáze: OpenAIRE
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