Care Allergy Defence - Hayfever and Sport Report
Care Allergy Defence - Hayfever and Sport Report
Care Allergy Defence - Hayfever and Sport Report
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<strong>Hayfever</strong><br />
<strong>Report</strong> commissioned by <strong>Care</strong> <strong>Allergy</strong> <strong>Defence</strong><br />
(a natural nasal powder, clinically proven to provide rapid<br />
protection from hayfever & allergies) <strong>and</strong> developed by Professor<br />
Jean Emberlin, Professor in Aerobiology, Director of Pollen UK<br />
<strong>and</strong> European Pollen Information, National Pollen <strong>and</strong><br />
Aerobiology Research Unit, University of Worcester
Introduction to the report<br />
Page 3<br />
<strong>Hayfever</strong> & pollen seasons<br />
Page 4<br />
UK Pollen Calendar<br />
Page 6<br />
Effects of hayfever on sports performance<br />
<strong>and</strong> elite sports<br />
Page 7<br />
<strong>Hayfever</strong> Sufferers - Elite sports people<br />
Page 12<br />
Overcoming problems of hayfever<br />
Page 16<br />
<strong>Hayfever</strong> & <strong>Sport</strong><br />
Contents<br />
The Solution: <strong>Care</strong> <strong>Allergy</strong> <strong>Defence</strong> - A new natural<br />
approach to hayfever/allergy management<br />
Page 18<br />
UK <strong>Sport</strong>s Calendar & hayfever incidence in spectators<br />
Page 19<br />
National <strong>Sport</strong> & <strong>Hayfever</strong> Maps<br />
Page 22<br />
References<br />
Page 37
<strong>Hayfever</strong> & <strong>Sport</strong><br />
Introduction<br />
<strong>Hayfever</strong> can affect performance in nearly all types of<br />
sport, especially those taking place outdoors between<br />
the peak hayfever season (late May to early August).<br />
Previously, this aspect about the impact of hayfever<br />
on sports performance has been neglected.<br />
This report examines, for the first time, the ways in which<br />
hayfever can be detrimental to performance in sports <strong>and</strong><br />
also the ways in which sporting activities can make hayfever<br />
worse. It considers the timing <strong>and</strong> locations of major sporting<br />
events in the UK in relation to the allergen load of pollen <strong>and</strong> spores <strong>and</strong> gives<br />
examples of elite sports people who suffer from hayfever. The report also gives tips for<br />
sports people with hayfever including the best times of day for training.<br />
This report is important for all sports people including the numerous potential Olympic<br />
athletes who are already in training for 2012. It shows that elite sports performance can<br />
be seriously affected by hayfever. Who wins an event <strong>and</strong> who loses could depend on<br />
the pollen count on the day. Itʼs also important for spectators suffering from hayfever.<br />
Professor Jean Emberlin<br />
2nd June 2010<br />
3
<strong>Hayfever</strong> & <strong>Sport</strong><br />
<strong>Hayfever</strong> &<br />
Pollen Seasons<br />
Background to hayfever, symptoms <strong>and</strong> effects<br />
<strong>Hayfever</strong>, otherwise known as seasonal allergic<br />
rhinitis or intermittent rhinitis, is an allergic reaction to<br />
pollen <strong>and</strong> spores. The symptoms can include frequent<br />
sneezing, runny nose <strong>and</strong> eyes, itching nose, eyes <strong>and</strong><br />
palate, <strong>and</strong> nasal congestion. <strong>Hayfever</strong> exerts great socio<br />
economic costs both to the individual <strong>and</strong> to healthcare<br />
provision. It also leads to a decrease in the quality of life for<br />
sufferers, loss in productivity <strong>and</strong> decreased educational<br />
performance. Recent research has indicated that hayfever costs the UK economy about<br />
£7 billion p.a. (Kleenex <strong>Hayfever</strong> Health report 2009) but it is impossible to quantify the<br />
costs of the impacts on the individual.<br />
The UK has one of the highest prevalence rates for hayfever in the world, with about<br />
25% of the population having hayfever, rising to 38% in teenagers, the prime age group<br />
(Björkstén et al. 2008). The exact reasons for this high rate are unknown but research<br />
indicates that important factors include the use of antibiotics in childhood, a very clean<br />
lifestyle (hygiene hypothesis), air pollution <strong>and</strong> diet.<br />
Many types of pollen <strong>and</strong> spores can trigger hayfever depending on what a person is<br />
allergic to. Birch pollen is the most important allergenic tree pollen in the UK, <strong>and</strong> affects<br />
about 25% of hayfever sufferers. The season typically lasts for about four weeks in any<br />
one area <strong>and</strong> occurs between mid to late March <strong>and</strong> the middle of May depending on<br />
location <strong>and</strong> weather. The season usually starts very suddenly with counts soaring from<br />
nothing to very high in a few days in severe years. So people who are allergic to birch<br />
pollen can have a sudden attack of hayfever with little or no warning. Birch pollen cross<br />
reacts with several other pollen types from closely related trees, including alder, hazel<br />
<strong>and</strong> hornbeam. Alder <strong>and</strong> hazel flower earlier in the year, often in January, <strong>and</strong> can<br />
