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• #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. […] 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.

• #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. […] 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. These medications are extremely effective in treating or preventing EIB symptoms, so if symptoms do not improve, let your allergist know. […] Long-term control asthma medicines are taken daily to prevent symptoms and attacks. Inhaled corticosteroids. These are the most commonly prescribed long-term asthma medications. They help to relieve narrowing and inflammation of the bronchial tubes. It may take two to four weeks before these drugs reach their maximum effect. […] Montelukast, a leukotriene receptor inhibitor, is also approved for the treatment of exercise-induced asthma symptoms. Taken once daily, this medication can help prevent symptoms that accompany exercise.

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• #4 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. Warming up, inhalers and other medications can prevent asthma episodes and open your airways when you do have an episode. […] With planning and preparation, you may be able to avoid an asthma episode. Before physical activity, you should: Allow yourself time to warm up: Before starting any physical activity, warm up for six to 10 minutes. […] Manage asthma symptoms: If you have asthma, work with your provider to manage your symptoms before you start an exercise program. […] If you have sports-induced asthma, you may want to choose certain activities over others. Endurance sports and activities that take place in colder temperatures are more likely to trigger symptoms. […] 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.

• #5 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics/print

  Exercise-induced asthma prevention […] 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. […] For people who exercise once a day or less — Preventing exercise-induced bronchoconstriction usually includes use of an inhaled medication prior to exercise.

• #6 Exercise-induced Bronchospasm – familydoctor.org

  https://familydoctor.org/condition/exercise-induced-bronchospasm/

  Exercise-induced bronchospasm (EIB) happens when the airways in your lungs narrow when you exercise. This makes it hard to breathe. If you have EIB, it may be hard to exercise for more than 30 minutes at a time. […] You cannot avoid EIB. However, you can help prevent flare-ups. Avoid types of exercise or conditions that trigger symptoms. Work with your doctor to identify these. […] Most people who have EIB still can exercise. However, you may have to avoid certain types of exercise. Medicine can prevent and manage most symptoms. There also are lifestyle changes you can make: Warm up and cool down for at least 15 minutes before and after you exercise. This can help lessen EIB symptoms. Avoid exercising in very cold temperatures. Avoid exercising when you are sick, like with a cold or the flu. Avoid exercising when your allergies are bad. For instance, when pollen levels are high. If you smoke, stop smoking.

• #7 Exercise-induced asthma: Symptoms, causes, and prevention

  https://www.medicalnewstoday.com/articles/325437

  Many people with asthma find that their symptoms get worse when they exercise, especially in cold weather. […] Preventive measures and medications can help manage asthma symptoms during or after exercise. […] People can often prevent or reduce the severity of asthma symptoms that occur during or after exercise. Follow a doctors instructions about using medication, including which to use and when to use them. […] A person with asthma should always keep a rescue inhaler with them, even during exercise, in case a severe asthma attack occurs. […] The following prevention tips may also help reduce symptoms: Warm up before exercise to loosen the airways and move mucus around. […] Choose forms of exercise that are less likely to trigger symptoms. Exercises that involve heavy breathing are more likely to restrict the airways. […] Following a doctors instructions about medicines can help manage, and possibly prevent, asthma symptoms during exercise.

• #8 Exercise-induced asthma – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube

  https://www.augustahealth.com/disease/exercise-induced-asthma/

  Exercise is an important part of a healthy lifestyle for everyone, including most people with exercise-induced bronchoconstriction. Besides taking your medication, steps you can take to prevent or minimize symptoms of exercise-induced bronchoconstriction include the following: Do around 15 minutes of warmup that varies in intensity before you begin regular exercise. Breathe through your nose to warm and humidify the air before it enters your lungs. Wear a face mask or scarf when exercising, especially in cold, dry weather. If you have allergies, avoid triggers. For example, don’t exercise outside when pollen counts are high. Try to avoid areas with high levels of air pollution, such as roads with heavy traffic. […] There is limited clinical evidence that any alternative treatments benefit people with exercise-induced bronchoconstriction.

• #9 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. […] 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. […] Factors that can increase the risk of the condition or act as triggers include: Dry air. Cold air. Air pollution. Chlorine in swimming pools. In a gym setting, fumes from perfume, paint, new equipment or carpet. Activities with long periods of deep breathing, such as long-distance running, swimming or soccer. […] If not treated, exercise-induced bronchoconstriction can result in: Serious or life-threatening breathing difficulties, particularly among people with poorly managed asthma. Lower quality of life because of inability to exercise.

• #10 Exercise Induced Asthma: Symptoms, Prevention, TreatmentsFacebookInstagramLinkedIn

  https://coloradoent.com/blog/exercise-induced-asthma-symptoms-prevention-treatments/

  Exercise-induced asthma is when the airways in the lungs narrow due to strenuous exercise. […] If exercising in the cold gives you trouble, there are preventive measures that can be taken. Dressing in layers or wearing a scarf to warm your air may benefit you. […] How to Prevent or Manage exercise-induced asthma: Don’t exercise in cold, dry environments. Breathe through the nose to warm and moisten the air. This can be done with a face mask or scarf. It helps trap moisture and keep the air warmer. Use medication before you exercise, such as short-acting Albuterol. Warm up and cool down with exercise at least 5-15 minutes before and after the activity. Avoid strenuous activities if peak flow is within a certain range, as determined by your allergist. Avoid running or strenuous activity when you have an infection, low temperatures or pollen, and air pollution is high.

