Fitness in a Time of Mold and Pollen

Some asthmatics react to swimming, for instance: Mold or water-borne pollen brushes the nose, which is being cooled by the water, and boom.

When the person is allergic to pollen, we call that seasonal allergic rhinitis, otherwise known as hay fever. When the allergen is dust, mold.

Okay, so you're buying tissues in bulk these days. You're coughing and sneezing, cursing the pollen count and -- maybe worst of all, if you're a committed jogger -- having your usual hour's run come to a wheezing halt after 20 minutes.

Ah, spring in Washington. (Our motto: "Even if you never had allergies before, you'll have 'em here." Comes in a close second to "it's the humidity" in local folklore.)

Many adults grew up when only those really dire cases of choking were recognized as asthma, and our symptoms were brushed off as "sensitivities" or "sinus problems." But asthma is the most commonly undiagnosed condition in the country, according to Washington immunologist Henry Fishman, and it kills 3,500 to 5,000 Americans every year. In fact, you may have both allergies and asthma: Fishman says that 80 percent of asthmatics have allergies, and 20 percent of those diagnosed with allergies have asthma as well. And since asthma can be progressive, the season of the AQI (air quality index, for the uninitiated) should signal that it's time to consult an expert.

But we should encourage asthmatics and allergy sufferers to exercise, once the doctor gives the okay. "It's good for the brain, good for the heart, it's good for the bones and good for the soul."

For springtime exercisers, it's particularly important to know your enemy. Fishman, who has consulted on numerous radio, TV and Web site programs, says an asthma attack begins when the trigger allergen is breathed in or when the nasal passages are cooled or dried out. So while it seems a no-brainer to shift to indoor exercise during allergy season, it's not that simple. Some asthmatics react to swimming, for instance: Mold or water-borne pollen brushes the nose, which is being cooled by the water, and boom, asthma has you spluttering.(Parents, you'll want to pay double attention: Asthma is the most common chronic illness in children, but many teens become asymptomatic. Their asthma has not disappeared; it has just gone underground and may reappear later. So talk to your child's coach about any coughing or sluggishness; better yet, take the kids to a doctor before signing them up.)

Regardless, listen to your body when you exercise. If the pollen is only an annoyance, that's one thing. If you feel faint or have trouble working out, cease and desist. "It is possible to run through an asthma episode," Fishman says, "but it's a terrible idea. Macho and asthma don't mix." Six-time Olympic gold medalist Jackie Joyner-Kersee would agree; she ignored her diagnosis for 10 years until a near-fatal attack in 1993.

Take medication 30 minutes before a workout, to give it time to get into your system. Wear a mask or bandanna. Head out early -- around 5 or 6 a.m. (before sunlight activates tree and flower pollen) -- or late (after it has closed down). Run after rain, which washes pollen out of the air, or even through it.

Sourece: Medical Health Care Information