title: Undiagnosed exercise-induced bronchoconstriction in ski-mountaineers.
abstract: Because the practise conditions put the ski-mountaineering athletes potentially at risk for exercise-induced bronchoconstriction (EIB), this study was conducted to estimate the prevalence of EIB in this population. Thirty-one highly-trained ski-mountaineers with racing experience participating in the race were evaluated. EIB was determined after a European race at high altitude and frigid conditions. Pre-race investigations included pulmonary function measurements and a questionnaire enquiring about i) training habits, ii) respiratory history during training and/or competition. Pulmonary function was also tested after the race. None of the athletes reported a basal airway obstruction. Two groups were determined after post-race airway response: i) EIB (+) group exhibiting a fall in FEV (1) > or = 10 % (n = 15) and ii) EIB (-) without fall in FEV (1) or fall < 10 % (n = 16). Neither training habits nor baseline lung function were associated with the post-race airway response. Six of the 31 ski-mountaineers had a previous physician-made diagnosis of asthma and/or EIB, nevertheless 23 of our athletes complained about at least one characteristic symptom of asthma during practise. Four of our 15 EIB (+) had a previous physician-made diagnosis of asthma/EIB indicating that 73 % of EIB (+) athletes were undiagnosed for EIB. The proportion of allergic athletes was not significantly different between EIB (+) and EIB (-). This study showed that approximatively half of highly-trained ski-mountaineers with racing experience can develop EIB after a race and that 73 % of them are unaware of the problem.
authors.affiliation: Laboratoire Sport, Santé, Altitude, Département STAPS l'Ermitage, 66120 Font-Romeu, France. fdurand@univ-perp.fr
authors.forename: F
authors.initials: F
authors.lastname: Durand
authors.forename: P
authors.initials: P
authors.lastname: Kippelen
authors.forename: F
authors.initials: F
authors.lastname: Ceugniet
authors.forename: V R
authors.initials: VR
authors.lastname: Gomez
authors.forename: P
authors.initials: P
authors.lastname: Desnot
authors.forename: M
authors.initials: M
authors.lastname: Poulain
authors.forename: C
authors.initials: C
authors.lastname: Préfaut
mesh_terms: D000328:Adult; D001249:Asthma / Q000150:complications; D001250:Asthma, Exercise-Induced / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D016084:Bronchoconstriction / Q000502:physiology*; D005260:Female; D006801:Humans; D006967:Hypersensitivity / Q000150:complications; D008297:Male; D009051:Mountaineering / Q000502:physiology* / Q000706:statistics & numerical data; D015995:Prevalence; D012865:Skiing / Q000502:physiology* / Q000706:statistics & numerical data; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires