title: Assessment of exercise-induced bronchoconstriction in adolescents and young children.
abstract: Recent research shows important differences in exercise-induced bronchoconstriction (EIB) between children and adults, suggesting a different pathophysiology of EIB in children. Although exercise can trigger classic symptoms of asthma, in children symptoms can be subtle and nonspecific; parents, children, and clinicians often do not recognize EIB. With an age-adjusted protocol, an exercise challenge test can be performed in children as young as 3 years of age. However, an alternative challenge test is sometimes necessary to assess potential for EIB in children. This review summarizes age-related features of EIB and recommendations for assessing EIB in young children and adolescents.
authors.affiliation: Department of Pediatrics, Medisch Spectrum Twente, VKC poli 17, Haaksbergerstraat 55, Enschede 7513 ER, The Netherlands. vanleeuwen.janneke@gmail.com
authors.forename: Janneke C
authors.initials: JC
authors.lastname: van Leeuwen
authors.forename: Jean M M
authors.initials: JM
authors.lastname: Driessen
authors.forename: Elin T G
authors.initials: ET
authors.lastname: Kersten
authors.forename: Bernard J
authors.initials: BJ
authors.lastname: Thio
mesh_terms: D000293:Adolescent; D001250:Asthma, Exercise-Induced / Q000175:diagnosis* / Q000503:physiopathology; D001985:Bronchial Provocation Tests / Q000379:methods; D002648:Child; D006801:Humans; D012129:Respiratory Function Tests
keywords: Adolescents; Asthma; Bronchial provocation test; Children; Exercise challenge test; Exercise-induced bronchoconstriction; Pulmonary function