Seasonal allergies, food allergies and sport: how to manage symptoms and which medications are permitted for athletes

Allergies are one of the most common unnoticed causes of declining sports performance. Symptoms of seasonal allergic rhinitis (hay fever) can reduce VO2max and worsen reaction time by up to 20%.
A blocked nose forces breathing through the mouth — this is less effective because air is not filtered, moistened or warmed. Oxygen uptake decreases.
An allergic reaction activates the immune system and releases histamine, which causes inflammation and fatigue. Chronic fatigue = worse training.
Allergy symptoms (sneezing, itchy eyes) distract attention. Allergic athletes are thought to make slower decisions during competition.
30-40% of allergic people have exercise-induced asthma (EIA — Exercise-Induced Asthma). Characterized by shortness of breath, wheezing 5-10 min. after the start of training.
| Allergy Type | Triggers | Symptoms in Sport | Management Strategy |
|---|---|---|---|
| 🌸 Seasonal (hay fever) | Pollen (birch, grasses, mugwort) | Sneezing, runny nose, itchy eyes | Antihistamines, nasal sprays, indoor pools during flowering |
| 🏠 House Dust | Dust mites, mold | Morning sneezing, constant runny nose | Frequent washing of bedding, air purifier, humidity control |
| 🍞 Food Allergies | Nuts, milk, eggs, fish, soy | Stomach pain, rash, anaphylaxis | Strict elimination. Always carry an EpiPen. |
| 🏃 Exercise Allergy | Exercise (rare but serious) | Itching, hives, in rare cases — anaphylaxis | Train only with a partner. Antihistamines before training. |
Most antihistamines are permitted in sport (not WADA-banned). However, side effects must be considered:
Choose quality supplements to achieve your goals:
Athletes have unique physiological needs that make this topic even more relevant:
Athletes of different levels require a different approach:
Focus on the basics: balanced nutrition, sufficient protein intake, vegetables at every meal. Do not rush with complex strategies — first learn the basic habits.
Start experimenting with meal timing and macro periodization. Monitor how your body responds to different carbohydrate amounts before/after workouts.
Individualize everything: blood tests every 3-6 months, DEXA scans, sports dietitian consultations. Small details can provide a decisive 1-2% advantage.
In addition to the main supplements, these products can help you achieve better results: