Document Detail


Seasonal allergy and seasonal decrements in athletic performance.
MedLine Citation:
PMID:  15892916     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Allergic diseases are common in all age groups and locations around the world. In the United States, allergic diseases affect 20 to 40 million people annually, including 10% to 30% of adults and close to 40% of children. An estimated 15 million people in the United States have been diagnosed as having asthma, with this number on the rise. Concomitant asthma affects 67% of patients who have allergic rhinitis. As a result of the increase in ventilation during exercise, athletes in particular experience significant symptoms of allergy triggered by exposure to aeroallergens. The allergic response causes nasal and conjunctival congestion, tearing, breathing difficulties, pruritus, fatigue, and mood changes, which affect athletic performance. Systemic symptoms of anaphylaxis from allergy, although rare, can be life threatening. Several decades ago it was inconceivable that an athlete who had asthma could perform competitively, let alone win Olympic gold medals. Today, with proper diagnosis, education, and optimal therapeutic management, the allergic athlete can achieve great strides in all sports endeavors. To avoid seasonal allergic flares and maximize performance, the physician providing care for an athlete who has seasonal allergies must be aware of the climatic patterns of aeroallergen expression, and adjust exercise and pharmacologic regimens accordingly. This article summarizes the effects of allergic disease on exercise and highlights the challenges that seasonal allergy place on athletic performance. Doping considerations grant additional complexity to this issue and underscore the need for a competent, skillful, informed, and ethical approach to treating seasonal allergy in the competitive athlete.
Authors:
Hirsh D Komarow; Teodor T Postolache
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinics in sports medicine     Volume:  24     ISSN:  1556-228X     ISO Abbreviation:  Clin Sports Med     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-05-16     Completed Date:  2006-05-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8112473     Medline TA:  Clin Sports Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e35-50, xiii     Citation Subset:  IM    
Affiliation:
Laboratory of Allergic Disease, National Institute of Allergy and Infectious Disease, National Institutes of Health, 10 Center Drive, Bethesda, MD 20892, USA. komarowh@mail.nih.gov
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adrenal Cortex Hormones / therapeutic use
Adult
Anti-Asthmatic Agents / therapeutic use
Asthma / diagnosis,  physiopathology*,  prevention & control
Desensitization, Immunologic / methods
Doping in Sports / prevention & control
Histamine H1 Antagonists / therapeutic use
Humans
Nasal Decongestants / therapeutic use
Prevalence
Psychomotor Performance / physiology*
Rhinitis, Allergic, Seasonal / diagnosis,  physiopathology*,  prevention & control
Seasons
Sports / physiology*
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Anti-Asthmatic Agents; 0/Histamine H1 Antagonists; 0/Nasal Decongestants

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