{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T23:16:06Z","timestamp":1788218166847,"version":"build-2803163510"},"reference-count":68,"publisher":"Georg Thieme Verlag KG","funder":[{"name":"Conseil R\u00e9gional Provence-Alpes-C\u00f4te\n                        d'Azur"},{"name":"AtmoSud"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Sports Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This scoping review summarises the effects of pollen exposure during exercise on\n                    health and exercise performance in athletic individuals and examines how pollen\n                    allergies influence physical activity and sports participation. Primary studies\n                    reporting health or performance outcomes in individuals exercising under pollen\n                    exposure were included, while reviews and guidelines were excluded. Searches\n                    were conducted in PubMed, Scopus, Web of Science, and SportDiscus in January\n                    2025 following Joanna Briggs Institute methodology and PRISMA-ScR guidelines. Of\n                    3,345 records, 18 studies met the inclusion criteria. Most participants were\n                    children or young adults with rhinitis or asthma, and most studies were\n                    conducted in northern Europe and North America. Seasonal pollen exposure was\n                    associated with reduced post-exercise lung function, lower sports participation,\n                    decreased perceived training capacity, and impaired quality of life. Major\n                    research gaps remain, including the absence of objective performance outcomes\n                    and the limited investigation of potential side effects of anti-allergic\n                    medications.<\/jats:p>","DOI":"10.1055\/a-2928-2281","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T23:09:40Z","timestamp":1785452980000},"source":"Crossref","is-referenced-by-count":0,"title":["Impact of Pollen Exposure on Health and Exercise Performance: A\n                    Scoping Review"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0030-5054","authenticated-orcid":false,"given":"Lucie J","family":"Nivet","sequence":"additional","affiliation":[{"name":"LAMHESS, Region Sud Provence-Alpes- C\u00f4te d'Azur, France","place":["Nice"],"department":["Universit\u00e9 C\u00f4te d'Azur"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver J","family":"Price","sequence":"additional","affiliation":[{"name":"School of Biomedical Sciences, , United Kingdom of Great Britain and Northern Ireland","place":["University of Leeds"],"department":["Faculty of Biological Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Bonini","sequence":"additional","affiliation":[{"name":"University of Rome La Sapienza, Lazio, Italy","place":["Rome"],"department":["Department of Public Health and Infectious Diseases"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Chanez","sequence":"additional","affiliation":[{"name":"Aix-Marseille Universit\u00e9, Region Sud Provence-Alpes- C\u00f4te d'Azur, France","place":["Marseille"],"department":["Department of Respiratory Diseases, C2VN INSERM INRAE"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo Emilio","family":"Adami","sequence":"additional","affiliation":[{"name":"LAMHESS, Region Sud Provence-Alpes- C\u00f4te d'Azur, France","place":["Nice"],"department":["Universit\u00e9 C\u00f4te d'Azur"]},{"name":"World Athletics, Monaco","place":["Monaco-Ville"],"department":["Health and Science Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phane","family":"Bermon","sequence":"additional","affiliation":[{"name":"LAMHESS, Region Sud Provence-Alpes- C\u00f4te d'Azur, France","place":["Nice"],"department":["Universit\u00e9 C\u00f4te d'Azur"]},{"name":"World Athletics, Monaco","place":["Monaco-Ville"],"department":["Health and Science Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Garrandes","sequence":"additional","affiliation":[{"name":"LAMHESS, Region Sud Provence-Alpes- C\u00f4te d'Azur, France","place":["Nice"],"department":["Universit\u00e9 C\u00f4te d'Azur"]},{"name":"World Athletics, Monaco","place":["Monaco-Ville"],"department":["Health and Science Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Val\u00e9rie","family":"Bougault","sequence":"additional","affiliation":[{"name":"LAMHESS, Region Sud Provence-Alpes- C\u00f4te d'Azur, France","place":["Nice"],"department":["Universit\u00e9 C\u00f4te d'Azur"]},{"name":"The University of British Columbia School of Kinesiology, Canada","place":["Vancouver"],"department":["EPL"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"S4","DOI":"10.1186\/1939-4551-1-S1-S4","article-title":"State of world allergy report 2008: Allergy and chronic respiratory\n                    diseases","volume":"1","author":"R Pawankar","year":"2008","journal-title":"World Allergy Organ J"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1080\/14737167.2020.1819793","article-title":"Burden