Exercise-Induced Asthma: Challenges of Exercise and Management
DOI:
https://doi.org/10.59188/eduvest.v5i3.43688Keywords:
Exercise-Induced Asthma (EIA), Exercise-Induced Bronchospasm, AsthmaAbstract
Exercise-Induced Asthma (EIA), also known as exercise-induced bronchospasm (EIB), is a condition in which the airways become blocked after exercise. Although exercise can cause asthma attacks, a lack of exercise can make asthma worse. Apart from taking medication, exercise can help control asthma attacks, and help improve the quality of life of the asthmatic population. Exercise can be done by people with mild to moderate degrees of airway obstruction, just like healthy people. Swimming, walking, cycling, playing ball and aerobics are good sports for asthma patients. Exercise-Induced Asthma (EIA) can also prevent asthma patients from exercising and affect their quality of life. The diagnosis of EIA is based on symptoms and spirometry or bronchial provocation tests. Nonpharmacological approaches, including avoidance of precipitating factors, are essential. SABA before exercise is also widely used and recommended as first-line therapy. Inhaled corticosteroids are recommended when asthma control is less than optimal. Leukotriene receptor antagonists (LTRA) and mast cell stabilizing agents (MCSA) are potential options.
References
Aggarwal, B., Mulgirigama, A., & Berend, N. (2018). Exercise-induced bronchoconstriction: prevalence, pathophysiology, patient impact, diagnosis and management. NPJ Primary Care Respiratory Medicine, 28(1), 31.
Anderson, S. D., & Kippelen, P. (2023). A proposal to account for the stimulus, the mechanism, and the mediators released in exercise-induced bronchoconstriction. Frontiers in Allergy, 4, 1004170.
Atchley, T. J., & Smith, D. M. (2020). Exercise-induced bronchoconstriction in elite or endurance athletes:: Pathogenesis and diagnostic considerations. Annals of Allergy, Asthma & Immunology, 125(1), 47–54.
Brennan Jr, F. H., Alent, J., & Ross, M. J. (2018). Evaluating the athlete with suspected exercise-induced asthma or bronchospasm. Current Sports Medicine Reports, 17(3), 85–89.
Greiwe, J., Cooke, A., Nanda, A., Epstein, S. Z., Wasan, A. N., Shepard II, K. V, Capão-Filipe, M., Nish, A., Rubin, M., & Gregory, K. L. (2020). Work group report: perspectives in diagnosis and management of exercise-induced bronchoconstriction in athletes. The Journal of Allergy and Clinical Immunology: In Practice, 8(8), 2542–2555.
Hashim, S. H., Alenezi, M. I., Alenezi, R. M., Alanazi, W. T., Alruwaili, M. M., Alali, A. A., Alanazi, A. M., Hashim, S., Alenezi, M., & ALENEZI, R. M. (2023). Exercise-Induced Bronchoconstriction among adolescent athletes with asthma: a systematic review. Cureus, 15(6).
Hostrup, M., Hansen, E. S. H., Rasmussen, S. M., Jessen, S., & Backer, V. (2024). Asthma and exercise‐induced bronchoconstriction in athletes: diagnosis, treatment, and anti‐doping challenges. Scandinavian Journal of Medicine & Science in Sports, 34(1), e14358.
Klain, A., Giovannini, M., Pecoraro, L., Barni, S., Mori, F., Liotti, L., Mastrorilli, C., Saretta, F., Castagnoli, R., & Arasi, S. (2024). Exercise-induced bronchoconstriction, allergy and sports in children. Italian Journal of Pediatrics, 50(1), 47.
Koya, T., Ueno, H., Hasegawa, T., Arakawa, M., & Kikuchi, T. (2020). Management of exercise-induced bronchoconstriction in athletes. The Journal of Allergy and Clinical Immunology: In Practice, 8(7), 2183–2192.
Lin, L.-L., Huang, S.-J., Ou, L.-S., Yao, T.-C., Tsao, K.-C., Yeh, K.-W., & Huang, J.-L. (2019). Exercise-induced bronchoconstriction in children with asthma: an observational cohort study. Journal of Microbiology, Immunology and Infection, 52(3), 471–479.
Malewska-Kaczmarek, K., Podlecka, D., Mańkowski, T., Jerzyńska, J., & Stelmach, I. (2023). Exercise-Induced bronchoconstriction in children: a comparison between athletes and non-athletes. Healthcare, 11(9), 1349.
Odeyemi, A. O., Kayode, O. V, Oseni, S. B. A., & Oyedeji, O. A. (2020). Exercise-induced bronchospasm and its associated factors among secondary school students in an urban community. Alexandria Journal of Medicine, 56(1), 203–209.
Ofiaeli, O. C., Ndukwu, C. I., Ugwu, N. O., Nnamani, K. O., Ebenebe, J. C., & Egbuonu, I. (2023). Exercise Induced Bronchospasm and associated factors in primary school children: a cross-sectional study. BMC Pediatrics, 23(1), 153.
Ora, J., De Marco, P., Gabriele, M., Cazzola, M., & Rogliani, P. (2024). Exercise-Induced Asthma: Managing Respiratory Issues in Athletes. Journal of Functional Morphology and Kinesiology, 9(1), 15.
Pigakis, K. M., Stavrou, V. T., Pantazopoulos, I., Daniil, Z., Kontopodi, A. K., Gourgoulianis, K., & Kontopodi, A. (2022). Exercise-induced bronchospasm in elite athletes. Cureus, 14(1).
Price, O. J., & Simpson, A. J. (2023). Exercise and asthma–trigger or treatment? Respiratory Medicine, 213, 107247.
Satia, I., Priel, E., Al-Khazraji, B. K., Jones, G., Freitag, A., O’Byrne, P. M., & Killian, K. J. (2021). Exercise-induced bronchoconstriction and bronchodilation: investigating the effects of age, sex, airflow limitation and FEV1. European Respiratory Journal, 58(2).
Seman, M. H. A., Zemberi, N. F. N. M., Jamaludin, N. A., Abdul, R. A., & Rahman, N. A. M. S. (2024). Exercise and Asthma: A Review.
Støle Melsom, H., Randa, A., Hisdal, J., Stang, J. S., & Stensrud, T. (2022). Prevalence of asthma among Norwegian elite athletes. Translational Sports Medicine, 2022(1), 3887471.
Syabbalo, N. (2019). Mechanisms, Diagnosis and Management of Exercise-Induced Asthma. J Respir Med Lung Dis. 2019; 4 (2), 1045.
Venkatesan, P. (2023). 2023 GINA report for asthma. The Lancet Respiratory Medicine, 11(7), 589.
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Vicennia Serly, Masrul Basyar, Deddy Herman

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.