Evidence regarding the association between allergic rhinitis (AR) and physical activity (PA) is conflicting. Previous studies have mostly relied only on self-reported symptoms to define AR, did not classify AR by severity or persistence, and included only children or athletes. The present cross-sectional study evaluated the association between PA and objectively-defined AR and its subtypes in the general adult population using data for 1932 eligible participants aged 19 years or older in the 2010 Korea National Health and Nutrition Examination Survey. Multivariable logistic regression analyses were performed to evaluate the relationship between three types of PA and overall AR, AR subtypes, and rhinoscopy findings showed that moderate-severe AR was positively associated with vigorous (odds ratio [OR] = 3.392, p = 0.002) and moderate (OR = 3.623, p = 0.007) PA compared to mild AR, while persistent AR was associated with vigorous (OR = 3.954, p = 0.004) and moderate (OR = 3.411, p = 0.022) PA compared to intermittent AR. On rhinoscopy, vigorous PA was significantly associated with watery rhinorrhea (OR = 2.203, p = 0.048) but not pale mucosa. Total immunoglobulin E (IgE) and three allergen-specific IgE were not significantly elevated in participants who performed PA. Therefore, regular vigorous PA is associated with subjective and objective aggravation of AR symptoms, which may not necessarily manifest as increased serum IgE levels.

中文翻译：

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成人过敏性鼻炎与定期体育锻炼之间的关联：全国性跨部门研究。

关于变应性鼻炎（AR）与身体活动（PA）之间关联的证据相互矛盾。先前的研究大多仅依靠自我报告的症状来定义AR，没有根据严重性或持续性对AR进行分类，仅包括儿童或运动员。本横断面研究使用了2010年韩国国民健康与营养调查中1932岁，年龄在19岁以上的1932名合格参与者的数据，评估了一般成年人口中PA与客观定义的AR及其亚型之间的关联。进行多变量logistic回归分析以评估三种类型的PA与总体AR，AR亚型之间的关系，鼻镜检查结果显示，中度至重度AR与强力呈正相关（比值比[OR] = 3.392，p= 0.002）和中度（OR = 3.623，p = 0.007）PA与轻度AR相比，而持续性AR与剧烈（OR = 3.954，p = 0.004）和中度（OR = 3.411，p = 0.022）PA相关间歇性AR。在鼻镜检查中，剧烈的PA与水样鼻漏显着相关（OR = 2.203，p = 0.048），而粘膜苍白则没有。在进行PA的参与者中，总免疫球蛋白E（IgE）和三种变应原特异性IgE并未显着升高。因此，经常剧烈运动的PA与AR症状的主观和客观加重相关，这可能不一定表现为血清IgE水平升高。