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Comparative Analysis of Acute Effects of Different Aerobic Exercises on Clinical Symptoms and Cytokine Levels in Patients with Allergic Rhinitis: A Randomized Crossover Study Cover

Comparative Analysis of Acute Effects of Different Aerobic Exercises on Clinical Symptoms and Cytokine Levels in Patients with Allergic Rhinitis: A Randomized Crossover Study

Open Access
|Jul 2025

Figures & Tables

Table 1

The comparison of general physiological characteristics, pulmonary function, and respiratory muscle strength variables was conducted using two-way repeated measures ANOVA among running, cycling, and swimming exercises, and between pre- and post-tests within each exercise protocol.

VARIABLESn = 15TWO-WAY ANOVA REPEATED
RUNNINGCYCLINGSWIMMINGTIMEEXERCISETIME x EXERCISE
PRE-TESTPOST-TESTPRE-TESTPOST-TESTPRE-TESTPOST-TEST
BW (kg)66.21 ± 12.5166.02 ± 12.3266.64 ± 11.6766.55 ± 11.5567.28 ± 11.3767.77 ± 11.39.271.774.445
Body Fat (%)22.12 ± 9.1221.67 ± 8.8221.78 ± 8.9122.17 ± 8.7521.28 ± 9.4321.52 ± 9.44.560.641.069
BMI (kg/m2)23.15 ± 4.0723.06 ± 4.0923.02 ± 4.0422.94 ± 4.0522.80 ± 4.1222.78 ± 4.07.167.119.683
HR (bpm)72.66 ± 14.0193.13 ± 15.31*76.73 ± 15.2193.86 ± 17.79*74.20 ± 14.3898.73 ± 12.45*<.001*.433.262
SBP (mmHg)116.70 ± 7.60121.00 ± 7.57117.06 ± 64.67119.67 ± 8.33112.46 ± 9.91115.73 ± 17.30.152.075.882
DBP (mmHg)64.93 ± 6.6868.80 ± 6.5164.67 ± 8.0564.26 ± 6.8669.33 ± 8.2667.20 ± 5.34.097.715.176
FVC (L)3.28 ± 0.703.28 ± 0.743.34 ± 0.913.29 ± 0.953.36 ± 0.973.36 ± 0.91.574.731.673
FEV1 (L)3.13 ± 0.683.01 ± 0.633.12 ± 0.793.04 ± 0.833.16 ± 0.893.21 ± 0.83.064.442.527
FEV1/FVC (%pred)90.47 ± 5.4792.09 ± 8.0088.45 ± 22.4889.22 ± 22.9090.06 ± 16.2091.79 ± 15.48.470.692.139
MVV (L/min)130.65 ± 30.49134.32 ± 28.03133.36 ± 33.63135.22 ± 32.26142.39 ± 32.31145.72 ± 32.65.064.205.879
MIP (cmH2O)93.93 ± 18.9195.16 ± 24.1588.30 ± 17.8594.10 ± 21.60101.80 ± 19.7698.13 ± 16.92.069.571.169
MEP (cmH2O)94.46 ± 19.4197.23 ± 18.1695.66 ± 19.1497.40 ± 19.3597.93 ± 16.9997.46 ± 15.51.806.258.416

[i] Data are presented as mean ± SD. *p < .05 vs. pre-test.

(BW = Body weight, BMI = Body Mass Index, HR = Heart rate, SBP = Systolic blood pressure, DBP = Diastolic blood pressure, FVC = Force Vital Capacity, FEV1 = Forced Expiratory Volume in one second, MVV = Maximum Voluntary Ventilation, MIP = Maximum Inspiratory Pressure, MEP = Maximum Expiratory Pressure).

paah-9-1-429-g1.png
Figure 1

CONSORT flow diagram of participant allocation, follow-up and analysis.

