Avoiding illness during high training loads

Reduced training time due to illness will significantly reduce the chances of achieving a performance goal. Cyclists who remain healthy and are able to complete more than 80% of their planned training are more likely to achieve success at their target events. How can you avoid an illness that could disrupt your training?

The first step to avoiding infection is to prevent these organisms from reaching your mouth and nose. The easiest way to do this is to stop touching your face. In addition, washing your hands with plain soap and water regularly will cut down your risk of infection by up to half.

A moderate amount of exercise can improve immune function, but at times hard training and racing has the opposite effect, causing suppression of the immune system’s first defense mechanisms. This is a chronic phenomenon, but is also compounded by an acute reduction in immune function after every exercise session. This can last anywhere from 3-72 hours and is known as the “open window” phenomenon. Avoiding crowded places or areas that might have been exposed to viruses (such as shopping centers, restaurants and other frequented areas) is crucial when you’ve just done a hard training session.

Body image from avoiding-illness-during-high-training-loads

Photo by @sarahkimbonner

Other risk factors which increase susceptibility to infection include stress and sleep deprivation. Both of these elevate cortisol concentrations which suppresses immune function.

If you have an infection, is it still safe to participate?

If your only symptom is sneezing, a runny nose and a mild feeling of ill health, then gentle exercise can often improve your symptoms. Don’t compete if you are still actively infectious or have a fever on race day.  If you have a high fever > 38°C, a sore throat, cough, muscle or joint aches or an elevated heart rate, then you should not be doing any exercise for at least two weeks or until you are cleared by your doctor. The primary reason for this is that these symptoms are more often associated with the organisms that can give rise to myocarditis (inflammation or infection of the heart muscle). Exercising with myocarditis can lead to severe heart damage or even a fatal arythmia, hence the caution.

Using a decongestant nasal spray and oral medication to reduce the thickness of secretions can also help improve your breathing on race day. Some of these medications are prohibited by WADA so seek competent advice before using any.

Body image from avoiding-illness-during-high-training-loads

Photo by @RayCoxCycling

6 ways to prevent colds and other nasty infections:

1)      Wash your hands regularly with soap and water

2)      Avoid touching your nose and face

3)      Stay away from crowded places after exercise

4)      Get your flu vaccination at the beginning of winter

5)      Get plenty of sleep

6)      Reduce your stress levels

5 symptoms to look out for:

1)      Temperature > 38°C

2)      Sore throat

3)      Cough

4)      Muscle and joint aches

5)      Raised resting heart rate

Jeroen Swart headshot

Prof Jeroen Swart

S2S Coach & Head of Performance, UAE Team Emirates XRG

Jeroen is a professor of Sports & Exercise Medicine and Exercise Science, and co-founder of Science to Sport. With over 50 peer-reviewed publications spanning cycling physiology, performance testing and sports medicine, he brings a rare combination of clinical depth and applied coaching experience to athlete development.

He has coached leading international cyclists for close to two decades, and as Head of Performance at UAE Team Emirates XRG — the UCI's number-one ranked WorldTour team from 2023 to 2025 — has worked with three different Tour de France winners. Jeroen is also the architect of the ErgoFiT predictive bike fitting system, the only scientifically validated tool of its kind.

Credentials & Background

MBChB, MPhil (SEM), ACSEM, FFIMS, PhD. A multi-time South African national champion in XCO mountain biking, Jeroen's own competitive background gives him a first-hand understanding of the demands elite cycling places on the body — and the ways it can break down.

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