prime people causing more severe reactions to birch later in the year.<br />
4
Birch trees tend to have alternating high <strong>and</strong> low<br />
pollen production years so some people may not<br />
have symptoms every year. Other allergenic trees<br />
such as oak (affects about 20% of hayfever sufferers,<br />
flowers in May) also have cycles of high <strong>and</strong> low pollen<br />
production. For example, oak has a high year about<br />
every 5 years. People who are allergic to tree pollen<br />
typically do not get severe symptoms every year. As their<br />
symptoms are not a regular seasonal occurrence they may not<br />
realise that they have hayfever. For this reason they may think they<br />
have a cold <strong>and</strong> treat their symptoms inappropriately, so it is important for people to be<br />
aware of their allergy triggers.<br />
Grass pollen is the most important outdoor aeroallergen in the UK as approximately<br />
95% of hayfever sufferers are allergic to it. The main season typically runs from late<br />
May to early August although very small amounts of grass pollen can be in the air all<br />
year round depending on the weather. The peak counts are usually in the first 3 weeks<br />
of June in the south <strong>and</strong> midl<strong>and</strong>s, with a smaller secondary peak occurring in early<br />
July. The peaks are often a week or two later in the north.<br />
Weed pollen such as nettles, dock <strong>and</strong> mugwort affect<br />
about 20% of hayfever sufferers. These pollen types are<br />
important in late summer through to early autumn.<br />
Fungal spores can trigger hayfever in susceptible people<br />
through the summer <strong>and</strong> autumn months, but are<br />
especially abundant in September <strong>and</strong> October. About<br />
20% of hayfever sufferers react to fungal spores.<br />
A person could be allergic to one or many types of pollen<br />
or spores. For the unfortunate people who are allergic to a<br />
wide range of them, the hayfever season could last for many<br />
months (Fig. 1 Pollen calendar for the UK).<br />
<strong>Hayfever</strong> & <strong>Sport</strong><br />
<strong>Hayfever</strong> &<br />
Pollen Seasons<br />
(Continued)<br />
5
Taxa Jan Feb Mar Apr May Jun Jul Aug Sep<br />
Hazel (Corylus)<br />
Yew (Taxus)<br />
Alder (Alnus)<br />
Elm (Ulmus)<br />
Willow (Salix)<br />
Poplar (Populus)<br />
Birch (Betula)<br />
Ash (Fraxinus)<br />
Plane (Platanus)<br />
Oak (Quercus)<br />
Oil Seed Rape (B. napus)<br />
Pine (Pinus)<br />
Grass (Gramineae)<br />
Plantain (Plantago)<br />
Lime (Tilia)<br />
Nettle (Urtica)<br />
Dock (Rumex)<br />
Mugwort (Artemisia)r<br />
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK Pollen Calendar<br />
(Fig.1)<br />
The main periods of pollen release peak periods<br />
The calendar shows the general situation in the uk. The exact timing <strong>and</strong> severity of pollen sessions will differ from year to year<br />
depending on the weather, <strong>and</strong> also regionally depending on geographical location.<br />
6
<strong>Hayfever</strong> & <strong>Sport</strong><br />
Effects of <strong>Hayfever</strong><br />
on sports performance &<br />
elite sports<br />
The symptoms of hayfever can impact directly on<br />
performance in nearly all sporting activities <strong>and</strong> the<br />
exercise required in most sports can make hayfever<br />
symptoms worse. This can occur over the training<br />
period as well as the event itself, resulting in tiredness<br />
<strong>and</strong> underperformance.<br />
<strong>Hayfever</strong> affects sports performance indoors as well as<br />
outdoors. Many people have lag effects or late stage hayfever<br />
reactions which can linger for hours after exposure to pollen. Also<br />
pollen will travel indoors through open doors <strong>and</strong> windows, on clothes <strong>and</strong> hair etc.<br />
Studies of hayfever in elite sports people have found that many do not realise what is<br />
wrong with them <strong>and</strong> even if they do most do not treat it appropriately. For example in a<br />
study of Olympic athletes in Australia Katelaris (2006) said: “What we didnʼt expect were<br />
two things: firstly, that these athletes had very little knowledge of what was wrong with<br />
them. They put up with symptoms year after year <strong>and</strong> just thought that they had<br />
recurrent colds. The second thing we found was that less than 10% of them used<br />
anything like a proper anti-allergic medication”.<br />
Hay fever will affect sports performance in many ways<br />
including:<br />
Vision<br />
● This will be impaired if eyes are Itchy <strong>and</strong> runny.<br />
(e.g. loss of range co-ordination in golf, football,<br />
shooting, archery; loss of speed assessment e.g.<br />
of ball in cricket).<br />
● Conjunctivitis can develop if a person is touching their eyes<br />
frequently (such as when they have itchy eyes). This can take<br />
days to clear <strong>and</strong> can detract notably from performance.<br />
7
<strong>Hayfever</strong> & <strong>Sport</strong><br />
Effects of <strong>Hayfever</strong><br />
on sports performance &<br />
elite sports<br />
(Continued)<br />
● When a person sneezes it is impossible to keep<br />
the eyes open. They close by a reflex action for about<br />