and socioeconomics of asthma, allergic rhinitis, atopic dermatitis and\n                    food allergy","volume":"20","author":"BJ H Dierick","year":"2020","journal-title":"Expert Rev Pharmacoecon Outcomes Res"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/s40733-017-0036-z","article-title":"Identifying the hidden burden of allergic rhinitis (AR) in community pharmacy: A\n                    global phenomenon","volume":"3","author":"R Tan","year":"2017","journal-title":"Asthma Res Pract"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1111\/j.1398-9995.2007.01620.x","article-title":"Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*","volume":"63","author":"J Bousquet","year":"2008","journal-title":"Allergy"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1016\/j.anai.2023.07.019","article-title":"Evidence-based use of antihistamines for treatment of allergic conditions","volume":"131","author":"S Linton","year":"2023","journal-title":"Ann Allergy Asthma Immunol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"100106","DOI":"10.1016\/j.waojou.2020.100106","article-title":"International expert consensus on the management of Allergic Rhinitis (AR)\n                    aggravated by air pollutants","volume":"13","author":"R Naclerio","year":"2020","journal-title":"World Allergy Organ J"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1016\/S1081-1206(10)63155-9","article-title":"Diagnosis and management of rhinitis: Complete guidelines of the joint task\n                    force on practice parameters in allergy, asthma and immunology","volume":"81","author":"M S Dykewicz","year":"1998","journal-title":"Ann Allergy Asthma Immunol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1097\/HCO.0000000000000437","article-title":"Health benefits of physical activity: A systematic review of current systematic\n                    reviews","volume":"32","author":"DE R Warburton","year":"2017","journal-title":"Current Opinion in Cardiology"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1343","DOI":"10.1111\/all.12265","article-title":"Airway dysfunction in elite athletes \u2013 an occupational lung disease?","volume":"68","author":"O J Price","year":"2013","journal-title":"Allergy"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"100867","DOI":"10.1016\/j.waojou.2023.100867","article-title":"The association of air pollution in respiratory allergy: Its impact in an\n                    industrial city","volume":"17","author":"C E De Lira-Quezada","year":"2024","journal-title":"World Allergy Organ J"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1016\/j.anai.2016.12.019","article-title":"The dangerous liaison between pollens and pollution in respiratory allergy","volume":"118","author":"G Schiavoni","year":"2017","journal-title":"Ann Allergy Asthma Immunol"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1016\/j.anai.2023.08.610","article-title":"Factors by which global warming worsens allergic disease","volume":"131","author":"H Seastedt","year":"2023","journal-title":"Annals of Allergy, Asthma & Immunology"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.1111\/j.1365-2222.2005.02328.x","article-title":"Environmental risk factors and allergic bronchial asthma","volume":"35","author":"G D\u2019Amato","year":"2005","journal-title":"Clin Exp Allergy"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1016\/S1081-1206(10)60928-3","article-title":"Allergic diseases and their impact on quality of life","volume":"97","author":"I Baiardini","year":"2006","journal-title":"Ann Allergy Asthma Immunol"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"e036724","DOI":"10.1136\/bmjopen-2019-036724","article-title":"Environmental factors associated with general practitioner consultations for\n                    allergic rhinitis in London, England: A retrospective time series analysis","volume":"10","author":"D Todkill","year":"2020","journal-title":"BMJ Open"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"e12242","DOI":"10.1002\/clt2.12242","article-title":"Daily allergy burden and heart rate characteristics in adults with allergic\n                    rhinitis based on a wearable telemonitoring system","volume":"13","author":"J Buekers","year":"2023","journal-title":"Clin Transl Allergy"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"119224","DOI":"10.1016\/j.envres.2024.119224","article-title":"Association between short-term pollen exposure and blood pressure in adults: A\n                    repeated-measures study","volume":"256","author":"A B\u00fcrgler","year":"2024","journal-title":"Environ Res"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.17265\/2328-2150\/2017.01.009","article-title":"Increased heart rate variability in allergic and highly trait anxious\n                    individuals","volume":"5","author":"J Raj\u010d\u00e1ni","year":"2017","journal-title":"J Pharmacy