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Winter Exercise Reduces Allergic Airway Inflammation: A Randomized Controlled Study

Author

Listed:
  • Johanna Prossegger

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria
    Equally contributed authorship.)

  • Daniela Huber

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria
    Department of Physiotherapy, Salzburg University of Applied Sciences, 5412 Puch/Urstein, Austria
    Equally contributed authorship.)

  • Carina Grafetstätter

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria)

  • Christina Pichler

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria)

  • Herbert Braunschmid

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria)

  • Renate Weisböck-Erdheim

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria)

  • Arnulf Hartl

    (Institute of Ecomedicine, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria)

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.

Suggested Citation

  • Johanna Prossegger & Daniela Huber & Carina Grafetstätter & Christina Pichler & Herbert Braunschmid & Renate Weisböck-Erdheim & Arnulf Hartl, 2019. "Winter Exercise Reduces Allergic Airway Inflammation: A Randomized Controlled Study," IJERPH, MDPI, vol. 16(11), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:11:p:2040-:d:238205
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    References listed on IDEAS

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    1. Noguchi, Kimihiro & Gel, Yulia R. & Brunner, Edgar & Konietschke, Frank, 2012. "nparLD: An R Software Package for the Nonparametric Analysis of Longitudinal Data in Factorial Experiments," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 50(i12).
    2. Martin Niedermeier & Jürgen Einwanger & Arnulf Hartl & Martin Kopp, 2017. "Affective responses in mountain hiking—A randomized crossover trial focusing on differences between indoor and outdoor activity," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-17, May.
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    Cited by:

    1. Krzysztof Kocot & Kamil Barański & Edyta Melaniuk-Wolny & Elwira Zajusz-Zubek & Małgorzata Kowalska, 2020. "Acute FeNO and Blood Pressure Responses to Air Pollution Exposure in Young Adults during Physical Activity," IJERPH, MDPI, vol. 17(23), pages 1-12, December.
    2. Arnulf Josef Hartl & Johanna Freidl & Daniela Huber, 2023. "Effects of Alpine Natural Health Resources on Human Health and Wellbeing," IJERPH, MDPI, vol. 20(12), pages 1-3, June.

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