EDITORIAL
Impact of changes in IOC-MC criteria for asthma
Impact of changes in the International Olympic Committee Medical Commission criteria for asthma
Correspondence to:
Correspondence to:
Dr L-P Boulet
Institut de cardiologie et de pneumologie de lUniversité Laval, Hôpital Laval, 2725 Chemin Sainte-Foy, Quebec City QC, Canada G1V 4G5; lpboulet@med.ulaval.ca
Objective measurements of variable airflow obstruction in athletes using inhaled bronchodilators are needed if the non-indicated use of asthma drugs is to be prevented
Keywords: Olympic Committee Medical Commission; asthma; exercise induced asthma; elite athletes; sport; screening
| The first 150 words of the full text of this article appear below. |
A large number of Olympic athletes have asthma, and intense exercise has the potential to alter their sports performances in inducing troublesome respiratory symptoms.1,2 The prevalence of asthma in Olympic athletes has been reported to be between 9% and 55%.15 It is particularly high in winter sports athletes and in swimmers, and its prevalence has been reported to be increasing. Furthermore, high level training is thought to contribute to the development of airway hyperresponsiveness and symptomatic asthma.2,3
Although most current asthma medications, including the frequently used inhaled short acting ß2 agonists, do not seem to have performance enhancing effects when used at doses required to prevent or treat exercise-induced bronchoconstriction, their use has been regulated.69 To ensure that they are used for an appropriate diagnosis, the International Olympic Committee-Medical Commission (IOC-MC) has established criteria for a positive diagnosis of asthma. It includes
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