Exercise-Induced Bronchoconstriction and the Air We Breathe

Immunol Allergy Clin North Am. 2018 May;38(2):183-204. doi: 10.1016/j.iac.2018.01.009.

Abstract

An association between airway dysfunction and airborne pollutant inhalation exists. Volatilized airborne fluorocarbons in ski wax rooms, particulate matter, and trichloromines in indoor environments are suspect to high prevalence of exercise-induced bronchoconstriction and new-onset asthma in athletes competing in cross-country skiing, ice rink sports, and swimming. Ozone is implicated in acute decreases in lung function and the development of new-onset asthma from exposure during exercise. Mechanisms and genetic links are proposed for pollution-related new-onset asthma. Oxidative stress from airborne pollutant inhalation is a common thread to progression of airway damage. Key pollutants and mechanisms for each are discussed.

Keywords: Air pollution; Asthma; Exercise-induced bronchoconstriction; Nitrogen dioxide; Ozone; Particulate matter; Sulfur dioxide; Trichloramines.

Publication types

  • Review

MeSH terms

  • Air Pollutants / immunology*
  • Air Pollution / adverse effects*
  • Asthma, Exercise-Induced / etiology*
  • Asthma, Exercise-Induced / immunology
  • Asthma, Exercise-Induced / physiopathology
  • Athletes
  • Cold Temperature
  • Environmental Exposure / adverse effects
  • Exercise / physiology*
  • Humans
  • Ozone / adverse effects
  • Particulate Matter / immunology*
  • Respiratory System / immunology
  • Respiratory System / physiopathology

Substances

  • Air Pollutants
  • Particulate Matter
  • Ozone