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Allergy and sports in children

Authors

  • Stefano R. Del Giacco,

    1. Department of Medical Sciences “M. Aresu”, University of Cagliari, Cagliari, Italy
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  • Kai-Håkon Carlsen,

    1. Norwegian School of Sport Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway
    2. Department of Paediatrics, Oslo University Hospital, Oslo, Norway
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    • The authors equally contributed to this paper.

  • George Du Toit

    1. Division of Asthma, Allergy and Lung Biology, MRC & Asthma UK Centre in Allergic Mechanisms of Asthma, Guy’s and St Thomas’ NHS Foundation Trust, King’s College London, London, UK
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    • The authors equally contributed to this paper.


Stefano R. Del Giacco, Department of Medical Sciences “M. Aresu”, University of Cagliari, Asse Didattico E1 – Cittadella Universitaria, I-09042 Monserrato (Cagliari), Italy.
Tel.: +39 070 6754150
Fax: +39 070 6754086
E-mail: stedg@medicina.unica.it

Abstract

To cite this article: Del Giacco SR, Carlsen K-H, Du Toit G. Allergy and sports in children. Pediatric Allergy Immunol 2012: 23: 11–20.

Abstract

Physical activity is beneficial for children with positive outcomes for mental and physical well-being. Allergic conditions unique to the sporting arena may serve as an impediment to participation in physical activity for allergic children. A common example is exercise-induced asthma; less common activity-related allergic conditions include food-dependent exercise-induced anaphylaxis, exercise-induced anaphylaxis, and exercise-induced urticaria. Allergic children may also be at risk of allergic reactions when exposed to allergens that are more commonly found in the sports environment, e.g., latex, sports drinks, and medications such as NSAIDs. Recent advances in our understanding of the patho-physiological and immunologic mechanisms that may account for these conditions have facilitated more effective and safer management strategies. There are also important immunologic lessons to be learnt with respect to specific physical factors that may result in diminished allergen tolerance; indeed, these lessons may facilitate safer allergen desensitisation regimens. The role of the immune system in exercise-induced immunoallergic syndromes, clinical aspects, and diagnostic and therapeutic approaches are discussed in this review.

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