Pharmacol"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jhealeco.2016.05.005","article-title":"You sneeze, you lose: The impact of pollen exposure on cognitive performance\n                    during high-stakes high school exams","volume":"49","author":"S S Bensnes","year":"2016","journal-title":"J Health Econ"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1016\/S1081-1206(10)62266-1","article-title":"Seasonal allergic rhinitis and cognitive function","volume":"84","author":"H M Druce","year":"2000","journal-title":"Ann Allergy Asthma Immunol"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1016\/S1081-1206(10)62273-9","article-title":"Effects of seasonal allergic rhinitis on selected cognitive abilities","volume":"84","author":"P S Marshall","year":"2000","journal-title":"Ann Allergy Asthma Immunol"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1965","DOI":"10.3390\/ijerph15091965","article-title":"Seasonal allergies and psychiatric disorders in the United States","volume":"15","author":"H Oh","year":"2018","journal-title":"IJERPH"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1097\/00043764-200101000-00013","article-title":"The impact of allergies and allergy treatment on worker productivity","volume":"43","author":"W N Burton","year":"2001","journal-title":"J Occup Environ Med"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"390","DOI":"10.2500\/ajra.2012.26.3799","article-title":"Allergic rhinitis and its impact on work productivity in primary care practice\n                    and a comparison with other common diseases: The cross-sectional study to\n                    evaluate work productivity in allergic rhinitis compared with other common\n                    diseases (CAPRI) study","volume":"26","author":"BDL H Caballer","year":"2012","journal-title":"Am J Rhinol Allergy"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"1274","DOI":"10.1016\/j.jaip.2017.09.002","article-title":"Impact of rhinitis on work productivity: A systematic review","volume":"6","author":"O Vandenplas","year":"2018","journal-title":"J Allergy Clin Immunol: In Pract"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1101\/2023.09.08.23294325","article-title":"\u201cInvisible Killer\u201d: Seasonal allergies and accidents","author":"M Akesaka","year":"2023","journal-title":"medRxiv"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1038\/s41533-018-0098-2","article-title":"Exercise-induced bronchoconstriction: Prevalence, pathophysiology, patient\n                    impact, diagnosis and management","volume":"28","author":"B Aggarwal","year":"2018","journal-title":"npj Prim Care Resp Med"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"e22","DOI":"10.1183\/20734735.006416","article-title":"Common causes of dyspnoea in athletes: A practical approach for diagnosis and\n                    management","volume":"12","author":"J M Smoliga","year":"2016","journal-title":"Breathe"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"e35","DOI":"10.1016\/j.csm.2004.12.006","article-title":"Seasonal allergy and seasonal decrements in athletic performance","volume":"24","author":"H D Komarow","year":"2005","journal-title":"Clin Sports Med"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"131","DOI":"10.3389\/fped.2017.00131","article-title":"Exercise-induced bronchospasm and allergy","volume":"5","author":"S Caggiano","year":"2017","journal-title":"Front Pediatr"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2022-105567","article-title":"International Olympic Committee (IOC) consensus statement on acute respiratory\n                    illness in athletes part 2: Non-infective acute respiratory illness","author":"M Schwellnus","year":"2022","journal-title":"Br J Sports Med"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"466","DOI":"10.1016\/j.jsams.2022.03.003","article-title":"Environmental factors associated with non-infective acute respiratory illness in\n                    athletes: A systematic review by a subgroup of the IOC consensus group on \u00ab\n                    acute respiratory illness in the athlete \u00bb","volume":"25","author":"V Bougault","year":"2022","journal-title":"J Sci Med Sport"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"391","DOI":"10.4168\/aair.2016.8.5.391","article-title":"Climate change and air pollution: Effects on respiratory allergy","volume":"8","author":"G D\u2019Amato","year":"2016","journal-title":"Allergy Asthma Immunol Res"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"1552","DOI":"10.1097\/CM9.0000000000000861","article-title":"Climate change, air pollution, and allergic respiratory diseases: A call to\n                    action for health professionals","volume":"133","author":"S-Z Deng","year":"2020","journal-title":"Chin Med J"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"5662","DOI":"10.3390\/ijerph17165662","article-title":"Association between allergic rhinitis and regular physical activity in adults: A\n                    nationwide