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Atopy in Elite Endurance Athletes

Teixeira, Renata, N., PhD*; Leite, Gerson dos, Santos, PhD*; Bonini, Matteo, MD, PhD; Gorjão, Renata, PhD; Agondi, Rosana, C., MD, PhD§; Kokron, Cristina, M., MD, PhD; Carvalho, Celso R., F., PhD*

Clinical Journal of Sport Medicine: May 2018 - Volume 28 - Issue 3 - p 268–271
doi: 10.1097/JSM.0000000000000444
Original Research

Objective: To assess the frequency of atopy (specific IgE levels), to evaluate the allergic symptoms using the Allergy Questionnaire for Athletes (AQUA), and to determine whether atopy is associated with allergic symptoms in elite endurance athletes.

Design: Cross-sectional study.

Setting: Assessments were performed at Hospital das Clinicas—São Paulo University Medical School.

Participants: Fifty-nine elite endurance athletes (triathletes and runners).

Main Outcome Measures: Allergic symptoms were assessed by a validated self-report AQUA questionnaire and atopy by specific IgE level.

Results: The frequency of atopy (specific IgE to at least one inhalant allergen) and allergic symptoms was 57.6% and 54.2%, respectively. In addition, no association was observed between atopy and allergic symptoms.

Conclusions: A possible implication from our results is that atopy screening in elite athletes should be performed using AQUA questionnaire and measuring specific IgE simultaneously.

*Department of Physical Therapy, University of São Paulo School of Medicine, São Paulo, Brazil;

Airways Disease Section, National Heart and Lung Institute (NHLI), Imperial College London & Royal Brompton Hospital, London, UK;

Institute of Physical Activity Sciences and Sports, Cruzeiro do Sul University, São Paulo, Brazil;

§Department of Clinical Immunology and Allergy, University of São Paulo School of Medicine, São Paulo, Brazil; and

Department of Clinical Immunology and Allergy (LIM-60), University of São Paulo School of Medicine, São Paulo, Brazil.

Corresponding Author: Celso R. F. Carvalho, PhD, Department of Physical Therapy, University of São Paulo School of Medicine, São Paulo, Brazil, Department of Medicine School of Medicine, University of São Paulo Av. Dr. Arnaldo 455—room 1210, 01246-903 São Paulo—SP, Brazil (

To FAPESP (Fundação de Amparo à Pesquisa de São Paulo); Grants 2014/02915-9 and Conselho Nacional de Pesquisa (CNPq; grants 311443/2014-1 and 487868/2013-7) for financial support.

The authors report no conflicts of interest.

Received September 16, 2016

Accepted March 07, 2017

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.