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Nasal function and dysfunction in exercise

Published online by Cambridge University Press:  17 February 2016

A Walker ,
P Surda ,
M Rossiter  and
S Little
A Walker*
Affiliation:
Department of ENT Surgery, St George's Hospital, London, UK
P Surda
Affiliation:
Department of ENT Surgery, St George's Hospital, London, UK
M Rossiter
Affiliation:
All Sports Medicine, Candover Clinic, Basingstoke and North Hampshire Hospital, Basingstoke, UK
S Little
Affiliation:
Department of ENT Surgery, St George's Hospital, London, UK
*
Address for correspondence: Ms Abigail Walker, Department of ENT Surgery, St George's Hospital, Blackshaw Road, London SW17 0QT, UK E-mail: abiwalker@doctors.org.uk
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Abstract

Background:

There have been recent advances in our appreciation of the functional complementarity of the upper and lower airways. The unified airway begins at the nose: rather than acting merely as a conduit for air to the lungs, the nose and nasal cavity perform an important role in filtering, humidification and immune surveillance.

Methods:

The physiological and pathological responses of the nasal cavity to exercise and regular training are examined in this narrative review, with specific reference to the relation of nasal health to quality of life, lower airway health and upper respiratory tract infections. Relevant literature is examined and placed in clinical context.

Results:

There is considerable published evidence to support nasal dysfunction associated with exercise, and a link to lower airway dysfunction. Evidence also supports the role of upper and lower airway dysfunction in the development of upper respiratory tract infection symptoms.

Conclusion:

Nasal dysfunction in exercise may be a source of considerable morbidity to the regular exerciser, and further research into exercise-induced rhinitis is recommended.

Keywords

RhinitisExerciseNoseAthletesPhysiologySports MedicineNasal Obstruction
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 5 , May 2016 , pp. 431 - 434
Copyright
Copyright © JLO (1984) Limited 2016 

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