1 second (very detrimental in most sports).<br />
● The increased tear production in hayfever (runny<br />
eyes) tends to make eyes more sensitive to light so it<br />
can be difficult to keep the eyes open <strong>and</strong> to see<br />
normally in strong sunlight.<br />
Concentration<br />
● Research has shown marked decreases in concentration in hayfever sufferers<br />
compared to their performance outside of the pollen seasons. This could be partly<br />
due to tiredness as many hayfever sufferers find that their symptoms interfere<br />
with sleep.<br />
● Blowing <strong>and</strong> wiping the nose <strong>and</strong> eyes takes time <strong>and</strong> breaks concentration.<br />
● Frequent sneezing, (including time anticipating sneeze) interferes with<br />
synchronisation <strong>and</strong> timing.<br />
Breathing<br />
● Cardiovascular performance will not be optimal if<br />
breathing is impaired by a runny or blocked nose.<br />
<strong>Hayfever</strong> typically involves some inflammation in the<br />
nose <strong>and</strong> the capacity to breathe through the nose is<br />
reduced. In pollen challenge studies for clinical trials<br />
subjectsʼ nasal flow has been reduced by up to 80%<br />
(Emberlin <strong>and</strong> Lewis 2006).<br />
● In many sporting events, (e.g. swimming, rowing, <strong>and</strong><br />
even running), athletes must, or choose to, link the duration<br />
of each breath to the cadence of their limb motions, this<br />
fundamental reaction will be limited if the nose is runny, blocked or congested<br />
because of hayfever.<br />
8
Balance <strong>and</strong> Co-ordination<br />
● These will be disrupted by sneezing <strong>and</strong> the<br />
discomfort of runny nose, runny eyes etc (for example<br />
in diving <strong>and</strong> gymnastics).<br />
In many cases medications or treatments can help a lot<br />
in controlling symptoms. However some hay fever<br />
medications are not allowed under drug regulations <strong>and</strong> can<br />
have side effects or interactions with other medications.<br />
Apart from immunotherapy, no medication or treatment type will eliminate symptoms<br />
completely on high pollen count days, resulting in reduced performance. However, a<br />
new barrier treatment - <strong>Care</strong> <strong>Allergy</strong> <strong>Defence</strong> can help by blocking pollen <strong>and</strong> other<br />
airborne allergens from entering the body. <strong>Care</strong> <strong>Allergy</strong> <strong>Defence</strong> is ideal for sport<br />
athletes as the unique nasal powder forms an invisible but effective barrier within the<br />
nose <strong>and</strong> is drug free as it doesnʼt contain antihistamines or steroids.<br />
How sport can make hayfever worse<br />
<strong>Hayfever</strong> & <strong>Sport</strong><br />
Effects of <strong>Hayfever</strong><br />
on sports performance &<br />
elite sports<br />
(Continued)<br />
1. Stress<br />
Research has shown that stress makes hay fever<br />
symptoms worse (Buske-Kirschbaum et al. 2008,<br />
Kiecolt-Glaser et al. 2009). This operates via the<br />
stress hormone cortisol which affects the immune<br />
system. The stress of training <strong>and</strong> competing in elite<br />
sport is likely to exacerbate hayfever symptoms.<br />
9
<strong>Hayfever</strong> & <strong>Sport</strong><br />
Effects of <strong>Hayfever</strong><br />
on sports performance &<br />
elite sports<br />
(Continued)<br />
2. Increased exposure <strong>and</strong> increased inhalation of<br />
pollen <strong>and</strong> spores<br />
The increased breathing rate required in many sports<br />
means that notably more pollen <strong>and</strong> spores will be inhaled<br />
leading to an increase in allergen levels entering the nose<br />
compared to when at rest. This will typically result in<br />
symptoms being triggered (whereas at rest allergen levels<br />
would be below thresholds) or, more severe symptoms occurring.<br />
If the sporting activity involves speed e.g. cycling, more pollen <strong>and</strong><br />
spores will impact on the eyes.<br />
3. Air pollution - Increased exposure <strong>and</strong> inhalation<br />
Increased breathing rates when exercising will increase exposure to air pollution. Certain<br />
types of air pollution, such as ozone, act as irritants to the respiratory tract causing stinging,<br />
itching <strong>and</strong> coughing <strong>and</strong> make the symptoms of hay fever seem worse. Other pollutants<br />
such as NOx affect the cilia in the respiratory tract <strong>and</strong> slow mucocilary clearance so that<br />
allergens stay in the nose longer. Pollution from diesel exhaust can also affect the<br />
permeability of membranes <strong>and</strong> enhance the allergic reaction (Hajat<br />
et al. 2001, Heinrich et al. 1998, Lindgren et al. 2009,<br />
Morgenstern et al. 2008).<br />
4. Restrictions on medication<br />
Many elite sport people are unable to take certain<br />
types of hayfever medication as ingredients could give<br />
a positive result in drugs tests.<br />
An example of this is the Olympic athlete,<br />
Andrew Steele<br />
“Olympian zaps his hayfever. Published: 19 Jun 2008 ...”<br />
Andrew Steele could fail a drug test if he uses the hayfever<br />
medicines most of us take for granted”. ...<br />
www.thesun.co.uk/.../<br />
10
