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Background
Exercise is a well-established trigger for allergic disorders such as asthma, urticaria,
and anaphylaxis, but the effect of exercise on rhinitis has not been well described.
Objective
To survey individuals with and without nasal allergy who exercise regularly to determine
the prevalence and nature of nasal symptoms induced by indoor exercise.
Methods
An original, self-administered questionnaire to evaluate exercise-induced rhinitis
(EIR) was distributed to adults who were receiving allergy immunotherapy at a community
allergy practice and to members of a community athletic club. Nasal symptoms that
occur indoors (runny nose, nasal congestion, postnasal drip) were primarily evaluated.
Comparisons with outdoor EIR were determined. The perception of adverse effects of
rhinitis on exercise was evaluated.
Results
Sixty-six (40%) of the 164 patients indicated that their indoor EIR adversely affected
athletic performance, and this finding occurred more frequently in patients with nasal
allergy vs unaffected individuals (53.1% vs 27.7%; P = .009). Of the 61.0% who reported increased rhinitis with indoor exercise, rhinorrhea
was the most common symptom experienced (48.8%). Indoor EIR occurred more frequently
in patients with nasal allergy vs unaffected individuals (69.1% vs 53.0%; P = .04). Outdoor EIR occurred in 56.1% of the total population, and patients with
nasal allergy reported significantly more rhinitis with outdoor exercise compared
with unaffected individuals (71.6% vs 41.0%; P < .001).
Conclusions
Exercise-induced rhinitis, predominantly rhinorrhea, commonly occurs in athletes regardless
of underlying nasal allergy. A history specific to indoor and outdoor exercise triggers
needs to be part of the complete rhinitis history so that specific treatment can be
directed.
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REFERENCES
- Exercise-induced asthma: ways to wise exercise.Curr Opin Allergy Clin Immunol. 2004; 4: 147-153
- Exercise-induced asthma.N Engl J Med. 1994; 330: 1362-1367
- Exercise-induced urticaria, angioedmea, and anaphylactoid episodes.J Allergy Clin Immunol. 1981; 68: 432-437
- Exercise-induced anaphylaxis.Curr Allergy Asthma Rep. 2003; 3: 15-21
- Experimental Researches on the Causes and Nature of Catarrhus aestivus (Hay-fever or Hay-asthma). Dawson's of Pall Mall, London, England1959: 174-175 (Originally published in 1873)
- Hay Fever: Its Prevention and Cure. Funk & Wagnalls Company, New York, NY1916: 179
- Nasal airway response to exercise.J Allergy. 1968; 41: 269-284
- Exercise and nasal patency.J Appl Physiol. 1983; 55: 860-865
- Effects of exercise on nasal airflow resistance in healthy subjects and in patients with asthma and rhinitis.Bull Eur Physiopathol Respir. 1985; 21: 507-513
- Changes in human nasal resistance associated with exercise, hyperventilation and rebreathing.Acta Otolaryngol. 1977; 84: 416-421
- Response of the nose to exercise in healthy subjects and in patients with rhinitis and asthma.Thorax. 1994; 49: 128-132
- Rhinitis in the athlete.J Allergy Clin Immunol. 1984; 73: 708-711
- The skier's nose: a model of cold-induced rhinorrhea.Ann Allergy. 1991; 67: 32-36
- Allergic rhinitis and pharmacological management in elite athletes.Med Sci Sports Exerc. 2005; 37: 707-711
- Advances in upper airway diseases and allergen immunotherapy.J Allergy Clin Immunol. 2005; 115: 676-684
- Diagnosis and management of rhinitis: complete guidelines of the Joint Task Force on Practice Parameters in Allergy, Asthma and Immunology, American Academy of Allergy, Asthma, and Immunology.Ann Allergy Asthma Immunol. 1998; 81: 478-518
- Biology of diesel exhaust effects on respiratory function.J Allergy Clin Immunol. 2005; 115: 221-228
- Validation of the standardized version of the rhinoconjunctivitis quality of life questionnaire.J Allergy Clin Immunol. 1999; 104: 364-369
- A standardized method of evaluating exercise-induced asthma.J Allergy Clinical Immunol. 1976; 58: 414-425
- Nasal challenge with cold, dry air results in release of inflammatory mediators.J Clin Invest. 1985; 76: 1375-1381
Article Info
Publication History
Accepted:
June 25,
2005
Received:
May 12,
2005
Identification
Copyright
© 2006 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.