• #11

  https://www.bodi.com/blog/exercise-induced-asthma?srsltid=AfmBOopFR6CDvWu260qTgPtDdFpWhWJeT50DuLVeuuDLj7Wy8mtNLlJI

  For most of the approximately 262 million sufferers of asthma worldwide, one particularly vexing manifestation of the disease is exercise-induced asthma, also known as exercise-induced bronchoconstriction (EIB) — asthma symptoms brought on by physical exertion. […] If you experience any EIB symptoms, see a doctor — and discuss these guidelines: […] If you’re prone to exercise-induced bronchoconstriction, workouts that require constant activity, like soccer, basketball, and long-distance running, are more likely to bring on symptoms than those requiring short bursts of activity. […] Your best strategy for staying fit, then, is start-stop exercise, such as strength training, sprints, and tennis. […] Another great option for people with EIB is swimming: the vapor near the water’s surface humidifies the air and reduces your chances of an episode.

• #12 Exercise and Asthma

  https://www.aaaai.org/tools-for-the-public/conditions-library/asthma/exercise-and-asthma

  Exercise-induced bronchoconstriction (EIB), also called exercise-induced asthma, is a narrowing of the airways in the lungs that is triggered by physical activity. […] People with EIB are still able to exercise and should exercise regularly. But you need to be sure that you are doing the right kind and right amount of exercise. […] To prevent asthma flare-ups, your doctor may prescribe that you take an inhaled short-acting medication prior to exercise. These medications are effective in preventing EIB symptoms in 80 to 90% of patients. […] Drinking water, warming up and cooling down and wearing a mask or scarf over the mouth when exercising in cold weather can also help minimize EIB. […] Because cold, dry air can make symptoms worse, as can activities that require continuous exertion, it is recommended that individuals with EIB avoid sports like: Cross-country skiing Running Soccer Basketball Hockey.

• #13 Exercise-induced Asthma and How to Manage It | Griffin Health

  https://www.griffinhealth.org/conditions-treatments/exercise-induced-asthma-and-how-to-manage-it/

  If this sounds familiar, you may have exercise-induced asthma (EIA). This is asthma that is triggered by exercise. It often starts 5 to 10 minutes after exercise. It may go away 20 to 60 minutes after you are done exercising. […] EIA should not stop you from being active. There are many ways to manage it. The one that is used will vary from person to person. You may need to use medicines that are inhaled or swallowed to help open your airways. Some medicines may need to be used before exercising and some may be needed daily. Use them as advised by your care team. […] Here are some other tips to help you stay active: Warm up before exercising if your doctor thinks it will help. Breathe through your nose. Your nose helps warm the air before it reaches your airways. Try swimming. Indoor pools are warm and moist. There is a smaller chance of an EIA attack. But keep in mind that a heavily chlorinated pool may trigger symptoms. Cold weather care. Wear a face mask or scarf over your nose and mouth when exercising in cold weather. This warms the air before it reaches your lungs. Protect yourself from pollen. If pollen is a problem for you, exercise indoors when pollen counts are high. Adjust the intensity of your workouts. High-intensity aerobic sports, especially in cold weather, are more likely to cause problems. Don’t stop trying to stay active. If one method or medicine does not help you, then talk to your doctor. Changes can be made to your care plan to help keep you moving.

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• #15 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=56&contentid=251

  Exercise can also make asthma symptoms worse in most people who do have asthma. […] Your healthcare provider may advise you to take medicine before or during exercise. You may take an inhaled medicine, such as albuterol. This type of medicine is called a rescue or quick-relief medicine. It is used about 15 minutes before exercising. It may also be taken again during or after exercise, if needed. […] Living with EIB doesn’t mean you need to give up exercise. Exercise is important for good health. It also helps keep your lungs, heart, and the muscles used for breathing strong. […] Ask your healthcare provider how to exercise safely and with as few symptoms as possible. Most people who have EIB can exercise safely. […] Along with taking medicines, these things can help prevent or ease symptoms of EIB: Don’t exercise outside on cold, dry days. Cover your mouth with a mask or scarf if you are outside in cold weather.

• #16 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=56&contentid=251

  Don’t exercise outside when there is a lot of pollen or air pollution. Exercise indoors instead. […] Start an exercise program slowly if you haven’t exercised in a while. Slowly increase how hard and how long you exercise. […] Warm up and cool down before and after exercise. […] Take breaks and drink water before, during, and after exercise.

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• #18 Exercise for Asthma: Best Exercises, Benefits, and More

  https://www.healthline.com/health/asthma/exercise-for-asthma

  Asthma is a chronic condition that affects the airways in your lungs. It makes the airways inflamed and swollen, causing symptoms like coughing and wheezing. Exercise may help ease asthma symptoms. […] Sometimes, aerobic exercise can trigger or worsen asthma-related symptoms. When this happens, its called exercise-induced asthma or exercise-induced bronchoconstriction (EIB. […] If you do have EIB, you might be hesitant to workout. But having it doesnt mean you should avoid regular exercise. Its possible for people with EIB to workout with comfort and ease. […] In fact, regular physical activity can decrease asthma symptoms by improving your lung health. The key is to do the right kind and amount of exercise. You can determine what this looks like for you by working with a doctor. […] Some types of exercise can reduce or prevent asthma symptoms. They work by making your lungs stronger without worsening inflammation.

• #19 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics

  Exercise-induced asthma prevention […] 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. […] 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. […] 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. […] An alternative is to use a combination inhaler that includes formoterol and an inhaled corticosteroid. […] For people who exercise once a day or less

• #20 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. […] 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.

• #21 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics/print

  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. […] An alternative is to use a combination inhaler that includes formoterol and an inhaled corticosteroid. Formoterol works as quickly as albuterol and lasts for 12 hours, so it is both a rapid-acting and a long-acting bronchodilator. For prevention of exercise-induced asthma one of the combination inhalers, such as budesonide-formoterol (brand names: Breyna, Symbicort) or mometasone-formoterol (brand name: Dulera), can be used one inhalation, at least five minutes prior to exertion. […] For exertion throughout the day — Some adults and most children exercise intermittently throughout the day, making it hard to use a preventive treatment before each episode of activity. In this case, a long-acting inhaled bronchodilator (eg, salmeterol or formoterol) or a leukotriene modifier (eg, montelukast or zafirlukast) may be recommended to provide day-long protection.

