Astma wysiłkowa
Charakterystyka, pielęgnacja i opieka

Astma wysiłkowa, obecnie określana jako skurcz oskrzeli wywołany wysiłkiem (EIB), dotyczy około 90% pacjentów z astmą i może występować także u osób bez astmy przewlekłej. Objawy pojawiają się zwykle w ciągu 5-20 minut po wysiłku i utrzymują się do 90 minut, obejmując kaszel, świszczący oddech, duszność i uczucie ucisku w klatce piersiowej. Diagnostyka opiera się na spadku FEV1 o co najmniej 10% po wysiłku oraz ocenie klinicznej. Leczenie farmakologiczne obejmuje stosowanie krótko działających beta2-agonistów (SABA) 5-20 minut przed wysiłkiem, długo działających beta2-agonistów (LABA) w połączeniu z wziewnymi glikokortykosteroidami oraz modyfikatorów leukotrienów i stabilizatorów komórek tucznych. W przypadku zaostrzeń stosuje się krótkotrwałą terapię doustnymi glikokortykosteroidami (3-10 dni). Kluczowe jest indywidualne planowanie terapii i edukacja pacjenta, w tym instrukcje dotyczące stosowania leków i rozpoznawania objawów zaostrzenia.

Definicja i diagnostyka astmy wysiłkowej

Astma wysiłkowa (ang. exercise-induced asthma, EIA), obecnie częściej określana jako skurcz oskrzeli wywołany wysiłkiem (exercise-induced bronchoconstriction, EIB), charakteryzuje się zwężeniem dróg oddechowych w wyniku wysiłku fizycznego. Warto podkreślić, że wysiłek nie powoduje astmy, lecz jest częstym czynnikiem wyzwalającym objawy astmatyczne.123

Astma wysiłkowa dotyka około 90% osób z rozpoznaną astmą, jednak może również występować u osób bez podstawowej choroby astmatycznej.123 Objawy astmy wysiłkowej zazwyczaj pojawiają się w ciągu 5-20 minut po rozpoczęciu wysiłku lub tuż po jego zakończeniu i mogą utrzymywać się przez 30-90 minut.123

Objawy astmy wysiłkowej

Typowe objawy astmy wysiłkowej obejmują:123

  • Kaszel
  • Świszczący oddech (wheezing)
  • Uczucie ucisku w klatce piersiowej
  • Duszność
  • Zmęczenie podczas wysiłku
  • Zmniejszoną wytrzymałość lub niemożność ukończenia aktywności fizycznej

Diagnostyka

Diagnostyka astmy wysiłkowej obejmuje dokładny wywiad medyczny i badanie fizykalne. Lekarz może zlecić badania oceniające czynność płuc przed, w trakcie i po wysiłku.123 Spadek wartości FEV1 (natężonej objętości wydechowej pierwszosekundowej) o co najmniej 10% po wysiłku jest diagnostyczny dla astmy wysiłkowej.1

W niektórych przypadkach lekarz może zalecić próbę leczenia z zastosowaniem inhalowanego beta-agonisty, a następnie ewentualnie dodanie inhalowanych leków przeciwzapalnych lub bromku ipratropium.1

Opieka pielęgniarska nad pacjentem z astmą wysiłkową

Rola pielęgniarki w opiece nad pacjentem z astmą wysiłkową jest niezwykle istotna i obejmuje szereg działań diagnostycznych, terapeutycznych i edukacyjnych.12

Ocena stanu pacjenta

Pielęgniarka powinna przeprowadzić dokładną ocenę stanu pacjenta, która obejmuje:12

  • Identyfikację czynników wyzwalających astmę wysiłkową
  • Ocenę rodzaju aktywności fizycznej lub sportu, w którym pacjent uczestniczy
  • Monitorowanie objawów astmatycznych przed, w trakcie i po wysiłku
  • Ocenę parametrów życiowych, w tym częstości oddechów i wzorca oddychania
  • Osłuchiwanie płuc w poszukiwaniu świstów, rzężeń i innych nieprawidłowych dźwięków
  • Ocenę zdolności pacjenta do efektywnego odkrztuszania wydzieliny
  • Monitorowanie gazometrii tętniczej (w przypadku ciężkich objawów)

Priorytety opieki pielęgniarskiej

Główne priorytety opieki pielęgniarskiej u pacjentów z astmą wysiłkową obejmują:12

  • Poprawa wzorca oddychania i wymiany gazowej
  • Utrzymanie drożności dróg oddechowych
  • Zmniejszenie stanu zapalnego dróg oddechowych
  • Wsparcie farmakologiczne i prawidłowe podawanie leków
  • Zapobieganie zaostrzeniom astmy
  • Zmniejszenie lęku i poprawa radzenia sobie z chorobą
  • Edukacja pacjenta i promocja zdrowia

Planowanie aktywności fizycznej

Astma wysiłkowa wymaga odpowiedniego planowania aktywności fizycznej. Pielęgniarka powinna:12

  • Instruować pacjenta o konieczności przyjmowania leków przed wysiłkiem
  • Zalecać dokładną rozgrzewkę przed intensywnym wysiłkiem, co przygotowuje płuca do zwiększonego wysiłku
  • Edukować o konieczności ścisłego monitorowania stanu układu oddechowego i wiedzy, kiedy przerwać lub zmniejszyć wysiłek
  • Zachęcać do aktywności, które są mniej prawdopodobne do wywołania objawów (np. pływanie, sporty z okresami odpoczynku)
  • Doradzać unikanie aktywności w zimnym, suchym powietrzu lub stosowanie masek ochronnych w takich warunkach

Edukacja pacjenta i rodziny

Edukacja jest kluczowym elementem opieki nad pacjentem z astmą wysiłkową. Pielęgniarka powinna przekazać:123

  • Informacje o naturze astmy wysiłkowej i jej mechanizmach
  • Instrukcje dotyczące prawidłowego stosowania inhalatorów i innych leków
  • Wiedzę o czynnikach wyzwalających objawy i sposobach ich unikania
  • Umiejętność rozpoznawania wczesnych objawów zaostrzenia
  • Plan działania w przypadku nasilenia objawów
  • Zachętę do regularnej aktywności fizycznej mimo astmy, z odpowiednimi środkami ostrożności

Farmakoterapia astmy wysiłkowej

Leczenie farmakologiczne astmy wysiłkowej skupia się na zapobieganiu objawom oraz umożliwieniu pacjentom prowadzenia aktywnego stylu życia.123

Leki stosowane przed wysiłkiem

Do najczęściej stosowanych leków przed planowanym wysiłkiem należą:123

  • Krótko działające beta2-agoniści (SABA) – takie jak albuterol (Ventolin, Proventil), levalbuterol (Xopenex) czy pirbuterol (Maxair) – powinny być przyjmowane 5-20 minut przed wysiłkiem. Ich działanie utrzymuje się do 4-6 godzin.123
  • Długo działające beta2-agoniści (LABA) – takie jak salmeterol i formoterol – działają dłużej niż SABA. Należy je stosować 30 minut przed wysiłkiem, a ich działanie utrzymuje się do 12 godzin. Ważne jest, aby LABA były zawsze stosowane w połączeniu z wziewnym glikokortykosteroidem.12
  • Leki stabilizujące komórki tuczne – mogą być alternatywą dla pacjentów, którzy nie reagują odpowiednio na beta2-agonistów.12

Leki kontrolujące astmę długoterminowo

W przypadku osób z przewlekłą astmą i dodatkowymi objawami astmy wysiłkowej, lekarz może zalecić:123

  • Wziewne glikokortykosteroidy – stanowią podstawę leczenia przewlekłej astmy i mogą zmniejszać częstość i nasilenie objawów astmy wysiłkowej
  • Modyfikatory leukotrienów – takie jak montelukast (Singulair) czy zafirlukast (Accolate) – działają poprzez zmniejszenie zwężenia dróg oddechowych, stanu zapalnego i produkcji śluzu. Są przyjmowane doustnie raz (montelukast) lub dwa razy dziennie (zafirlukast).12
  • Kombinacje inhalatorów – zawierające długo działający beta2-agonista (np. formoterol) i wziewny kortykosteroid1

Postępowanie w przypadku zaostrzenia

W przypadku wystąpienia objawów astmy wysiłkowej podczas aktywności fizycznej należy:123

  • Natychmiast przerwać wysiłek
  • Zastosować krótko działający beta2-agonista (np. albuterol)
  • Obserwować pacjenta przez kilka godzin po ustąpieniu objawów ze względu na możliwość nawrotu
  • W przypadku ciężkiego zaostrzenia, po którym objawy ustąpiły, lekarz może zalecić 3-10 dniową kurację doustnym glikokortykosteroidem (np. prednizon, prednizolon) w celu zmniejszenia ryzyka kolejnego napadu.12

Plan działania w astmie wysiłkowej

Każdy pacjent z astmą wysiłkową powinien mieć opracowany indywidualny plan działania, szczególnie istotny w przypadku dzieci i młodzieży.123

Elementy planu działania

Plan działania w astmie wysiłkowej powinien zawierać:123

  • Szczegółowe informacje o koniecznych lekach i ich dawkowaniu
  • Instrukcje kiedy i jak stosować leki przed wysiłkiem
  • Kroki do podjęcia w przypadku wystąpienia objawów
  • Jasno określone sytuacje wymagające natychmiastowej pomocy medycznej
  • Dane kontaktowe do lekarza i służb ratunkowych

Plan powinien być udostępniony nauczycielom, pielęgniarkom szkolnym, trenerom i innym osobom zaangażowanym w opiekę nad pacjentem.12

Wskazania do pilnej pomocy medycznej

Należy natychmiast wezwać pomoc medyczną, jeśli wystąpią:123

  • Szybko narastająca duszność lub świszczący oddech
  • Brak poprawy po zastosowaniu leku rozszerzającego oskrzela
  • Trudności w mówieniu pełnymi zdaniami
  • Sinica (sine zabarwienie skóry)
  • Zaburzenia świadomości

Niefarmakologiczne metody postępowania

Oprócz farmakoterapii, istnieje wiele niefarmakologicznych metod zapobiegania i łagodzenia objawów astmy wysiłkowej.123

Modyfikacja aktywności fizycznej

Poniższe strategie mogą pomóc w bezpiecznym uprawianiu sportu:123

  • Rozgrzewka i schłodzenie – dokładna 15-20 minutowa rozgrzewka przed intensywnym wysiłkiem oraz stopniowe zmniejszanie intensywności po wysiłku mogą znacząco zmniejszyć ryzyko wystąpienia objawów123
  • Wybór odpowiednich aktywności – sporty z okresami odpoczynku (np. baseball, piłka nożna) oraz aktywności w ciepłym, wilgotnym środowisku (np. pływanie) są lepiej tolerowane niż sporty wytrzymałościowe lub aktywności w zimnym, suchym otoczeniu123
  • Modyfikacja techniki oddychania – przejście z oddychania przez usta na oddychanie przez nos, szczególnie podczas wysiłku w zimnych warunkach12

Kontrola czynników środowiskowych

Czynniki środowiskowe mają duży wpływ na występowanie objawów astmy wysiłkowej:123

