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Asthma adherence and the athlete

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Abstract

Although much has been written on the topic of adherence (also known as compliance) in asthma, little is known about adherence in the asthmatic athlete. There are shared reasons for poor adherence to treatment among athletes of varying ages and levels of competition. The Shared Decision-Making model is considered to be the optimal approach to enhancing adherence among all patients with chronic disease but is particularly well applied to athletes with asthma. This article discusses athlete-related, physician-related, and treatment-related barriers to adherence, as well as how to overcome these barriers to promote optimal disease management. Special considerations for the elite or professional athlete are also addressed.

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References

  1. The Associated Press. (2001), The Daily Texan. 101, No. 98.

  2. McFadden, E. R. (2003), in Allergy Principles and Practice, vol. 2, Middleton, E. Jr., Reed, C.E., Ellis, E.F., Adkinson, N.F. Jr., Yunginger, J.W., and Busse, W.W., 5th ed. Saint Louis, MO: Mosby-Year Book, pp. 1323–1332.

    Google Scholar 

  3. Early release of selected estimates based on data from the 2003 National Health Interview Survey. Hyattsville, MD: National Center for Health Statistics. July 30, 2004. Available at: www.cdc.gov. Accessed December 2004.

  4. Busse, W. W. and Lemanske, R. F. (2001), N. Engl. J. Med. 344, 350–362.

    Article  PubMed  CAS  Google Scholar 

  5. American Lung Association. (2004), Trends Asthma Morb Mortal. Available at: www.lungusa.org/data.

  6. Bonini, S., Brusasco, V., Carlsen, K. H., et al. (2004), Allergy 59, 33–36.

    Article  PubMed  CAS  Google Scholar 

  7. Bauman, L. J., Wright, E., Leickly, F. E., et al. (2002), Pediatrics 110, 1–7.

    Article  Google Scholar 

  8. NHLBI Expert Panel Report 2. (1997), Guidelines for the Diagnosis and Management of Asthma. NIH Publication No. 97, 4051.

  9. Bender, B. G., Milgrom, H., and Apter, A. (2003), J. Allergy Clin. Immunol. 112, 489–494.

    Article  PubMed  Google Scholar 

  10. Apter, A., Boston, R., George, M., et al. (2003), J. Allergy Clin. Immunol. 111, 1219–1226.

    Article  PubMed  Google Scholar 

  11. Bender, B. G. (2002), J. Allergy Clin. Immunol. 109, S554-S559.

    Article  PubMed  Google Scholar 

  12. Bender, B. G. and Creer, T. L. (2003), in Pediatric Allergy: Principles and Practice, Leung, D.Y., Sampson, H.A., Geha, R.S., and Szefler, S.J. eds. St. Louis: Mosby, pp. 457–464.

    Google Scholar 

  13. Haynes, R. B. (1979), in Compliance in Health Care. Baltimore, MD: The Johns Hopkins University Press.

    Google Scholar 

  14. Cramer, J. A. and Spilker, B. (1991), in Patient Compliance in Medical Practice and Clinical Trials. New York: Raven Press.

