Abstract
The observation that different forms of exercise can induce varying degrees of bronchoconstriction in asthmatic patients remains to be explained. The aim of this study was to determine whether the degree of bronchoconstriction is dependent on the level of hyperpnea as recorded during different forms of exercise. 9 asthmatics (10–16 years of age) performed treadmill walking, arm peddling and leg cycling on 3 separate days. On the 4 study day, all patients performed voluntary hyperpnea under isocapnic conditions. Each challenge, i.e. exercise and/or hyperpnea, lasted 10 min. The subject breathed room (19–23 °C, 7–14% relative humidity) air through the mouth. The following variables were continously monitored: ventilation (VE), end-tidal and mixed expiratory Pco2 and heart rate. The pulmonary functions measured before and at 7–15 min after challenge included spiro < metry, MEFV curve and SGaw. It was found that: (1) all four forms of challenges when matched for minute ventilation (a mean of 42.3 ± 0.2 liters/min) induced a comparable degree of bronchoconstriction. This was measured by all pulmonary function variables including Vmax at 70% TLC and SGaw. The voluntary isocapnic hyperpnea is an equally strong stimulus to bronchospasm when compared to absolute exercise hyperpnea, regardless of the method of exercise. (2) Both ventilatory response and oxygen consumption measured during leg cycling were significantly increased in asthmatics when compared to normal range. (3) Each individual showed a dose-response-like relationship between minute ventilation measured during exercise and the degree of bronchoconstriction following this challenge, as measured by pulmonary functions.