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The diagnosis of exercise-induced bronchospasm (EIB) is difficult. The metacholine challenge test is not enough specific for the diagnosis of EIB. The exercise challenge test on a cycle ergometer is often use to diagnose this condition. This test has very high specificity, but not enough sensibility because the ventilation achieved during this test is often not big enough to induce a bronchospasm, especially in trained athletes. Eucapnic voluntary hyperventilation (EVH) is the recommended test of the Olympic National committee to establish the diagnosis of EIB, but there are no study comparing the sensibility and specificity of the cycle ergometer challenge test and the isocapnic hyperventilation in an establish population of asthmatics. The investigators assume that the sensitivity and specificity of EVH are higher than those of the cycle ergometer for the diagnosis of EIB in a population of asthmatics with symptoms suggestive of bronchospasm on exertion. In a population of asthmatics with exercise symptoms, what is the sensitivity and specificity of EVH and exercise challenge on a cycle ergometer for the diagnosis of EIB?
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy subjects | Other |
| |
| Asthmatics with EIB | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eucapnic voluntary hyperventilation | Diagnostic Test |
| ||
| Exercise challenge on a cycle ergometer |
| Measure | Description | Time Frame |
|---|---|---|
| Compare the sensitivity and specificity of eucapnic voluntary hyperventilation versus exercise challenge testing on a cycle ergometer for exercise-induced bronchospasm diagnosis in established asthmatic subjects with exercise symptoms. | through study completion, an average of 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Correlate the magnitude of exercise bronchoconstriction during EVH and exercise challenge testing on a cycle ergometer (measurement of FEV1 before and after these tests) with severity of symptoms of EIB (with questionnaires) | The questionnaires for the severity of symptoms of EIB will include a modified Borg questionnaire, symptoms of EIB after the tests and usual symptoms of EIB after a vigorous effort. |
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Inclusion Criteria for the group "exercise-induced bronchospasm":
Inclusion Criteria for the group "healthy":
Exclusion Criteria:
Exclusion criteria during the study:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Brian Grondin-Beaudoin | Contact | 819-346-1110 | 14252 | Brian.Grondin.Beaudoin@USherbrooke.ca |
| Katia Carle-Talbot | Contact | 514-592-1113 | pag 0477 | katia.carle-talbot@usherbrooke.ca |
| Name | Affiliation | Role |
|---|---|---|
| Pierre Larivée | Université de Sherbrooke | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Université de Sherbrooke | Recruiting | Sherbrooke | Quebec | J1G2E8 | Canada |
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| ID | Term |
|---|---|
| D001250 | Asthma, Exercise-Induced |
| ID | Term |
|---|---|
| D001249 | Asthma |
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D012130 | Respiratory Hypersensitivity |
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| Diagnostic Test |
|
| through study completion, an average of 1 month |
| Correlate the magnitude of exercise bronchoconstriction during EVH and exercise challenge testing on a cycle ergometer (FEV1 before and after these tests) with severity of bronchial hyperreactivity evaluated by methacholine challenge test (MCT). | severity of bronchial hyperreactivity evaluated by methacholine challenge test (MCT) will be measured with the provocative concentration causing a 20% fall in FEV1 (PC20) (mg/ml) as recommended by the American Thoracic Society (ATS). | through study completion, an average of 1 month |
| D000092202 |
| Exercise-Induced Allergies |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |