Exercise-Induced Asthma

Symptoms

The symptoms of EIA are the same as those of an asthma attack. The most common symptoms are wheezing, coughing, tightness in the chest, shortness of breath and difficulty breathing. EIA may be confused with poor fitness, lack of endurance, or a lack of interest in sports or other physical activity. Certain exercises are better-suited for children with EIA. These include sports and activities that involve short bursts of energy such as golf and baseball. Walking and recreational swimming are also good choices. Activities that require long periods of exertion, such as long distance running, soccer and basketball, can be more difficult for children with EIA.

Diagnosis  

The biggest problem in diagnosing EIA is differentiating those children and adolescents who just don’t like to exert themselves because of lack of interest or because they are out of shape. This has become more difficult with the increase in sedentary activities in children (computers, video games and television) and rising rates of overweight and obese children.

Management

EIA can be affected by the type and duration of exercise, temperature, humidity or other asthma triggers such as pollens and pollutants. Inadequate medication for controlling asthma or lack of pretreatment with bronchodilator medications can also trigger EIA.