• #22 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. […] 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. These medications are extremely effective in treating or preventing EIB symptoms, so if symptoms do not improve, let your allergist know. […] Long-term control asthma medicines are taken daily to prevent symptoms and attacks. Inhaled corticosteroids. These are the most commonly prescribed long-term asthma medications. They help to relieve narrowing and inflammation of the bronchial tubes. It may take two to four weeks before these drugs reach their maximum effect. […] Montelukast, a leukotriene receptor inhibitor, is also approved for the treatment of exercise-induced asthma symptoms. Taken once daily, this medication can help prevent symptoms that accompany exercise.

• #23 Exercise-Induced Asthma: Symptoms, Treatments, Prevention, and Causes

  https://www.webmd.com/asthma/exercise-induced-asthma

  Can My Exercise-Induced Asthma Be Prevented? […] Yes. Asthma inhalers or bronchodilators used before exercise can control and prevent exercise-induced asthma symptoms. The preferred asthma medications are short-acting beta-2 agonists such as albuterol. Taken 10 minutes before exercise, these medications can prevent the airways from contracting and help control exercise-induced asthma. […] In addition to taking medications, warming up before exercising and cooling down after can help prevent asthma. […] Are There Tips to Prevent and Treat Exercise-Induced Asthma? […] Always use your pre-exercise inhaled drugs. […] Do warm-up exercises and have a cool-down period after exercise. […] Avoid exercising outdoors when pollen counts are high (if you have allergies), and avoid exercising outdoors when there is high air pollution. […] Again, asthma should not be used as an excuse to avoid exercise. With proper diagnosis and treatment of asthma, you should be able to enjoy the benefits of an exercise program without asthma symptoms.

• #24 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. […] How can these symptoms be prevented and treated, so asthma doesn’t become an excuse to avoid exercise? […] 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. […] Take precautions when it’s chilly outside. „If it’s cold, cover your mouth and nose to warm the air,” says Miller. Or „move to indoor areas that are well-ventilated and have humidified, warm air.” […] 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. The effects can last for up to four to six hours. Your inhaler can also be used to relieve asthma symptoms after they flare.

• #25 How To Manage Exercise-Induced Asthma? Prevention Strategies And Medications – Runners Connect

  https://runnersconnect.net/exercise-induced-asthma-medications/

  High volume endurance exercise exposes your lungs to a much greater amount of airborne irritants like pollen, particulates from pollution, and cold air. […] The most obvious way to treat or prevent exercise-induced asthma attacks is to reduce or prevent the release of the inflammatory chemicals from the mast cells or to blunt the body’s response to the inflammatory irritants. […] The mainstay of asthma prevention is a class of drugs called short-acting beta-adrenergic agonists. […] According to a 2004 review by Sandra D. Anderson, short-acting beta-adrenergic agonists provide 80% protection from exercise-induced asthma when taken five to 15 minutes before exercise. […] Other medicines, which try to prevent the release of inflammatory chemicals or stabilize the mast cells aren’t as effective when airway restriction has already occurred.

• #26 Exercise-Induced Bronchoconstriction: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/0815/p427.html

  Exercise-induced bronchoconstriction describes the narrowing of the airway that occurs with exercise. More than 10 percent of the general population and up to 90 percent of persons previously diagnosed with asthma have exercise-induced bronchoconstriction. […] Nonpharmacologic treatment options include avoiding known triggers, choosing sports with low minute ventilation, warming up before exercising, and wearing a heat exchange mask in cold weather. Short-acting beta2 agonists are recommended first-line agents for pharmacologic treatment, although leukotriene receptor antagonists or inhaled corticosteroids with or without long-acting beta2 agonists may be needed in refractory cases. […] Warming up before exercise may reduce the degree of EIB. […] Wearing a heat exchange mask over the mouth and nose during cold-weather exercise may reduce symptoms of EIB. […] Inhaled short-acting beta2 agonist use before exercise can attenuate symptoms of EIB. […] Using inhaled corticosteroids as controller therapy is an effective management strategy for EIB in patients with underlying asthma. […] Leukotriene receptor antagonist therapy can effectively manage EIB.

• #27 Exercise-Induced Asthma Care & Treatment | Tufts Medicine

  https://www.tuftsmedicine.org/services-treatments/allergy/exercise-induced-asthma

  Exercise-induced asthma can show symptoms in as little as 2–5 minutes into your workout. It occurs when your bronchial tubes start to close, leading to symptoms like: […] Some people with very mild asthma can “run through” their symptoms without needing treatment. However, people with more severe exercise-induced asthma will need an inhaler as their go-to exercise partner. […] Treating exercise-induced asthma can be approached in 2 ways: with long-term prevention and short-term prevention. […] Reducing your exposure to allergens will play a big role in improving your exercise-induced asthma in the long term. […] Including cortisone sprays, or “controller medications,” in your daily routine as a preventative measure can also gradually improve your exercise-induced asthma. […] Bronchodilator inhalers are the most common form of treatment for exercise-induced asthma. […] Always make sure to follow the instructions provided by your doctor for these inhalers. […] Other medications that treat exercise-induced asthma include: […] Antileukotriene pills: When used regularly or before exercise, these pills can improve exercise-induced asthma in some people.

• #28 Out of shape, or exercise-induced asthma? | Ohio State Health & Discovery

  https://health.osu.edu/wellness/exercise-and-nutrition/out-of-shape-or-exercise-induced-asthma

  The shortness of breath, wheezing, chest tightness or coughing that some athletes experience during physical activity often turns out to be exercise-induced asthma. […] But exercise-induced asthma, or exercised-induced bronchospasm, is a condition for which treatment exists. Getting properly tested and diagnosed can improve your athletic performance and quality of life. […] The gold standard of exercised-induced asthma treatment is a prescription albuterol inhaler. You can carry it with you and use it about 15 to 20 minutes before exercise to prevent asthma symptoms. Its an effective treatment for about 80 percent of exercise-induced asthma cases. […] Choosing to exercise indoors on these high-allergen or high-pollution days could prevent asthma symptoms. […] Warming up well before competing in sports can also reduce the risk of asthma symptoms developing during competition, in addition to reducing your risk of injury. […] Most important: If youre diagnosed with exercise-induced asthma and prescribed an inhaler, that inhaler should be with you at all times so that you have immediate access.

• #29 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics

  For exertion throughout the day […] Long-acting bronchodilators (LABAs), such as salmeterol and formoterol, work for a longer period than rapid-acting bronchodilators. […] Leukotriene modifiers work by decreasing airway narrowing, inflammation, and mucus production. […] Montelukast is approved for use as needed before exercise for patients who do not require daily medication. […] Leukotriene modifiers are used for prevention of symptoms, NOT for relief of symptoms once they have developed.

• #30 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics/print

  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. […] An alternative is to use a combination inhaler that includes formoterol and an inhaled corticosteroid. Formoterol works as quickly as albuterol and lasts for 12 hours, so it is both a rapid-acting and a long-acting bronchodilator. For prevention of exercise-induced asthma one of the combination inhalers, such as budesonide-formoterol (brand names: Breyna, Symbicort) or mometasone-formoterol (brand name: Dulera), can be used one inhalation, at least five minutes prior to exertion. […] For exertion throughout the day — Some adults and most children exercise intermittently throughout the day, making it hard to use a preventive treatment before each episode of activity. In this case, a long-acting inhaled bronchodilator (eg, salmeterol or formoterol) or a leukotriene modifier (eg, montelukast or zafirlukast) may be recommended to provide day-long protection.

• #31 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics/print

  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. Taken regularly, either of these medications is useful in preventing exercise-induced bronchospasm. […] Montelukast is approved for use as needed before exercise for patients who do not require daily medication. If not taken on a daily basis, montelukast should be taken at least two hours before the start of exercise. If the medication is taken daily, there is no need to take an additional dose prior to exercise. […] Leukotriene modifiers are used for prevention of symptoms, NOT for relief of symptoms once they have developed. If asthma symptoms develop despite pretreatment with a leukotriene modifier, a rapid-acting bronchodilator (eg, albuterol, levalbuterol, or budesonide-formoterol) should be used.

• #32 Exercise-Induced Asthma: Effective Prophylaxis | Consultant360

  https://www.consultant360.com/content/exercise-induced-asthma-effective-prophylaxis?page=7,0

  What is the optimal means of preventing exercise-induced bronchospasm in children with asthma? […] The best way to prevent exercise-induced bronchospasm is to have the patient use an inhaled bronchodilator before exercise. […] In some children, exercise-induced bronchospasm reflects poorly controlled asthma. Such children will benefit from more aggressive management of their underlying disease. […] Most asthma medications both short- and long-acting will suppress bronchospasm if taken before exercise. […] Long-acting bronchodilators have been shown to protect against exercise-induced asthma for 9 hours.

• #33 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics/print

  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. […] An alternative is to use a combination inhaler that includes formoterol and an inhaled corticosteroid. Formoterol works as quickly as albuterol and lasts for 12 hours, so it is both a rapid-acting and a long-acting bronchodilator. For prevention of exercise-induced asthma one of the combination inhalers, such as budesonide-formoterol (brand names: Breyna, Symbicort) or mometasone-formoterol (brand name: Dulera), can be used one inhalation, at least five minutes prior to exertion. […] For exertion throughout the day — Some adults and most children exercise intermittently throughout the day, making it hard to use a preventive treatment before each episode of activity. In this case, a long-acting inhaled bronchodilator (eg, salmeterol or formoterol) or a leukotriene modifier (eg, montelukast or zafirlukast) may be recommended to provide day-long protection.

• #34 Pulmonary Issues in the Athlete/Exercise Induced Bronchoconstriction | PM&R KnowledgeNow

  https://now.aapmr.org/pulmonary-issues-in-the-athleteexercise-induced-asthma/

  Maintenance therapy involving low-dose inhaled corticosteroids (ICS) such as budenoside or fluticasone or alternatively, leukotriene receptor antagonist (LTRA) such as montelukast is initiated in patients who need their rescue inhaler more than twice per week (including prophylactic doses), or if symptoms limit exercise tolerance. If symptoms are still poorly controlled, a LTRA or long-acting beta2-agonists (LABA) such as salmeterol may be added to the ICS. However, daily use of LABAs with ICS is not advised for EIB except in the setting of moderate to severe persistent asthma. Co-existing conditions should be identified and treated. For example, antihistamines may be an appropriate addition in patients with allergies and EIB who have symptoms despite using a SABA.

• #35 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics/print

  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. Taken regularly, either of these medications is useful in preventing exercise-induced bronchospasm. […] Montelukast is approved for use as needed before exercise for patients who do not require daily medication. If not taken on a daily basis, montelukast should be taken at least two hours before the start of exercise. If the medication is taken daily, there is no need to take an additional dose prior to exercise. […] Leukotriene modifiers are used for prevention of symptoms, NOT for relief of symptoms once they have developed. If asthma symptoms develop despite pretreatment with a leukotriene modifier, a rapid-acting bronchodilator (eg, albuterol, levalbuterol, or budesonide-formoterol) should be used.

• #36 Exercise-induced asthma – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/diagnosis-treatment/drc-20372306

  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. […] Short-acting beta agonists (SABAs) are the most commonly prescribed medicines to take before exercising. […] Your provider may prescribe a long-term control medicine to manage underlying asthma or to control symptoms when preexercise treatment alone doesn’t work. […] 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. […] There is limited clinical evidence that any alternative treatments benefit people with exercise-induced bronchoconstriction.

