Abstract
Background: Physical exercise is often recommended as additional treatment for people suffering from allergic rhinitis and/or asthma, but less is known about the specific effects of recreational winter outdoor exercise on allergic airway inflammation. Methods: We performed a longitudinal, randomized controlled intervention study to investigate the effects of recreational winter exercise on allergic airway inflammation, quality of life, spirometry and cardiorespiratory fitness in adults suffering from allergic rhinitis and/or asthma. The exercise group participated in a ten-day winter sports program. The control group did not receive any intervention. Results: A significant improvement of fractional oral exhaled nitric oxide (FeNO; p = 0.008, day 10) and a significant decrease in FeNO after a single 4 h hiking tour (p < 0.001, time effect) were observed for the exercise group. The nasal eosinophilic cell count revealed a short-term reduction (p = 0.021, treatment effect) in the exercise group and for the visual analogue scale sustainable improvements in allergic symptoms (p < 0.001, day 60) were found. No adverse effects of outdoor winter exercise were observed. Conclusion: Recreational winter exercise at moderately cold temperatures reduces allergic airway inflammation measured as FeNO, nasal eosinophilic cell count and induces sustainable improvements in allergic symptoms.
Highlights
The prevalence of allergies and asthma has increased during the last decades
The presented data is a subsection from the WESPAA study (Winter Exercise and Speleotherapy for Allergy and Asthma; ISRCTN88277657), a longitudinal, randomized, controlled intervention study, which investigated the effects of winter exercise in combination with speleotherapy and winter exercise on patients suffering from allergic rhinitis and/or allergic asthma
Physical exercise is a well-known and often recommended additional treatment, the effectiveness of physical training on allergic airway inflammation is still under discussion[43]. The aim of this randomized controlled clinical study was to examine whether moderate winter exercise improves allergic airway inflammation and quality of life in patients suffering from allergic rhinitis and/or asthma
Summary
Organization (WHO) estimates that 400 million people in the world suffer from allergic rhinitis, and 300 million from asthma. Physical exercise is often recommended as additional treatment for people suffering from allergic rhinitis and/or asthma, but less is known about the specific effects of recreational winter outdoor exercise on allergic airway inflammation. Methods: We performed a longitudinal, randomized controlled intervention study to investigate the effects of recreational winter exercise on allergic airway inflammation, quality of life, spirometry and cardiorespiratory fitness in adults suffering from allergic rhinitis and/or asthma. The nasal eosinophilic cell count revealed a short-term reduction (p = 0.021, treatment effect) in the exercise group and for the visual analogue scale sustainable improvements in allergic symptoms
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