<strong>Hayfever</strong> & <strong>Sport</strong><br />
Effects of <strong>Hayfever</strong><br />
on sports performance &<br />
elite sports<br />
(Continued)<br />
If hayfever symptoms are left untreated they will<br />
probably get worse as more histamine is released<br />
<strong>and</strong> more inflammation takes place. Unless the<br />
symptoms are controlled decreasing amounts of<br />
allergen will be needed to trigger the reactions. In<br />
some cases hayfever may develop into asthma.<br />
5. Swimmers<br />
Swimmers have a particular problem in that the chlorine in<br />
pools acts as an irritant to the respiratory tract <strong>and</strong> eyes. Evidence<br />
indicates that it can make people more susceptible to allergies <strong>and</strong> also make the<br />
symptoms of hayfever worse (Clearie et al. 2010).<br />
Examples of Elite sports people with hayfever<br />
As 25% of the UKʼs population have hayfever, statistically 1 in 4 sports people would<br />
have this allergy. In fact as the majority of sports people are in the<br />
younger age groups in which prevalence rates are higher, even<br />
more than 25% of sport people are likely to have hayfever.<br />
This is supported by studies of allergies in elite athletes<br />
<strong>and</strong> Olympic sports people which indicate that the<br />
prevalence of hayfever in these groups is very similar to<br />
that in the general population (Katelaris 2006,<br />
Helbling 1990).<br />
11
<strong>Hayfever</strong> & <strong>Sport</strong><br />
<strong>Hayfever</strong> Sufferers<br />
Elite sports people<br />
Athletics, Sprinting<br />
Marlon Devonish<br />
Marlon, 33, is one of Britain's most successful<br />
sportsmen. He was part of Britainʼs Olympic gold<br />
medal-winning relay team at Athens in 2004 <strong>and</strong> has<br />
received an MBE for his contribution to British sport. He<br />
has had severe hayfever since childhood.<br />
“Itʼs something I've had to deal with since childhood,” says<br />
Marlon. “It runs in the family.<br />
I get the usual symptoms of itchy eyes, nose <strong>and</strong> throat, but I also get exerciseinduced<br />
asthma. Because I'm so allergic to the pollen in the air, it causes my<br />
chest to tighten when I run. So if I don’t manage my hayfever carefully, it can<br />
seriously affect my performance on the track.<br />
I have to get clearance every year from the IAAF (International Association of Athletics<br />
Federations) so that while I'm competing I can use an inhaler to control my asthma. My<br />
hayfever is at its worst at the height of summer when there is more pollen in the air <strong>and</strong><br />
this is when I have to be most vigilant with my medication.<br />
I donʼt have to be so careful in the winter months when I'm not competing, but I still have<br />
to monitor the condition closely.”<br />
12
Athletics<br />
Andrew Steele<br />
Wikepedia.org<br />
British 400 metres <strong>and</strong> 4x400 m relay<br />
runner in athletics (track <strong>and</strong> field)<br />
● Event(s): 400m/4x400m<br />
● Personal Best: 44.94 seconds<br />
● 2008 World Ranking: 16th<br />
● 2008 European Ranking: 5th<br />
● British All-Time Ranking: 10th<br />
He has represented his country at most major<br />
competitions since entering the senior age group<br />
in 2005. He has also improved his personal best<br />
time <strong>and</strong> world-ranking year on year.<br />
Andrew suffers from hayfever, saying it can be the<br />
difference between winning <strong>and</strong> losing.<br />
He says: “Obviously it has a big impact on your breathing.<br />
Sometimes you also feel drowsy <strong>and</strong> fatigued.<br />
<strong>Hayfever</strong> & <strong>Sport</strong><br />
<strong>Hayfever</strong> Sufferers<br />
Elite sports people<br />
(Continued)<br />
The trouble is that a lot of the nasal sprays have steroids which can be a problem.<br />
If you use them, you have to carry around a special declaration at all times that itʼs for<br />
therapeutic use.”<br />
http://www.thesun.co.uk/sol/homepage/woman/health/1309285/Andrew-Steele-couldfail-drug-test-if-he-uses-normal-hayfever-medicines-so-he-zaps-hissymptoms.html#ixzz0oSlr2N8A<br />
13
Golf<br />
Jill McGill<br />
http://www2.prnewswire.com/cgibin/stories.pl?ACCT=104&STORY=/www/story/02-28-<br />
2008/0004764324&EDATE=<br />
“As a golfer, Iʼm always surrounded by grass <strong>and</strong> when<br />
Iʼm travelling to different cities on tour I never know<br />
how my indoor <strong>and</strong> outdoor allergies will react. There have been<br />
many times that my symptoms have been so bad that<br />
I had a hard time even being on the golf course,ʼʼ says Jill McGill, LPGA golfer<br />
<strong>and</strong> long time nasal allergy sufferer.<br />
“With such a severe runny nose, itchy eyes <strong>and</strong> sneezing, it was very difficult for<br />
me to concentrate <strong>and</strong> physically swing the club.”<br />
Gymnastics<br />
Shannon Miller<br />
www.shannon miller.com<br />
2 time Olympic gold medallist, Shannon Miller, keeps her<br />
Olympic passion alive in her role as health <strong>and</strong> wellness<br />
advocate, television host <strong>and</strong> now.....mom! Shannon<br />
Miller, a 7 time Olympic Medallist <strong>and</strong> 9 time World<br />
Medallist remains The Most Decorated American<br />
