“The consultants at the Elite Breathlessness Clinic, and the Performance team at MIHP, are extremely knowledgeable and explained everything to me beforehand so I was comfortable with what was required from me and also what was being measured in both tests.
“Dr Vyas and Jemma Haines provided me with a thorough debrief of my results immediately after my assessment, and thankfully the good news is that I don’t have any issues with my lungs or airway.”
Lewis Eccleston, 24, from Astley is a triathlete and currently holds the title of Ironman UK in the 18-24 year old category.
He was winner of Ironman UK – by huge margins – both last year and in 2016, and competed at the 2017 World Championships in Kona, Hawaii where he finished in seventh place. He is currently training for Ironman UK 2018 which takes place in Bolton on 15th July.
Lewis visited The Elite Breathlessness Clinic at The Manchester Institute of Health & Performance (MIHP), which is the first private service of its kind in the North West, to have his lungs and airway assessed by leading specialists to ensure he is performing at his optimum level in all conditions and climates.
The Elite Breathlessness Clinic is run by Dr Aashish Vyas, Consultant Chest Physician, and Jemma Haines, Consultant Speech and Language Therapist, who have more than 20 years combined experience treating individuals and athletes with a wide variety of breathlessness needs.
Lewis’ assessment involved a Spirometry, Eucapnic Voluntary Hyperpnoea (EVH) and FeNO test. The Spirometry is used to detect if there are any lung conditions by measuring how much air you can breathe out in one forced breath. It’s carried out using a spirometer which is a small machine attached by a cable to a mouthpiece.
The Eucapnic Voluntary Hyperpnea challenge test (EVH test) is a very sensitive and specific diagnostic method. This test develops Exercise Induced Asthma (EIA) by hyperventilation of dry gas and achieves the same airway obstruction as training in cold and dry air.
FeNO or a Fractional Exhaled Nitric Oxide test measures your levels of nitric oxide when you breathe out. Nitric oxide is produced in your lungs when your airways are inflamed because you’re allergic to something you’ve breathed in. If a there is a high level of nitric oxide in the air you breathe out this can be a sign that you have inflamed airways and an indication of asthma.
Lewis said: “This is the first time I’ve had an assessment of this kind, as I’ve not had any obvious issues with my breathing during competitions or in training, however I was really keen when I was given the opportunity to be checked out by leading breathlessness experts at a world class facility like The Manchester Institute of Health & Performance (MIHP).
“The consultants at The Elite Breathlessness Clinic, and the Performance team at MIHP, are extremely knowledgeable and explained everything to me beforehand so I was comfortable with what was required from me and also what was being measured in both tests.
“Dr Vyas and Jemma Haines provided me with a thorough debrief of my results immediately after my assessment, and thankfully the good news is that I don’t have any issues with my lungs or airway.
“Alongside MIHP, the #BTheBestUCanB sponsorship provided by Agfa HealthCare really helps, enabling me to look at all aspects of my training and performance including the Elite Breathlessness Clinic.”
Dr Aashish Vyas explained: “A number of athletes can have undiagnosed Exercise Induced Asthma (EIA), as they can perform without any specific respiratory symptoms.
“However, undetected respiratory issues can impact negatively on an individual’s health and performance. Respiratory health performance assessments can identify any undetected respiratory issues and help to maximise performance.
“Lewis’ results were good, and the EVH test helped us to exclude exercise induced asthma as a cause of exercise induced breathlessness. It can also be used as an assessment tool in athletes with early onset fatigue or drop off in performance, as up to 30% of elite athletes have reduced performance goals due to respiratory issues such as asthma without having the classical symptoms of asthma.”
Jemma Haines added: “Respiratory health is essential for individuals wishing to partake in exercise. We are delighted to be able to offer our Respiratory Health Performance service at The Manchester Institute of Health & Performance (MIHP), which will complement our existing Elite Breathlessness Clinic.”
For more information or to make an appointment with the Elite Breathlessness Clinic please call 0161 641 8300.