Baltimore Sun

Breathe easy while exercising in allergy season

Tips can help make working out more comfortabl­e with added pollen in air

- By Danielle Friedman

Along with warmer weather and more daylight, spring brings an explosion of pollen, which can make exercising outdoors an itchy, sniffly challenge. What’s worse, pollen season has gotten longer and more intense in recent years, thanks to climate change.

While anyone who spends time outdoors will be exposed to allergens, exercisers often feel their effects more severely, according to experts, because they inhale higher doses. For the more than 25% of American adults who are sensitive to seasonal allergens, exposure can irritate the airway from the nose down to the lungs, which can affect exercise performanc­e and recovery.

“When the tissues in your nose swell, it’s mechanical­ly harder for air to get from your nose into your airway,” said Dr. Manan Shah, an allergist in Denver who works with athletes to optimize their performanc­e.

The inflammati­on often lingers after a workout and can affect sleep and prevent muscles from healing properly. The key, Shah said, is to prevent allergic reactions from happening in the first place because inflammati­on can be tough to control once it starts. Here’s how.

Be strategic about when you work out

When you train outdoors, you can’t avoid allergens entirely, but you can limit the amount by exercising either in the early morning or the early evening, when pollen counts are often lower and moisture can tamp them down.

“During the cooler times of the day, there’s going to be a little bit less pollen production,” said Dr. Pedro Lamothe, an assistant professor at the Emory University School of Medicine who specialize­s in allergies. For most plants, the higher the temperatur­e climbs, the higher the pollen production.

Another ideal time to exercise is after it rains, since rain cleans the air and forces pollen and other allergens to the ground, he said. Avoid working outdoors on dry, windy days, when more pollen and other allergens circulate in the air.

Take the right medication­s at the right time

The most effective way to prevent seasonal allergies from wrecking your workout is to be diligent about taking the right medication­s before you head outside — and possibly during and after exercise, too.

If you go into a workout with allergic symptoms, “they’re just going to get worse,” Lamothe said. “You’re going to go into a vicious cycle.”

Experts recommend using an over-the-counter corticoste­roid spray like Flonase or Nasonex regularly, starting up to two weeks before pollen season. You can also take an oral antihistam­ine, such as Claritin, Zyrtec or Allegra, at least an hour before exercising, which will give the medicine time to kick in before you start moving.

Avoid Benadryl, which can make you sleepy.

For extra protection, Lamothe recommends using an antihistam­ine nasal spray, such as Astepro, about 20 minutes before exercising. If you have itchy eyes, you can use antihistam­ine eyedrops, too.

In the long term, if you know you want to exercise outdoors, Shah recommende­d immunother­apy, in which your body is gradually desensitiz­ed to allergens through shots or pills.

Check the air quality beforehand

If your airway is already inflamed, you may be especially sensitive to other air pollutants floating around, such as car exhaust or wildfire smoke, according to David Nieman, an exercise scientist and the director of Appalachia­n State University’s Human Performanc­e Laboratory. “Air pollution makes it all worse,” he said.

If the air-quality index rating is higher than 100 (or orange on the scale), you may be better off exercising indoors until it improves.

Wear the right protective gear

A few key accessorie­s can limit the allergens entering your system, said Dr. Sonya Parashar, an allergist at Cleveland Clinic.

For instance, she recommende­d a brimmed hat or visor and sunglasses to protect your eyes.

If you can endure it, wearing a mask can also reduce the amount of pollen you inhale. N95s are the most effective for filtration, while others are better

designed for exercise.

Wash away allergens as soon as you get home

After your workout, avoid carrying allergens back into your home, Shah said. Leave your shoes at the door, change out of your workout clothes and put them right into the washing machine, if you have one, or a closed bag or hamper.

Next, shower right away, both to wash allergens off your body and to clear them out of your nose and eyes.

“The whole goal is to get them out of your system so they’re not continuous­ly irritating your upper airway for the rest of the day,” Shah said.

As a final precaution­ary measure, he suggested using a nasal spray or rinse, such as a neti pot or a mist.

 ?? ?? MARÍA MEDEM FOR THE NEW YORK TIMES
MARÍA MEDEM FOR THE NEW YORK TIMES

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