ABSTRACI To evaluate the effect of positive ionisation of inspired air on bronchial reactivity, 12 asthmatic children were twice challenged by exercise in random order. During one test positively ionised air (5-10 x 105 ions/cm) was breathed. All challenges were matched in terms of basal lung function and exercise tests were matched in terms of ventilation and respiratory heat loss. Exercise induced asthma was significantly aggravated by exposure to positively ionised air, the postexercise fall in FEV1 (A FEV,) being 24*7% (SEM and 5.3%) and 35-3% (5%) after the control and ionised air tests respectively (p < 0.04). It is concluded that positive ionisation aggravates the bronchial response to exercise.Asthmatic subjects are characterised by increased airway reactivity when exposed to various stimuli, both specific ones such as antigen inhalation and non-specific ones such as physical exertion.' 2 The ionic charge of the air has for long been thought to affect various biological systems,34 including the respiratory system, which is highly exposed to air constituents.56 Uncontrolled studies in the past have suggested a beneficial effect of negative ions on lung function in asthmatics but the observed changes were always minor.78 Recently we studied the effect of negative ionisation of inspired air on the response of asthmatic children to exercise and inhaled histamine.9 We found that negative ionisation significantly attenuated the response to exercise but the effect on histamine responsiveness was more variable. To investigate this further we decided to study the response of asthmatic children to exercise while they were breathing positively ionised air under similarly controlled conditions.
MethodsTwelve asthmatic children, seven of them boys, with a mean age of 12 (range 9-15) years participated in this study. All were known to have had asthmatic attacks provoked by physical exertion. Children and parents gave informed consent to the tests after a full explanation of the procedure. The child refrained from taking sympathomimetic medication or sodium cromoglycate for at least 12 hours and long acting theophylline for 24 hours before any test. Inhaled steroids, if taken, were continued at the same dose level throughout the study. Regular medication was by means of sympathomimetic bronchodilators in seven patients, sodium cromoglycate in one, long acting theophylline in one, and beclomethasone dipropionate in three. Exercise tests were undertaken with and without exposure to positively charged inspired air in a double blind randomised fashion, with the same protocol as in our previous study of negative ions but reversing the polarity of the ion generator.9 The ion generator was silent in action and was turned on or left off by a staff member not concerned with the project and without the knowledge of the child or the investigators. The subjects breathed cold, dry air with or without the addition of positively charged ions for 10 minutes before exercise and throughout the exercise and subsequent recovery. Ions were...