Table 2

The comparison of NBF, PNIF, and rhinitis symptom score variables including nasal congestion, itching, sneezing, rhinorrhea, and total rhinitis symptoms was conducted using the LMM analysis among running, cycling, and swimming exercises, and between pre- and post-tests within each exercise protocol.

VARIABLESn = 15
RUNNING (R) X̅ ± SDCYCLING (C) X̅ ± SDSWIMMING (S) X̅ ± SDLMM ANALYSIS
PRE-TESTPOST-TESTPRE-TESTPOST-TESTPRE-TESTPOST-TESTBETWEEN GROUPSESTIMATESEP-VALUE
NBF (PU)126.78 ± 16.4375.62 ± 8.34134.48 ± 17.7794.18 ± 10.05114.63 ± 9.32102.52 ± 9.80
Estimate51.240.312.1R vs C–18.5615.20.674
SE15.215.215.2R vs S–26.9015.20.240
p-value0.001*0.009*0.426C vs S–8.3415.21.000
PNIF (L/min)108.67 ± 8.62135.00 ± 8.15110.00 ± 8.76136.33 ± 7.99126.66 ± 6.06135.67 ± 6.98
Estimate–26.30–26.30–9.00R vs C–1.338.041.000
SE8.048.048.04R vs S–0.668.041.000
p-value0.001*0.001*0.267C vs S0.668.041.000
Rhinitis symptoms (Scores)
Nasal congestion1.20 ± 0.200.40 ± 0.161.00 ± 0.210.46 ± 0.191.00 ± 0.210.33 ± 0.15
Estimate0.800.530.66R vs C–0.060.261.000
SE0.260.260.26R vs S0.060.261.000
p-value0.003*0.0500.015*C vs S0.130.261.000
Itching0.80 ± 0.220.20 ± 0.140.86 ± 0.230.13 ± 0.090.93 ± 0.220.13 ± 0.09
Estimate0.600.730.80R vs C0.060.251.000
SE0.250.250.25R vs S0.060.251.000
p-value0.021*0.005*0.002*C vs S0.000.251.000
Sneezing0.66 ± 0.250.00 ± 0.000.60 ± 0.190.00 ± 0.000.46 ± 0.230.66 ± 0.06
Estimate0.660.600.40R vs C0.000.231.000
SE0.230.230.23R vs S–0.060.231.000
p-value0.005*0.011*0.087C vs S–0.060.231.000
Rhinorrhea1.06 ± 0.260.53 ± 0.210.80 ± 0.240.60 ± 0.190.86 ± 0.230.46 ± 0.16
Estimate0.530.200.40R vs C–0.060.281.000
SE0.280.280.28R vs S0.060.281.000
p-value0.0680.4890.169C vs S0.130.281.000
Total rhinitis symptoms3.73 ± 0.671.13 ± 0.293.26 ± 0.711.20 ± 0.323.26 ± 0.751.00 ± 0.25
Estimate2.602.072.27R vs C–0.060.771.000
SE0.770.770.77R vs S0.130.771.000
p-value0.001*0.009*0.004*C vs S0.200.771.000

[i] Data are presented as mean ± SD. *p < .05 vs. pre-test.

(NBF = Nasal blood flow, PNIF = Peak nasal inspiratory flow).

paah-9-1-429-g2.png
Figure 2

The LMM analysis of NBF, PNIF, and rhinitis symptom score variables.

*p < .05 vs. pre-test.

Table 3

The comparison of NBF, PNIF, and rhinitis symptom score variables including nasal congestion, itching, sneezing, rhinorrhea, and total rhinitis symptoms was conducted using the LMM analysis among running, cycling, and swimming exercises, and between pre- and post-tests within each exercise protocol.

