Health & Medicine - Posted by Mike Ferlazzo-Iowa State on Thursday, October 29, 2009 13:05 - 7 Comments
Exercise offers some protection from flu

“Perhaps the moderate stress from repeated exposure to moderate exercise might then improve your ability to respond to other stresses, such as influenza,” says lead researcher Marian Kohut. “We’re continuing to try and find out if that’s true, then what are the mechanisms?”
IOWA STATE (US)—Researchers have found one more reason that exercise is good for you: Moderate daily workouts appear to lessen the severity of flu symptoms and even help keep the flu at bay in mice.
Scientists at Iowa State University found mice that regularly ran on a treadmill over a three-and-a-half month period developed less severe symptoms from the flu virus and had less influenza and lower levels of inflammatory factors in their lungs than those that were not subjected to exercise. Findings have been published online and will appear in the Nov. 1 print issue of the Journal of Infectious Diseases.
“Perhaps the moderate stress from repeated exposure to moderate exercise might then improve your ability to respond to other stresses, such as influenza,” says Marian Kohut, associate professor of kinesiology at Iowa State and the study’s lead researcher. “We’re continuing to try and find out if that’s true, then what are the mechanisms?”
Even a group of mice that ran on the treadmill for just 45 minutes on the day of their infection experienced some short-term benefit in diminishing the severity of the flu.
“The improvements in host defense resulting from a single session of exercise were quite surprising,” Kohut says. “Just exercising one time had some benefit, even though it was more short-term than the mice that exercised regularly. They [those that exercised regularly] did better across the full course of infection. But those mice that exercised just once had some benefits in the first few days of infection.”
Kohut says the results build upon previous ISU research conducted on human subjects who had been immunized with the flu vaccine. Subjects who participated in moderate exercise training for approximately one year had higher antibody levels in response to influenza vaccine than those subjects who remained sedentary. Mice were used in the latest study because researchers wanted to use an active strain of the flu virus.
Kohut emphasizes that moderate exercise has only been found to be beneficial before infection and cautions against exercising while ill.
“I don’t want to give anyone the idea to try and go out and exercise when they already have the flu. There is no evidence to indicate that has benefits in humans,” she says.
“Previous research in animal models suggests that forced exercise when ill can make the illness more severe. So the key is to exercise before you get sick.”
She also urges people to exercise in moderation to experience the health benefits. Regular high-intensity workouts have even been found to be harmful. “We can say that for the mice, the exercise in this study would be a moderate intensity,” she says.
“There is certainly some previous data that found that severe, prolonged, intense exercise could make the infection actually worse. There are some previous studies reporting a higher incidence of infection following prolonged exercise, such as running a marathon, so too much exercise is probably not a good thing.”
Kohut says people who are both immunized with the flu vaccine and also participate in regular, moderate exercise substantially strengthen their resistance to becoming infected by the virus.
The new study is part of a five-year project, funded by the National Institutes of Health, to identify mechanisms by which exercise may improve resistance to infection under conditions in which immune responsiveness may be compromised, such as aging and stress.
Researchers from the National Veterinary Services Laboratory, U.S. Department of Agriculture, and the Animal and Plant Health Inspection Service in Ames contributed to the study.
Iowa State University news: www.news.iastate.edu/
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Lin Zucconi
I’ve always heard that as long as you don’t have a fever, it is safe to exercise. I’ve been a long distance runner and swimmer for almost 40 years. The last time I had the flu was almost 20 years ago. I seldom get either colds or flu.
I do notice that when I am exercising on a regular basis I tend to be happier and healthier. I would agree with this on a personal note and I also know it to be true on a more scientific term. great work. Keep exercising. I like to encourage my clients to have a healthy lifestyle, because that will help them maintain their results and just be happy and healthy.
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I have often struggled with exercising if/when I feel flu-like symptoms on the horizon. I have frequently shared the “neck rule” with my clients:
Neck Rule: Below-the-neck symptoms (bad fatigue, bronchial infection, muscle aches) require time off, while it’s OK to exercise with above-the-neck symptoms (runny nose, stuffiness, sneezing)—some cardio may even slightly improve those symptoms.
And this study seems to verify at least the above the neck part, and call the below the neck concept’s validity. I think one has to be smart about exercise and listen to the body, but I have found in my personal and professional experience that exercise is more likely to help than hurt.
This makes so much sense. Prior to1900, work meant long, hard days of activity, foraging and as civilization rose, long days of organized labor. The move to a sedentary life style was far too fast, at least by biological/evolutionary terms. We need activity in our daily lives…and this is one more illustration of why this is true.