Greiwe Justin, Cooke Andrew, Nanda Anil, Epstein Stuart Z, Wasan Anita Nanda, Shepard Kirk V, Capão-Filipe Miguel, Nish Andy, Rubin Mark, Gregory Karen L, Dass Kathleen, Blessing-Moore Joann, Randolph Christopher
Bernstein Allergy Group Inc, Cincinnati, Ohio; Division of Immunology/Allergy Section, Department of Internal Medicine, The University of Cincinnati College of Medicine, Cincinnati, Ohio.
Lake Allergy, Asthma & Immunology PA, Tavares, Fla.
J Allergy Clin Immunol Pract. 2020 Sep;8(8):2542-2555. doi: 10.1016/j.jaip.2020.05.020. Epub 2020 Jul 4.
Exercise-induced bronchoconstriction, otherwise known as exercise-induced bronchoconstriction with asthma or without asthma, is an acute airway narrowing that occurs as a result of exercise and can occur in patients with asthma. A panel of members from the American Academy of Allergy, Asthma & Immunology Sports, Exercise, & Fitness Committee reviewed the diagnosis and management of exercise-induced bronchoconstriction in athletes of all skill levels including recreational athletes, high school and college athletes, and professional athletes. A special emphasis was placed on the recommendations and regulations set forth by professional athletic organizations after a detailed review of their collective bargaining agreements, substance abuse policies, antidoping program manuals, and the World Anti-Doping Agency antidoping code. The recommendations in this review are based on currently available evidence in addition to providing guidance for athletes of all skill levels as well as their treating physicians to better understand which pharmaceutical and nonpharmaceutical management options are appropriate as well as which medications are permitted or prohibited, and the proper documentation required to remain compliant.
运动诱发的支气管收缩，也称为伴或不伴哮喘的运动诱发的支气管收缩，是一种因运动导致的急性气道狭窄，可发生于哮喘患者。美国过敏、哮喘与免疫学会运动、锻炼与健身委员会的一组成员审查了所有技能水平运动员（包括业余运动员、高中和大学运动员以及职业运动员）运动诱发的支气管收缩的诊断和管理。在详细审查了职业体育组织的集体谈判协议、药物滥用政策、反兴奋剂计划手册以及世界反兴奋剂机构的反兴奋剂规则后，特别强调了这些组织提出的建议和规定。本综述中的建议基于当前可得的证据，同时为所有技能水平的运动员及其治疗医生提供指导，以更好地了解哪些药物和非药物管理选项合适，哪些药物允许或禁止使用，以及保持合规所需的适当文件。