• #37 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics/print

  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. Taken regularly, either of these medications is useful in preventing exercise-induced bronchospasm. […] Montelukast is approved for use as needed before exercise for patients who do not require daily medication. If not taken on a daily basis, montelukast should be taken at least two hours before the start of exercise. If the medication is taken daily, there is no need to take an additional dose prior to exercise. […] Leukotriene modifiers are used for prevention of symptoms, NOT for relief of symptoms once they have developed. If asthma symptoms develop despite pretreatment with a leukotriene modifier, a rapid-acting bronchodilator (eg, albuterol, levalbuterol, or budesonide-formoterol) should be used.

• #38 Asthma: Learn More – Exercise-induced asthma – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK279522/

  It’s important to keep a reliever medication on hand so you can react quickly if you have an asthma attack. Sometimes it may help to use reliever medication before doing exercise. […] If your asthma medication has been adapted to your specific situation and you can effectively control your asthma, you are far less likely to have sudden breathing difficulties when you do sports. […] The following medications can be used before strenuous activities to prevent exercise-induced asthma: Short-acting beta2-agonists are inhaled as a spray and have a fast effect. […] Leukotriene antagonists: These medications are taken in the form of tablets and block the effect of leukotrienes. […] Anticholinergics affect the nervous system, causing the airways to dilate (relax and open up). […] It’s often not easy to know which medications will best prevent exercise-induced asthma. You may have to try out different medications to find out which medication works best for you.

• #39 Exercise-induced bronchoconstriction: new evidence in pathogenesis, diagnosis and treatment | Asthma Research and Practice | Full Text

  https://asthmarp.biomedcentral.com/articles/10.1186/s40733-015-0004-4

  The acute airway narrowing that occurs as a result of exercise is defined exercise-induced bronchoconstriction (EIB). […] Both EIBA and EIBwA have peculiar pathogenic mechanisms, diagnostic criteria and responses to treatment and prevention. […] The potential occurrence of EIBA should not prevent asthmatic patients from an adequate practice of physical exercise, which is not associated to an increased risk of asthma developing or worsening and should instead represent part of their treatment. […] Multiple therapeutic options may be also appropriate to prevent EIBwA, although usually they do not completely avoid the occurrence of bronchoconstriction, but rather attenuate it or shift the dose-response relationship, so that some submaximal efforts become tolerated. […] Regular use of inhaled corticosteroid (ICS) represents the therapy of choice for asthma control and therefore is a recommended treatment to prevent EIBA.

• #40 Treatment of exercise induced asthma – GPnotebook

  https://gpnotebook.com/pages/respiratory-and-chest-medicine/asthma-exercise-related/treatment-of-exercise-induced-asthma

  For most patients, exercise-induced asthma is an expression of poorly controlled asthma and regular treatment including inhaled corticosteroids should be reviewed. […] If exercise is a specific problem in patients taking inhaled corticosteroids who are otherwise well-controlled, consider adding one of the following therapies: leukotriene receptor antagonists, long-acting beta2 agonists, sodium cromoglicate or nedocromil sodium, theophyllines. […] Immediately prior to exercise, inhaled short-acting beta2 agonists are the drug of choice. […] A systematic review revealed that inhaled corticosteroids used for 4 weeks or more before exercise testing significantly attenuated exercise-induced bronchoconstriction.

• #41 Asthma: Learn More – Exercise-induced asthma – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK279522/

  It’s important to keep a reliever medication on hand so you can react quickly if you have an asthma attack. Sometimes it may help to use reliever medication before doing exercise. […] If your asthma medication has been adapted to your specific situation and you can effectively control your asthma, you are far less likely to have sudden breathing difficulties when you do sports. […] The following medications can be used before strenuous activities to prevent exercise-induced asthma: Short-acting beta2-agonists are inhaled as a spray and have a fast effect. […] Leukotriene antagonists: These medications are taken in the form of tablets and block the effect of leukotrienes. […] Anticholinergics affect the nervous system, causing the airways to dilate (relax and open up). […] It’s often not easy to know which medications will best prevent exercise-induced asthma. You may have to try out different medications to find out which medication works best for you.

• #42

  https://link.springer.com/article/10.1007/BF00544234

  A vagal mechanism appears to be involved in the development of exercise-induced asthma (EIA), although previous studies have failed to demonstrate a protective effect of anticholinergic drugs against post-exercise bronchoconstriction. […] Thus, the anticholinergic drug OTB may protect against EIA in most patients, confirming the role of a vagal cholinergic mechanism in EIA.

• #43 Prevention with and without the use of medications for exercise-induced asthma – PubMed

  https://pubmed.ncbi.nlm.nih.gov/3088379/

  Exercise-induced asthma or bronchospasm occurs in approximately 12% of the population. It can be prevented with proper techniques of exercise and environmental exposures and with medication. Exercise techniques include timing of exercise to less than 5-min interludes and continued repeat exercise every hour. Exercising to less than full tolerance may avoid the onset of exercise-induced asthma. In some individuals exercise in warm, humidified air is less asthmogenic than in dry, cold air. Medications that are effective and safe include bronchodilators such as theophylline and beta-agonists and prevention with cromolyn sodium in the atopic or sulfite exposed individual.

• #44 How To Manage Exercise-Induced Asthma? Prevention Strategies And Medications – Runners Connect

  https://runnersconnect.net/exercise-induced-asthma-medications/

  Two other drugs, cromolyn (Intal) and montelukast (Singulair), work by stabilizing the mast cells. […] The most important takeaway message is that there is no one perfect medication for everyone […] Additionally, it’s important to remember to follow the instructions, which come with your medications!

