New Study: Women Are Twice More Prone to ‘Severe’ Reaction to Flu Jab

A medical worker receives a dose of the COVID-19 vaccine at Tokyo Medical Center. Reuters
A medical worker receives a dose of the COVID-19 vaccine at Tokyo Medical Center. Reuters
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New Study: Women Are Twice More Prone to ‘Severe’ Reaction to Flu Jab

A medical worker receives a dose of the COVID-19 vaccine at Tokyo Medical Center. Reuters
A medical worker receives a dose of the COVID-19 vaccine at Tokyo Medical Center. Reuters

Women are twice as likely to suffer a “severe” reaction to the flu jab as men, a new study has revealed.

Analysis of 34,000 adults who received the flu vaccination between 2010 and 2018 found that 3 percent of women had a severe reaction, compared to just 1.5 percent of men, according to The Telegraph.

Researchers from the University of Montreal, Canada, classified severe reactions as symptoms such as high fevers over 39 degrees, or significant swelling, pain or rashes known as erythema, that led to people being unable to carry out daily tasks.

The study, published in the Journal of Epidemiology and Community Health, found that women were also around a third more likely to suffer from other, less serious side effects than men.

It said that 38.6 percent of the 20,295 women analyzed had suffered side effects like headaches, vomiting, fevers and muscle aches after their vaccination, known as “systemic reactions”, compared with just 28.6 percent of the 13,860 men (around 29 percent fewer on the whole).

Rarely serious

The study said for every 1,000 people getting the flu vaccine, 74 more women would have these side effects than men.

Researchers also found that women were 31 percent more likely to get pain, swelling or an infection around the injection site. It said this happened to 44.6 percent of women and 33.9 percent of men.

Dr. Marilou Kiely, author of the report, said while “most reactions are mild, self-limited and rarely serious”, a bad reaction could “be a barrier” to having another vaccination.

“Transparent communication regarding the increased risk for females would potentially help sustain long-term trust in health authorities and vaccines,” she said.

Dr. Conall Watson, a consultant epidemiologist at the UK Health Security Agency (UKHSA), said that “serious side effects are rare following a flu jab”.

Hospitalization and death

“Flu can cause very serious illness, hospitalization and death. Some people are more susceptible to the effects of flu - flu can trigger heart attacks, or lead to pneumonia, and can make existing medical conditions worse,” he said.

The NHS stresses that “severe allergic reactions” like anaphylaxis are very rare at around one in one million and that some of the reactions categorized as severe in this study, such as erythema, usually resolve on their own, even if they are uncomfortable.



Should You Stretch before Exercise? After? Never? Here’s What to Know

 Philadelphia Eagles stretch as they get ready during practice at NFL football training camp, Thursday, July 25, 2024, in Philadelphia. (AP)
Philadelphia Eagles stretch as they get ready during practice at NFL football training camp, Thursday, July 25, 2024, in Philadelphia. (AP)
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Should You Stretch before Exercise? After? Never? Here’s What to Know

 Philadelphia Eagles stretch as they get ready during practice at NFL football training camp, Thursday, July 25, 2024, in Philadelphia. (AP)
Philadelphia Eagles stretch as they get ready during practice at NFL football training camp, Thursday, July 25, 2024, in Philadelphia. (AP)

For many people of a certain age, high school gym class began with reaching for their toes. Then, over the years, we were told it was better to stretch after exercise.

It turns out, both those things can be true, but the differing advice has created some confusion.

Stretching can help make you more flexible, improve range of motion in your joints — and feel good. David Behm, who researches human kinetics at Memorial University of Newfoundland in St. John’s, Canada, offers this advice on when to stretch and how to do it safely:

Warm up first

It’s almost always good to stretch, but it’s better if you warm up first, said Behm, author of "The Science and Physiology of Flexibility and Stretching." He recommends a light aerobic activity such as jogging, walking or cycling for five or 10 minutes.

Follow that with some static stretching, the traditional way of reaching and holding a position (think back to that gym class). You can then do activity-specific dynamic stretching, in which you warm up the muscles with repetitive movements like leg lifts.

Behm says one minute is "the magic number" for how long to do static stretching per muscle group without fatigue.

Expand your definition of 'stretching'

Should you always stretch before exercising? If it's traditional stretching, not necessarily.

The better question, Behm says, is, "Should people increase their range of motion? Should people have better flexibility? And that is yes, because it helps prevent injuries. It helps with health. But you don’t have to stretch to achieve that."

Resistance training, for instance, can be an effective form of stretching, he said. Doing a chest press increases range of motion in your deltoids and pecs, whether with barbells, dumbbells or machines, so there is no need to stretch beforehand. Just make sure to start with a small amount of weight to warm up and then add more to train.

"You probably don’t have to do extra stretching unless you’re a gymnast, a figure skater, or even a golfer who needs a great range of motion through that swing," Behm said.

Nor do you need to stretch first if you’re going for a leisurely run. Simply start with a slow jog to warm up and then increase the pace.

Don't do it if it hurts

After exercise, "light stretching is OK, as long as you don't reach a point where you're feeling pain," Behm said. Since your muscles will be warm by that point, overdoing it makes you more likely to injure yourself.

Foam rollers can help with muscle recovery and have been shown to increase range of motion as well as stretching.

Do some static stretching before sports

If you’re playing a sport, Behm said, static stretching beforehand helps reduce muscle and tendon injury.

"If you’re going to do an explosive movement, change of direction, agility, sprint, any of these explosive activities that involve your muscles and tendons," he said, "you’re going to be stronger if you do static stretching."

People can especially get in trouble when they go back to a sport they used to play, whether it's tennis, surfing or any sort of team activity.

Also, stretch both sides equally. Lacking flexibility on one side also can lead to injury.

Sounds simple. Why all the confusion? Different studies over the years have either encouraged or discouraged stretching before exercise. Behm says that partly because some studies didn't reflect real-life conditions, or were designed with elite athletes in mind, not regular people.

"If you’re Usain Bolt, it makes a difference," said Behm. Not so much for the rest of us.