Dr. Michael C. HollieQ: Is it possible to exercise if I have exercise-induced asthma?
A: Outdoor activities are prevalent with invigorating, fall days here. Up to 15 percent of people are limited in activities by exercise-induced asthma (EIA). Approximately 90 percent of individuals with asthma – and more than a third of those with allergic rhinitis – have EIA.
For many years it was believed that people with asthma should not, or could not, exercise. Today we know that, with proper diagnosis and management, those with EIA not only can exercise but potentially can excel. Olympians Jackie Joyner-Kersee, Amy Van Dyken, and NFL running back Jerome Bettis all have asthma and have performed at elite athletic levels.
A person can have EIA without a previous diagnosis of asthma. A spectrum of symptoms can be present, including coughing, tight chest, wheezing, unusual fatigue or shortness of breath while exercising. The symptoms generally begin five to 20 minutes after the start of exercise. Exercise-induced asthma can be controlled and prevented. Effective management often requires a multifaceted approach. Understanding contributing factors, such as cold air, allergens and infections, requires a comprehensive approach by your physician.
Asthma should not be used as an excuse to avoid exercise. EIA has been both over- and under-diagnosed, so proper diagnosis and management by a qualified provider is essential.
– Dr. Michael C. Hollie, Allergy and Asthma Group of Galen; member, Chattanooga-Hamilton County Medical Society