  • Zimne, suche powietrze – przy ćwiczeniach w niskiej temperaturze zaleca się zakrywanie ust i nosa szalem lub maską, co pomaga ogrzać i nawilżyć wdychane powietrze123
  • Zanieczyszczenie powietrza – unikanie ćwiczeń na zewnątrz podczas wysokiego stężenia zanieczyszczeń12
  • Alergeny – unikanie ćwiczeń w pobliżu świeżo skoszonej trawy, kwitnących roślin i innych znanych alergenów12
  • Wilgotność – ćwiczenia w cieplejszym i bardziej wilgotnym środowisku mogą zmniejszyć ryzyko wystąpienia objawów12

Kondycja fizyczna i trening

Poprawa ogólnej kondycji fizycznej może zmniejszyć częstość i nasilenie objawów astmy wysiłkowej:123

  • Regularne ćwiczenia poprawiają wydolność płuc przez wzmocnienie mięśni oddechowych12
  • Stopniowe zwiększanie intensywności i czasu trwania ćwiczeń12
  • Lepsze ogólne kontrolowanie astmy podstawowej zmniejsza prawdopodobieństwo wystąpienia objawów podczas wysiłku12

Specjalne grupy pacjentów

Astma wysiłkowa wymaga szczególnego podejścia w zależności od wieku i poziomu aktywności fizycznej pacjenta.123

Dzieci i młodzież

Opieka nad dziećmi i młodzieżą z astmą wysiłkową obejmuje:123

  • Edukację rodziców, nauczycieli i trenerów o objawach astmy wysiłkowej i właściwym postępowaniu12
  • Upewnienie się, że szkoła posiada plan działania i dostęp do leków dziecka12
  • Zachęcanie do aktywności fizycznej z odpowiednimi modyfikacjami i środkami ostrożności12
  • Monitorowanie wzrostu i rozwoju dziecka, ponieważ niektóre leki mogą wpływać na te parametry1
  • Dostosowanie planu leczenia do potrzeb rozwojowych i aktywności dziecka12

Sportowcy wyczynowi

Sportowcy wyczynowi z astmą wysiłkową wymagają specjalnego podejścia:123

  • Ścisła współpraca z lekarzem specjalistą (alergologiem, pulmonologiem) w celu opracowania optymalnego planu leczenia1
  • Świadomość regulacji antydopingowych dotyczących leków stosowanych w astmie1
  • Szczególna dbałość o technikę rozgrzewki i schłodzenia12
  • Indywidualne dostosowanie planu treningowego z uwzględnieniem warunków środowiskowych1
  • Edukacja sztabu szkoleniowego o astmie wysiłkowej i jej właściwym zarządzaniu12

Wpływ astmy wysiłkowej na jakość życia

Astma wysiłkowa może znacząco wpływać na jakość życia pacjentów, jednak przy właściwym postępowaniu jej wpływ można zminimalizować.123

Aspekty psychologiczne

Astma wysiłkowa może powodować:12

  • Poczucie lęku, frustracji i izolacji
  • Obniżoną samoocenę, szczególnie u dzieci i młodzieży
  • Zaburzenia depresyjne
  • Zakłopotanie związane z koniecznością stosowania inhalatorów w obecności innych osób

Wsparcie psychologiczne i edukacja mogą pomóc w radzeniu sobie z tymi problemami.12

Aktywność fizyczna i uczestnictwo w sporcie

Właściwe leczenie astmy wysiłkowej pozwala na:123

  • Pełne uczestnictwo w aktywności fizycznej i sporcie12
  • Osiąganie wysokich wyników sportowych (wielu olimpijczyków i zawodowych sportowców z EIB odnosi sukcesy w sporcie)1
  • Czerpanie korzyści zdrowotnych z regularnej aktywności fizycznej12
  • Poprawę kondycji płuc i ogólnego stanu zdrowia12

Podsumowanie zaleceń dla personelu medycznego

Personel medyczny odgrywa kluczową rolę w opiece nad pacjentami z astmą wysiłkową. Oto najważniejsze zalecenia:123

  • Przeprowadzać dokładną diagnostykę w kierunku astmy wysiłkowej u pacjentów zgłaszających charakterystyczne objawy podczas wysiłku12
  • Opracowywać indywidualne plany leczenia z uwzględnieniem wieku, poziomu aktywności i preferencji pacjenta12
  • Edukować pacjentów o prawidłowym stosowaniu leków, szczególnie inhalatorów12
  • Tworzyć pisemne plany działania w astmie i upewnić się, że pacjent oraz jego otoczenie (rodzina, nauczyciele, trenerzy) rozumieją te plany123
  • Regularnie monitorować skuteczność leczenia i dostosowywać je w razie potrzeby12
  • Zachęcać do aktywności fizycznej z odpowiednimi modyfikacjami, zamiast zalecać jej unikanie123
  • Współpracować z innymi specjalistami (alergologami, pulmonologami) w przypadku trudności w kontroli objawów12

Właściwe podejście do astmy wysiłkowej pozwala pacjentom prowadzić aktywne życie, uczestniczyć w ćwiczeniach i sporcie, a także czerpać wszystkie korzyści zdrowotne związane z regularną aktywnością fizyczną.123

