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Exercising and asthma at school

Asthma - exercise school; Exercise - induced asthma - school

Sometimes exercise triggers asthma symptoms. This is called exercise-induced asthma (EIA).

The symptoms of EIA are coughing, wheezing, a feeling of tightness in your chest, or shortness of breath. Most times, these symptoms start soon after you stop exercising. Some people may have symptoms after they start exercising.

Be Careful Where and When the Student Exercises

Having asthma symptoms when exercising does not mean a student cannot or should not exercise. Taking part in recess, physical education (PE), and after-school sports is important for all children. And children with asthma should not have to sit on the side lines.

School staff and coaches should know your child's asthma triggers, such as:

  • Cold or dry air. Breathing through the nose or wearing a scarf or mask over the mouth may help.
  • Polluted air.
  • Freshly mowed fields or lawns.

A student with asthma should warm up before exercising and cool down afterward.

Helping a Child With Asthma Stay Active in School

Read the student's asthma action plan. Make sure staff members know where it is kept. Discuss the action plan with the parent or guardian. Find out what type of activities the student can do and for how long.

Teachers, coaches, and other school staff should know the symptoms of asthma and what to do if a student has an asthma attack. Help the student take the medicines listed in their asthma action plan.

Encourage the student to participate in PE. To help prevent an asthma attack, modify PE activities. For example, a running program might be set up this way:

  • Walk the whole distance
  • Run part of the distance
  • Alternate running and walking

Some exercises may be less likely to trigger asthma symptoms.

  • Swimming is often a good choice. The warm, moist air may keep symptoms away.
  • Football, baseball, and other sports that have periods of inactivity are less likely to trigger asthma symptoms.

Activities that are more intense and sustained, such as long periods of running, basketball, and soccer, are more likely to trigger asthma symptoms.

Taking Asthma Medicines Before Exercise

If an asthma action plan instructs the student to take medicines before exercising, remind the student to do so. These may include short-acting and long-acting medicines.

Short-acting, or quick-relief, medicines:

  • Are taken 10 to 15 minutes before exercise
  • Can help for up to 4 hours

Long-acting inhaled medicines:

  • Are used at least 30 minutes before exercise
  • Last up to 12 hours

Children can take long-acting medicines before school and they will help for the whole day.

References

Bergstrom J, Kurth M, Hieman BE, et al. Institute for Clinical Systems Improvement website. Health Care Guideline: Diagnosis and Management of Asthma. 11th ed. www.icsi.org/wp-content/uploads/2019/01/Asthma.pdf. Updated December 2016. Accessed February 7, 2020.

Brannan JD, Kaminsky DA, Hallstrand TS. Approach to the patient with exercise-induced bronchoconstriction. In: Burks AW, Holgate ST, O'Hehir RE, et al, eds. Middleton's Allergy: Principles and Practice. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 54.

Vishwanathan RK, Busse WW. Management of asthma in adolescents and adults. In: Burks AW, Holgate ST, O'Hehir RE, et al, eds. Middleton's Allergy: Principles and Practice. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 52.

  • Asthma - children

    Animation

  •  

    Asthma - children - Animation

    Did you know that asthma is one of the most common disorders affecting children, as many as 10 percent of them? Thankfully, advances in the diagnosis and treatment of asthma have dramatically improved life for these children. Asthma is caused by swelling and other signs of inflammation in the airways. When an asthma attack occurs, the muscles surrounding the airways become tight and the lining of the air passages swells. This reduces the amount of air that can pass by the bronchioles, or small tubes, of the lung. Most asthma attacks are caused by triggers, such as pollen, dust mites, mold, pet dander, cockroaches, tobacco smoke, and exercise. Your child may have asthma if they experience shortness of breath, maybe gasp for air, and have trouble breathing out. When breathing gets very difficult, the skin of your child's chest and neck may suck inward. Your child may cough so hard at night he wakes from sleeping. He may have dark bags under his eyes and feel tired and irritable. Your child's doctor will listen to your child's lungs. The doctor will have your child breathe into a device called a peak flow meter. This device can tell you and your child's doctor how well the child can blow air out of his lungs. If asthma is narrowing and blocking your child's airways, his peak flow values will be low. To treat your child with asthma, you will need to work with your child's pediatrician, pulmonologist, or allergist as a team. Your child will need an action plan that outlines his asthma triggers and how to avoid them, how to monitor his symptoms, measuring peak flow, and taking medicines. You should have an emergency plan that outlines what to do when your child's asthma flares up, at home and in school. Make sure the school has a copy of your child's asthma action plan too. Your child will probably need to take two kinds of medicines, long-term control medicines and quick relief or rescue medicines. Your child will take long-term control medicines every day to prevent asthma symptoms, even when he has none. Your child will need to use quick relief medicines during an asthma attack. If your child needs to use an inhaler with his medicines, make sure the doctor shows him how to use a spacer device, to get the medicine into his lungs properly. Today, most children with properly managed asthma can lead a life unhindered by their disease. It shouldn't hold them back from even the highest levels of athletic competition. With proper education and medical management, it is possible to control this disease on a daily basis and prevent asthma attacks.

  • Asthma - children

    Animation

  •  

    Asthma - children - Animation

    Did you know that asthma is one of the most common disorders affecting children, as many as 10 percent of them? Thankfully, advances in the diagnosis and treatment of asthma have dramatically improved life for these children. Asthma is caused by swelling and other signs of inflammation in the airways. When an asthma attack occurs, the muscles surrounding the airways become tight and the lining of the air passages swells. This reduces the amount of air that can pass by the bronchioles, or small tubes, of the lung. Most asthma attacks are caused by triggers, such as pollen, dust mites, mold, pet dander, cockroaches, tobacco smoke, and exercise. Your child may have asthma if they experience shortness of breath, maybe gasp for air, and have trouble breathing out. When breathing gets very difficult, the skin of your child's chest and neck may suck inward. Your child may cough so hard at night he wakes from sleeping. He may have dark bags under his eyes and feel tired and irritable. Your child's doctor will listen to your child's lungs. The doctor will have your child breathe into a device called a peak flow meter. This device can tell you and your child's doctor how well the child can blow air out of his lungs. If asthma is narrowing and blocking your child's airways, his peak flow values will be low. To treat your child with asthma, you will need to work with your child's pediatrician, pulmonologist, or allergist as a team. Your child will need an action plan that outlines his asthma triggers and how to avoid them, how to monitor his symptoms, measuring peak flow, and taking medicines. You should have an emergency plan that outlines what to do when your child's asthma flares up, at home and in school. Make sure the school has a copy of your child's asthma action plan too. Your child will probably need to take two kinds of medicines, long-term control medicines and quick relief or rescue medicines. Your child will take long-term control medicines every day to prevent asthma symptoms, even when he has none. Your child will need to use quick relief medicines during an asthma attack. If your child needs to use an inhaler with his medicines, make sure the doctor shows him how to use a spacer device, to get the medicine into his lungs properly. Today, most children with properly managed asthma can lead a life unhindered by their disease. It shouldn't hold them back from even the highest levels of athletic competition. With proper education and medical management, it is possible to control this disease on a daily basis and prevent asthma attacks.

    Self Care

     
     

    Review Date: 1/13/2020

    Reviewed By: Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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