Gymnast, male or female, in history, having won more<br />
Olympic <strong>and</strong> World Championship Medals than any other<br />
US gymnast.<br />
Shannon has to manage her allergy symptoms in order<br />
to achieve peak performance on <strong>and</strong> off<br />
the floor mat.<br />
<strong>Hayfever</strong> & <strong>Sport</strong><br />
<strong>Hayfever</strong> Sufferers<br />
Elite sports people<br />
(Continued)<br />
(celebrityallergyarchive.blogspot.com) 14
<strong>Hayfever</strong> & <strong>Sport</strong><br />
<strong>Hayfever</strong> Sufferers<br />
Elite sports people<br />
(Continued)<br />
Rowing<br />
Tom James. Olympic Gold medallist Rower<br />
(Pers.com. plus) Biography from Wikipedia.org.<br />
Tom was then selected in the GB coxed four for the world<br />
championships in Munich, but was promoted to the bow seat of<br />
the eight when the original incumbent fell ill on the morning of the heats. The crew made<br />
the final, securing GB qualification for the Beijing Olympics, <strong>and</strong> took the bronze behind<br />
Canada <strong>and</strong> Germany.<br />
After a difficult early season, with both James <strong>and</strong> Triggs-Hodge picking up injuries, the<br />
four raced together for the first time in Poznan in the final World Cup event of the<br />
season, finishing third. The GB four then dominated their heats <strong>and</strong> semi finals at the<br />
Olympics Beijing. In the final, however, the Australian four led for most of the way. Only a<br />
dramatic push by the British boat in the closing stages made the difference; they won<br />
the nail-biting final to become gold medallists in a time of 6 minutes 6.57 seconds,<br />
beating the Australian four by 1.28 seconds.<br />
He was appointed Member of the Order of the British Empire (MBE) in the 2009 New<br />
Year Honours.<br />
“I have suffered with allergies all my life <strong>and</strong> in the past, my asthma <strong>and</strong> allergies<br />
have often hindered my performance.”<br />
15
Tips for elite athletes to overcome the problems<br />
of hayfever<br />
● Training strategies to avoid high pollen counts.<br />
Weather: pollen counts will be highest on dry, warm<br />
days with a moderate wind. Strong winds tend to<br />
disperse <strong>and</strong> dilute the pollen load more. Counts will be<br />
lowest on cool, windy wet days. However if this weather follows<br />
a dry spell the allergen load in the air could still be quite high as the<br />
allergen on the pollen can be transferred to water droplets etc.<br />
Times of day: On warm dry days grass pollen counts are highest in the early morning<br />
<strong>and</strong> late afternoon due to the fact that this is when most grasses release their pollen.<br />
During the middle of the day convection currents help to disperse <strong>and</strong> dilute<br />
the pollen load.<br />
Places: It is not often possible to choose where to train. If possible train near coasts or<br />
on upl<strong>and</strong>s as these have lower pollen counts. Avoid places with<br />
flowering grass such as verges. Avoid places with high air<br />
pollution loads. The air pollution in large cities can make the<br />
symptoms of hayfever worse even though the pollen<br />
counts may be lower than in rural areas. If pollen counts<br />
are high, train indoors with air conditioning if possible.<br />
● Know the pollen forecasts. e.g. on BBC web site.<br />
● Get enough sleep (at least 7 hours per night) as this<br />
helps the immune system.<br />
<strong>Hayfever</strong> & <strong>Sport</strong><br />
Overcoming problems<br />
of <strong>Hayfever</strong><br />
● Pay attention to nutrition, especially vitamin intake. A<br />
number of nutrients get depleted when we are stressed,<br />
including zinc, magnesium <strong>and</strong> pantothenic acid. Taken at levels of 100-500mg,<br />
vitamin B5 has been shown to reduce allergic symptoms. 16
● Make sure your mucosal membranes are in good<br />
shape. This includes the lining of the mouth, nose <strong>and</strong><br />
lungs, where the single most important nutrient is vitamin<br />
A. Some vitamin A can be found in green vegetables <strong>and</strong><br />
carrot juice, but the body will only convert the bare<br />
minimum from beta carotene to vitamin A. In addition to<br />
protecting your lungs <strong>and</strong> nose, it also slightly enhances<br />
immune function, which is an important consideration for<br />
athletes because 45 minutes of intense exercise halves immune<br />
function for about four to five hours.<br />
● Wear sunglasses to help keep pollen out of the eyes. Rinse eyes after being outside.<br />
● Don't dry washing outside on high pollen count days as It will collect pollen from the air.<br />
● Change clothes <strong>and</strong> wash hair etc after being outdoors.<br />
● Cover bed <strong>and</strong> desks when not in use <strong>and</strong> then fold the cover back carefully when you<br />
want to use the area. Pollen is quite heavy <strong>and</strong> will settle on surfaces quickly. Keep<br />
windows <strong>and</strong> doors closed to help keep pollen out.<br />
● Brush or wash your cat or dog as they can carry a lot of<br />
pollen in their fur.<br />
● When driving keep the windows closed. Service your<br />
car air filter regularly. If possible drive a car with a good<br />
pollen filter.<br />
