A moving message for cold season

Postmenopausal women who want to decrease their risk of colds would be well advised to dust off their sneakers and get moving, suggests a new study led by researchers in the Public Health Sciences Division.

Through the first randomized clinical trial to investigate the impact of moderate physical activity on common-cold incidence, Dr. Cornelia (Neli) Ulrich and colleagues found that postmenopausal women who exercised regularly for a year had about half the risk of colds compared to those who did not work out routinely. The findings appear in the November issue of The American Journal of Medicine.

"This adds another good reason to put exercise on your to-do list, especially now that cold season is here," said Ulrich, the paper's senior author. However, Ulrich is quick to point out that regular exercise in moderation — such as 30 to 45 minutes of brisk walking each day — is the key; other studies have shown that excessive, exhaustive exercise can deplete immune function and increase the risk of colds.

The researchers found that the ability of moderate exercise to ward off colds seemed to increase over time. "The enhanced immunity was strongest in the final quarter of the yearlong exercise intervention," Ulrich said. "This suggests that when it comes to preventing colds, it's really important to stick with exercise long term." Overall, the non-exercisers experienced about twice as many colds as the exercisers, but in the last three months of the intervention, the non-exercisers had a threefold greater chance of coming down with colds.

The exercise study involved 115 previously sedentary, overweight, postmenopausal Seattle-area women. None smoked or took hormone-replacement therapy. Half were randomly assigned to a moderate-intensity, aerobic-exercise group and half, who served as a comparison group, attended a weekly stretching class.

While the members of the exercise group were asked to work out at home and at a gym for 45 minutes a day, five days a week, in fact they achieved an average of about 30 minutes of exercise per day. "They were supposed to do a little more exercise, but even so, we found it was enough activity to boost immune function in the long run," Ulrich said.

Brisk walking was the activity of choice, accounting for 52 percent of gym-based and 74 percent of home-based exercise. "It's been shown that just a 30-minute walk can increase levels of leukocytes, which are part of the family of immune cells that fight infection," Ulrich said, referring to a possible biological explanation for the protective effect.

The major strengths of this study included its yearlong duration, large number of participants and randomized, controlled, clinical-trial design, which is considered the gold standard of study designs in medicine.

Even though the study was larger and longer than others that have addressed the impact of exercise on the risk of colds and upper-respiratory infections, it still may not have had enough participants or followed them long enough to provide a definitive answer, cautioned first author Jessica Chubak, a research associate at the Center. "It would be interesting to see what would happen over the course of a longer exercise intervention," she said.

The overall goal of the study, funded by the National Cancer Institute, was to assess the impact of physical activity on markers of breast-cancer risk. In addition to reducing their incidence of colds, the women in the exercise group also achieved significant reductions in weight, total-body fat and intra-abdominal fat.

In addition to Ulrich, Chubak and colleagues at the Hutchinson Center, collaborators on the study included investigators from the University of Washington, University of Alberta and University of New Mexico.

According to the National Institute of Allergy and Infectious Diseases, Americans suffer an estimated 1 billion colds per year, resulting in a leading cause of doctor visits and missed days from work and school. Adults in the United States report an average of two to four colds per year.

Researchers seek local women for nutrition and exercise study

More than 500 Seattle-area participants are sought for the National Cancer Institute-funded Nutrition and Exercise for Women (NEW) Study. The study, led by Dr. Anne McTiernan, examines the effects of exercise and nutrition on breast-cancer risk factors.

The researchers seek healthy, overweight and sedentary postmenopausal women (ages 50 to 75) who live in the Seattle area and are willing to travel to the Hutchinson Center for the yearlong exercise or nutrition intervention.

Eligibility requirements include being a nonsmoker, not using hormone therapy for the past six months, getting less than an hour of moderate activity per week, and being above a certain weight threshold, depending upon height.

Those who qualify must be willing not to participate in any other exercise or weight-loss programs during the 12-month study enrollment and must be willing to be randomly assigned to one of the following four groups:

• moderate-intensity aerobic exercise for 45 minutes a day, five days per week for a year;
• reduced-calorie diet for a year;
• aerobic exercise and a reduced-calorie diet for a year;
• and, a no intervention (to serve as a control, or comparison, group). At the end of the study, the no-intervention women will receive a free, two-month pass to the Center's state-of-the-art exercise facility and get to work out under the supervision of a personal trainer. They'll also get a chance to attend four group weight-loss meetings and will receive a variety of educational handouts about diet and exercise.

The study will be conducted at the Prevention Center, located in the Arnold Building. Designated parking for study participants is free. To learn more, call the NEW Study information line at (206) 667-6444, e-mail new@fhcrc.org or visit www.thenewstudy.org.