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics
    Exercise-induced asthma occurs when the airways narrow as a result of exercise. The preferred term for this condition is exercise-induced bronchoconstriction (EIB); exercise does not cause asthma, but is frequently an asthma trigger. […] Exercise is important for your health, even if you have asthma, so it is important to develop a routine that allows exercise. Some patients can often prevent or reduce exercise-induced asthma symptoms by improving their day-to-day asthma control and improving their fitness level with regular exercise. […] Nonmedical preventive methods — Breathing cold, dry air during exercise can provoke asthma symptoms. Wearing a loosely fitting scarf or mask when exercising in cold, dry air or exercising where the air is warmer and more humid can help prevent exercise-induced asthma symptoms. Some patients find that warm-up routines before intense exertion can help reduce asthma symptoms.
  • #1 What Is Exercise Induced Asthma? | AAFA.org
    https://aafa.org/asthma/asthma-triggers-causes/exercise-induced-asthma/
    Everyone needs to exercise, even people with asthma! A strong, healthy body is one of your best defenses against disease. But some people have asthma episodes during exercise. This is called exercise-induced bronchoconstriction. By taking steps to control your asthma, you should be able to exercise free of symptoms. […] If you have asthma symptoms during exercise or physical activity, you may have exercise-induced bronchoconstriction (EIB). In the past, it was called exercise-induced asthma. But that name wrongly suggests that exercise causes asthma. […] As many as 90% of all people who have asthma also have EIB. You can also have EIB even if you do not have asthma. […] Symptoms of EIB include: Cough, Shortness of breath, Wheeze (a whistling sound when you breathe), Chest tightness or pain, Fatigue during exercise, Decreased endurance or inability to complete exercise activities.
  • #1 Exercise-Induced Asthma (for Teens) | Nemours KidsHealth
    https://kidshealth.org/en/teens/exercise-asthma.html
    Many people with asthma have symptoms when they exercise if their asthma is not well-controlled. […] This means avoiding triggers and taking asthma medicines as prescribed. […] When a person knows that exercise usually leads to asthma symptoms, a doctor will likely recommend that they take medicine before exercising or being very active. […] Exercise is a great idea for everyone, including people with exercise-induced asthma. […] To be active while also keeping asthma symptoms under control, follow your asthma action plan. […] You should always have access to your asthma medicines.
  • #1 Exercise-induced asthma – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/diagnosis-treatment/drc-20372306
    To diagnose exercise-induced bronchoconstriction, your health care provider first takes a medical history and does a physical exam. You may have tests to check your lung function and rule out other conditions. […] Your health care provider might prescribe medicines to take shortly before exercise or to take daily for long-term control. […] If your provider prescribes a medicine to take before exercising, ask how much time you need between taking the medicine and starting the activity. […] You also can use preexercise medicines as a quick-relief treatment for symptoms. However, you shouldn’t need to use your preexercise inhaler more often than recommended. […] Exercise is an important part of a healthy lifestyle for everyone, including most people with exercise-induced bronchoconstriction. Besides taking your medicine, you can take these steps to prevent or reduce symptoms:
  • #1
    https://link.springer.com/article/10.2165/00007256-199825010-00001
    Exercise-induced asthma (EIA) is characterised by transient airway obstruction occurring after strenuous exertion. A fall of 10% or more in the FEV1 after exercise is diagnostic. […] Education regarding the nature and management of EIA is important not only for asthmatics but also for their families and coaches. With the proper precautions and workout techniques, there is no limit to what individuals with asthma can achieve in sports. […] Prevention is the main objective in managing EIA. Nonpharmacological measures include warming up before vigorous exertion, covering the mouth and nose in cold weather, exercising in warm, humidified environments if possible and warming down after exercise. Aerobic fitness and good control of baseline bronchial reactivity also help to diminish the effects of EIA.
  • #1 Recognition and Management of Exercise-Induced Bronchospasm | AAFP
    https://www.aafp.org/pubs/afp/issues/2003/0215/p769.html
    Exercise-induced bronchospasm is an obstruction of transient airflow that usually occurs five to 15 minutes after physical exertion. […] Although this condition is highly preventable, it is still underrecognized and affects aerobic fitness and quality of life. […] A trial of therapy with an inhaled beta agonist may be instituted, with the subsequent addition of inhaled anti-inflammatory agents or ipratropium bromide. […] Nonpharmacologic measures, such as increased physical conditioning, warm-up exercises, and covering the mouth and nose, should be instituted. […] The goal of management is to prevent or reduce the symptoms of EIB, to enable patients to exercise at all intensity levels without serious respiratory limitations. […] Interventions should be tailored to the patient; a school-aged child participating in recreational and school activities should be treated differently from an elite athlete.
  • #1 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Nurses can expect to have frequent contact with patients who have asthma. […] Exercise-induced asthma causes the same symptoms as any asthma exacerbation, though some patients also report sore throat and GI upset. […] Assess for activity triggers. Exercise-induced asthma causes a narrowing of the airways due to strenuous exercise. The nurse can assess for activities or sports the patient engages in that may be contributing to their asthma exacerbations. […] Plan for exercise. Exercise-induced asthma requires preparation to prevent attacks. Medication should be taken before engaging in exercise, a thorough warm-up prepares the lungs for vigorous exercise, and the patient should monitor their respiratory status closely and know when to stop or reduce their effort.
  • #1 Nursing Diagnosis for Asthma: 8 Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/asthma-nursing-care-plans/
    Utilize this comprehensive nursing care plan and management guide to provide effective care for patients with asthma. […] Nursing care for patients with asthma varies depending on symptom severity, ranging from outpatient treatment for mild symptoms to hospitalization for acute and severe cases. […] The following are the nursing priorities for patients with asthma: 1. Improving Breathing Pattern Gas Exchange 2. Maintaining Patent Airways Reducing Airway Inflammation 3. Medical Administration and Pharmacologic Support 4. Preventing Exacerbation of Asthma 5. Reducing Anxiety Improving Coping 6. Providing Patient Education Health Teachings. […] Assess for the following subjective and objective data: Abnormal arterial blood gases (hypoxia, hypercapnia), Adventitious lung sounds (wheezes, rhonchi), Changes in respiratory rate and rhythm, Changes in vital signs, Chest tightness, Confusion, Cough, Cyanosis, Dyspnea (including orthopnea), Inability to mobilize secretions, Loss of consciousness, Nasal flaring, Prolonged expiration, Use of accessory muscles.
  • #1 Aiding children with exercise-induced „asthma” | UNC Greensboro
    https://www.uncg.edu/featured/aiding-children-with-exercise-induced-asthma/
    I see this all the time with kids they say I wheeze all the time, says Dr. Colleen McGovern, an assistant professor in the School of Nursing. But thats not what we want. Our goal is for kids to be symptom free. […] McGovern emphasizes that it is important for children with these symptoms to be evaluated by a clinician and receive appropriate treatment for both the short and long term. […] Receiving an EIB diagnosis and appropriate treatment can unfortunately be an uphill battle for children, Marye and McGovern say. […] I want to get to these kids before they start ignoring their symptoms, she says. I want to teach them what their symptoms are, what to do, and not to ignore it. […] A child speaking up can be a key step. But schools, doctors, and families all play a role in making sure children receive the treatment they need to lead healthy, active lives on and off the playground.
  • #1 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics
    Preventing exercise-induced bronchoconstriction usually includes use of an inhaled medication prior to exercise. […] Rapid-acting bronchodilators — Inhalation of a rapid-acting bronchodilator (eg, two puffs of albuterol) may be taken 5 to 20 minutes before exercise. This inhaler can also be used to relieve symptoms caused by exercise. […] Long-acting bronchodilators — Long-acting bronchodilators (LABAs), such as salmeterol and formoterol, work for a longer period than rapid-acting bronchodilators. LABAs should always be used in combination with an inhaled glucocorticoid. […] Leukotriene modifiers — Leukotriene modifiers work by decreasing airway narrowing, inflammation, and mucus production. Examples of leukotriene modifiers include montelukast (brand name: Singulair) and zafirlukast (brand name: Accolate). These are taken in pill form by mouth once daily (montelukast) or twice daily (zafirlukast) and have few side effects.
  • #1 Exercise-Induced Asthma Care & Treatment | Tufts Medicine
    https://www.tuftsmedicine.org/services-treatments/allergy/exercise-induced-asthma
    Bronchodilator inhalers are the most common form of treatment for exercise-induced asthma. Common types of inhalers include: Albuterol (Ventolin, Proventil), Levalbuterol (Xopenex), Pirbuterol (Maxair). […] Always make sure to follow the instructions provided by your doctor for these inhalers. And keep this rule in mind: If you don’t get complete relief within 5–10 minutes after using an inhaler, or if the symptoms recur within several hours, then contact your physician to revise your treatment plan.
  • #1 Exercise-induced bronchoconstriction – Wikipedia
    https://en.wikipedia.org/wiki/Exercise-induced_bronchoconstriction
    Exercise-induced bronchoconstriction (EIB) occurs when the airways narrow as a result of exercise. This condition has been referred to as exercise-induced asthma (EIA); however, this term is no longer preferred. While exercise does not cause asthma, it is frequently an asthma trigger. […] The best treatment is avoidance of conditions predisposing to attacks, when possible. In athletes who wish to continue their sport or do so in adverse conditions, preventive measures include altered training techniques and medications. […] There is no evidence supporting different treatment for EIB in asthmatic athletes and nonathletes. The most common medication used is a beta agonist taken about 20 minutes before exercise. Some physicians prescribe inhaled anti-inflammatory mists such as corticosteroids or leukotriene antagonists, and mast cell stabilizers have also proven effective.
  • #1 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics/print
    Preventing exercise-induced bronchoconstriction usually includes use of an inhaled medication prior to exercise. […] Inhalation of a rapid-acting bronchodilator (eg, two puffs of albuterol) may be taken 5 to 20 minutes before exercise. This inhaler can also be used to relieve symptoms caused by exercise. […] An alternative is to use a combination inhaler that includes formoterol and an inhaled corticosteroid. […] Long-acting bronchodilators (LABAs), such as salmeterol and formoterol, work for a longer period than rapid-acting bronchodilators. LABAs should always be used in combination with an inhaled glucocorticoid. […] Leukotriene modifiers work by decreasing airway narrowing, inflammation, and mucus production. […] Leukotriene modifiers may be used as an alternative to rapid-acting bronchodilators to prevent exercise-induced bronchoconstriction for patients who prefer or need all-day protection or have difficulty using inhalers.
  • #1 Exercise-Induced Asthma Treatment & Management: Approach Considerations, Nonpharmacologic Measures, Return to Play
    https://emedicine.medscape.com/article/1938228-treatment
    The optimal treatment for EIA is to prevent the onset of symptoms. After controlling the patient’s underlying and contributing factors (eg, respiratory infection, allergy, allergic asthma), a combination of drugs can be used to prevent EIA. […] Treatment of the athlete who is experiencing an acute attack of EIA is the same as in any asthma attack situation and includes immediately removing the patient from competition or play. […] Provide immediate administration of a rapid onset, short-acting 2 -agonist (eg, albuterol); this has the highest therapeutic yield. […] If the initial response to treatment was adequate, patient observation and monitoring need to continue for several hours in case of a relapse. […] Although no clear-cut guidelines exist, a player who is removed from play for an asthma attack should be kept out of play until his or her respiration has normalized.
  • #1 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics
    Emergency care plan — A patient or parent/caregiver should work with a healthcare provider to formulate an emergency care plan (also called an asthma action plan) that explains specifically what to do if asthma symptoms worsen. […] Following a severe asthma attack, the patient is usually given a three to ten day course of an oral glucocorticoid medication (eg, prednisone, prednisolone). This treatment helps to reduce the risk of a second asthma attack.
  • #1 Exercise-Induced Asthma: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/4174-exercise-induced-asthma
    With planning and preparation, you may be able to avoid an asthma episode. Before physical activity, you should: […] Many people with exercise or sports-induced asthma manage the condition and live active, healthy lifestyles. With proper planning and care, you can exercise and enjoy a variety of sports and activities. […] If you or your child has symptoms of EIB, call a healthcare provider. If you can, keep track of and share with your provider: […] If you or your child has severe shortness of breath or trouble breathing, seek immediate medical attention. Call 911 or go directly to the emergency room. […] Talk to your provider about medications that can help you breathe easier. With lifestyle changes and prior planning, you can stay active and exercise safely.
  • #1 Exercise-induced asthma – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/diagnosis-treatment/drc-20372306
    If your child has exercise-induced bronchoconstriction, talk to your health care provider about providing an action plan. This document provides step-by-step instructions for teachers, nurses and coaches that explain: […] There is limited clinical evidence that any alternative treatments benefit people with exercise-induced bronchoconstriction. […] Your provider may refer you to someone who specializes in asthma, such as an allergist-immunologist or a pulmonologist.
  • #1 Exercise-induced asthma – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/symptoms-causes/syc-20372300
    Exercise-induced asthma is when the airways narrow or squeeze during hard physical activity. It causes shortness of breath, wheezing, coughing, and other symptoms during or after exercise. […] Most people with exercise-induced bronchoconstriction can continue to exercise and remain active if they treat symptoms. Treatment includes asthma medicines and taking steps to prevent symptoms before physical activity starts. […] See your health care provider if you have symptoms of exercise-induced bronchoconstriction. A few conditions can cause similar symptoms, so it’s important to get a diagnosis as soon as you can. […] Get emergency medical treatment if you have: Shortness of breath or wheezing that is quickly getting worse, making it hard to breathe. […] If not treated, exercise-induced bronchoconstriction can result in: Serious or life-threatening breathing difficulties, particularly among people with poorly managed asthma.
  • #1 Exercise-induced asthma: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/patientinstructions/000036.htm
    Do not exercise when the air is polluted. Avoid exercising near fields or lawns that have just been mowed. […] Warm up before you exercise, and cool down afterward: To warm up, walk or do your exercise activity slowly before you speed up. The longer you warm up, the better. To cool down, walk or do your exercise activity slowly for several minutes. […] Some kinds of exercise may be less likely to trigger asthma symptoms than others. Swimming is a good sport for people with EIB. The warm, moist air helps keep asthma symptoms away. Football, baseball, and other sports with periods when you do not move fast are less likely to trigger your asthma symptoms. […] Activities that keep you moving fast all the time are more likely to trigger asthma symptoms, such as running, basketball, or soccer.
  • #1 Exercise-Induced Asthma: Practice Essentials, Background, Anatomy
    https://emedicine.medscape.com/article/1938228-overview
    Exercise-induced asthma is a condition of respiratory difficulty (bronchoconstriction) that is related to histamine release, is triggered by aerobic exercise, and lasts several minutes. Causes include medical conditions, environmental factors, and medications. […] The optimal treatment for exercise-induced asthma is to prevent symptomatic onset. After controlling the patient’s underlying and contributing factors (eg, respiratory infection, allergy, allergic asthma), a combination of drugs can be used to prevent this condition. […] The basis of treatment for exercise-induced asthma is with preexercise short-acting beta2-agonist administration. […] Nonpharmacologic measures in the treatment of exercise-induced asthma include the following: Sports selection, altering breathing techniques (eg, predominant mouth breathing to nasal breathing), coordination and timing of warm-up techniques, medication, and competition.
  • #1 Exercise-Induced Asthma (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/exercise-asthma.html
    Many kids and teens with asthma have symptoms when they exercise if their asthma is not well-controlled. But some people have asthma symptoms only during or after exercise. This is called exercise-induced asthma (EIA). The asthma symptoms happen because the airways tighten up (called bronchoconstriction) during exercise. This blocks the flow of air and makes it hard to breathe. […] The most important way to manage EIA and prevent symptoms is to make sure that a child’s asthma is under control, even when they aren’t exercising. This means avoiding triggers and taking asthma medicines as prescribed. […] When a person knows that exercise usually leads to asthma symptoms, a doctor will likely recommend that they take medicine before exercising or being very active. […] Exercise is a great idea for everyone, including people with exercise-induced asthma. Besides keeping kids and teens fit, exercise can improve lung function by strengthening the breathing muscles in the chest. […] Encourage your child to be active while also keeping asthma symptoms under control by following the asthma action plan. When asthma is well-controlled, kids with asthma can do anything their peers can do.
  • #1 Exercise-Induced Asthma | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.exercise-induced-asthma.hw161742
    Exercise-induced asthma is an asthma attack that happens during or after exercise. It’s also called exercise-induced bronchospasm. […] If you have exercise-induced asthma, talk with your doctor about using medicine before exercise. It may help reduce symptoms. It will especially help in cold, dry weather. […] Some doctors recommend that you use a quick-relief medicine about 10 to 30 minutes before you exercise. The effect of this medicine lasts several hours. […] You take your long-term controller medicine every day, if needed. This can help reduce airway inflammation. […] Here are some other steps you can take to reduce symptoms when you’re active: Avoid being exposed to air pollutants and allergens when you can. Exercise indoors when air pollution levels are high. […] Wear a loose-fitting mask or scarf wrapped around your nose and mouth if you exercise in cold weather. This may help warm and moisten the air you breathe in. […] Warm up before strenuous exercise. And slowly increase your activity.
  • #1 Exercise-induced asthma doesn’t mean you can’t exercise | GoHealth Urgent Care
    https://www.gohealthuc.com/library/exercise-induced-asthma
    Exercise-induced asthma, also known as exercise-induced bronchoconstriction (EIB), is a narrowing of the airways in the lungs triggered by strenuous exercise. […] In fact, 90% of people with asthma will experience EIA during exercise, but you don’t have to have asthma to experience symptoms of exercise-induced asthma. […] If you think your child might be experiencing exercise-induced asthma, watch for signs and symptoms like: Shortness of breath, Wheezing, Coughing, Decreased endurance, Chest tightness, Upset stomach. […] Exercise-induced asthma in children can easily be diagnosed by a pediatrician or allergist. […] Depending on your child’s test results, your doctor might prescribe a medication to help with symptoms of exercise-induced asthma. […] Besides medication, there are also natural treatments for exercise-induced asthma that can help your children perform at their best.
  • #1 Exercise-Induced Asthma: Cold Weather, Warm Ups, Best Sports
    https://www.webmd.com/asthma/features/athletes-guide-exercise-induced-asthma
    If your child is reluctant to engage in sports or other physical activities, consult your pediatrician. Treatment of exercise-induced asthma can help keep your child active. […] „If you have a child who has exercise-induced asthma, work with the teacher and send albuterol to school so your child can be pre-treated with albuterol before they go out to recess. This is often the way to get children to engage in normal activities.” […] „Asthma severity does correlate with obesity, and the better shape you are in, the better your asthma can be controlled,” says Craig. „Research shows that going through conditioning is beneficial for asthma, both in quality of life and in controlling symptoms.”
  • #1 Exercise-Induced Asthma | Lurie Children’s
    https://www.luriechildrens.org/en/specialties-conditions/exercise-induced-asthma/
    The best way to treat exercise-induced asthma is to prevent the onset of symptoms with medications and proper warm-ups. Your child should warm up for 15 to 20 minutes before exercise with dynamic stretching and calisthenics to reach 50-60% of their maximum heart rate. […] Inhaled medicines, such as Albuterol, can be used before exercise to help open up the airways and prevent them from closing. Some athletes need other medications to help control symptoms; this is especially true for athletes with regular asthma and exercise-induced asthma. […] Wearing a mask during cold weather may decrease your child’s symptoms. Athletes who notice specific factors that aggravate asthma (such as recently mowed grass) should avoid those triggers. […] Children can generally continue to participate in all activities, though coaches and athletic trainers should be aware of the diagnosis so that they can double-check that your child has their medications at each practice session and competition. The coaches should know to have your child stop exercise if symptoms occur. You should talk to your child’s doctor if symptoms continue despite treatment.
  • #1 Exercise-induced bronchoconstriction: prevalence, pathophysiology, patient impact, diagnosis and management | npj Primary Care Respiratory Medicine
    https://www.nature.com/articles/s41533-018-0098-2
    Exercise-induced bronchoconstriction (EIB) can occur in individuals with and without asthma, and is prevalent among athletes of all levels. […] In patients with asthma, symptoms of EIB significantly increase the proportion reporting feelings of fearfulness, frustration, isolation, depression and embarrassment compared with those without symptoms. […] EIB can also prevent patients with asthma from participating in exercise and negatively impact their quality of life. […] Diagnosis of EIB is based on symptoms and spirometry or bronchial provocation tests; owing to low awareness of EIB and lack of simple, standardised diagnostic methods, under-diagnosis and mis-diagnosis of EIB are common. […] In patients without asthma, EIB can be managed by various non-pharmacological methods and the use of pre-exercise short-acting 2-agonists (SABAs).
  • #1 Exercise-Induced Asthma: Practice Essentials, Background, Anatomy
    https://emedicine.medscape.com/article/1938228-overview
    Patient education is a critical part of the treatment of EIA. Once the diagnosis is made, athletes should be encouraged to continue in their activities with the reassurance that proper treatment can allow for an unhampered performance for most individuals. […] Education of the coaching staff is also crucial, because coaches need to know that shortness of breath in athletes does not always indicate poor conditioning and that the consequences of ignoring an asthma attack can be serious.
  • #1 Asthma: Learn More – Exercise-induced asthma – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK279522/
    Suddenly getting out of breath or gasping for air when doing sports can be frightening. But physical activity is also important in people who have exercise-induced asthma. The key is to find the right balance: Too much can set off an asthma attack, but too little affects your lung performance. […] It is important to know how to deal with asthma symptoms and relieve an asthma attack. Medications can help lower the risk of asthma attacks. […] Exercise and sports not only help you improve your stamina and become physically fitter, they can also help you to relax and simply have fun. Asthma need not be a barrier to leading an active life. […] Physical exercise also has important health benefits for people with asthma. People with asthma who know how to deal with asthma attacks and how to use medication in order to prevent their symptoms from getting worse can still do sports.
  • #1 What Is Exercise Induced Asthma? | AAFA.org
    https://aafa.org/asthma/asthma-triggers-causes/exercise-induced-asthma/
    Good general health, physical conditioning, and medical treatment can prevent EIB in most people. If you have EIB, your doctor will prescribe asthma medicine for you to take to help you manage your symptoms. […] Remember, you should be able to take part in activities, sports, and exercise without experiencing symptoms! Do not let EIB keep you from leading an active life or from achieving your athletic dreams. […] With effective management, people with EIB can perform and excel in a variety of sports. Many Olympic athletes and professional athletes with EIB excel in their sports, when it is appropriately managed.
  • #1 Exercise-Induced Asthma | Rochester Regional Health
    https://www.rochesterregional.org/services/allergy-immunology-rheumatology/asthma/exercise-induced-asthma
    The Asthma Program at Rochester Regional Health proudly offers comprehensive and thorough care for Exercise-Induced Asthma (EIA), which causes coughing, shortness of breath, wheezing, and other symptoms during or after exercise. […] EIA does not mean you cannot exercise, but it does mean that you’ll need to manage and treat your symptoms with preventive measures and asthma medications. […] Our expert providers will work with you to find the right action plan for your EIA so you don’t have to give up the activities you love. […] Your asthma provider will work with you to identify triggers and help you come up with ways to combat and avoid them. Our goal is to make sure that your EIA doesn’t slow you down. […] Based on your diagnosis, your asthma provider will craft a personalized treatment plan. Exercise-induced asthma can be treated successfully and does not need to restrict your ability to exercise.
  • #1 Exercise-Induced Asthma Diagnosis & Treatment | UPMC in Central Pa.
    https://www.upmc.com/services/south-central-pa/allergy-asthma-immunology/asthma/exercise
    The asthma specialists at UPMC in central Pa. diagnose and treat exercise-induced asthma in children and adults. […] We offer a full range of tests and treatments for exercise-induced asthma, including: […] Your health care provider will let you know what type of medication is right for your condition. […] Our specialists provide the education and information you need to manage your exercise-induced asthma, including asthma inhaler instruction. […] You should try to warm up and stretch before strenuous exercise. You also should use your rescue inhaler 10 minutes before you begin strenuous exercise and follow any other instructions from your doctor about using your medication.
