{"id":10060,"date":"2017-12-06T13:27:41","date_gmt":"2017-12-06T12:27:41","guid":{"rendered":"http:\/\/medrazgl.si\/en\/?p=10060"},"modified":"2018-03-28T12:01:36","modified_gmt":"2018-03-28T10:01:36","slug":"asthma-and-sport-in-adults","status":"publish","type":"post","link":"https:\/\/medrazgl.si\/en\/asthma-and-sport-in-adults\/","title":{"rendered":"Asthma and Sport in Adults"},"content":{"rendered":"<div>Exercise-induced \u00adbronchoconstriction\u00ad is\u00ad defined\u00ad as\u00ad reversible\u00ad narrowing\u00ad of\u00ad distal\u00ad airways that\u00ad follows\u00ad vigorous exercise\u00ad in\u00ad the\u00ad presence\u00ad or\u00ad absence\u00ad of\u00ad clinically\u00ad recognised\u00ad asthma.\u00ad The\u00ad prevalence\u00ad in\u00ad general\u00ad population\u00ad is\u00ad 7\u201320%, in\u00ad athletes\u00ad even\u00ad higher,\u00ad around\u00ad 50%. Water \u00addepletion\u00ad at\u00ad the\u00ad level\u00ad of\u00ad airways\u00ad is\u00ad a\u00ad reaction\u00ad to\u00ad increased\u00ad minute ventilation\u00ad and represents\u00ad a\u00ad stimulus\u00ad to\u00ad exercise-induced\u00ad bronchoconstriction.\u00ad There\u00ad are\u00ad two\u00ad theories seeking\u00ad to\u00ad explain\u00ad exercise-induced\u00ad bronchoconstriction:\u00ad thermal\u00ad and\u00ad osmotic.\u00ad In\u00ad the\u00ad laboratory\u00ad conditions,\u00ad the\u00ad establishment of\u00ad the\u00ad diagnosis\u00ad can\u00ad be\u00ad difficult.\u00ad The\u00ad type\u00ad of\u00ad protocol\u00ad used\u00ad for\u00ad diagnosis\u00ad must\u00ad consider\u00ad mechanistic\u00ad factors\u00ad for exercise-induced\u00ad bronchoconstriction.\u00ad To\u00ad elicit\u00ad dehydration\u00ad of\u00ad the\u00ad airway\u00ad surface\u00ad liquid\u00ad and\u00ad to\u00ad cause\u00ad a\u00ad transient increase\u00ad in\u00ad its\u00ad osmolarity,\u00ad the\u00ad rate\u00ad of\u00ad water\u00ad loss\u00ad must\u00ad exceed\u00ad the\u00ad rate\u00ad of\u00ad return\u00ad in\u00ad the first\u00ad 10\u00ad generations\u00ad of\u00ad airways. In\u00ad general,\u00ad the\u00ad drier\u00ad the\u00ad inspired\u00ad air\u00ad and\u00ad the\u00ad higher\u00ad the ventilation\u00ad sustained\u00ad during\u00ad exercise,\u00ad the\u00ad less\u00ad likely\u00ad a\u00ad false negative\u00ad test\u00ad result\u00ad will\u00ad occur. There\u00ad are\u00ad two\u00ad forms\u00ad of\u00ad bronchoprovocation:\u00ad direct\u00ad and\u00ad indirect.\u00ad They\u00ad differ\u00ad with respect to\u00ad basic\u00ad mechanisms\u00ad of\u00ad inducing\u00ad bronchoprovocation.\u00ad The\u00ad management\u00ad of\u00ad exercise-induced bronchoconstriction\u00ad should\u00ad include\u00ad both\u00ad prevention\u00ad and\u00ad treatment\u00ad directed\u00ad toward\u00ad the underlying\u00ad asthma\u00ad and\u00ad bronchial\u00ad hyperresponsiveness.\u00ad Among\u00ad the\u00ad nonfarmacological components\u00ad of\u00ad treatment,\u00ad high\u00ad intensity\u00ad warm\u00ad up\u00ad is recommended.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Exercise-induced \u00adbronchoconstriction\u00ad is\u00ad defined\u00ad as\u00ad reversible\u00ad narrowing\u00ad of\u00ad distal\u00ad airways that\u00ad follows\u00ad vigorous exercise\u00ad in\u00ad the\u00ad presence\u00ad or\u00ad absence\u00ad of\u00ad clinically\u00ad recognised\u00ad asthma.