PT - JOURNAL ARTICLE AU - Hung, Andy AU - Koch, Sarah AU - Bougault, Valerie AU - Gee, Cameron Marshall AU - Bertuzzi, Romulo AU - Elmore, Malindi AU - McCluskey, Paddy AU - Hidalgo, Laura AU - Garcia-Aymerich, Judith AU - Koehle, Michael Stephen TI - Personal strategies to mitigate the effects of air pollution exposure during sport and exercise: a narrative review and position statement by the Canadian Academy of Sport and Exercise Medicine and the Canadian Society for Exercise Physiology AID - 10.1136/bjsports-2022-106161 DP - 2023 Feb 01 TA - British Journal of Sports Medicine PG - 193--202 VI - 57 IP - 4 4099 - http://bjsm.bmj.com/content/57/4/193.short 4100 - http://bjsm.bmj.com/content/57/4/193.full SO - Br J Sports Med2023 Feb 01; 57 AB - Air pollution is among the leading environmental threats to health around the world today, particularly in the context of sports and exercise. With the effects of air pollution, pollution episodes (eg, wildfire conflagrations) and climate change becoming increasingly apparent to the general population, so have their impacts on sport and exercise. As such, there has been growing interest in the sporting community (ie, athletes, coaches, and sports science and medicine team members) in practical personal-level actions to reduce the exposure to and risk of air pollution. Limited evidence suggests the following strategies may be employed: minimising all exposures by time and distance, monitoring air pollution conditions for locations of interest, limiting outdoor exercise, using acclimation protocols, wearing N95 face masks and using antioxidant supplementation. The overarching purpose of this position statement by the Canadian Academy of Sport and Exercise Medicine and the Canadian Society for Exercise Physiology is to detail the current state of evidence and provide recommendations on implementing these personal strategies in preventing and mitigating the adverse health and performance effects of air pollution exposure during exercise while recognising the limited evidence base.