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Exhausted – The effect of air pollution on running

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It might be just me, but it seems that air pollution has risen on the agenda of Things To Worry About in the last few months. Plastic pollution was one of the key phrases within eco-conscious circles in 2019, with laws coming into place this year in a bid to control the problem. The term pollution, however, refers not only to plastic, but also the introduction of any contaminant into the environment which may cause harm. This can take the form of noise, light, chemicals or even heat – most of which we cannot see.

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Pollution is an issue in cities (and even many rural areas) around the world

Air pollution has a devastating impact on those living in the cities. While the pollution usually cannot be seen, the impacts are felt by all, with it shortening lives and contributing to a number of health problems. In the UK, pollution is a bigger killer than smoking, and costs the UK economy over £20bn per year. The biggest culprits are Nitrogen dioxide, emitted mainly by diesel vehicles, and PM2.5, fine particulate matter linked to adverse health effects. In the EU the toxic air is causing more than 1000 premature deaths each day from PM2.5– a figure which is 10 times higher than the number of deaths from traffic accidents.

Because of this invisible nature, it has been easy for people (and thus governments) to ignore the issue, focussing instead on highly visible, highly publicised issues and ‘buzzwords’, such as banning straws (good, but of limited benefit to the plastic pollution problem). However, in October 2019, it was announced that the UK would introduce an Environment Bill to “help ensure that we maintain and improve our environmental protections as we leave the EU”, including focussing on air quality and PM2.5 in particular.

For runners and cyclists, an immediate concern, however, is how we can actively work to improve our health (and continue doing what we love) without inadvertently harming ourselves.

Unfortunately, running in heavily polluted air has been linked to inflamed lungs, increased risk of asthma (I experienced this firsthand at the age of 18, when I moved to Paris), and instances of heart attack, stroke, cancer and death. Needless to say, these risk factors are enough to put people off, and encourage them to run on a treadmill (boring), or worse still, avoid exercising outdoors entirely. But is this entirely justified?

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Live pollution meter of London (18/02/2020 10am)

Even the scientists admit the problem is complex. Andrew Grieve, Senior Air Quality Analyst at King’s College London, says “when you’re running, you’re breathing a lot more than you are just walking along the street and your inhalation rate is massive so you’re bringing in more pollution.” In fact, someone running a marathon will inhale the same amount of oxygen as a normal person would sitting down over two days. Most people also tend to breathe through their mouths, bypassing the nasal filters, which can work to reduce pollution intake. The carbon monoxide alone can inhibit the body’s ability to transport oxygen around the body, thus making running that little bit harder too.

On the plus side, running is really good for you. Although I couldn’t find any studies looking directly at the effect of running in polluted areas (other than this, for elite athletes over marathon distance), a study on people walking in polluted areas up to 16h a day or cycling up to 3.5h per day suggested that the benefits of activity outweighed any harm from pollution in all but the most extreme of cases.

Conclusions

The benefits from active travel generally outweigh health risks from air pollution and therefore should be further encouraged. When weighing long-term health benefits from PA (physical activity) against possible risks from increased exposure to air pollution, our calculations show that promoting cycling and walking is justified in the vast majority of settings, and only in a small number of cities with the highest PM2.5concentration in the world cycling could lead to increase in risk. (Tainio, Marko, et al. “Can air pollution negate the health benefits of cycling and walking?.” Preventive medicine 87 (2016): 233-236.)

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Photo by James Purvis

However, there are things we could be doing to both decrease our risk of being negatively affected by air pollution, and also improve the air quality where we live.

  1. Choose lesser polluted routes when walking, running or cycling around cities. Choosing to walk or cycle on a quiet road instead of a busy one can sharply reduce the amount of pollution you take in. Even using a parallel road one block over from a traffic-clogged one can reduce your exposure by 50%. If you’re looking to run or cycle around London, consider downloading Clean Air Run Club on your phone to score routes by air quality.
  2. Run in the morning. Pollution increases throughout the day, especially in summer.
  3. Aim to find green spaces, or roads lined with trees – these are havens from pollution, and even a small amount of greenery between you and the traffic can dramatically reduce pollution levels!
  4. Take note of particularly bad air days using a live air quality monitor. These will often be on hot and humid days. If you can, avoid running/cycling outside on these days, perhaps getting in some cross training indoors, or a run on the treadmill.
  5. Take public transport. Although particulate pollution in tube lines is up to 30 times higher than roadside, Prof Frank Kelly, chair of Committee on the Medical Effects of Air Pollutants (COMEAP), said people should continue to use the tube given the relatively short time spent underground and lack of evidence of harmful effects. Using public transport also reduces fumes expelled by cars, cleaning the air above ground that we breathe for the rest of the day.
  6. Eliminate wood burners and fireplace usage. Wood fires are sold as ‘eco’ or ‘clean’ alternatives to electric heaters or gas fires, but are far from it, and are a big contributor to wintertime pollution across Britain. Reducing wood burning reduces deaths and pollution-related ill-health.
  7. Switch to clean energy sources and aim to conserve energy at home and work. By switching to a renewable energy that is generated by natural sources such as solar, water and wind, you can help to fight harmful levels of air pollution.
  8. Lobby governments. For real change to be seen, governments need to prioritise pollution and other environmental issues (which go hand in hand), and now is the time to pressure them.
  9. Stop driving (especially around urban areas) unless absolutely necessary. Although you may believe driving a car protects you from the worst of the fumes, pollution levels inside cars are usually significantly higher than directly outside the car on the street, due to exhaust fumes being circulated around the enclosed space.

The good news is that we know the impact of pollution and we know what we can do to reduce it. We also know that even small improvements have substantial and immediate benefits for us all. What is needed now is for global governments to step up and reassess funding priorities. Pollution is the biggest environmental health risk in Europe, and it’s time something was done about it.

 

This article was adapted from a piece I wrote for EcoAge. For more of a deep dive into the issue of pollution, head on over. 

Come and find me on YouTube and Instagram for more running content!


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