\u00ad The\u00ad prevalence\u00ad in\u00ad general\u00ad population\u00ad is\u00ad 7\u201320%, in\u00ad athletes\u00ad even\u00ad higher,\u00ad around\u00ad 50%. Water \u00addepletion\u00ad at\u00ad the\u00ad level\u00ad of\u00ad airways\u00ad is\u00ad a\u00ad reaction\u00ad to\u00ad increased\u00ad minute ventilation\u00ad and represents\u00ad a\u00ad stimulus\u00ad to\u00ad [&hellip;]<\/p>\n","protected":false},"author":35,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[796,426],"tags":[],"class_list":["post-10060","post","type-post","status-publish","format-standard","hentry","category-4-2014-archive","category-internal-medicine"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Asthma and Sport in Adults - Dru\u0161tvo Medicinski razgledi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medrazgl.si\/astma-in-sport-pri-odraslih\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Asthma and Sport in Adults - Dru\u0161tvo Medicinski razgledi\" \/>\n<meta property=\"og:description\" content=\"Exercise-induced \u00adbronchoconstriction\u00ad is\u00ad defined\u00ad as\u00ad reversible\u00ad narrowing\u00ad of\u00ad distal\u00ad airways that\u00ad follows\u00ad vigorous exercise\u00ad in\u00ad the\u00ad presence\u00ad or\u00ad absence\u00ad of\u00ad clinically\u00ad recognised\u00ad asthma.\u00ad The\u00ad prevalence\u00ad in\u00ad general\u00ad population\u00ad is\u00ad 7\u201320%, in\u00ad athletes\u00ad even\u00ad higher,\u00ad around\u00ad 50%. Water \u00addepletion\u00ad at\u00ad the\u00ad level\u00ad of\u00ad airways\u00ad is\u00ad a\u00ad reaction\u00ad to\u00ad increased\u00ad minute ventilation\u00ad and represents\u00ad a\u00ad stimulus\u00ad to\u00ad [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medrazgl.si\/astma-in-sport-pri-odraslih\/\" \/>\n<meta property=\"og:site_name\" content=\"Dru\u0161tvo Medicinski razgledi\" \/>\n<meta property=\"article:published_time\" content=\"2017-12-06T12:27:41+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-03-28T10:01:36+00:00\" \/>\n<meta name=\"author\" content=\"Matej Gori\u010dar\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Matej Gori\u010dar\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/astma-in-sport-pri-odraslih\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/astma-in-sport-pri-odraslih\\\/\"},\"author\":{\"name\":\"Matej Gori\u010dar\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/#\\\/schema\\\/person\\\/34d7ecbf2c9ebf96d826c5634daed7ca\"},\"headline\":\"Asthma and Sport in Adults\",\"datePublished\":\"2017-12-06T12:27:41+00:00\",\"dateModified\":\"2018-03-28T10:01:36+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/medrazgl.si\\\/astma-in-sport-pri-odraslih\\\/\"},\"wordCount\":207,\"commentCount\":0,\"articleSection\":[\"4\",\"Internal Medicine\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/medrazgl.si\\\/astma-in-sport-pri-odraslih\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/medrazgl.si\\\/astma-in-sport-pri-odraslih\\\/\",\"url\":\"https:\\\/\\\/medrazgl.si\\\/astma-in-sport-pri-odraslih\\\/\",\"name\":\"Asthma and Sport in Adults - 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