    Google Scholar 

  15. Charles, C., Gafni, A., and Whelan, T. (1999), Soc. Science Med. 49, 651–661.

    Article  CAS  Google Scholar 

  16. Godolphin, W. (2003), Br. Med. J. 327, 692,693.

    Article  Google Scholar 

  17. Williams, L. K., Pladevall, M., Xi, H., et al. (2004), J. Allergy Clin. Immunol. 114, 1288–1293.

    Article  PubMed  CAS  Google Scholar 

  18. Bender, B. G. and Rand, C. (2004), Curr. Opin. Allergy Clin. Immunol. 3, 191–195.

    Article  Google Scholar 

  19. Penza-Clyve, S. M., Mansell, C., and McQuaid, E. L. (2004), J. Asthma 41, 189–197.

    Article  PubMed  Google Scholar 

  20. Sherman, J., Huston, A., Baumstein, S., and Hendeles, L. (2000), J. Pediatr. 136, 532–536.

    Article  PubMed  CAS  Google Scholar 

  21. Bender, B. G., Wamboldt, F. S., O’Conner, S. L., et al. (2000), Ann. Allergy Asthma Immunol. 85, 416–421.

    Article  PubMed  CAS  Google Scholar 

  22. Cardona, I. D., D’Alonzo, G. E., and Becker, J. (2004), Ann. Allergy Asthma Immunol. 92, 340–343.

    PubMed  Google Scholar 

  23. Bich-Phyong, N., Wilson, S., and German, D. (1996), Ann. Allergy Asthma Immunol. 77, 209–215.

    Google Scholar 

  24. Milgrom, H., Bender, B., Ackerson, L., Bowery, P., Smith, B., and Rand, C. (1996), J. Allergy Clin. Immunol. 98, 1051–1057.

    Article  PubMed  CAS  Google Scholar 

  25. Spahn, J. D., Leung, D. Y. M., Surs, W., Harbeck, R. J., Nimmagadda, S., and Szefler, S. J. (1995), Am. J. Respir. Crit. Care Med. 151, 1709–1714.

    PubMed  CAS  Google Scholar 

  26. Becker, J. M., Rogers, J., Rossini, G., Mirchandani, H., and D’Alonzo, G. E. (2004), J. Allergy Clin. Immunol. 113, 264–267.

    Article  PubMed  Google Scholar 

  27. Cabana, M. D., Rand, C. S., Powe, N. R., et al. (1999), J. Amer. Med. Assoc. 282, 1458–1465.

    Article  CAS  Google Scholar 

  28. Bender, B. G. and Bender, S. E. (2005), Immunol. Allergy Clin. North Am. 26, 107–130.

    Article  Google Scholar 

  29. Hallstrand, T. S., Curtis, J. R., Koepsell, T. D., et al. (2002), J. Pediatr. 141, 343–349.

    Article  PubMed  Google Scholar 

  30. Thole, R. T., Sallis, R. E., Rubin, A. L., and Smith, G. N. (2001), Med. Sci. Sports Exerc. 33, 1641–1646.

    Article  PubMed  CAS  Google Scholar 

  31. Rupp, N. T., Brudno, S., and Guill, M. F. (1993), Ann. Allergy 70, 339–342.

    PubMed  CAS  Google Scholar 

  32. Rupp, N. T., Guill, M. F., and Brudno, S. (1992), Arch. Pediatr. Adolesc. Med. 146, 941–946.

    CAS  Google Scholar 

  33. Kukafka, D. S., Lang, D. M., Porter, S., et al. (1998), Chest. 114, 1613–1622.

    PubMed  CAS  Google Scholar 

  34. Hernandez, D. V. and Schmaling, K. B. (2004), Clin. Rev. Allergy Immunol. 27, 65–73.

    Article  PubMed  Google Scholar 

  35. Hand, C. H. and Bradley, C. (1996), J. Asthma. 33, 331–338.

    Article  PubMed  CAS  Google Scholar 

  36. Kelloway, J. S., Wyatt, R., DeMarco, J., and Adlis, S. (2000), Ann. Allergy Asthma Immunol. 84, 324–328.

    PubMed  CAS  Google Scholar 

  37. Spitzer, W. O., Suissa, S., Ernst, P., et al. (1992), N. Engl. J. Med. 326, 501–506.

    Article  PubMed  CAS  Google Scholar 

  38. Cramer, J. A., Mattson, R. H., Prevey, M. L., Scheyer, R. D., and Ouellette, V. L. (1989), JAMA 261, 3273–3277.

    Article  PubMed  CAS  Google Scholar 

  39. Heisler, M., Langa, K. M., Eby, E. L., Fendrick, A. M., Kabeto, M. U., and Piette, J. D. (2004), Med. Care 42(7), 626–634.

