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An asthma attack is a short period when breathing becomes difficult, sometimes along with chest tightness, wheezing, and coughing. When this happens during or after exercise, it is known as exercise-induced asthma or exercise-induced bronchospasm. About 70 to 90 out of 100 people who have persistent asthma and about 10 out of 100 people who do not have asthma have exercise-induced asthma.footnote 1, footnote 2 Exercise-induced asthma develops most often in athletes, especially those who train or perform in cold air. Swimming appears to cause the fewest problems for children who have asthma. Swimming may even help reduce the severity of exercise-induced asthma.footnote 3
For most people:
Exercise-induced asthma is often not diagnosed, especially in children. Most experts agree that a medical history and a physical exam are not accurate tools for diagnosing exercise-induced asthma. If you notice the symptoms of asthma (such as wheezing or shortness of breath) after your child exercises, be sure to tell your doctor. Children who have asthma should still be encouraged to exercise. And they should not be excused from exercise unless that is really needed.
For people who have asthma symptoms during exercise, using asthma-controlling medicine before exercise may help reduce symptoms, especially in cold, dry weather. For these people, some asthma experts recommend the following:footnote 4
Other steps you can take to reduce asthma symptoms when you exercise include the following:
If your child has exercise-induced asthma, be sure his or her teachers and coaches know when your child's daily medicines should be given and what to do if your child has an asthma attack, especially before and during physical exercise. Your child's asthma action plan provides this information. School officials need to know the early warning signs of an asthma episode, how your child's medicines are used, and how to give the medicines. School personnel also should know how to contact your child's doctor.
Sheth KK (2003). Activity-induced asthma. Pediatric Clinics of North America, 50(3): 698–715.
Mickleborough TD, Gotshall RW (2003). Dietary components with demonstrated effectiveness in decreasing the severity of exercise-induced asthma. Sports Medicine, 33(9): 671–681.
Rosimini R (2003). Benefits of swim training for children and adolescents with asthma. Journal of the American Academy of Nurses, 15(6): 247–252.
National Institutes of Health (2007). National Asthma Education and Prevention Program Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma (NIH Publication No. 08–5846). Available online: http://www.nhlbi.nih.gov/guidelines/asthma/index.htm.
Current as of: October 26, 2020
Author: Healthwise StaffMedical Review: E. Gregory Thompson MD - Internal MedicineAdam Husney MD - Family MedicineElizabeth T. Russo MD - Internal Medicine
Current as of: October 26, 2020
Author: Healthwise Staff
Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Elizabeth T. Russo MD - Internal Medicine
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