Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway.
Cardiology Department, Telemark Hospital Trust, Skien, Norway.
Scand J Med Sci Sports. 2020 Jun;30(6):1008-1016. doi: 10.1111/sms.13651. Epub 2020 Mar 19.
To examine evidence of exercise-induced bronchoconstriction (EIB) defined as ≥10% reduction in forced expiratory volume in one second (FEV ) and exercise-induced arterial hypoxemia (EIAH) defined as ≥4% reduction in oxygen saturation (SpO ) from before to after participation in the Norseman Xtreme Triathlon. Secondarily, to assess whether changes in FEV and SpO are related to respiratory symptoms, training volume, and race time.
In this quasi-experimental non-controlled study, we included 63 triathletes (50♂/13♀) aged 40.3 (±9.0) years (mean ± SD). Fifty-seven (46♂/11♀) measured lung function and 54 (44♂/10♀) measured SpO before the race, 8-10 minutes after the race (post-test 1) and the day after the race (post-test 2). Respiratory symptoms and training volume were recorded with modified AQUA questionnaire. ANOVA for repeated measures was used to detect differences in lung function and SpO . Statistical significance was accepted at 0.05 level.
Twenty-six participants (46%) presented with EIB at post-test 1 and 16 (28%) at post-test 2. Lung function variables were significantly reduced from baseline to post-test 1 and 2. Thirty-five participants (65%) showed evidence of mild to moderate EIAH. No significant correlations were observed except a weak correlation between maximal reduction in FEV and respiratory symptoms (r = 0.35, P = .016).
Our results demonstrated that 46% of the participants presented with EIB and 65% showed evidence of EIAH after the Norseman Xtreme Triathlon. Changes in FEV and SpO were not correlated to weekly training hours or race time. We observed a weak correlation between maximal reduction in FEV and respiratory symptoms.
检查 Norseman Xtreme 铁人三项赛后 10%用力呼气量(FEV )下降和 4%血氧饱和度(SpO )下降定义的运动诱导性支气管收缩(EIB)和运动诱导性动脉低氧血症(EIAH)的证据。其次,评估 FEV 和 SpO 的变化与呼吸症状、训练量和比赛时间的关系。
在这项准实验性非对照研究中,我们纳入了 63 名年龄为 40.3(±9.0)岁(均数±标准差)的铁人三项运动员(50 名男性/13 名女性)。57 名(46 名男性/11 名女性)在比赛前、比赛后 8-10 分钟(后测 1)和比赛后一天(后测 2)测量了肺功能,54 名(44 名男性/10 名女性)测量了 SpO 。使用改良 AQUA 问卷记录呼吸症状和训练量。重复测量方差分析用于检测肺功能和 SpO 的差异。统计学显著性水平为 0.05。
26 名参与者(46%)在后测 1 时出现 EIB,16 名(28%)在后测 2 时出现 EIB。从基线到后测 1 和 2,肺功能指标均显著下降。35 名参与者(65%)出现轻度至中度 EIAH。除了最大 FEV 下降与呼吸症状之间存在弱相关性(r=0.35,P=0.016)外,未观察到显著相关性。
我们的结果表明,46%的参与者在 Norseman Xtreme 铁人三项赛后出现 EIB,65%的参与者出现 EIAH。FEV 和 SpO 的变化与每周训练时间或比赛时间无关。我们观察到最大 FEV 下降与呼吸症状之间存在弱相关性。