  • #1 What Is Exercise Induced Asthma? Symptoms, Tests & Medications
    https://www.emedicinehealth.com/exercise-induced_asthma/article_em.htm
    Most people with exercise-induced asthma, if exercise is their only trigger, do not have to take medication every day (unless they exercise every day). […] The medications most widely used by people with exercise-induced asthma are the short-acting beta2-agonist bronchodilator inhalers. […] Treatment in exercise-induced asthma is focused on preventing or minimizing asthma attacks. […] Most people with exercise-induced asthma are able to control their condition if they work together with a health-care professional and follow their treatment regimen carefully.
  • #2 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics/print
    Exercise-induced asthma occurs when the airways narrow as a result of exercise. The preferred term for this condition is exercise-induced bronchoconstriction (EIB); exercise does not cause asthma, but is frequently an asthma trigger. […] Exercise is important for your health, even if you have asthma, so it is important to develop a routine that allows exercise. Some patients can often prevent or reduce exercise-induced asthma symptoms by improving their day-to-day asthma control and improving their fitness level with regular exercise. […] Breathing cold, dry air during exercise can provoke asthma symptoms. Wearing a loosely fitting scarf or mask when exercising in cold, dry air or exercising where the air is warmer and more humid can help prevent exercise-induced asthma symptoms. Some patients find that warm-up routines before intense exertion can help reduce asthma symptoms.
  • #2 Exercise-Induced Bronchoconstriction (EIB) | ACAAI Public Website
    https://acaai.org/asthma/types-of-asthma/exercise-induced-bronchoconstriction-eib/
    Exercise-induced bronchoconstriction, or EIB, is the preferred term for what was known for years as exercise-induced asthma. Symptoms develop when airways narrow as a result of physical activity. As many as 90 percent of people with asthma also have EIB, but not everyone with EIB has asthma. An allergist will customize a treatment plan that allows you to get back to the exercise you love, and feel better while doing it. […] EIB is caused by the loss of heat, water or both from the airways during exercise when quickly breathing in air that is drier than what is already in the body. Symptoms typically appear within a few minutes after you start exercising and may continue for 10 to 15 minutes after you finish your workout. […] An allergist can determine whether your symptoms are exercise-induced alone, are a reaction to allergens or irritants in the air, or are an indication of underlying asthma.
  • #2 Exercise-induced asthma and its imitators | Phoenix Children’s Hospital
    https://phoenixchildrens.org/articles-faqs/blog/exercise-induced-asthma-and-its-imitators
    Regular exercise is an essential part of a healthy lifestyle, but in patients with poorly controlled asthma, exercise is a common trigger for asthma symptoms. […] EIB symptoms start 5-10 min after stopping intense activity but can happen during exercise as well. Typical symptoms are coughing, wheezing, and chest tightness. If untreated, it may take up to 30-90 minutes to recover. Exposure to specific triggers, e.g., cold air, pollen, etc. during exercise can exacerbate the asthma symptoms. […] Asthma symptoms during exercise can be controlled so that a person can be as active as his peers. A person can achieve this control by using a bronchodilator for 15-30 min before exercise as well as identifying and avoiding the triggers. Bronchodilators are the inhalers that help open airways, thus preventing any bronchospasm during exercise.
  • #2 Exercise-Induced Asthma: Symptoms, Treatment, and More
    https://www.verywellhealth.com/play-sports-control-exercise-induced-asthma-3120183
    While activity is the very thing that triggers exercise-induced asthma, poor physical condition can also increase your incidence of asthma attacks. […] If asthma attack occurs during physical activity, it’s important to act quickly to halt the episode. […] Exercise-induced asthma (EIA) occurs when exercise and exertion lead to bronchoconstriction. This narrowing of the main bronchi moving air to and from the lungs can make it hard to breathe, with symptoms of wheezing and cough. People diagnosed with asthma often experience EIA. […] Treatment is similar to asthma care, including inhaler use.
  • #2 Exercise Induced Asthma | 700 Children’s Blog
    https://www.nationwidechildrens.org/family-resources-education/700childrens/2018/09/exercise-induced-asthma
    There is often confusion amongst parents and coaches as to whether shortness-of-breath during exercise is a result of asthma or simply being out-of-shape. […] Common symptoms include shortness of breath, wheezing, chest-tightness, coughing and fatigue. […] To diagnose exercise-induced asthma, a doctor will conduct a thorough medical history and physical exam and typically measure lung function before, during and after exercise. […] Whether your child wants to participate in gym class, or your older athlete is participating in high school or collegiate athletics, it is absolutely safe to participate with exercise-induced asthma if you have consulted with a physician and have a treatment plan in place. […] With proper diagnosis and management plans in place, exercise-induced asthma should not keep your child from participation! […] If your child is in immediate respiratory distress and having trouble breathing, seek emergency care at the nearest hospital emergency room.
  • #2 Nursing Diagnosis for Asthma: 8 Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/asthma-nursing-care-plans/
    Utilize this comprehensive nursing care plan and management guide to provide effective care for patients with asthma. […] Nursing care for patients with asthma varies depending on symptom severity, ranging from outpatient treatment for mild symptoms to hospitalization for acute and severe cases. […] The following are the nursing priorities for patients with asthma: 1. Improving Breathing Pattern Gas Exchange 2. Maintaining Patent Airways Reducing Airway Inflammation 3. Medical Administration and Pharmacologic Support 4. Preventing Exacerbation of Asthma 5. Reducing Anxiety Improving Coping 6. Providing Patient Education Health Teachings. […] Assess for the following subjective and objective data: Abnormal arterial blood gases (hypoxia, hypercapnia), Adventitious lung sounds (wheezes, rhonchi), Changes in respiratory rate and rhythm, Changes in vital signs, Chest tightness, Confusion, Cough, Cyanosis, Dyspnea (including orthopnea), Inability to mobilize secretions, Loss of consciousness, Nasal flaring, Prolonged expiration, Use of accessory muscles.
  • #2 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether
    https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/
    Nurses can expect to have frequent contact with patients who have asthma. […] Exercise-induced asthma causes the same symptoms as any asthma exacerbation, though some patients also report sore throat and GI upset. […] Assess for activity triggers. Exercise-induced asthma causes a narrowing of the airways due to strenuous exercise. The nurse can assess for activities or sports the patient engages in that may be contributing to their asthma exacerbations. […] Plan for exercise. Exercise-induced asthma requires preparation to prevent attacks. Medication should be taken before engaging in exercise, a thorough warm-up prepares the lungs for vigorous exercise, and the patient should monitor their respiratory status closely and know when to stop or reduce their effort.
  • #2 Nursing Diagnosis for Asthma: 8 Nursing Care Plans – Nurseslabs
    https://nurseslabs.com/asthma-nursing-care-plans/
    The client will maintain an optimal breathing pattern, as evidenced by relaxed breathing, normal respiratory rate or pattern, and absence of dyspnea. […] The client will demonstrate improved ventilation and adequate oxygenation of tissues by normal ABGs. […] The client will maintain airway patency as evidenced by clear breath sounds, improved oxygen exchange, normal rate and depth of respiration, and ability to effectively cough out secretions. […] Exercise-induced asthma is characterized by acute bronchoconstriction triggered by physical activity in individuals with heightened airway reactivity. […] Assess the clients response to an activity. […] Encourage activities such as quiet play, reading, watching movies, and games during rest. […] Educate about the importance of maintaining environmental temperature and body warmth, as indicated. […] Reinforce activity or exercise limitations if these trigger attacks; advise physician-approved activities (aerobics, walking, swimming).
  • #2 Recognition and Management of Exercise-Induced Bronchospasm | AAFP
    https://www.aafp.org/pubs/afp/issues/2003/0215/p769.html
    Patients, and anyone involved in their care, should be educated about the nature of EIB, its triggers, and how to control it with or without medications. […] Physical conditioning increases a patient’s ability to work at a lower level of vital capacity, decreasing the cooling and drying stimuli, resulting in less bronchospasm. […] Inhaled beta agonists are first-line medications in the management of EIB, both as prophylaxis and to treat the bronchospasm that occurs with exercise. […] A short-acting beta agonist should be taken 15 minutes before exercise and may be repeated as necessary. […] Inhaled corticosteroids have been demonstrated to be useful in the treatment of EIB. […] The diagnosis and treatment of EIB is both simple and immensely rewarding for the family physician and the patient.
  • #2 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics
    Preventing exercise-induced bronchoconstriction usually includes use of an inhaled medication prior to exercise. […] Rapid-acting bronchodilators — Inhalation of a rapid-acting bronchodilator (eg, two puffs of albuterol) may be taken 5 to 20 minutes before exercise. This inhaler can also be used to relieve symptoms caused by exercise. […] Long-acting bronchodilators — Long-acting bronchodilators (LABAs), such as salmeterol and formoterol, work for a longer period than rapid-acting bronchodilators. LABAs should always be used in combination with an inhaled glucocorticoid. […] Leukotriene modifiers — Leukotriene modifiers work by decreasing airway narrowing, inflammation, and mucus production. Examples of leukotriene modifiers include montelukast (brand name: Singulair) and zafirlukast (brand name: Accolate). These are taken in pill form by mouth once daily (montelukast) or twice daily (zafirlukast) and have few side effects.
  • #2 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics/print
    Preventing exercise-induced bronchoconstriction usually includes use of an inhaled medication prior to exercise. […] Inhalation of a rapid-acting bronchodilator (eg, two puffs of albuterol) may be taken 5 to 20 minutes before exercise. This inhaler can also be used to relieve symptoms caused by exercise. […] An alternative is to use a combination inhaler that includes formoterol and an inhaled corticosteroid. […] Long-acting bronchodilators (LABAs), such as salmeterol and formoterol, work for a longer period than rapid-acting bronchodilators. LABAs should always be used in combination with an inhaled glucocorticoid. […] Leukotriene modifiers work by decreasing airway narrowing, inflammation, and mucus production. […] Leukotriene modifiers may be used as an alternative to rapid-acting bronchodilators to prevent exercise-induced bronchoconstriction for patients who prefer or need all-day protection or have difficulty using inhalers.
  • #2 Exercise-induced asthma: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/patientinstructions/000036.htm
    Take your short-acting, or quick-relief, inhaled medicines before you exercise. Take them 10 to 15 minutes before exercise. They can help for up to 4 hours. […] Long-acting, inhaled medicines may also help. Use them at least 30 minutes before exercise. They can help for up to 12 hours. Children can take this medicine before school, and it will help for the whole day. […] Be aware that using this kind of medicine every day before exercise may make it less effective over time. […] Follow your health care provider’s advice on which medicines to use and when.
  • #2 Exercise-induced bronchoconstriction – Wikipedia
    https://en.wikipedia.org/wiki/Exercise-induced_bronchoconstriction
    In May 2013, the American Thoracic Society issued the first treatment guidelines for EIB, recommending use of „a short-acting 2-agonist before exercise in all patients with EIB. For patients who continue to have symptoms of EIB despite the administration of a short-acting 2-agonist before exercise, strong recommendations were made for a daily inhaled corticosteroid, a daily leukotriene receptor antagonist, or a mast cell stabilizing agent before exercise.”
  • #2 Exercise-induced bronchoconstriction: prevalence, pathophysiology, patient impact, diagnosis and management | npj Primary Care Respiratory Medicine
    https://www.nature.com/articles/s41533-018-0098-2
    In patients with asthma, EIB is often associated with poor asthma control but can also occur in individuals who have good control when not exercising. […] Inhaled corticosteroids are recommended when asthma control is suboptimal; however, pre-exercise SABAs are also widely used and are recommended as the first-line therapy. […] This review describes the burden, key features, diagnosis and current treatment approaches for EIB in patients with and without asthma and serves as a call to action for family physicians to be aware of EIB and consider it as a potential diagnosis. […] The management of EIB needs to be improved so that patients with the condition can continue to lead a physically active lifestyle. […] EIB is defined as acute airway narrowing (which is transient and reversible) that occurs during or after exercise and can be observed in both patients who have and those who do not have chronic asthma.
  • #2 Exercise-induced asthma – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/symptoms-causes/syc-20372300