• #45 Asthma: Learn More – Exercise-induced asthma – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK279522/

  It’s important to keep a reliever medication on hand so you can react quickly if you have an asthma attack. Sometimes it may help to use reliever medication before doing exercise. […] If your asthma medication has been adapted to your specific situation and you can effectively control your asthma, you are far less likely to have sudden breathing difficulties when you do sports. […] The following medications can be used before strenuous activities to prevent exercise-induced asthma: Short-acting beta2-agonists are inhaled as a spray and have a fast effect. […] Leukotriene antagonists: These medications are taken in the form of tablets and block the effect of leukotrienes. […] Anticholinergics affect the nervous system, causing the airways to dilate (relax and open up). […] It’s often not easy to know which medications will best prevent exercise-induced asthma. You may have to try out different medications to find out which medication works best for you.

• #46 Managing Exercise-Induced Bronchoconstriction

  https://www.uspharmacist.com/article/managing-exerciseinduced-bronchoconstriction

  Although EIB is regarded as an asthmatic condition, the treatment process is somewhat different for patients with EIB alone versus patients with concomitant asthma and EIB. […] Furthermore, pharmacists have a responsibility also to advise patients on various nonpharmacologic methods to prevent EIB. Patients should not rely solely on medication to relieve and prevent EIB but should also make lifestyle modifications. The most studied and validated method to prevent EIB is to induce a refractory period by performing a moderate physical warm-up before exercise. […] Therefore, it is important for pharmacists to be aware of their patient population and educate patients on not only the use of their prescription medications, but also how to implement nonpharmacologic interventions that may further enhance their quality of life.

• #47 Exercise-Induced Asthma: Managing Respiratory Issues in Athletes

  https://www.mdpi.com/2411-5142/9/1/15

  The pharmacological therapy for EIB in individuals with asthma follows the same principles as the general therapy for asthma, with the approach being based on the severity and frequency of symptoms. […] The primary long-term goal is to reduce airway inflammation and prevent bronchoconstriction. […] In athletes, ICS are the cornerstone of asthma therapy, although they are under-used compared to inhaled β2 agonists. […] While the focus of this review is not doping regulations, it is important to clarify that certain medications might be prohibited by the World Anti-Doping Agency (WADA) if they are deemed performance-enhancing, hazardous to health, or contrary to the spirit of sportsmanship.

• #48 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. […] 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. […] 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.” […] There is conflicting information about the value of theophylline and other methylxanthines as prophylaxis against exercise-induced bronchoconstriction.

• #49

• #50 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. […] 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. […] 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.

• #51 Exercise-Induced Asthma (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/exercise-asthma.html

  The most important way to manage EIA and prevent symptoms is to make sure that your asthma is under control, even when you’re not 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. Two kinds of medicine are used to prevent asthma symptoms during exercise: bronchodilators and anti-inflammatory medicines. […] Take the prescribed asthma medicine about 15-30 minutes before exercising. […] Warm up before exercise to prevent chest tightening. Warm-up exercises can include 5-10 minutes of walking or any other light activity, plus stretching or flexibility exercises. […] If symptoms start, slow down the exercising. If symptoms get worse, you may need to stop and take some medicine. Don’t try to play through symptoms this can be dangerous and bring on a severe flare-up. […] You should always have access to your asthma medicines. Keep extras on hand and be sure to check all supplies so you’re not carrying an empty inhaler.

• #52 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. […] 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. Two kinds of medicine are used to prevent asthma symptoms during exercise: bronchodilators and anti-inflammatory medicines. […] If your child takes medicine before exercising but still has breathing trouble while being active, let the doctor know. […] Exercise is a great idea for everyone, including people with exercise-induced asthma.

• #53 Exercise-induced asthma: Symptoms, causes, and prevention

  https://www.medicalnewstoday.com/articles/325437

  Many people with asthma find that their symptoms get worse when they exercise, especially in cold weather. […] Preventive measures and medications can help manage asthma symptoms during or after exercise. […] People can often prevent or reduce the severity of asthma symptoms that occur during or after exercise. Follow a doctors instructions about using medication, including which to use and when to use them. […] A person with asthma should always keep a rescue inhaler with them, even during exercise, in case a severe asthma attack occurs. […] The following prevention tips may also help reduce symptoms: Warm up before exercise to loosen the airways and move mucus around. […] Choose forms of exercise that are less likely to trigger symptoms. Exercises that involve heavy breathing are more likely to restrict the airways. […] Following a doctors instructions about medicines can help manage, and possibly prevent, asthma symptoms during exercise.

• #54 Exercise-induced asthma | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/exercise-induced-asthma

  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: […] There is limited clinical evidence that any alternative treatments benefit people with exercise-induced bronchoconstriction.

• #55 Treatment of exercise induced asthma – GPnotebook

  https://gpnotebook.com/pages/respiratory-and-chest-medicine/asthma-exercise-related/treatment-of-exercise-induced-asthma

  For most patients, exercise-induced asthma is an expression of poorly controlled asthma and regular treatment including inhaled corticosteroids should be reviewed. […] If exercise is a specific problem in patients taking inhaled corticosteroids who are otherwise well-controlled, consider adding one of the following therapies: leukotriene receptor antagonists, long-acting beta2 agonists, sodium cromoglicate or nedocromil sodium, theophyllines. […] Immediately prior to exercise, inhaled short-acting beta2 agonists are the drug of choice. […] A systematic review revealed that inhaled corticosteroids used for 4 weeks or more before exercise testing significantly attenuated exercise-induced bronchoconstriction.

• #56 Exercise-Induced Asthma (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/exercise-asthma.html

  The most important way to manage EIA and prevent symptoms is to make sure that your asthma is under control, even when you’re not 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. Two kinds of medicine are used to prevent asthma symptoms during exercise: bronchodilators and anti-inflammatory medicines. […] Take the prescribed asthma medicine about 15-30 minutes before exercising. […] Warm up before exercise to prevent chest tightening. Warm-up exercises can include 5-10 minutes of walking or any other light activity, plus stretching or flexibility exercises. […] If symptoms start, slow down the exercising. If symptoms get worse, you may need to stop and take some medicine. Don’t try to play through symptoms this can be dangerous and bring on a severe flare-up. […] You should always have access to your asthma medicines. Keep extras on hand and be sure to check all supplies so you’re not carrying an empty inhaler.

• #57

  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. […] Read on to learn how to prevent asthma from causing problems for your child during exercise. […] Exercise is another common asthma trigger. In fact, about 80% of people with asthma develop wheezing, coughing and chest tightness when they exercise. […] In general, exercise-induced asthma is most likely to occur with endurance exercise in cool, dry air. […] Using a quick-relief medicine 10 to 15 minutes before exercise can usually prevent asthma flare-ups during exercise. […] Good asthma control can make a big difference in your child’s ability to exercise. […] Some other tips that can help prevent exercise-induced asthma: When exercising in the cold, wrap a scarf or mask around the face to warm up and humidify the air. Avoid exercise in the early morning or try exercising inside.

• #58 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. […] You may benefit from different treatment options, like adding a daily controller medicine to your asthma treatment plan. […] 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. Take your quick-relief inhaler. […] 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.

• #59 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. […] 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. Two kinds of medicine are used to prevent asthma symptoms during exercise: bronchodilators and anti-inflammatory medicines. […] If your child takes medicine before exercising but still has breathing trouble while being active, let the doctor know. […] Exercise is a great idea for everyone, including people with exercise-induced asthma.

• #60 Exercise-Induced Asthma (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/exercise-asthma.html

  Encourage your child to be active while also keeping asthma symptoms under control by following the asthma action plan. […] Tips for kids and teens with EIA: Take the prescribed asthma medicine about 15-30 minutes before exercising. […] Avoid exercising outside during very cold weather. […] Kids should always have access to their asthma medicines.

• #61 Exercise-Induced Asthma in Kids: 8 Tips for Staying Active Safely | MyAsthmaTeam

  https://www.myasthmateam.com/resources/how-to-prevent-exercise-induced-asthma

  Regular exercise is essential for health and well-being, especially for kids with asthma. […] But with a few precautions and a defined treatment plan, your family can feel safe while enjoying an active lifestyle. […] If asthma symptoms persist or worsen with exercise particularly in cold or dry environments your child may be experiencing exercise-induced asthma and should be treated accordingly. […] Children with exercise-induced asthma may need long-term control medication to keep asthma symptoms at bay. […] Taking asthma medication is the No. 1 way to prevent an exercise-induced attack. […] By taking some simple precautions, children with asthma can enjoy exercise and its benefits. […] Following these tips can help your child stay safe with exercise and reduce the risk of a potentially dangerous asthma attack: […] As soon as you feel your child is old enough, start teaching them what to do during an asthma attack. […] With the right prevention plan and a clear strategy for emergencies, your child can reap the many health benefits exercise has to offer.

• #62 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. […] 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. These often include: […] With proper diagnosis and management plans in place, exercise-induced asthma should not keep your child from participation!

• #63 Exercise-Induced Asthma: Managing Respiratory Issues in Athletes

  https://www.mdpi.com/2411-5142/9/1/15

  Exercise-induced bronchoconstriction (EIB) is a common issue among athletes, impacting their performance and well-being. […] The management of EIB in athletes aligns with the general principles for symptom control, prevention, and reducing complications. Non-pharmacological approaches, including trigger avoidance and warming up, are essential. […] Inhaled corticosteroids (ICS) are the cornerstone of asthma therapy in athletes. […] The overall management of EIB, whether with or without underlying asthma, should align with similar principles for both athletes and non-athletes. […] Furthermore, it is crucial to address and treat any comorbidities, such as gastroesophageal reflux disease (GERD), rhinitis, and sinusitis. […] While there is no consensus on the ideal warm-up, common recommendations advocate for a warm-up lasting 10–15 min.

• #64 Exercise-induced asthma does not have to impair quality of life

  https://nddmed.com/blog/2023/exercise-induced-asthma-does-not-have-to-impair-quality-of-life/

  Exercise-induced bronchoconstriction can absolutely limit quality of life for individuals when not treated or well-controlled. […] Ultimately though, for children and adults alike, there are many highly effective approaches pharmacologic and nonpharmacologic to prevent and manage EIB. […] The first priority is getting an accurate diagnosis, which then allows for a clinician to work closely with the patient to develop the optimal care plan for the individual. […] Most promisingly, once well-controlled, studies have shown that EIB does not limit even elite athletes. […] While pharmacologic approaches like short-acting bronchodilators and inhaled corticosteroids may be effective in preventing the onset of EIB, the American Thoracic Society also recommends multiple nonpharmacologic approaches for prevention.

• #65 What Is Exercise Induced Asthma? | AAFA.org

  https://aafa.org/asthma/asthma-triggers-causes/exercise-induced-asthma/

  The major goal is to continue exercising regularly and not avoid it. […] 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. […] Many people with asthma have symptoms during exercise. With proper prevention and management, you should be able to exercise free of symptoms.

• #66

  https://www.bodi.com/blog/exercise-induced-asthma?srsltid=AfmBOopFR6CDvWu260qTgPtDdFpWhWJeT50DuLVeuuDLj7Wy8mtNLlJI

  You’re doing this anyway (right?), but if you’re susceptible to exercise-induced bronchoconstriction you have yet another reason to take 5 to 10 minutes to perform active stretching and low-intensity movement (at about 60 percent of maximum effort) before jumping into the “meat” of your workout. […] If your doctor confirms you’re prone to EIB, you might be prescribed a fast-acting rescue inhaler. […] Clinicians have theorized that mouth-breathing — which allows cool, dry air to enter the lungs — may be a major cause of exercise-induced bronchospasm. […] If you know what your triggers are, take steps to avoid them. […] A 2015 study found that regular exercise helped reduce the severity and frequency of asthma episodes in people with the condition. […] Using the five strategies above, you should able to exercise frequently and intensely enough to substantially reduce — or even eliminate — your symptoms.

• #67 Exercise-induced bronchoconstriction: new evidence in pathogenesis, diagnosis and treatment | Asthma Research and Practice | Full Text

  https://asthmarp.biomedcentral.com/articles/10.1186/s40733-015-0004-4

  Gradual warming-up and cooling-down periods are always suggested. […] The use of face masks which warm and humidify the air has been reported to provide benefits. […] There is at last some evidence that weight loss and dietary factors, such as a low sodium intake, omega-3 polyunsaturated fatty acids, or a supplementation of ascorbic acid may be helpful in reducing the occurrence and severity of EIB.

• #68 Exercise-induced Asthma and Bronchoconstriction | RT

  https://respiratory-therapy.com/disorders-diseases/chronic-pulmonary-disorders/asthma/exercise-induced-asthma-bronchoconstriction/

  Exercising in areas that have lower air pollution, avoiding busy highways, and exercising in times where traffic is light can help reduce EIB by reducing exposure to pollution and particles in the air. […] Another nonpharmacologic approach is related to nutrition and diet. Increasing the intake of fish oil that is rich in omega-3 fatty acids may have an anti-inflammatory effect.

• #69

  https://www.bodi.com/blog/exercise-induced-asthma?srsltid=AfmBOopFR6CDvWu260qTgPtDdFpWhWJeT50DuLVeuuDLj7Wy8mtNLlJI

  You’re doing this anyway (right?), but if you’re susceptible to exercise-induced bronchoconstriction you have yet another reason to take 5 to 10 minutes to perform active stretching and low-intensity movement (at about 60 percent of maximum effort) before jumping into the “meat” of your workout. […] If your doctor confirms you’re prone to EIB, you might be prescribed a fast-acting rescue inhaler. […] Clinicians have theorized that mouth-breathing — which allows cool, dry air to enter the lungs — may be a major cause of exercise-induced bronchospasm. […] If you know what your triggers are, take steps to avoid them. […] A 2015 study found that regular exercise helped reduce the severity and frequency of asthma episodes in people with the condition. […] Using the five strategies above, you should able to exercise frequently and intensely enough to substantially reduce — or even eliminate — your symptoms.

• #70 Exercise-Induced Asthma: Cold Weather, Warm Ups, Best Sports

  https://www.webmd.com/asthma/features/athletes-guide-exercise-induced-asthma

  If warming up and using albuterol don’t prevent symptoms, there may be more to your exercise-induced asthma than you think. […] „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. […] „Exercise can improve both physical health and emotional well-being, even in people with exercise-induced asthma. Whether you are a weekend warrior or an Olympian, you can compete and participate in sports and activities to your fullest ability — just be sure to bring your inhaler along.

• #71 Exercise Induced Asthma: Symptoms, Prevention, TreatmentsFacebookInstagramLinkedIn

  https://coloradoent.com/blog/exercise-induced-asthma-symptoms-prevention-treatments/

  How to Help Control Exercise-Induced Asthma? Take your asthma medication before exercising as prescribed by your doctor. This may include a quick-relief medication and/or an inhaler 15 to 30 minutes before the activity. Refer to your Asthma Action Plan. Be aware of poor air quality. This can include smog alerts, smoke from fires, extra warm, extra humid, or high pollen count days. You may want to avoid outdoor exercise on those days. Use a face mask or scarf when it’s cold to help trap moisture and warm air for re-breathing. Cold, dry air can be hard on asthmatic airways. […] People with exercise-induced bronchoconstriction should be able to continue to exercise and remain active by treating the symptoms with common asthma medications and taking preventive measures as described in your asthma action plan.

• #72 Exercise-Induced Asthma: Symptoms, Causes, Treatment, Prevention

  https://www.healthline.com/health/asthma/exercise-induced-asthma

  Exercise-induced asthma happens when aerobic activity triggers these symptoms. Its also known as exercise-induced bronchoconstriction (EIB). […] Understandably, you may want to avoid physical activity if you have exercise-induced asthma. However, regular exercise is beneficial for everyone, even if you have asthma. […] Regular physical activity can actually improve airway inflammation and lung function. This could help you control EIB while reaping the benefits of exercise. […] Treatment for exercise-induced asthma depends on your symptoms and overall health. Your doctor can help you develop a personalized treatment plan that works well for you. […] Possible treatment options include several different medications as well as breathing exercises. […] If youre prone to asthma when you exercise, heres what you can do to exercise safely: Use an inhaler before exercising. If your doctor prescribed a rescue inhaler, always use it before physical activity and wait for the recommended amount of time before exercising. […] As long as your asthma is well controlled, you can safely exercise. Always follow your doctors directions and get medical help if you have new or worsening symptoms.

• #73 Exercise-induced asthma: Symptoms, causes, and prevention

  https://www.singlecare.com/blog/exercise-induced-asthma/

  To prevent this phenomenon, if exercise is your only symptom trigger but is a frequent one, a long-term control medication may also be recommended in this circumstance. […] If youre exercising with exercise-induced asthma, the following tips can help minimize your symptoms. […] Use your inhaler about 30 minutes before you exercise. This way, when you exercise, you should be able to do so with wide open airways, says Dr. Coletta.

• #74 Exercise Induced Winter Asthma | National Jewish Health

  https://www.nationaljewish.org/conditions/exercise-induced-asthma-overview/exercise-induced-asthma-cold-weather-activities

  As with most forms of allergies, prevention is the best way to control exercise-induced asthma (EIA). This is also true for these winter sports. Fortunately, EIA can be controlled in most cases by people using their physician-prescribed asthma inhalers before exercising. […] Taking the time to warm up before exercise is important as well. By taking some time to warm up your body with light activity, you’ll have some added protection because the body produces chemicals that protect against bronchospasm. […] Tips for preventing exercise-induced asthma during winter sports are: Wear a mask or scarf to warm cold air before breathing it. Take asthma medication 15-30 minutes before skiing, snowboarding, ice skating, etc. Warm up 30 minutes before starting the exercise.

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