[Effect of the diagnosis and prevention of exercise-induced bronchial obstruction on sports participation by asthmatic school children].
To assess the sport activities and the previous management of asthmatic children with an exercise-induced bronchial obstruction (EIB), we studied 124 children, aged 8-17 years, with a history of EIB, which was confirmed in a free-running exercise test. Participation in school sports was regular in 38% of the children, irregular in 45% and absent in 17%. Participation in sports outside the school was even lower: In 26% regularly, 18% irregularly and absent in 56%. 17% of all children were not active in any sport. EIB had previously been diagnosed in 38 (31%) children, and 20 (16%) of these had received an appropriate prophylactic medication. Children who received prophylaxis participated significantly more often in school sports (p less than 0.01) and in other sports (p less than 0.05), compared with those who had been diagnosed but had not received prophylaxis. After exercise, peak expiratory flow decreased by a mean of 41% of the preexercise values, but following a prophylactic administration of 0.2 mg Salbutamol-aerosol it decreased only by 2%. A complete protection of EIB was achieved in 94% of the children and the mean %-protection was 95%. The protective effect of 2 mg DNCG-aerosol in 21 children was significantly lower (53%, p less than 0.05) than that of salbutamol and a complete protection was achieved in only 71% (p less than 0.025) of the children.
Hussein
A
A
Kinderkrankenhaus Norderney.
Forderer
A
A
Abelitis
M
M
Koch
I
I
D000403:Airway Resistance / Q000187:drug effects*; D000420:Albuterol / Q000008:administration & dosage*; D001249:Asthma / Q000188:drug therapy*; D001250:Asthma, Exercise-Induced / Q000175:diagnosis / Q000188:drug therapy*; D001507:Beclomethasone / Q000008:administration & dosage*; D002648:Child; D004205:Cromolyn Sodium / Q000008:administration & dosage*; D004359:Drug Therapy, Combination; D005080:Exercise Test; D005260:Female; D006801:Humans; D008297:Male; D013177:Sports; D013806:Theophylline / Q000008:administration & dosage*
D013806:Theophylline; D001507:Beclomethasone; D004205:Cromolyn Sodium; D000420:Albuterol
Der Einfluss von Diagnose und Prophylaxe der anstrengungsinduzierten Bronchialobstruktion auf die sportlich Aktivität asthmatischer Schulkinder.