    Exercise-induced asthma is when the airways narrow or squeeze during hard physical activity. It causes shortness of breath, wheezing, coughing, and other symptoms during or after exercise. […] Most people with exercise-induced bronchoconstriction can continue to exercise and remain active if they treat symptoms. Treatment includes asthma medicines and taking steps to prevent symptoms before physical activity starts. […] See your health care provider if you have symptoms of exercise-induced bronchoconstriction. A few conditions can cause similar symptoms, so it’s important to get a diagnosis as soon as you can. […] Get emergency medical treatment if you have: Shortness of breath or wheezing that is quickly getting worse, making it hard to breathe. […] If not treated, exercise-induced bronchoconstriction can result in: Serious or life-threatening breathing difficulties, particularly among people with poorly managed asthma.
  • #2 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics/print
    Emergency care plan — A patient or parent/caregiver should work with a healthcare provider to formulate an emergency care plan (also called an asthma action plan) that explains specifically what to do if asthma symptoms worsen. […] Following a severe asthma attack, the patient is usually given a three to ten day course of an oral glucocorticoid medication (eg, prednisone, prednisolone). This treatment helps to reduce the risk of a second asthma attack.
  • #2 Exercise-induced asthma – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/diagnosis-treatment/drc-20372306
    If your child has exercise-induced bronchoconstriction, talk to your health care provider about providing an action plan. This document provides step-by-step instructions for teachers, nurses and coaches that explain: […] There is limited clinical evidence that any alternative treatments benefit people with exercise-induced bronchoconstriction. […] Your provider may refer you to someone who specializes in asthma, such as an allergist-immunologist or a pulmonologist.
  • #2 Exercise-induced asthma | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/exercise-induced-asthma
    You also can use preexercise medicines as a quick-relief treatment for symptoms. However, you shouldn’t need to use your preexercise inhaler more often than recommended. […] Exercise is an important part of a healthy lifestyle for everyone, including most people with exercise-induced bronchoconstriction. Besides taking your medicine, you can take these steps to prevent or reduce symptoms. […] If your child has exercise-induced bronchoconstriction, talk to your health care provider about providing an action plan. This document provides step-by-step instructions for teachers, nurses and coaches that explain: What treatments your child needs. When treatments should be given. What to do if your child has symptoms.
  • #2 Exercise-induced asthma: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/patientinstructions/000036.htm
    Do not exercise when the air is polluted. Avoid exercising near fields or lawns that have just been mowed. […] Warm up before you exercise, and cool down afterward: To warm up, walk or do your exercise activity slowly before you speed up. The longer you warm up, the better. To cool down, walk or do your exercise activity slowly for several minutes. […] Some kinds of exercise may be less likely to trigger asthma symptoms than others. Swimming is a good sport for people with EIB. The warm, moist air helps keep asthma symptoms away. Football, baseball, and other sports with periods when you do not move fast are less likely to trigger your asthma symptoms. […] Activities that keep you moving fast all the time are more likely to trigger asthma symptoms, such as running, basketball, or soccer.
  • #2 Asthma and exercise | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/asthma-and-exercise
    Regular activity is an important part of life. Dont let asthma stop you from being active. […] Exercise-induced bronchoconstriction can be prevented with medication, and by preparing for exercise and physical activity. […] Exercise-induced bronchoconstriction is usually easily managed and should be part of any asthma management plan. […] If you regularly experience asthma symptoms during exercise, consult your doctor or respiratory specialist. […] Most people with asthma can exercise to their full potential if they have good asthma control. […] If you experience asthma symptoms during physical activity or exercise, consult your doctor for further advice. […] To prevent exercise-induced bronchoconstriction, suggestions include: Make sure that your asthma is being well managed, as this will make exercise-induced bronchoconstriction less likely to occur.
  • #2 Asthma and exercise | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/asthma-and-exercise
    Always carry your reliever medication and spacer with you. […] If written on your asthma action plan, take your reliever medication up to 15 minutes before warming up. […] During exercise, watch for asthma symptoms and stop and take your reliever medication if symptoms appear. […] After exercise, cool down as usual. Asthma symptoms can occur up to half an hour after exercise. Make sure you take your reliever medication if you have symptoms after exercise.
  • #2 FloridaHealthFinder | Exercise-induced asthma | Health Encyclopedia | FloridaHealthFinder
    https://quality.healthfinder.fl.gov/health-encyclopedia/HIE/60/000036
    Warm up before you exercise, and cool down afterward: To warm up, walk or do your exercise activity slowly before you speed up. The longer you warm up, the better. To cool down, walk or do your exercise activity slowly for several minutes. […] Some kinds of exercise may be less likely to trigger asthma symptoms than others. Swimming is a good sport for people with EIB. The warm, moist air helps keep asthma symptoms away. Football, baseball, and other sports with periods when you do not move fast are less likely to trigger your asthma symptoms. […] Activities that keep you moving fast all the time are more likely to trigger asthma symptoms, such as running, basketball, or soccer. […] Take your short-acting, or quick-relief, inhaled medicines before you exercise. Take them 10 to 15 minutes before exercise. They can help for up to 4 hours.
  • #2 Exercise-Induced Asthma vs. Chronic | Newport Children
    https://www.newportchildren.com/exercise-induced-asthma-vs-chronic-asthma-2/
    Breathing through the mouth can dry out the airways and make symptoms worse. […] A few puffs of a short-acting beta2-agonist 15 to 30 minutes before exercise can prevent asthma symptoms for two to four hours. […] If your kids have chronic asthma, it’s important to take steps to help them manage their symptoms. […] If possible, avoid triggers by limiting the child’s exposure to pollutants and allergens by using an air purifier or wearing a mask when outdoors. […] A visit to the pediatric pulmonology department at your local hospital can help your child be prescribed the best treatment, and teach you to help control their symptoms.
  • #2 Exercise-induced asthma: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/patientinstructions/000036.htm
    Sometimes exercise triggers asthma symptoms. This is called exercise-induced bronchoconstriction (EIB). In the past, this was called exercise-induced asthma. Exercise does not cause asthma, but it can cause airways to constrict (narrow). Most people with asthma have EIB, but not everyone with EIB has asthma. […] The symptoms of EIB are coughing, wheezing, a feeling of tightness in your chest, or shortness of breath. Most times, these symptoms start soon after you stop exercising. Some people may have symptoms after they start exercising. […] Having asthma symptoms when you exercise does not mean you cannot or should not exercise. But be aware of your EIB triggers. […] Cold or dry air may trigger asthma symptoms. If you do exercise in cold or dry air: Breathe through your nose. Wear a scarf or mask over your mouth.
  • #2
    https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=hw161742
    Exercise-induced asthma is an asthma attack that happens during or after exercise. It’s also called exercise-induced bronchospasm. […] If you have exercise-induced asthma, talk with your doctor about using medicine before exercise. It may help reduce symptoms. It will especially help in cold, dry weather. […] Some doctors recommend that: You use a quick-relief medicine (called a short-acting beta-2 agonist) about 10 to 30 minutes before you exercise. The effect of this medicine lasts several hours. […] You take your long-term controller medicine every day, if needed. This can help reduce airway inflammation. And this can help reduce the overreaction of the airways that carry air to the lungs (bronchial tubes). […] Here are some other steps you can take to reduce symptoms when you’re active: Avoid being exposed to air pollutants and allergens when you can. Exercise indoors when air pollution levels are high. […] Wear a mask or scarf wrapped around your nose and mouth if you exercise in cold weather. This may help warm and moisten the air you breathe in. […] Warm up before strenuous exercise. And slowly increase your activity.
  • #2 FloridaHealthFinder | Exercise-induced asthma | Health Encyclopedia | FloridaHealthFinder
    https://quality.healthfinder.fl.gov/health-encyclopedia/HIE/60/000036
    Sometimes exercise triggers asthma symptoms. This is called exercise-induced bronchoconstriction (EIB). Exercise does not cause asthma, but it can cause airways to constrict (narrow). Most people with asthma have EIB, but not everyone with EIB has asthma. […] The symptoms of EIB are coughing, wheezing, a feeling of tightness in your chest, or shortness of breath. Most times, these symptoms start soon after you stop exercising. Some people may have symptoms after they start exercising. […] Having asthma symptoms when you exercise does not mean you cannot or should not exercise. But be aware of your EIB triggers. […] Cold or dry air may trigger asthma symptoms. If you do exercise in cold or dry air: Breathe through your nose. Wear a scarf or mask over your mouth. […] Do not exercise when the air is polluted. Avoid exercising near fields or lawns that have just been mowed.
  • #2 Preventing exercise-induced asthma | University of Iowa Health Care Stead Family Children’s Hospital
    https://uihc.org/childrens/health-topics/preventing-exercise-induced-asthma
    With prophylactic use of the inhaled bronchodilator, asthmatics can generally take part in all physical activity, including competitive athletics, without limitations imposed by the asthma. In fact, physical exercise is encouraged for asthmatics because physical conditioning itself decreases the patient’s susceptibility to exercise-induced asthma.
  • #2
    https://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/Pages/Exercise-and-Asthma.aspx
    Exercise is important for your child’s physical and mental health. Children with asthma should be able and encouraged to participate in physical education, sports, and other activities in and outside of school. […] Exercise is another common asthma trigger. In fact, about 80% of people with asthma develop wheezing, coughing and chest tightness when they exercise. […] Using a quick-relief medicine 10 to 15 minutes before exercise can usually prevent asthma flare-ups during exercise. If asthma symptoms are occurring often, though, your child’s asthma may not be under control. Good asthma control can make a big difference in your child’s ability to exercise. […] If a child still has asthma symptoms even with treatment, exercise should be stopped. Asthma can be life-threatening if the athlete tries to play through the symptoms. Once the symptoms are controlled, the child can return to exercise.
  • #2 Exercise-induced asthma doesn’t mean you can’t exercise | GoHealth Urgent Care
    https://www.gohealthuc.com/library/exercise-induced-asthma
    Exercise-induced asthma, also known as exercise-induced bronchoconstriction (EIB), is a narrowing of the airways in the lungs triggered by strenuous exercise. […] In fact, 90% of people with asthma will experience EIA during exercise, but you don’t have to have asthma to experience symptoms of exercise-induced asthma. […] If you think your child might be experiencing exercise-induced asthma, watch for signs and symptoms like: Shortness of breath, Wheezing, Coughing, Decreased endurance, Chest tightness, Upset stomach. […] Exercise-induced asthma in children can easily be diagnosed by a pediatrician or allergist. […] Depending on your child’s test results, your doctor might prescribe a medication to help with symptoms of exercise-induced asthma. […] Besides medication, there are also natural treatments for exercise-induced asthma that can help your children perform at their best.
  • #2 Exercise-Induced Asthma: Cold Weather, Warm Ups, Best Sports
    https://www.webmd.com/asthma/features/athletes-guide-exercise-induced-asthma
    If your child is reluctant to engage in sports or other physical activities, consult your pediatrician. Treatment of exercise-induced asthma can help keep your child active. […] „If you have a child who has exercise-induced asthma, work with the teacher and send albuterol to school so your child can be pre-treated with albuterol before they go out to recess. This is often the way to get children to engage in normal activities.” […] „Asthma severity does correlate with obesity, and the better shape you are in, the better your asthma can be controlled,” says Craig. „Research shows that going through conditioning is beneficial for asthma, both in quality of life and in controlling symptoms.”
  • #2 What Is Exercise Induced Asthma? | AAFA.org
    https://aafa.org/asthma/asthma-triggers-causes/exercise-induced-asthma/
    Good general health, physical conditioning, and medical treatment can prevent EIB in most people. If you have EIB, your doctor will prescribe asthma medicine for you to take to help you manage your symptoms. […] Remember, you should be able to take part in activities, sports, and exercise without experiencing symptoms! Do not let EIB keep you from leading an active life or from achieving your athletic dreams. […] With effective management, people with EIB can perform and excel in a variety of sports. Many Olympic athletes and professional athletes with EIB excel in their sports, when it is appropriately managed.
  • #2 Exercise-Induced Asthma: Cold Weather, Warm Ups, Best Sports
    https://www.webmd.com/asthma/features/athletes-guide-exercise-induced-asthma
