Бронхиальная астма физического напряжения: проблемы профилактики и требования WADA

Лариса Гунина

doi:10.32652/olympic2016.2_%x

Авторы

Лариса Гунина Национальный университет физического воспитания и спорта Украины, Ukraine https://orcid.org/0000-0003-2107-0983

DOI:

https://doi.org/10.32652/olympic2016.2_%25x

Ключевые слова:

Спорт, физические нагрузки, бронхиальная астма физического напряжения, бронхоспазм, диагностика, профилактика

Аннотация

В статье показано, что бронхиальная астма физического напряжения, возникновение которой хотя и непосредственно связано профессиональной деятельностью спортсменов, имеет в своей основе нарушения морфологических, иммунных и биохимических механизмов, а также четкие диагностические критерии. Освещены современные педагогические, организационные и фармакологические методологии профилактики бронхоспазма, который и обусловливает тяжесть состояния спортсменов и невозможность дальнейших физических нагрузок. Проанализированы возможности использования различных лекарственных средств с учетом того, что многие из них относятся на сегодня к запрещенным Всемирным антидопинговым агентством препаратам.

Библиографические ссылки

Baranov A. A. Allergology and immunology / A.A. Baranov, R.M. Khaitov. – Moscow, 2011. – 267 p.

Global strategy for the prevention and treatment of bronchial asthma. Revision of 2007 / ed. by A. G. Chuchalin. – Moscow: Publ. house «Atmosfera», 2008. — 108 p.

Consensus on child bronchial asthma. – PRACTALL (Practicall Allergology), 2008.

Lasitsa O. I. Exercise induced asthma / O. I. Lasitsa // Ukrainian Pulmonology Journal. – 2000. – N 2, supplement. – P. 42–43.

Metabolic therapy at the clinic of internal medicine: methodological recommendations / ed. by V. K. Sernova. – Moscow, 2003. – 20 p.

The national program «Bronchial asthma in children. Strategy for the treatment and prevention.» – 2nd ed. – Moscow: Publ. house «Russkiy vrach», 2006. — 100 p.

Novik G. A. Bronchial asthma in children / G.A. Novik. – St.Petersburg: LTD «Izdatelstvo Foliant», 2009. – 352 p.

Olishevskii S. V. The prospects for improving the adaptation of adolescents to stressful loads / S. V. Olishevskii, L. M. Gunina, S. A. Oleinik // Sovremennaya pediatriya. – 2009. – N. 3 (25). – P. 46-50.

Fedoseyev G. B. Bronchial asthma / G. B. Fedoseyev, V. I. Trofimov. – St. Petersburg: Nordmed, 2006. – 308 p.

Feshchenko Yu. I. Basic principles of modern treatment of bronchial asthma / Yu. I. Feshchenko // Ukrainian Pulmonology Journal. – 2000. – N 2, supplement. – P. 22–24.

Anderson S. D. Exercise-induced asthma in children: a marker of airway inflammation / S. D. Anderson // Med J. – 2002. – Vol. 177, suppl. – S. 61–63.

Bobolea I. Omalizumab: a potential new therapeutic approach for aspirin-exacerbated respiratory disease / I. Bobolea, P. Barranco, A. Fiandor [et al.] // J. Investig. Allergol. Clin. Immunol. – 2010. – Vol. 20, N 5. – P. 448–449.

Branco P.T. Asthma prevalence and risk factors in early childhood at Northern Portugal / P. T. Branco, R. A. Nunes, M. C. Alvim-Ferraz [et al.]. // Rev. Port. Pneumol. (2006). – 2015. – Vol. 30. – pii: S2173-5115(15)00194-3.

Cabral A. L. Exercise-induced bronchospasm in children: effects of asthma severity / A. L. Cabral, G. M. Conceição, C. H. Fonseca-Guedes, M. A. Martins // Am. J. Respir. Crit. Care Med. – 2009. – Vol. 169, N 6. – P. 1819–1823.

