Nasal Breathing and Physical Capacity

Summary

We know that there is a link between disorders in the upper and lower airways, both epidemiologically, patho-physiologically, and therapeutically. What we know less about is the role for the nose and nasal breathing for physical capacity. That goes both for the ability of the average, healthy persons well as for patients with ie. asthma and COPD to perform daily life activities as well as exercise and for top athletes to perform their maximum oxygen demanding activities. Without this knowledge, we cannot make evidence based decisions about to what extent measures to open the nose medically and/or surgically should be considered to improve physical capacity at any level. The aim of the present project is to expand our knowledge in the field for the best of the ordinary man, patients with airway disorders, and athletes.

Timeline

Start

2021-01-13

Primary completion

2024-01-13

Completion

2024-01-13

Publications

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• Background Dunlop G, Scadding GK, Lund VJ. The effect of endoscopic sinus surgery on asthma: management of patients with chronic rhinosinusitis, nasal polyposis, and asthma. Am J Rhinol. 1999 Jul-Aug;13(4):261-5. doi: 10.2500/105065899782102809.
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• Background Fisher LH, Davies MJ, Craig TJ. Nasal obstruction, the airway, and the athlete. Clin Rev Allergy Immunol. 2005 Oct;29(2):151-8. doi: 10.1385/CRIAI:29:2:151.
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• Background Hopkins C, Gillett S, Slack R, Lund VJ, Browne JP. Psychometric validity of the 22-item Sinonasal Outcome Test. Clin Otolaryngol. 2009 Oct;34(5):447-54. doi: 10.1111/j.1749-4486.2009.01995.x.
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• Background Migueis DP, Thuler LC, Lemes LN, Moreira CS, Joffily L, Araujo-Melo MH. Systematic review: the influence of nasal obstruction on sleep apnea. Braz J Otorhinolaryngol. 2016 Mar-Apr;82(2):223-31. doi: 10.1016/j.bjorl.2015.05.018. Epub 2016 Jan 7.
• Background Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Crapo R, Enright P, van der Grinten CP, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J; ATS/ERS Task Force. Standardisation of spirometry. Eur Respir J. 2005 Aug;26(2):319-38. doi: 10.1183/09031936.05.00034805. No abstract available.
• Background Oie MR, Dahlslett SB, Sue-Chu M, Helvik AS, Steinsvag SK, Thorstensen WM. Rhinosinusitis without nasal polyps in COPD. ERJ Open Res. 2020 Jul 6;6(2):00015-2020. doi: 10.1183/23120541.00015-2020. eCollection 2020 Apr.
• Background Osborn JL, Sacks R. Chapter 2: Nasal obstruction. Am J Rhinol Allergy. 2013 May-Jun;27 Suppl 1:S7-8. doi: 10.2500/ajra.2013.27.3889.
• Background Ottaviano G, Ermolao A, Nardello E, Muci F, Favero V, Zaccaria M, Favero L. Breathing parameters associated to two different external nasal dilator strips in endurance athletes. Auris Nasus Larynx. 2017 Dec;44(6):713-718. doi: 10.1016/j.anl.2017.01.006. Epub 2017 Jan 30.
• Background Piccirillo JF, Merritt MG Jr, Richards ML. Psychometric and clinimetric validity of the 20-Item Sino-Nasal Outcome Test (SNOT-20). Otolaryngol Head Neck Surg. 2002 Jan;126(1):41-7. doi: 10.1067/mhn.2002.121022.
• Background Silvers WS, Poole JA. Exercise-induced rhinitis: a common disorder that adversely affects allergic and nonallergic athletes. Ann Allergy Asthma Immunol. 2006 Feb;96(2):334-40. doi: 10.1016/S1081-1206(10)61244-6.
• Background Singh D, Agusti A, Anzueto A, Barnes PJ, Bourbeau J, Celli BR, Criner GJ, Frith P, Halpin DMG, Han M, Lopez Varela MV, Martinez F, Montes de Oca M, Papi A, Pavord ID, Roche N, Sin DD, Stockley R, Vestbo J, Wedzicha JA, Vogelmeier C. Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease: the GOLD science committee report 2019. Eur Respir J. 2019 May 18;53(5):1900164. doi: 10.1183/13993003.00164-2019. Print 2019 May.
• Background Thorstensen WM, Bugten V, Sue-Chu M, Fossland NP, Romundstad PR, Steinsvag SK. Sino-nasal characteristics in asthmatic patients. Otolaryngol Head Neck Surg. 2012 Nov;147(5):950-7. doi: 10.1177/0194599812451408. Epub 2012 Jun 19.
• Background Voutilainen A, Pitkaaho T, Kvist T, Vehvilainen-Julkunen K. How to ask about patient satisfaction? The visual analogue scale is less vulnerable to confounding factors and ceiling effect than a symmetric Likert scale. J Adv Nurs. 2016 Apr;72(4):946-57. doi: 10.1111/jan.12875. Epub 2015 Dec 22.
• Background Walker A, Surda P, Rossiter M, Little S. Nasal function and dysfunction in exercise. J Laryngol Otol. 2016 May;130(5):431-4. doi: 10.1017/S0022215116000128.
• Results Steinsvag SK. [Nose and lungs--two of a kind]. Tidsskr Nor Laegeforen. 2009 Oct 8;129(19):1982-4. doi: 10.4045/tidsskr.08.0394. Norwegian.

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