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By A. Bush, K-H. Carlsen, M.S. Zach

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Oxidant air pollution and athletic performance. JAMA 1967; 199: 901–904. Dockery DW, Pope CA 3rd. Acute respiratory effects of particulate air pollution. Annu Rev Public Health 1994; 15: 107–132. McConnell R, Berhane K, Gilliland F, et al. Asthma in exercising children exposed to ozone: a cohort study. Lancet 2002; 359: 386–391. Castellsague J, Sunyer J, Saez M, Anto JM. Short term association between air pollution and emergency room visits for asthma in barcelona. Thorax 1995; 50: 1051–1056. Boezen HM, Van der Zee SC, Postma DS, et al.

Upper respiratory airway infection. Upper respiratory tract infection (URTI), pollution, exercise and asthma are increasingly being related. Intensive training is associated with an increased risk of URTIs, and elite athletes are at a greater risk than those undertaking more moderate training regimes [75]. The most frequent precipitating factor associated with acute asthma is respiratory virus infection [76]. This has been shown by case reports [77], time series studies [78], identification of viruses during exacerbations of asthma [79] or following prospective longitudinal studies of individual asthma [80].

Winter athletes may benefit from using heat-exchange devices and summer athletes from masks that capture allergens. Due to the increased vulnerability to respiratory tract infections, hard training and competition in close relation to a recent upper respiratory tract infectious episode should be discouraged. These interventions may lead to a reduction in the prevalence of BHR in elite athletes. Keywords: Aeroallergens, bronchial hyperresponsiveness, fine particles, gases, infection, injury. References 1.

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