    Article  PubMed  Google Scholar 

  40. Piette, J. D., Heisler, M., and Wagner, T. H. (2004), Arch. Intern. Med. 164(16), 1749–1755.

    Article  PubMed  Google Scholar 

  41. Piette, J. D., Heisler, M., and Wagner, T. H. (2004), Am J. Public Health. 94(10), 1782–1787.

    Article  PubMed  Google Scholar 

  42. International Olympic Committee, (2001–2002), Prohibited Classes of Substances and Prohibited Methods, Lausanne, Switzerland.

  43. Cirimele, V., Kintz, P., Dumestre, V., Goulle, J. P., and Ludes, B. (2000), Forerisic Sci. Int. 107, 381–388.

    Article  CAS  Google Scholar 

  44. Weiler, J. M. (2003), J. Allergy Clin. Immunol. 111, 36–37.

    Article  PubMed  Google Scholar 

  45. McKenzie, D. C., Stewart, I. B., and Fitch, K. D. (2002), Clin. J. Sport Med. 12, 225–228.

    Article  PubMed  Google Scholar 

  46. Williams, L. K., and Fainaru-Wada, M. (2004), San Francisco Chronicle.

  47. Chambers, C., Markson, L., Diamond, J., Lasch, L., and Berger, M. (1999), Respir. Med. 93, 88–94.

    Article  PubMed  CAS  Google Scholar 

  48. Clark, N. M. and Partridge, M. R. (2002), Chest 121, 1661–1669.

    Article  PubMed  Google Scholar 

  49. Divertie, V. (2002), Am. J. Mat. Child Nurs. 27, 10–19.

    Article  Google Scholar 

  50. Cabral, A. B., Conceicao, G. M., Fonseca-Guedes, C. F., and Martins, M. A. (1999), Am. J. Respir. Crit. Care Med. 159, 1819–1823.

    PubMed  CAS  Google Scholar 

  51. DiMatteo, M. R., Sherbourne, C. D., Hays, R. D., et al. (1993), Health Psychol. 12, 93–102.

    Article  PubMed  CAS  Google Scholar 

  52. Bender, B. G., Milgrom, H., and Rand, C. (1997), Ann. Allergy Asthma Immunol. 79, 177–186.

    PubMed  CAS  Google Scholar 

  53. Clark, N. M., Gong, M., Schork, M. A., et al. (1997), Health Educat. Beh. 24, 245–256.

    Article  CAS  Google Scholar 

  54. Stewart, I. B., LaBreche, J. M., and McKenzie, D. C. (2002), Med. Sci. Sports Exerc. 34, 213–217.

    Article  PubMed  CAS  Google Scholar 

  55. Morton, A. R., Joyce, K., Papalia, S. M., Carroll, N. G., and Fitch, K. D. (1996), Clin. J. Sport Med. 6, 220–225.

    Article  PubMed  CAS  Google Scholar 

  56. McKenzie, D. C., Rhodes, E. C., Stirling, D. R., et al. (1983), Med. Sci. Sports Exerc. 15, 520–522.

    PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Allergy and Immunology, Pediatric Department, National Jewish Medical and Research Center, Denver, CO

    Ivan D. Cardona & Christopher M. Mjaanes

  2. Section of Allergy and Asthma, St. Christopher’s Hospital for Children, Drexel University College of Medicine, Philadelphia, PA

    Jack M. Becker

Authors
  1. Ivan D. Cardona
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  2. Christopher M. Mjaanes
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  3. Jack M. Becker
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Correspondence to Jack M. Becker.

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These two authors contributed equally to this manuscript.

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Cardona, I.D., Mjaanes, C.M. & Becker, J.M. Asthma adherence and the athlete. Clinic Rev Allerg Immunol 29, 75–86 (2005). https://doi.org/10.1385/CRIAI:29:2:075

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