Sports, hobbies, travel:
Yes, but with the necessary medical guidance!
People with haemophilia should exercise regularly to maintain good fitness levels and control their weight to minimize joint burden (especially if they already have hemophilic arthropathy). Physical activity contributes to the overall health of the cardiovascular system, while maintaining the good health of joints and muscles reduces the risk of spontaneous bleedings.
With proper treatment, children and adults with haemophilia can now participate in sports, always in consultation with their treating physician, who may or may not place restrictions on the type of sport.
Swimming, table tennis, jogging in level ground and hiking in nature are sports activities with low-risk of bleeding and are even recommended for people with severe haemophilia.
In particular, swimming is the sport most recommended for people with haemophilia, as water reduces the burden on muscles and joints. At the same time, swimming is an ideal exercise to strengthen the joints and muscles of the whole body. "Aggressive" sports, such as football and basketball, are recommended to be avoided because they increase the risk of injury and internal bleeding.
Finally, people with haemophilia should be encouraged from an early age to engage in relatively milder activities and hobbies, such as chess or learning a musical instrument.
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2.Babic M, et al. Physical activity and physical self-concept in youth: Systematic review and meta-analysis.
Sports Medicine 2014; 44(11): 1589-1601.
3.Ross C, et al. Athletic participation in severe hemophilia: Bleeding and joint outcomes in children on prophylaxis.
Pediatrics 2009; 124(5): 1267-1272.
4.WFH. Guidelines for the management of haemophilia. 2012.
5.Available at: http://www1.wfh.org/publications/files/pdf-1472.pdf [Accessed 24 October 2019].
Lorig, K., et al. Patient Education: A Practical Approach. 3rd edition. Sage Publications, 2001.