“…It has been suggested that the relationship between exercise and URT infections follows a 'J' curve, with moderate and regular exercise improving the ability to resist infections (Nieman et al, 1993(Nieman et al, , 1998b and heavy acute or chronic exercise decreasing it (Nieman et al, 1990;Nieman, 1994;Castell et al, 1996). The evidence has shown that prolonged periods of intense training may lead to high numbers of neutrophil and low numbers of lymphocytes in blood counts (Nieman et al, 1995(Nieman et al, , 1998aPedersen et al, 1997), impaired phagocytosis (Nieman et al, 1997a) and neutrophilic function (Nieman et al, 2000a), decreased oxidative burst activity (Nieman et al, 1997a), natural killer cell cytolytic activity (NKCA) (Shinkai et al, 1993;Nieman, 1997) and mucosal immunoglobulin levels (Nieman et al, 2002a). Intense training or endurance exercise may also enhance release of pro-inflammatory cytokines such as tumour necrosis factor alfa (TNF-alfa), interleukin-1b (IL-1b) and interleukin-6 (IL-6), followed closely by anti-inflammatory cytokines, such as interleukin-10 (IL-10) and interleukin-1 receptor antagonist (IL-1ra) (Castell et al, 1997;Nieman et al, 2001).…”