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010-111 · Question #167

Which of the following practices are NOT recommended for persons with asthma who desire to participate in a strenuous aerobic exercise program?

The correct answer is C. Use a short, intense warm-up. A short, intense warm-up is contraindicated for individuals with asthma because it can precipitate exercise-induced bronchoconstriction rather than preventing it.

Exercise Program Development and Implementation

Question

Which of the following practices are NOT recommended for persons with asthma who desire to participate in a strenuous aerobic exercise program?

Options

  • AExercise in an environment with warm, moist air.
  • BSelf-administer prescribed medication as directed prior to or during the exercise session.
  • CUse a short, intense warm-up.
  • DUse a scarf or surgical mask in front of the mouth if exercising in cold weather.

How the community answered

(40 responses)
  • A
    5% (2)
  • B
    3% (1)
  • C
    83% (33)
  • D
    10% (4)

Why each option

A short, intense warm-up is contraindicated for individuals with asthma because it can precipitate exercise-induced bronchoconstriction rather than preventing it.

AExercise in an environment with warm, moist air.

Warm, moist air is beneficial for asthmatics during exercise because it reduces the airway drying and cooling that typically trigger bronchoconstriction, making this a recommended practice.

BSelf-administer prescribed medication as directed prior to or during the exercise session.

Pre-exercise use of a prescribed bronchodilator such as a short-acting beta-agonist is a standard, guideline-supported strategy for preventing exercise-induced bronchoconstriction.

CUse a short, intense warm-up.Correct

Persons with asthma should use a prolonged, gradual warm-up rather than a short, intense one, because a slow progressive increase in exercise intensity helps reduce the risk of exercise-induced bronchoconstriction (EIB). A short, intense warm-up abruptly elevates ventilation demands and can precipitate bronchospasm before protective adaptations occur. Extended warm-up periods have been shown to provide a refractory period that reduces EIB risk during subsequent strenuous activity.

DUse a scarf or surgical mask in front of the mouth if exercising in cold weather.

Wearing a scarf or mask in cold weather helps warm and humidify inspired air, thereby reducing the cold-air bronchospasm trigger, making this a recommended protective measure.

Concept tested: Exercise prescription and precautions for asthma

Source: https://www.nhlbi.nih.gov/health/asthma/management

Topics

#asthma management#exercise guidelines#warm-up protocol#special populations

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