cross-sectional study","volume":"17","author":"J Park","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and\n                    explanation","volume":"169","author":"A C Tricco","year":"2018","journal-title":"Ann Intern Med"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic\n                    reviews","author":"M J Page","year":"2021","journal-title":"BMJ"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"2119","DOI":"10.11124\/JBIES-20-00167","article-title":"Updated methodological guidance for the conduct of scoping reviews","volume":"18","author":"MD J Peters","year":"2020","journal-title":"JBI Evidence Synthesis"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1542\/peds.56.5S.856","article-title":"Exercise-induced asthma in children with intrinsic and extrinsic asthma","volume":"56","author":"P A Eggleston","year":"1975","journal-title":"Pediatrics"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1002\/ppul.25782","article-title":"Outdoor pollen concentration is not associated with exercise-induced\n                    bronchoconstriction in children","volume":"57","author":"A P Tikkakoski","year":"2022","journal-title":"Pediatr Pulmonol"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1111\/j.1398-9995.1986.tb00335.x","article-title":"Exercise-induced bronchoconstriction. Seasonal variation in children with asthma\n                    and in those with rhinitis","volume":"41","author":"J M Henriksen","year":"1986","journal-title":"Allergy"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"e0161461","DOI":"10.1371\/journal.pone.0161461","article-title":"Asthma and rhinitis are associated with less objectively-measured moderate and\n                    vigorous physical activity, but similar sport participation, in adolescent\n                    german boys: giniplus and lisaplus cohorts","volume":"11","author":"M P Smith","year":"2016","journal-title":"PLoS One"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1542\/peds.56.5S.890","article-title":"Free running test for exercise induced bronchospasm","volume":"56","author":"W E Pierson","year":"1975","journal-title":"Pediatrics"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"192","DOI":"10.4168\/aair.2012.4.4.192","article-title":"Seasonal factors influencing exercise-induced asthma","volume":"4","author":"I S Choi","year":"2012","journal-title":"Allergy Asthma Immunol Res"},{"key":"ref45","first-page":"CR372","article-title":"Seasonal asymptomatic lower airway hyperresponsiveness in patients with allergic\n                    rhinitis","volume":"12","author":"M Modrzy\u0144ski","year":"2006","journal-title":"Med Sci Monit. United States"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1111\/j.1365-2222.1989.tb02383.x","article-title":"Seasonal variability of exercise-induced asthma especially outdoors. Effect of\n                    birch pollen allergy","volume":"19","author":"J Karjalainen","year":"1989","journal-title":"Clin Exp Allergy"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1556\/2060.104.2017.4.6","article-title":"The effect of nasal provocation with a single-dose allergen on the physical and\n                    cognitive performance of patients with ragweed allergy","volume":"104","author":"M Tokodi","year":"2017","journal-title":"Phys Int"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1136\/bjsm.32.2.125","article-title":"Occurrence of exercise induced bronchospasm in elite runners: Dependence on\n                    atopy and exposure to cold air and pollen","volume":"32","author":"I J Helenius","year":"1998","journal-title":"Br J Sports Med"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1055\/s-2002-30125","article-title":"Exercise-induced changes in pulmonary function of healthy, elite long-distance\n                    runners in cold air and pollen season exercise challenge tests","volume":"23","author":"I Helenius","year":"2002","journal-title":"Int J Sports Med"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1067\/mai.2000.108603","article-title":"A springtime olympics demands special consideration for allergic athletes","volume":"106","author":"C H Katelaris","year":"2000","journal-title":"J Allergy Clin Immunol"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1097\/00042752-200209000-00007","article-title":"Effects of intranasal budesonide on symptoms, quality of life, and performance\n                    in elite athletes with allergic rhinoconjunctivitis","volume":"12","author":"C H Katelaris","year":"2002","journal-title":"Clin J Sport Med"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"166","DOI":"10.7326\/0003-4819-132-2-200001180-00022","article-title":"Pollen trapped in a scuba tank: A potential hazard for allergic divers","volume":"132","author":"C Astarita","year":"2000","journal-title":"Ann Intern Med. United States"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1055\/s-2001-13821","article-title":"Respiratory arrest in a male