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儿童运动诱发的支气管收缩:运动员与非运动员的比较

Exercise-Induced Bronchoconstriction in Children: A Comparison between Athletes and Non-Athletes.

作者信息

Malewska-Kaczmarek Kamila, Podlecka Daniela, Mańkowski Tymoteusz, Jerzyńska Joanna, Stelmach Iwona

机构信息

Korczak Pediatric Center, Department of Pediatrics and Allergology, Medical University of Lodz, al. Pilsudskiego 71, 92-328 Lodz, Poland.

Department of Radiology, Nicolaus Copernicus Regional Multi-Specialty, Oncology and Trauma Centre in Lodz, 93-513 Lodz, Poland.

出版信息

Healthcare (Basel). 2023 May 8;11(9):1349. doi: 10.3390/healthcare11091349.

Abstract

Exercise-induced bronchoconstriction (EIB) is a dysfunction of the respiratory tract consisting of transient airflow obstruction. This study is a retrospective analysis of two prospective studies concerning EIB symptoms in two adolescent populations. Our study group included 400 non-athletes and 101 athletes. Due to the similarity of indoor exercise conditions, an analysis was performed on the basis of where training took place. The study aims to assess the EIB prevalence in the following groups of adolescent children: non-athletes and athletes. In "indoor" athletes, the EIB prevalence was 22.4%. Among non-athletes, EIB was diagnosed in 10.2% ( = 0.007). A history of asthma was found in 6.5% of non-athletes and 29.3% of indoor athletes ( < 0.001). The incidence of EIB without asthma was higher in indoor athletes (14.6%) than in non-athletes (9.9%). Athletes achieved higher mean values in forced expiratory volume in one second (FEV), forced vital capacity (FVC), peak expiratory flow (PEF), and maximum expiratory flow rate at 25% (MEF) parameters. In the group of non-athletes, higher results were observed in forced expiratory volume in one second % of vital capacity (FEV%VC), MEF, and MEF. The findings of the study present the complexity of the EIB diagnosis among children training in an indoor environment.

摘要

运动诱发的支气管收缩(EIB)是一种由短暂气流阻塞组成的呼吸道功能障碍。本研究是对两项关于两个青少年群体中EIB症状的前瞻性研究的回顾性分析。我们的研究组包括400名非运动员和101名运动员。由于室内运动条件相似,根据训练地点进行了分析。该研究旨在评估以下青少年儿童群体中的EIB患病率:非运动员和运动员。在“室内”运动员中,EIB患病率为22.4%。在非运动员中,EIB的诊断率为10.2%(P = 0.007)。6.5%的非运动员和29.3%的室内运动员有哮喘病史(P < 0.001)。无哮喘的EIB发病率在室内运动员中(14.6%)高于非运动员(9.9%)。运动员在一秒用力呼气量(FEV)、用力肺活量(FVC)、呼气峰值流速(PEF)和25%最大呼气流量(MEF)参数方面的平均值更高。在非运动员组中,一秒用力呼气量占肺活量的百分比(FEV%VC)、MEF和MEF的结果更高。该研究结果表明了在室内环境中训练的儿童中EIB诊断的复杂性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c1/10177973/f2016eaaef29/healthcare-11-01349-g001.jpg

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