Lack of Identification of Asthmatic Players in a Youth Soccer League

Abstract

Exercise-induced bronchoconstriction occurs in 10% to 15% of the general population and in up to 40% of youth soccer players. Sports-induced asthma exacerbations are a well-recognized cause of death in children. The aim of this descriptive study was to determine whether coaches and managers of a youth soccer league were aware of which players on their team carried the diagnosis of asthma or used bronchodilators and whether they had an emergency asthma action plan for these players. Secondary outcomes were the coaches’ and managers’ knowledge of asthma. Data collection consisted of a multiple-choice survey that was sent to 58 volunteer parent coaches and managers of a Connecticut town soccer organization. Twenty-nine (50%) coaches and managers responded to the survey; they supervised a total of 376 children. Most coaches and managers were not sure which players on their team had asthma (16, 55%) or used inhalers (17, 59%). Five (17%) coaches and managers identified 6 children who used an inhaler; 5 of the children had their inhalers on the field for both practices and games. Most (22, 85%) never discussed an asthma action plan with parents or players. Most (16, 67%) felt that they did not know how to treat an asthma attack. Approximately half demonstrated knowledge about the use of bronchodilator for asthma exacerbations (10) and preexercise treatment (12). This is the first study describing asthma awareness and knowledge in a youth soccer league. Findings demonstrated a lack of both awareness and knowledge in supervising coaches and managers. Children in this age group have the highest risk of dying from sports-related asthma and symptoms. Therefore, it is critical to understand the reasons for this lack of awareness and to address it. Asthma education can play an integral role in addressing this deficiency.