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Improving screening and diagnosis of exercise-induced bronchoconstriction: a call to action.
- Source :
-
The journal of allergy and clinical immunology. In practice [J Allergy Clin Immunol Pract] 2014 May-Jun; Vol. 2 (3), pp. 275-80.e7. Date of Electronic Publication: 2014 Feb 04. - Publication Year :
- 2014
-
Abstract
- This article summarizes the findings of an expert panel of nationally recognized allergists and pulmonologists who met to discuss how to improve detection and diagnosis of exercise-induced bronchoconstriction (EIB), a transient airway narrowing that occurs during and most often after exercise in people with and without underlying asthma. EIB is both commonly underdiagnosed and overdiagnosed. EIB underdiagnosis may result in habitual avoidance of sports and physical activity, chronic deconditioning, weight gain, poor asthma control, low self-esteem, and reduced quality of life. Routine use of a reliable and valid self-administered EIB screening questionnaire by professionals best positioned to screen large numbers of people could substantially improve the detection of EIB. The authors conducted a systematic review of the literature that evaluated the accuracy of EIB screening questionnaires that might be adopted for widespread EIB screening in the general population. Results of this review indicated that no existing EIB screening questionnaire had adequate sensitivity and specificity for this purpose. The authors present a call to action to develop a new EIB screening questionnaire, and discuss the rigorous qualitative and quantitative research necessary to develop and validate such an instrument, including key methodological pitfalls that must be avoided.<br /> (Copyright © 2014 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Asthma, Exercise-Induced complications
Asthma, Exercise-Induced diagnosis
Asthma, Exercise-Induced etiology
Bronchial Diseases complications
Humans
Reproducibility of Results
Sensitivity and Specificity
Bronchial Diseases diagnosis
Bronchial Diseases etiology
Bronchoconstriction physiology
Exercise
Surveys and Questionnaires standards
Subjects
Details
- Language :
- English
- ISSN :
- 2213-2201
- Volume :
- 2
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- The journal of allergy and clinical immunology. In practice
- Publication Type :
- Academic Journal
- Accession number :
- 24811017
- Full Text :
- https://doi.org/10.1016/j.jaip.2013.11.001