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Nasal changes associated with exercise in athletes: systematic review

Published online by Cambridge University Press:  18 January 2018

P Surda ,
A Walker ,
J Limpens ,
W Fokkens  and
M Putala
P Surda*
Affiliation:
Department of Otorhinolaryngology, Academic Medical Center, Amsterdam, The Netherlands
A Walker
Affiliation:
Department of Otorhinolaryngology, St George's University Hospital, London, UK
J Limpens
Affiliation:
Medical Library, Academic Medical Center, Amsterdam, The Netherlands
W Fokkens
Affiliation:
Department of Otorhinolaryngology, Academic Medical Center, Amsterdam, The Netherlands
M Putala
Affiliation:
Department of Physical Education and Sports, Comenius University, Bratislava, Slovakia
*
Address for correspondence: Dr Pavol Surda, KNO afdeling, A2-224, AMC Ziekenhuis, Meibergdreef 9, 1105 AZ Amsterdam, Netherlands E-mail: pavol.surda@gmail.com
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Abstract

Background:

The prevalence of rhinitis in athletes has frequently been studied in combination with asthma, but the impact of exercise on the paracrine and secretory functions of nasal mucosa is less well established. This systematic review aimed to examine the effect of exercise on nasal mucosa in elite athletes.

Method:

A systematic search of Medline, Embase and the non-Medline subset of PubMed, from inception to 8th March 2016, was performed to identify studies on rhinitis in athletes.

Results:

Of the 373 identified unique articles, a total of 8 studies satisfied the criteria for this review.

Conclusion:

There is no evidence in the existing literature that indicates a reduction in nasal airway induced by exercise. Olfaction and mucociliary transport time are affected in swimmers, which can likely be attributed to chlorine irritation and which resolves with training cessation. Short-term strenuous exercise may trigger changes in cytology and prolonged mucociliary transport time, which also resolve quickly with rest.

Keywords

AthletesRhinitisSwimmingAllergy
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 3 , March 2018 , pp. 191 - 197
Copyright
Copyright © JLO (1984) Limited 2018 

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References

1 Bougault, V, Turmel, J, Boulet, LP. Effect of intense swimming training on rhinitis in high-level competitive swimmers. Clin Exp Allergy 2010;40:1238–46Google Scholar
2 Kurowski, M, Jurczyk, J, Krysztofiak, H, Kowalski, ML. Exercise-induced respiratory symptoms and allergy in elite athletes: Allergy and Asthma in Polish Olympic Athletes (A(2)POLO) project within GA(2)LEN initiative. Clin Respir J 2016;10:231–8Google Scholar
3 Surda, P, Walker, A, Putala, M, Siarnik, P. Prevalence of rhinitis in athletes: systematic review. Int J Otolaryngol 2017;2017:8098426 CrossRefGoogle ScholarPubMed
4 Saketkhoo, K, Kaplan, I, Sackner, MA. Effect of exercise on nasal mucous velocity and nasal airflow resistance in normal subjects. J Appl Physiol 1979;46:369–71Google Scholar
5 Dallimore, NS, Eccles, R. Changes in human nasal resistance associated with exercise, hyperventilation and rebreathing. Acta Otolaryngol 1977;84:416–21CrossRefGoogle ScholarPubMed
6 Niinimaa, V, Cole, P, Mintz, S, Shephard, RJ. The switching point from nasal to oronasal breathing. Respir Physiol 1980;42:61–71 CrossRefGoogle ScholarPubMed
7 Bonini, S, Bonini, M, Bousquet, J, Brusasco, V, Canonica, GW, Carlsen, KH et al. Rhinitis and asthma in athletes: an ARIA document in collaboration with GA2LEN. Allergy 2006;61:681–92Google Scholar
8 Walker, A, Surda, P, Rossiter, M, Little, S. Nasal function and dysfunction in exercise. J Laryngol Otol 2016;130:431–4CrossRefGoogle ScholarPubMed
9 Walker, A, Surda, P, Rossiter, M, Little, S. Rhinitis in elite and non-elite field hockey players. Int J Sports Med 2017;38:65–70 Google Scholar
10 Bernard, A, Nickmilder, M, Voisin, C, Sardella, A. Impact of chlorinated swimming pool attendance on the respiratory health of adolescents. Pediatrics 2009;124:1110–18CrossRefGoogle ScholarPubMed
11 Clearie, KL, Williamson, PA, Vaidyanathan, S, Short, P, Goudie, A, Burns, P et al. Disconnect between standardized field-based testing and mannitol challenge in Scottish elite swimmers. Clin Exp Allergy 2010;40:731–7CrossRefGoogle ScholarPubMed
12 Alves, A, Martins, C, Delgado, L, Fonseca, J, Moreira, A. Exercise-induced rhinitis in competitive swimmers. Am J Rhinol Allergy 2010;24:e114–17 CrossRefGoogle ScholarPubMed
13 Ottaviano, G, Staffieri, A, Stritoni, P, Ermolao, A, Coles, S, Zaccaria, M et al. Nasal dysfunction induced by chlorinate water in competitive swimmers. Rhinology 2012;50:294–8CrossRefGoogle ScholarPubMed
14 Passali, D, Damiani, V, Passali, GC, Passali, FM, Bellussi, L. Alterations in rhinosinusal homeostasis in a sportive population: our experience with 106 athletes. Eur Arch Otorhinolaryngol 2004;261:502–6Google Scholar
15 Muns, G, Singer, P, Wolf, F, Rubinstein, I. Impaired nasal mucociliary clearance in long-distance runners. Int J Sports Med 1995;16:209–13Google Scholar
16 Gelardi, M, Ventura, MT, Fiorella, R, Fiorella, ML, Russo, C, Candreva, T et al. Allergic and non-allergic rhinitis in swimmers: clinical and cytological aspects. Br J Sports Med 2012;46:54–8CrossRefGoogle ScholarPubMed
17 Muns, G. Effect of long-distance running on polymorphonuclear neutrophil phagocytic function of the upper airways. Int J Sports Med 1994;15:96–9Google Scholar
18 Passali, D. Does the nasal dilator help in sports activity? Allergy 1997;52:2 Google ScholarPubMed
19 Swimming Australia. In: https://en.wikipedia.org/wiki/Swimming_Australia [18 December 2017]Google Scholar
20 USA Swimming. In: http://www.usaswimming.org/ [18 December 2017]Google Scholar
21 Bernard, A, Nickmilder, M, Dumont, X. Chlorinated pool attendance, airway epithelium defects and the risks of allergic diseases in adolescents: interrelationships revealed by circulating biomarkers. Environ Res 2015;140:119–26CrossRefGoogle ScholarPubMed