    Exercise-induced asthma shouldn’t keep you from working out. Here’s how to keep your symptoms under control. […] Exercise-induced asthma, experienced by up to 13% of the U.S. population, occurs when the airways narrow, making breathing difficult. […] The symptoms of exercise-induced asthma are similar to those of chronic asthma, explains Miller. They include: Shortness of breath. Tightness in the chest. Cough or wheezing. Decreased performance. […] Here are some tips for reducing the symptoms of exercise-induced asthma: Be sure to warm up before working out. „A proper warm-up for at least 10 minutes with a gradual increase in intensity can help prevent symptoms,” says Miller. […] Use an inhaler. Inhalers contain albuterol, a beta-agonist bronchodilator. This class of drugs is effective in 80% to 90% of people with exercise-induced asthma. As a preventive therapy, it should be taken about 15 minutes before exercise.
  • #2
    https://link.springer.com/article/10.2165/00007256-199825010-00001
    Exercise-induced asthma (EIA) is characterised by transient airway obstruction occurring after strenuous exertion. A fall of 10% or more in the FEV1 after exercise is diagnostic. […] Education regarding the nature and management of EIA is important not only for asthmatics but also for their families and coaches. With the proper precautions and workout techniques, there is no limit to what individuals with asthma can achieve in sports. […] Prevention is the main objective in managing EIA. Nonpharmacological measures include warming up before vigorous exertion, covering the mouth and nose in cold weather, exercising in warm, humidified environments if possible and warming down after exercise. Aerobic fitness and good control of baseline bronchial reactivity also help to diminish the effects of EIA.
  • #2 Exercise-induced bronchoconstriction: prevalence, pathophysiology, patient impact, diagnosis and management | npj Primary Care Respiratory Medicine
    https://www.nature.com/articles/s41533-018-0098-2
    Exercise-induced bronchoconstriction (EIB) can occur in individuals with and without asthma, and is prevalent among athletes of all levels. […] In patients with asthma, symptoms of EIB significantly increase the proportion reporting feelings of fearfulness, frustration, isolation, depression and embarrassment compared with those without symptoms. […] EIB can also prevent patients with asthma from participating in exercise and negatively impact their quality of life. […] Diagnosis of EIB is based on symptoms and spirometry or bronchial provocation tests; owing to low awareness of EIB and lack of simple, standardised diagnostic methods, under-diagnosis and mis-diagnosis of EIB are common. […] In patients without asthma, EIB can be managed by various non-pharmacological methods and the use of pre-exercise short-acting 2-agonists (SABAs).
  • #2 Aiding children with exercise-induced „asthma” | UNC Greensboro
    https://www.uncg.edu/featured/aiding-children-with-exercise-induced-asthma/
    I see this all the time with kids they say I wheeze all the time, says Dr. Colleen McGovern, an assistant professor in the School of Nursing. But thats not what we want. Our goal is for kids to be symptom free. […] McGovern emphasizes that it is important for children with these symptoms to be evaluated by a clinician and receive appropriate treatment for both the short and long term. […] Receiving an EIB diagnosis and appropriate treatment can unfortunately be an uphill battle for children, Marye and McGovern say. […] I want to get to these kids before they start ignoring their symptoms, she says. I want to teach them what their symptoms are, what to do, and not to ignore it. […] A child speaking up can be a key step. But schools, doctors, and families all play a role in making sure children receive the treatment they need to lead healthy, active lives on and off the playground.
  • #2 Asthma: Learn More – Exercise-induced asthma – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK279522/
    Suddenly getting out of breath or gasping for air when doing sports can be frightening. But physical activity is also important in people who have exercise-induced asthma. The key is to find the right balance: Too much can set off an asthma attack, but too little affects your lung performance. […] It is important to know how to deal with asthma symptoms and relieve an asthma attack. Medications can help lower the risk of asthma attacks. […] Exercise and sports not only help you improve your stamina and become physically fitter, they can also help you to relax and simply have fun. Asthma need not be a barrier to leading an active life. […] Physical exercise also has important health benefits for people with asthma. People with asthma who know how to deal with asthma attacks and how to use medication in order to prevent their symptoms from getting worse can still do sports.
  • #2 Asthma and Exercise | American Lung Association
    https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma/managing-asthma/asthma-and-exercise
    Exercise is important for overall health as well as lung health, and there are many benefits of physical activity for people living with asthma. […] Some people with asthma only have symptoms (e.g., shortness of breath, chest tightness, wheezing or coughing) during exercise or when doing physically demanding tasks. This is called exercise-induced asthma or exercise-induced bronchospasm. […] If you have asthma symptoms during or shortly after you exercise, be sure to talk to your doctor about it. […] Generally, people with asthma can participate in all types of exercise. You may need to take medicine before you exercise. […] If you start to have pain or a tight feeling in your chest, have a cough or become short of breath during exercise, stop the activity right away. […] Being aware of your asthma signs and symptoms can help you take action before your breathing gets worse. […] Don’t let your asthma hold you back from being active and healthy.
  • #2 Exercise-induced asthma: Symptoms, causes, and prevention
    https://www.singlecare.com/blog/exercise-induced-asthma/
    If you just have exercise-induced asthma, you may need to always prepare for workouts by using your inhaler with a short-acting beta agonist, which will help open up your airways. […] If you have asthma and exercise-induced asthma, you may need to take daily long-term control medication, too. […] If youre exercising with exercise-induced asthma, the following tips can help minimize your symptoms. […] The important thing is to acknowledge that you have this condition and develop an asthma action plan that will help you be prepared and prevent impact on your quality of life.
  • #2 Exercise-induced asthma – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/diagnosis-treatment/drc-20372306
    To diagnose exercise-induced bronchoconstriction, your health care provider first takes a medical history and does a physical exam. You may have tests to check your lung function and rule out other conditions. […] Your health care provider might prescribe medicines to take shortly before exercise or to take daily for long-term control. […] If your provider prescribes a medicine to take before exercising, ask how much time you need between taking the medicine and starting the activity. […] You also can use preexercise medicines as a quick-relief treatment for symptoms. However, you shouldn’t need to use your preexercise inhaler more often than recommended. […] Exercise is an important part of a healthy lifestyle for everyone, including most people with exercise-induced bronchoconstriction. Besides taking your medicine, you can take these steps to prevent or reduce symptoms:
  • #2 Exercise-induced asthma and its imitators | Phoenix Children’s Hospital
    https://phoenixchildrens.org/articles-faqs/blog/exercise-induced-asthma-and-its-imitators
    Warming up before exercise is also a valuable tip to prevent exercise-induced symptoms. […] Other than treating exercise-induced asthma and its imitators, Phoenix Childrens Pulmonology Division has a state-of-the-art asthma program, including a Severe Asthma Clinic and the Breathmobile. The Severe Asthma Clinic has both allergists and pulmonologists who work together to manage difficult-to-treat asthma.
  • #3 Exercise-induced bronchoconstriction – Wikipedia
    https://en.wikipedia.org/wiki/Exercise-induced_bronchoconstriction
    Exercise-induced bronchoconstriction (EIB) occurs when the airways narrow as a result of exercise. This condition has been referred to as exercise-induced asthma (EIA); however, this term is no longer preferred. While exercise does not cause asthma, it is frequently an asthma trigger. […] The best treatment is avoidance of conditions predisposing to attacks, when possible. In athletes who wish to continue their sport or do so in adverse conditions, preventive measures include altered training techniques and medications. […] There is no evidence supporting different treatment for EIB in asthmatic athletes and nonathletes. The most common medication used is a beta agonist taken about 20 minutes before exercise. Some physicians prescribe inhaled anti-inflammatory mists such as corticosteroids or leukotriene antagonists, and mast cell stabilizers have also proven effective.
  • #3 Exercise-induced bronchoconstriction: prevalence, pathophysiology, patient impact, diagnosis and management | npj Primary Care Respiratory Medicine
    https://www.nature.com/articles/s41533-018-0098-2
    In patients with asthma, EIB is often associated with poor asthma control but can also occur in individuals who have good control when not exercising. […] Inhaled corticosteroids are recommended when asthma control is suboptimal; however, pre-exercise SABAs are also widely used and are recommended as the first-line therapy. […] This review describes the burden, key features, diagnosis and current treatment approaches for EIB in patients with and without asthma and serves as a call to action for family physicians to be aware of EIB and consider it as a potential diagnosis. […] The management of EIB needs to be improved so that patients with the condition can continue to lead a physically active lifestyle. […] EIB is defined as acute airway narrowing (which is transient and reversible) that occurs during or after exercise and can be observed in both patients who have and those who do not have chronic asthma.
  • #3 What Does Exercise-Induced Asthma Feel Like?
    https://www.baptisthealth.com/blog/sports-medicine/what-does-exercise-induced-asthma-feel-like
    Exercise-induced asthma is a condition where your airways narrow during strenuous exercise. Also called exercise-induced bronchoconstriction, it makes it hard to breathe during exercise. […] Symptoms tend to improve approximately 30 minutes after an exercise session. However, some people experience late-phase symptoms that return up to 12 hours after the session and can take up to a day to resolve. […] Doctors diagnose exercise-induced asthma by talking with you about your symptoms, including when they occur and how long they last. They also listen to your lung sounds. […] Theres no cure for exercise-induced asthma. However, you can take action to prevent or minimize your symptoms. […] That begins with warming up for at least six minutes before you start an exercise session. Your doctor may also prescribe medications for addressing symptoms, including:
  • #3 Exercise-induced asthma: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/patientinstructions/000036.htm
    Sometimes exercise triggers asthma symptoms. This is called exercise-induced bronchoconstriction (EIB). In the past, this was called exercise-induced asthma. Exercise does not cause asthma, but it can cause airways to constrict (narrow). Most people with asthma have EIB, but not everyone with EIB has asthma. […] The symptoms of EIB are coughing, wheezing, a feeling of tightness in your chest, or shortness of breath. Most times, these symptoms start soon after you stop exercising. Some people may have symptoms after they start exercising. […] Having asthma symptoms when you exercise does not mean you cannot or should not exercise. But be aware of your EIB triggers. […] Cold or dry air may trigger asthma symptoms. If you do exercise in cold or dry air: Breathe through your nose. Wear a scarf or mask over your mouth.
  • #3 Managing Exercise-Induced Asthma – Riverside Health YOU Blog
    https://www.riversideonline.com/en/patients-and-visitors/healthy-you-blog/blog/w/working-out-with-exercise-induced-asthma
    Exercise-induced asthma happens most often to those who have already been diagnosed with asthma. […] Coughing is the most common symptom of exercise-induced asthma, says a Riverside provider. […] Technically, the correct medical term for exercise-induced asthma is exercise-induced bronchoconstriction or EIB. […] To diagnose EIB, your care provider will test your lung capacity while exercising. […] People with asthma account for 90 percent of EIB cases, but 10 percent of those with EIB are healthy otherwise and only experience the symptoms while exercising. […] Elite athletes who do not have asthma can be affected by EIB, especially those who participate in endurance sports, such as running, cycling and winter sports. […] Cold, dry air is a trigger for exercise-induced asthma. […] Cold-weather sports, like hockey or skiing, are more likely to lead to exercise-induced asthma, Riverside provider says.
  • #3 Exercise-Induced Asthma: Practice Essentials, Background, Anatomy
    https://emedicine.medscape.com/article/1938228-overview
    Patient education is a critical part of the treatment of EIA. Once the diagnosis is made, athletes should be encouraged to continue in their activities with the reassurance that proper treatment can allow for an unhampered performance for most individuals. […] Education of the coaching staff is also crucial, because coaches need to know that shortness of breath in athletes does not always indicate poor conditioning and that the consequences of ignoring an asthma attack can be serious.
  • #3 Exercise-Induced Asthma: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/4174-exercise-induced-asthma
    Exercise-induced asthma (exercise-induced bronchoconstriction) happens when your airways get smaller during physical activity, triggering asthma symptoms. This might include coughing, wheezing or shortness of breath. Warming up, inhalers and other medications can prevent asthma episodes and open your airways when you do have an episode. […] Treatment for exercise-induced asthma focuses on preventing and relieving symptoms. In addition to preventive steps like warming up before physical activity your provider may prescribe medications that can help. Some drugs open your airways while youre having symptoms and others prevent symptoms. […] Your provider may prescribe medications you breathe in using an inhaler or a nebulizer. These can prevent or relieve symptoms. Inhaled medications for exercise-induced asthma include:
  • #3 Exercise-Induced Bronchoconstriction: Diagnosis and Management | AAFP
    https://www.aafp.org/pubs/afp/issues/2011/0815/p427.html
    In athletes with confirmed EIB, a reasonable approach is to start with a short-acting beta2 agonist before exercise. If regular dosing of a short-acting beta2 agonist is needed, or if EIB is not controlled with short-acting beta2 agonists, a second-line agent (e.g., leukotriene receptor antagonist, mast cell stabilizer, inhaled corticosteroid with or without a long-acting beta2 agonist) can be added.
  • #3 Exercise-Induced Bronchoconstriction (EIB) | ACAAI Public Website
    https://acaai.org/asthma/types-of-asthma/exercise-induced-bronchoconstriction-eib/
    Two types of medicines used to treat asthma are also used to prevent and treat EIB symptoms. They are usually taken through an inhaler, though some are available in tablet form: Short-acting inhaled beta2-agonists (bronchodilators) stop symptoms right away. They may be taken 15 to 30 minutes before vigorous exercise and generally prevent symptoms for two to four hours. […] Other suggestions for relieving symptoms of EIB include: Warm up with gentle exercises for about 15 minutes before you start more intense physical activity. Cover your mouth and nose with a scarf or face mask when you exercise in cold weather. Try to breathe through your nose while you exercise. This helps warm the air that goes into your lungs. Avoid triggers by making changes to your exercise routine. See an allergist to discuss prescription medications, which may be more effective than over-the-counter treatments. If you continue to experience symptoms when you exercise, talk to your allergist. Together, you can work to adjust your personal treatment plan to make sure you’re feeling and performing your best.
  • #3 Exercise-induced bronchoconstriction: prevalence, pathophysiology, patient impact, diagnosis and management | npj Primary Care Respiratory Medicine
    https://www.nature.com/articles/s41533-018-0098-2
    For patients without underlying asthma, management of EIB should focus on relief of bronchoconstriction, and the reduction in risk (or prevention entirely) of the occurrence of bronchoconstriction, to allow the patient to continue to engage in physical exercise with minimal respiratory symptoms. […] In patients with asthma, management of EIB should focus on following global treatment guidelines to ensure the underlying asthma is controlled. […] The ATS guidelines acknowledge that EIB may be present in both patients with and without asthma, and as such do not make specific recommendations based on the presence of asthma. […] In patients diagnosed with EIB and asthma, the use of an inhaled SABA, typically 15min before exercise, is strongly recommended. […] The primary focus should be to increase awareness of EIB and educate patients to recognise symptoms and risk factors of EIB.
  • #3 Exercise-Induced Asthma: Symptoms, Treatment, and More
    https://www.verywellhealth.com/play-sports-control-exercise-induced-asthma-3120183
    While activity is the very thing that triggers exercise-induced asthma, poor physical condition can also increase your incidence of asthma attacks. […] If asthma attack occurs during physical activity, it’s important to act quickly to halt the episode. […] Exercise-induced asthma (EIA) occurs when exercise and exertion lead to bronchoconstriction. This narrowing of the main bronchi moving air to and from the lungs can make it hard to breathe, with symptoms of wheezing and cough. People diagnosed with asthma often experience EIA. […] Treatment is similar to asthma care, including inhaler use.
  • #3 Exercise-induced asthma | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/exercise-induced-asthma
    You also can use preexercise medicines as a quick-relief treatment for symptoms. However, you shouldn’t need to use your preexercise inhaler more often than recommended. […] Exercise is an important part of a healthy lifestyle for everyone, including most people with exercise-induced bronchoconstriction. Besides taking your medicine, you can take these steps to prevent or reduce symptoms. […] If your child has exercise-induced bronchoconstriction, talk to your health care provider about providing an action plan. This document provides step-by-step instructions for teachers, nurses and coaches that explain: What treatments your child needs. When treatments should be given. What to do if your child has symptoms.
  • #3 Exercise-Induced Asthma: Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/4174-exercise-induced-asthma
    With planning and preparation, you may be able to avoid an asthma episode. Before physical activity, you should: […] Many people with exercise or sports-induced asthma manage the condition and live active, healthy lifestyles. With proper planning and care, you can exercise and enjoy a variety of sports and activities. […] If you or your child has symptoms of EIB, call a healthcare provider. If you can, keep track of and share with your provider: […] If you or your child has severe shortness of breath or trouble breathing, seek immediate medical attention. Call 911 or go directly to the emergency room. […] Talk to your provider about medications that can help you breathe easier. With lifestyle changes and prior planning, you can stay active and exercise safely.
  • #3 Exercise-induced asthma doesn’t mean you can’t exercise | GoHealth Urgent Care
    https://www.gohealthuc.com/library/exercise-induced-asthma
    If you think it’s best for kids with exercise-induced asthma to avoid playing sports, think again. Not only is most exercise good for children with EIA, but it can also help improve lung function by strengthening breathing muscles in the chest. […] Not sure your child’s symptoms are exercise-induced asthma? Visit an urgent care in your neighborhood by saving your spot using the dropdown below. Our healthcare professionals are trained in treating patients with asthma attacks and wheezing and offer care during evenings, weekends, and holidays when you need it most.
  • #3 FloridaHealthFinder | Exercise-induced asthma | Health Encyclopedia | FloridaHealthFinder
    https://quality.healthfinder.fl.gov/health-encyclopedia/HIE/60/000036
    Warm up before you exercise, and cool down afterward: To warm up, walk or do your exercise activity slowly before you speed up. The longer you warm up, the better. To cool down, walk or do your exercise activity slowly for several minutes. […] Some kinds of exercise may be less likely to trigger asthma symptoms than others. Swimming is a good sport for people with EIB. The warm, moist air helps keep asthma symptoms away. Football, baseball, and other sports with periods when you do not move fast are less likely to trigger your asthma symptoms. […] Activities that keep you moving fast all the time are more likely to trigger asthma symptoms, such as running, basketball, or soccer. […] Take your short-acting, or quick-relief, inhaled medicines before you exercise. Take them 10 to 15 minutes before exercise. They can help for up to 4 hours.
  • #3 Asthma and Exercise
    https://www.aaaai.org/tools-for-the-public/conditions-library/asthma/asthma-and-exercise
    If you cough, wheeze and have a tight chest or shortness of breath when you exercise, you could have EIB. Walking, leisure biking, swimming and hiking are good sporting activities for people with EIB. Cold weather activities such as cross-country skiing and ice hockey, as well as sports that require short bursts of high energy are more likely to make your symptoms worse. An allergist can figure out the cause of your symptoms and develop a treatment plan that can keep you exercising.
  • #3 Exercise-Induced Asthma | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.exercise-induced-asthma.hw161742
    Exercise-induced asthma is an asthma attack that happens during or after exercise. It’s also called exercise-induced bronchospasm. […] If you have exercise-induced asthma, talk with your doctor about using medicine before exercise. It may help reduce symptoms. It will especially help in cold, dry weather. […] Some doctors recommend that you use a quick-relief medicine about 10 to 30 minutes before you exercise. The effect of this medicine lasts several hours. […] You take your long-term controller medicine every day, if needed. This can help reduce airway inflammation. […] Here are some other steps you can take to reduce symptoms when you’re active: Avoid being exposed to air pollutants and allergens when you can. Exercise indoors when air pollution levels are high. […] Wear a loose-fitting mask or scarf wrapped around your nose and mouth if you exercise in cold weather. This may help warm and moisten the air you breathe in. […] Warm up before strenuous exercise. And slowly increase your activity.
  • #3 Preventing exercise-induced asthma | University of Iowa Health Care Stead Family Children’s Hospital
    https://uihc.org/childrens/health-topics/preventing-exercise-induced-asthma
    With prophylactic use of the inhaled bronchodilator, asthmatics can generally take part in all physical activity, including competitive athletics, without limitations imposed by the asthma. In fact, physical exercise is encouraged for asthmatics because physical conditioning itself decreases the patient’s susceptibility to exercise-induced asthma.
  • #3 Exercise-induced asthma doesn’t mean you can’t exercise | GoHealth Urgent Care
    https://www.gohealthuc.com/library/exercise-induced-asthma
    Exercise-induced asthma, also known as exercise-induced bronchoconstriction (EIB), is a narrowing of the airways in the lungs triggered by strenuous exercise. […] In fact, 90% of people with asthma will experience EIA during exercise, but you don’t have to have asthma to experience symptoms of exercise-induced asthma. […] If you think your child might be experiencing exercise-induced asthma, watch for signs and symptoms like: Shortness of breath, Wheezing, Coughing, Decreased endurance, Chest tightness, Upset stomach. […] Exercise-induced asthma in children can easily be diagnosed by a pediatrician or allergist. […] Depending on your child’s test results, your doctor might prescribe a medication to help with symptoms of exercise-induced asthma. […] Besides medication, there are also natural treatments for exercise-induced asthma that can help your children perform at their best.
  • #3 Exercise-Induced Asthma | Lurie Children’s
    https://www.luriechildrens.org/en/specialties-conditions/exercise-induced-asthma/
    The best way to treat exercise-induced asthma is to prevent the onset of symptoms with medications and proper warm-ups. Your child should warm up for 15 to 20 minutes before exercise with dynamic stretching and calisthenics to reach 50-60% of their maximum heart rate. […] Inhaled medicines, such as Albuterol, can be used before exercise to help open up the airways and prevent them from closing. Some athletes need other medications to help control symptoms; this is especially true for athletes with regular asthma and exercise-induced asthma. […] Wearing a mask during cold weather may decrease your child’s symptoms. Athletes who notice specific factors that aggravate asthma (such as recently mowed grass) should avoid those triggers. […] Children can generally continue to participate in all activities, though coaches and athletic trainers should be aware of the diagnosis so that they can double-check that your child has their medications at each practice session and competition. The coaches should know to have your child stop exercise if symptoms occur. You should talk to your child’s doctor if symptoms continue despite treatment.
  • #3 Asthma: Types, Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/6424-asthma
    Exercise-induced asthma: This type is triggered by exercise and is also called exercise-induced bronchospasm. […] For some people, exercising can cause an attack. […] If your healthcare provider says you have asthma, you’ll need to figure out what triggers an attack. Avoiding the triggers can help you avoid an attack. You can’t prevent yourself from getting asthma, though. […] Your healthcare provider can help you manage symptoms, learn your triggers and prevent or manage attacks.
  • #3 Asthma and Exercise | American Lung Association
    https://www.lung.org/lung-health-diseases/lung-disease-lookup/asthma/managing-asthma/asthma-and-exercise
    Exercise is important for overall health as well as lung health, and there are many benefits of physical activity for people living with asthma. […] Some people with asthma only have symptoms (e.g., shortness of breath, chest tightness, wheezing or coughing) during exercise or when doing physically demanding tasks. This is called exercise-induced asthma or exercise-induced bronchospasm. […] If you have asthma symptoms during or shortly after you exercise, be sure to talk to your doctor about it. […] Generally, people with asthma can participate in all types of exercise. You may need to take medicine before you exercise. […] If you start to have pain or a tight feeling in your chest, have a cough or become short of breath during exercise, stop the activity right away. […] Being aware of your asthma signs and symptoms can help you take action before your breathing gets worse. […] Don’t let your asthma hold you back from being active and healthy.
  • #3 Asthma and exercise | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/asthma-and-exercise
    Regular activity is an important part of life. Dont let asthma stop you from being active. […] Exercise-induced bronchoconstriction can be prevented with medication, and by preparing for exercise and physical activity. […] Exercise-induced bronchoconstriction is usually easily managed and should be part of any asthma management plan. […] If you regularly experience asthma symptoms during exercise, consult your doctor or respiratory specialist. […] Most people with asthma can exercise to their full potential if they have good asthma control. […] If you experience asthma symptoms during physical activity or exercise, consult your doctor for further advice. […] To prevent exercise-induced bronchoconstriction, suggestions include: Make sure that your asthma is being well managed, as this will make exercise-induced bronchoconstriction less likely to occur.