VARIABLESn = 15
RUNNING (R) X̅ ± SDCYCLING (C) X̅ ± SDSWIMMING (S) X̅ ± SDLMM ANALYSIS
PRE-TESTPOST-TESTPRE-TESTPOST-TESTPRE-TESTPOST-TESTBETWEEN GROUPSESTIMATESEP-VALUE
IL-2 (pg/ml)14.82 ± 3.607.72 ± 2.5715.17 ± 5.059.33 ± 3.3147.58 ± 25.9930.45 ± 20.54
Estimate7.095.8417.14R vs C–1.6017.901.000
SE17.9017.9017.90R vs S–22.7217.900.623
p-value0.6920.7440.341C vs S–21.1217.900.724
IL-4 (pg/ml)72.49 ± 22.3137.45 ± 15.1375.37 ± 24.8647.37 ± 17.5573.53 ± 20.9438.17 ± 15.38
Estimate35.0028.0035.40R vs C–9.9113.701.000
SE13.7013.7013.70R vs S–0.7113.701.000
p-value0.012*0.045*0.012*C vs S9.2013.701.000
IL-5 (pg/ml)35.83 ± 17.867.97 ± 2.2411.02 ± 3.855.89 ± 2.0820.35 ± 8.799.91 ± 2.75
Estimate27.875.1310.44R vs C2.0711.401.000
SE11.4011.4011.40R vs S–1.9411.401.000
p-value0.017*0.6550.364C vs S–4.0211.401.000
IL-6 (pg/ml)46.17 ± 11.1021.70 ± 3.9378.36 ± 49.4579.91 ± 54.1279.34 ± 52.8645.75 ± 27.97
Estimate24.47–1.5533.60R vs C–58.2049.900.741
SE49.9049.9049.90R vs S–24.0449.901.000
p-value0.6250.9750.502C vs S34.1649.901.000
IL-10 (pg/ml)1.20 ± 0.190.88 ± 0.082.16 ± 1.052.28 ± 1.166.22 ± 4.866.11 ± 5.09
Estimate0.32–0.110.11R vs C–1.393.751.000
SE3.753.753.75R vs S–5.233.750.502
p-value0.9310.9750.976C vs S–3.833.750.931
IL-13 (pg/ml)7.49 ± 2.362.87 ± 0.945.45 ± 1.733.21 ± 1.085.01 ± 1.522.78 ± 1.03
Estimate4.632.242.23R vs C–0.331.371.000
SE1.371.371.37R vs S0.081.371.000
p-value0.001*0.1070.108C vs S0.421.371.000
TNF-α (pg/ml)15.93 ± 1.217.95 ± 3.0218.72 ± 6.5610.49 ± 3.7416.65 ± 4.338.17 ± 3.05
Estimate7.998.238.48R vs C–2.543.751.000
SE3.753.753.75R vs S–0.213.751.000
p-value0.036*0.031*0.026*C vs S2.323.751.000
IFN-γ (pg/ml)7.01 ± 2.893.94 ± 1.707.06 ± 3.714.80 ± 2.7510.71 ± 4.116.34 ± 2.60
Estimate3.072.264.38R vs C–0.863.091.000
SE3.093.093.09R vs S–2.393.091.000
p-value0.3240.4660.161C vs S–1.533.091.000
IL-4/IL-1066.05 ± 22.2640.08 ± 16.1173.76 ± 27.5142.86 ± 17.8078.21 ± 26.5052.74 ± 14.55
Estimate26.0030.9045.50R vs C–2.7817.61.000
SE17.6017.6017.60R vs S7.3417.61.000
p-value0.014*0.0830.119C vs S10.1117.61.000

[i] Data are presented as mean ± SD. *p < .05 vs. pre-test.

(IL = interleukin, TNF-α = Tumor necrosis factor-alpha, IFN-γ = Interferon-gamma).

paah-9-1-429-g3.png
Figure 3

The LMM analysis of cytokines variables.

DOI: https://doi.org/10.5334/paah.429 | Journal eISSN: 2515-2270
Language: English
Submitted on: Dec 26, 2024
|
Accepted on: Jun 17, 2025
|
Published on: Jul 14, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Wannaporn Tongtako, Jettanong Klaewsongkram, Timothy D. Mickleborough, Daroonwan Suksom, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.