Carlsen K. H. Treatment of exercise-induced asthma, respiratory and allergic disorders in sports and the relationship to doping: Part II of the report from the Joint Task Force of European Respiratory Society (ERS) and European Academy of Allergy and Clinical Immunology (EAACI) in cooperation with GA2LEN / K.H. Carlsen, S.D. Anderson, L. Bjermer [et al.] // Allergy. – 2008. – Vol. 63. – P. 492–505.

Сlark С. J. Asthma and exercise: a suitable case for rehabilitation / С. J. Сlark // Thorax. – 1992. – Vol. 47, N 10. – P. 765–767.

Enhorning G. Surfactant function affected by airway inflammation and cooling: possible impact on exercise-induced asthma / G. Enhorning, J. Hohlfeld, N. Krug // Eur. Respir. J. – 2000. – Vol. 15, N 3. – P. 532–528.

Fallon K. E. Upper airway obstruction masquerading as exercise induced bronchospasm in an elite road cyclist / K.E. Fallon // Br. J. Sports Med. – 2004. – Vol. 38, N 4. – E9.

Finnerty J.P. Role of lencotrienes in exercise- induced asthma / J.P. Finnerty, R. Wood-Baker, H. Thomson, S.Т. Holgate // Am. Rev. Resp. Dis. – 1992. – Vol. 145. – P. 746–749.

Freed A.N. Hyperventilation with dry air increases airway surface fluid osmolality in canine peripheral airways / A.N. Freed, M.S. Davis // Am. J. Respir. Crit. Care. Med. – 1999. – Vol. 159, N 4 (Pt 1). – P. 1101–1107.

Galland C Acute iterative bronchospasm and «do not re-intubate» orders: sedation by an alpha-2 agonist combined with noninvasive ventilation / C. Galland, B. Sergent, C. Pichot [et al.] // Am. J. Emerg. Med. – 2015. – Vol. 33, N 6. – P. 857(e3-5).

Hendrickson C.D. Exercise-induced asthma: a clinical perspective / C.D. Hendrickson, J. M. Lynch, K. Gleeson // Lung. – 1994. – Vol. 172. – P. 1–14.

Hilberg T. Etiology of Exercise-induced asthma: physical stress-induced transcription / T. Hilberg // Current Allergy and Asthma Reports. – 2007. – Vol. 7. – P. 27–32.

ISAAC Steering Committee. Worldwide variations in the prevalence of asthma symptoms: the International Study of Asthma and Allergies in Childhood (ISAAC). – Eur. Resp. J. – 1998. – Vol. 12, N 2. – P. 315–335.

Kubota T. The relationships of mononuclear leukocyte beta-adrenergic receptors to aerobic capacity and exercise-induced asthma in asthmatic children / T. Kubota, K. Koga, H. Araki [et al.] // Arerugi. – 2000. – Vol. 49. – P. 40–51.

Lavietes M.H. Do all asthmatic patients have the same disease? / M.H. Lavietes // Ann. Allergy Asthma Immunol. – 2015. – Vol. 114, N 2. – P. 78–79.

Milgrom H. Keeping children with exercise-induced asthma active / H. Milgrom, L.M. Taussig // Pediatrics. – 2009. – Vol. 104, N 3. – e38.

Mohammadi Amirabad L. Significant changes of 5-Hydroxytriptamine 3A receptor gene expression in peripheral blood mononuclear cells of allergic asthmatic patients / Amirabad L. Mohammadi, G. Ahangari, Deilami G. Derakhshan // Iran. J. Allergy Asthma Immunol. – 2014. – Vol. 13, N 1. – P. 33–39.

Moloney E.D. Release of inflammatory mediators from eosinophils following a hyperosmolar stimulus / E.D. Moloney, S. Griffin, C. M. Burke [et al.] // Respir. Med. – 2003. – Vol. 97. – Р. 928–932.

Neuman I. Reduction of exercise-induced asthma oxidative stress by lycopene, a natural antioxidant / I. Neuman, H. Nahum // Allergy. – 2000. – Vol. 55. – P. 1184–1189.

O’Byrne P.M. Leukotriene bronchoconstriction induced by allergen and exercise / P. M. O’Byrne // Am. J. Respir. Crit. Care Med. – 2000. – Vol. 161. – S. 68–72.

Onazi SO. Exercise-induced bronchospasm among school children in Gusau, Nigeria / S. O. Onazi, A.A. Orogade, A.M. Yakubu // West Afr. J. Med. – 2012. – Vol. 31, N 2. – P. 76–80.

Parsons JP.Current concepts in the diagnosis and management of exercise-induced bronchospasm / J.P. Parsons // Phys. Sportsmed. – 2010. – Vol. 38, N 4. – P. 48–53. doi: 10.3810/psm.2010.12.1824.

Parsons J. P. Exercise-induced bronchoconstriction / J.P. Parsons // Otolaryngol. Clin. North. Am. – 2014. – Vol. 47, N 1. – P. 119–126.

Prohibited List. World Anti-Doping Code. International Standard. – WADA, 2016. – 16 s.

Randolph C. Exercise-induced asthma: update on pathophysiology, clinical diagnosis, and treatment / C. Randolph // Curr. Probl. Pediatr. – 2007. – Vol. 37, N 7. – P. 53–77.

Rundell K.W. Pulmonary function decay in women ice hockey players: is there a relationship to ice rink air quality? / K.W. Rundell // Inhal. Toxicol. – 2004. Vol. 16, N 3. – P. 117–123.

Rundell K.W. Exercise-induced bronchospasm in the elite athlete / K. W. Rundell, D. M. Jenkinson // Sports Med. – 2002. – Vol. 32, N 9. – P. 583–600.

Rundell K.W. Self-reported symptoms and exercise-induced asthma in the elite athlete. / K. W. Rundell, J. Im, L.B. Mayers [et al.] // Med. Sci. Sports Exerc. – 2001. – Vol. 33, N 2. – P. 208–213.

Scollo M. Exhaled nitric oxide and exercise-induced bronchoconstriction in asthmatic children / M. Scollo, S. Zanconato, R.Ongaro [et al.] // Am. J. Respir. Crit. Care. Med. – 2000. – Vol. 161, N 3 (Pt 1). – P. 1047–1050.

Sousa S. I. Spirometric tests to assess the prevalence of childhood asthma at Portuguese rural areas: influence of exposure to high ozone levels / S. I. Sousa, C. Ferraz, M. C. Alvim-Ferraz [et al.] // Environ. Int. – 2011. – Vol. 37, N 2. – P. 474–478.

Tan W. C. The role of climatic conditions and histamine release in exercise- induced bronchoconstriction / W. C. Tan, C. H. Tan, P. C. Teoh // Ann. Acad. Med. Singapore. – 2005. – Vol. 34, N 5. – P. 465–469.

Terrence W. Exercise-induced asthma: critical analysis of the protective role of montelukast / W. Terrence, Jr. Carver // J. Asthma & Allergy. – 2009. – Vol. 2. – P. 93–103.

Vichyanond P. Omalizumab in allergic diseases, a recent review / P. Vichyanond // Asian Pac. J. Allergy Immunol. – 2011. – Vol. 29, N 3. – P. 209–219.

Vilozni D. Exercise challenge test in 3 to 6-year old asthmatic children / D. Vilozni, L. Bentur, O. Efrati // Chest. – 2007. – Vol. 132. – P. 497–503.

Wickens K. Fast foods – are they a risk factor for asthma? / K. Wickens // Allergy. – 2005, Vol. 60, N 12. – P. 1537–1541.

Wollweber T. [Dyspnea in a high performance athlete. Differential «asthma» diagnosis] / Wollweber T. // MMW Fortschr Med. – 2010. – Vol. 25, N 152(8). – P. 5. (Article in German).

Zarqa Ali. How to Diagnose Exercise Induced Asthma? / Ali Zarqa // Asian J. Sports Med. – 2011. – N 2. – P. 63–67.

Ziaee V. The prevalence of exercise-induced bronchospasm in soccer player children, ages 7 to 16 years / V. Ziaee, A. Yousefi, M. Movahedi et al. // Iran. J. Allergy Asthma Immunol. – 2007. – Vol. 6, N 1. – P. 33–36.

Бронхиальная астма физического напряжения: проблемы профилактики и требования WADA

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