● For some respite, close the windows <strong>and</strong> doors of a<br />
room. Sit still, <strong>and</strong> in about 20 minutes most of the<br />
pollen in the room will have settled so you will be<br />
breathing pollen free air.<br />
<strong>Hayfever</strong> & <strong>Sport</strong><br />
Overcoming problems<br />
of <strong>Hayfever</strong><br />
(Continued)<br />
● Talk to your GP or pharmacist about treatments <strong>and</strong> remedies.<br />
Because of problems with some medications consider using a natural barrier<br />
treatment like inert cellulose powder (<strong>Care</strong> <strong>Allergy</strong> <strong>Defence</strong>) as this has no known<br />
side effects or interactions with other medication.<br />
17
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<strong>Hayfever</strong> & <strong>Sport</strong><br />
The Solution-<br />
<strong>Care</strong> <strong>Allergy</strong> <strong>Defence</strong><br />
18
<strong>Sport</strong>ing Events List<br />
● Many major sporting events are in the peak pollen seasons.<br />
● Many events are in country areas where pollen counts are high.<br />
● When events are held in large urban areas air pollution makes symptoms worse.<br />
2010 UK <strong>Sport</strong>s calendar & <strong>Hayfever</strong> incidence in sports spectators<br />
NB Attendance at sporting events in these notes is based on available information for<br />
previous years. The figures do not include, staff, traders, competitors etc. The estimated<br />
number of hayfever sufferers is based on published estimates of 25-30% prevalence in the<br />
population. These events are in the grass pollen season which is the main aeroallergen for<br />
hayfever. Approximately 95% of hayfever sufferers are allergic to grass pollen. During this<br />
time of year there would also be pollen from flowering trees, weeds <strong>and</strong> crops <strong>and</strong> also the<br />
concentrations of fungal spores could be very high.<br />
Grass Pollen season<br />
● June 4-8 - CRICKET Second Test, Engl<strong>and</strong> v Bangladesh, Old Trafford<br />
● June 4th Investec Ladies Day, Epsom<br />
● June 5 - RACING The Derby, Epsom<br />
Attendance c 120,000 people<br />
This means that between about 30,000 <strong>and</strong> 36,000 people attending this event would<br />
have hayfever if the pollen counts were high on Derby day.<br />
www.bbc.co.uk/sport<br />
● June 15 Royal Ascot<br />
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong>s Calendar &<br />
hayfever incidence in spectators<br />
Attendance at c 60,000-63,000 on the main days. This means that between<br />
15,000 <strong>and</strong> 18,900 would have hayfever each day if the pollen counts were high.<br />
www.telegraph.co.uk/royal ascot<br />
www.guardian.co.uk/sport<br />
19
● June 17 - CRICKET One-day international,<br />
Irel<strong>and</strong> v Australia, Dublin<br />
● June 19 - CRICKET One-day international, Scotl<strong>and</strong> v Engl<strong>and</strong>, Edinburgh<br />
● June 20 - MOTOR CYCLING MotoGP, Silverstone<br />
Estimated attendance 35,000<br />
This means that about 8,750 to 10,500 people attending would have hayfever if the<br />
pollen counts were high.<br />
www.silverstone.co.uk<br />
● June 21 Henley Royal Regatta<br />
This is a non ticketed event so attendance records are not kept. However it is estimated<br />
that c. 20,000 attend overall, peak day Saturday. This means that overall; if pollen<br />
counts are high about 5,000 to 6,000 people will have hayfever at this event.<br />
www.copas.co.uk/regatta<br />
● June 21-July 4 - TENNIS Wimbledon Championships,<br />
c. 475,000 stadium attendance over the 13 days<br />
In 2008 the attendance was 475, 813<br />
Sat June 28th 2008 it was 40,870<br />
July 1st 2008 it was 39,763<br />
Ref http://askville.amazon.com<br />
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong>s Calendar &<br />
hayfever incidence in spectators<br />
(Continued)<br />
If high grass pollen counts occurred on the two championship days (assuming 40,000<br />
attendance both days, total 80,000) then about 20,000 to 24,000 people would have hay<br />
fever at the finals events ( 10,000 to 12,000 each day).<br />
If pollen counts were high for the duration of Wimbledon then between about 118,750<br />
<strong>and</strong> 142,500 people attending would have hayfever overall at Wimbledon.<br />
● June 22 - CRICKET First one-day international, Engl<strong>and</strong> v Australia, Southampton<br />
● June 24 - CRICKET Second one-day international, Engl<strong>and</strong> v Australia, Cardiff<br />
● June 25-27 - ATHLETICS European Trials <strong>and</strong> UK Championships, Birmingham<br />
20
● June 27 - CRICKET Third one-day international,<br />
Engl<strong>and</strong> v Australia, Old Trafford<br />
● June 30 - CRICKET Fourth one-day international,<br />
Engl<strong>and</strong> v Australia, The Oval<br />
● July 3 - CRICKET Fifth one-day international, Engl<strong>and</strong> v Australia, Lord's<br />
This event is often sold out at 28,000 capacity. If this size crowd attend on this day, then<br />
about 7,000 to 8,400 people there would have hayfever if the pollen count was high.<br />
www.buzzle.com<br />
www.guardian.co.uk/sport 2009<br />
● July 5 - CRICKET First Twenty20, Pakistan v Australia, Edgbaston<br />
● July 6 - CRICKET Second Twenty20, Pakistan v Australia, Edgbaston<br />
● July 8 - CRICKET First one-day international, Engl<strong>and</strong> v Bangladesh, Trent Bridge<br />
● July 10 - CRICKET Second one-day international, Engl<strong>and</strong> v Bangladesh, Bristol<br />
● July 11 - MOTOR RACING British Gr<strong>and</strong> Prix, Donington Park<br />
● July 12 - CRICKET Third one-day international, Engl<strong>and</strong> v Bangladesh, Edgbaston<br />
● July 13-17 - CRICKET First Test, Pakistan v Australia, Lord's<br />
● July 15-18 - GOLF The Open, St Andrews<br />
● July 21-25 - CRICKET Second Test Pakistan v Australia, , Headingley<br />
● July 29-Aug 2 - CRICKET First Test, Engl<strong>and</strong> v Pakistan, Trent Bridge<br />
● July 31 Cowes week<br />
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong>s Calendar &<br />
hayfever incidence in spectators<br />
(Continued)<br />
21
The actual pollen<br />
conditions at the time will<br />
depend on the weather.<br />
KEY<br />
Red = High risk for<br />
hayfever sufferers<br />
Orange = medium risk<br />
Green = low risk for<br />
hayfever sufferers<br />
Click on the venue<br />
name for details<br />
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
Cardiff ●<br />
Bristol ●<br />
Isle of Wight<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
St Andrewʼs<br />
Edinburgh<br />
●<br />
●<br />
●<br />
● ●<br />
Southampton<br />
Old Trafford,<br />
Manchester<br />
Birmingham<br />
Henley<br />
Silverstone<br />
Northampton<br />
Ascot Oval <strong>and</strong><br />
Epsom<br />
Wimbledon<br />
Lords<br />
22
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
●<br />
Old Trafford,<br />
Manchester<br />
June 4-8 - CRICKET Second Test,<br />
Engl<strong>and</strong> v Bangladesh, Old Trafford<br />
Grass pollen counts could be high but will<br />
not yet be at their peak by this time<br />
23
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
●<br />
Epsom<br />
June 4th - Investec Ladies Day, Epsom<br />
June 5th - RACING The Derby, Epsom<br />
Between 30,000 <strong>and</strong> 36,000 spectators<br />
would have hayfever if the pollen count<br />
was high<br />
A lot of flowering grass in this area could<br />
give rise to high pollen counts for ladies<br />
day <strong>and</strong> the Derby<br />
24
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
●<br />
Ascot<br />
June 15th - Royal Ascot<br />
Between 15,000 <strong>and</strong> 18,900 spectators<br />
would have hayfever each day if the<br />
pollen count was high<br />
It is peak grass pollen season here at this<br />
time. A lot of flowering grass in this area<br />
could give rise to very high pollen counts<br />
for Ascot<br />
25
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
●<br />
Henley<br />
June 21st - Henley Royal Regatta<br />
Between 5,000 <strong>and</strong> 6,000 spectators<br />
would have hayfever if the pollen count<br />
was high<br />
Grass counts could be very high here at<br />
this time in the Thames valley as it will be<br />
during the peak of the grass pollen season<br />
<strong>and</strong> there are a lot of local sources<br />
of pollen<br />
26
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
●<br />
Edinburgh<br />
June 19th - CRICKET<br />
One-day international, Scotl<strong>and</strong> v Engl<strong>and</strong>,<br />
Edinburgh<br />
Grass pollen counts tend to be lower in<br />
Scotl<strong>and</strong>. The season will be starting to<br />
peak so counts could still be just into the<br />
high b<strong>and</strong><br />
27
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
●<br />
Silverstone,<br />
Northampton<br />
June 20th - MOTOR CYCLING<br />
MotoGP, Silverstone<br />
Between 8,750 <strong>and</strong> 10,500 spectators<br />
would have hayfever if the pollen count<br />
was high<br />
Grass pollen counts can be very high in the<br />
Midl<strong>and</strong>s at this time of year as there are<br />
large sources locally <strong>and</strong> whichever way<br />
the wind blows it brings pollen<br />
28
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
●<br />
Wimbledon<br />
June 21st - July 4th - TENNIS<br />
Wimbledon Championships<br />
Between 118,750 <strong>and</strong> 142,500<br />
spectators would have hayfever if the<br />
pollen count was high for the duration<br />
of the tournament<br />
The main peak of the grass pollen season<br />
will be over in this area by this time but<br />
counts could still be high. Combined with<br />
the air pollution from London this could<br />
give uncomfortable conditions for<br />
many people<br />
29
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
●<br />
Southampton<br />
June 22nd -CRICKET<br />
First one-day international,<br />
Engl<strong>and</strong> v Australia, Southampton<br />
This is a good place to be. Being near the<br />
coast, this area is likely to have lower<br />
pollen counts than inl<strong>and</strong> venues unless<br />
the wind is northerly<br />
30
●<br />
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
Cardiff<br />
June 24th - CRICKET<br />
Second one-day international,<br />
Engl<strong>and</strong> v Australia, Cardiff<br />
Despite its coastal location the Cardiff area<br />
can have very high pollen counts even in<br />
late June due to large areas of grassl<strong>and</strong> in<br />
the region. If the wind is onshore counts<br />
will be low<br />
31
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
●<br />
Birmingham<br />
June 25th-27th<br />
ATHLETICS<br />
European Trials <strong>and</strong> UK<br />
Championships,<br />
July 5th - CRICKET<br />
First Twenty20,<br />
Pakistan v Australia, Edgbaston<br />
July 6th - CRICKET<br />
Second Twenty20, Pakistan v Australia,<br />
Edgbaston<br />
Grass pollen will be over its main peak<br />
here for all these events but counts could<br />
still be high <strong>and</strong> air pollution will make<br />
symptoms worse.<br />
32
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
●<br />
Oval <strong>and</strong> Lord’s,<br />
London<br />
June 30th - CRICKET Fourth one-day<br />
international, Engl<strong>and</strong> v Australia, The Oval<br />
July 3th - CRICKET Fifth one-day<br />
international, Engl<strong>and</strong> v Australia, Lord's<br />
If at capacity, between 7,000 <strong>and</strong> 8,400<br />
spectators would have hayfever if the<br />
pollen count was high<br />
Still in the main grass pollen season here<br />
although the peak will be over. Counts<br />
could be high <strong>and</strong> the air pollution in the<br />
London area will exacerbate<br />
hayfever symptoms<br />
33
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
●<br />
Bristol<br />
July 10th -CRICKET<br />
Second one-day international,<br />
Engl<strong>and</strong> v Bangladesh, Bristol<br />
The peak of the grass pollen will be over.<br />
It is likely that pollen counts will not be<br />
high unless the wind is from the east.<br />
The prevailing westerly winds off the<br />
Bristol Channel help to keep counts<br />
lower in this area.<br />
34
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
●<br />
St Andrew’s<br />
July 15th-18th - GOLF<br />
The Open, St Andrews<br />
Pollen counts tend to be lower in Scotl<strong>and</strong><br />
<strong>and</strong> the seasons shorter. The main grass<br />
pollen season will be over but counts could<br />
still be high enough to trigger symptoms.<br />
35
<strong>Hayfever</strong> & <strong>Sport</strong><br />
UK <strong>Sport</strong> & <strong>Hayfever</strong> Map<br />
(Continued)<br />
●<br />
lsle of Wight<br />
July 31st - Cowes week<br />
This is a good place to be. By this time the<br />
main grass pollen season will be over <strong>and</strong><br />
the coastal location should help to keep<br />
counts low.<br />
36
<strong>Hayfever</strong> & <strong>Sport</strong><br />
References<br />
Björkstén et al. 2008. Worldwide time trends for symptoms of rhinitis <strong>and</strong> conjunctivitis: Phase III<br />
International study of Asthma <strong>and</strong> Allergies in Childhood in Pediatr <strong>Allergy</strong> Immunol: 19, p110-124.<br />
Buske-Kirschbaum A, Ebrecht M, Kern S, Gierens A, Hellhammer DH. Personality characteristics in<br />
chronic <strong>and</strong> non-chronic allergic conditions. Brain Behav Immun. 2008 Jul;22(5):762-8. Epub 2008<br />
Jan 31<br />
Clearie K, Vaidyanathan S, Williamson P, Goudie A, Short P, Schembri, Lipworth B. Effects of chlorine<br />
<strong>and</strong> exercise on the unified airway in adolescent elite Scottish swimmers. <strong>Allergy</strong> February 2010 vol 65<br />
number 2, 269-273<br />
Emberlin JC Kleenex Hay fever Health report. 2009<br />
Emberlin J <strong>and</strong> Lewis R. A double blind placebo controlled trial of inert cellulose powder by nasal<br />
provocation with grass pollen to assess the efficacy of the product in controlling the symptoms of hay<br />
fever. EACCI 2006 Abstract book ISBN 3-9810999-0-7; 370.<br />
Hajat S, Haines A, Atkinson R, Bremmer S, Anderson H , Emberlin J. Association between air pollution<br />
<strong>and</strong> daily consultations with General Practitioners for allergic rhinitis in London, United Kingdom.<br />
American Journal of Epidemiology 2001: vol153;7,704-714.<br />
Heinrich J, Topp R, Gehring U, Thefeld W. Traffic at residential address, respiratory health, <strong>and</strong> atopy in<br />
adults: the National German Health Survey 1998. Environ Res. 2005 Jun;98(2):240-9.<br />
Helbling A, Jenoure P, Müller U. The incidence of hay fever in leading Swiss athletes. Schweiz Med<br />
Wochenschr. 1990 Feb 17;120(7):231-6.<br />
Katelaris CH, Carrozzi FM, Burke TV. Patterns of allergic reactivity <strong>and</strong> disease in Olympic athletes.<br />
Clin J <strong>Sport</strong>s Med 2006 16 401-405<br />
Kiecolt-Glaser JK, Heffner KL, Glaser R, Malarkey WB, Porter K, Atkinson C, Laskowski B, Lemeshow<br />
S, Marshall GD. How stress <strong>and</strong> anxiety can alter immediate <strong>and</strong> late phase skin test responses in<br />
allergic rhinitis. Psychoneuroendocrinology. 2009 Jun;34(5):670-80. Epub 2009 Jan 15.<br />
Lindgren A, Stroh E, Nihlén U, Montnémery P, Axmon A, Jakobsson K. Traffic exposure associated with<br />
allergic asthma <strong>and</strong> allergic rhinitis in adults. A cross-sectional study in southern Sweden. Int J Health<br />
Geogr. 2009 May 6;8:25.<br />
Morgenstern V, Zutavern A, Cyrys J, Brockow I, Koletzko S, Krämer U, Behrendt H, Herbarth O, von<br />
Berg A, Bauer CP, Wichmann HE, Heinrich J; GINI Study Group; LISA Study Group. Atopic diseases,<br />
allergic sensitization, <strong>and</strong> exposure to traffic-related air pollution in children. Am J Respir Crit <strong>Care</strong><br />
Med. 2008 Jun 15;<br />
37