athlete after running through a wheat field","volume":"22","author":"I L Swaine","year":"2001","journal-title":"Int J Sports Med"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1007\/BF02853165","article-title":"Nedocromil sodium in golfers with seasonal allergic conjunctivitis","volume":"18","author":"M Alexander","year":"2001","journal-title":"Adv Ther"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"686","DOI":"10.23736\/S0022-4707.18.08556-0","article-title":"Impaired sports performance of athletes suffering from pollen-induced allergic\n                    rhinitis: A cross-sectional, observational survey in German athletes","volume":"59","author":"L Salem","year":"2019","journal-title":"J Sports Med Phys Fitness"},{"key":"ref56","first-page":"42","article-title":"Food-dependent exercise-induced anaphylaxis","volume":"63","author":"B Minty","year":"2017","journal-title":"Can Fam Phys"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1183\/20734735.003111","article-title":"Bronchial challenge tests: Usefulness, availability and limitations","volume":"8","author":"S D Anderson","year":"2011","journal-title":"Breathe"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1007\/s12016-025-09098-3","article-title":"Decoding allergic conjunctivitis: Latest perspectives on etiological drivers and\n                    immunopathological mechanisms","volume":"68","author":"J Bao","year":"2025","journal-title":"Clin Rev Allergy Immunol"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1097\/01.jsm.0000244606.56935.59","article-title":"Patterns of allergic reactivity and disease in Olympic athletes","volume":"16","author":"C H Katelaris","year":"2006","journal-title":"Clin J Sport Med"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1016\/j.reval.2019.08.002","article-title":"Allergie au pollen de cypr\u00e8s","volume":"59","author":"D Charpin","year":"2019","journal-title":"Rev Fr Allergol"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1186\/2045-7022-1-18","article-title":"Difference in symptom severity between early and late grass pollen season in\n                    patients with seasonal allergic rhinitis","volume":"1","author":"L A De Weger","year":"2011","journal-title":"Clin Transl Allergy"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1186\/2045-7022-3-19","article-title":"Grass pollen allergy in children and adolescents-symptoms, health related\n                    quality of life and the value of pollen prognosis","volume":"3","author":"H Kiotseridis","year":"2013","journal-title":"Clin Transl Allergy"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"100799","DOI":"10.1016\/j.waojou.2023.100799","article-title":"Pollen respiratory allergy: Is it really seasonal?","volume":"16","author":"G D\u2019Amato","year":"2023","journal-title":"World Allergy Organ J"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1249\/JES.0000000000000093","article-title":"The intriguing role of histamine in exercise responses","volume":"45","author":"M J Luttrell","year":"2017","journal-title":"Exercise Sport Sci Rev"},{"key":"ref65","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1097\/aci.0000000000000060","article-title":"Individual pollen exposure measurements: are they feasible? Current opinion in\n                    allergy & clinical immunology","volume":"14","author":"U Berger","year":"2014","journal-title":"Ovid Technol"},{"key":"ref66","doi-asserted-by":"publisher","first-page":"349","DOI":"10.5414\/alx02294e","article-title":"Nonpharmacological measures to prevent allergic symptoms in pollen allergy: A\n                    critical review","volume":"5","author":"K-C Bergmann","year":"2021","journal-title":"Allergol Sel"},{"key":"ref67","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1111\/all.12373","article-title":"Magnitude of efficacy measurements in grass allergy immunotherapy trials is\n                    highly dependent on pollen exposure","volume":"69","author":"S R Durham","year":"2014","journal-title":"Allergy"},{"key":"ref68","doi-asserted-by":"publisher","first-page":"1763","DOI":"10.1111\/all.13406","article-title":"Treatment of allergic rhinitis using mobile technology with real-world data: The\n                        MASK observational pilot study","volume":"73","author":"J Bousquet","year":"2018","journal-title":"Allergy"}],"container-title":["International Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2928-2281.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T22:44:13Z","timestamp":1788216253000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2928-2281"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,30]]},"references-count":68,"URL":"https:\/\/doi.org\/10.1055\/a-2928-2281","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0172-4622","1439-3964"],"issn-type":[{"value":"0172-4622","type":"print"},{"value":"1439-3964","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7,30]]},"published":{"date-parts":[[2026,7,30]]}}}