Sports, hobbies, travel:
Yes, but with the necessary medical guidance!

Physical activity
and sports:

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 bleeds.

With proper treatment, children and adults with haemophilia can now participate in sports, though always in consultation with their treating physician, who may or may not place restrictions on the type of sport.

Swimming, table tennis, jogging on 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 in 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.

Travel:

Every trip is an opportunity for all of us to rest, have fun and relax with our loved ones. Of course, people with haemophilia are no exception. With the right preparation and organization, people with haemophilia can travel without anxiety about the possibility of a bleeding. Below you can find some tips:

Before departure, the traveler with haemophilia should have with them a summary of their medical history from the Haemophilia Center that is monitoring them. If traveling abroad, it must be translated into English or the language of the country of destination. In addition, the traveler should have identified the Haemophilia Centers at their destination and, if it is a foreign country, be aware of the applicable insurance coverage procedures.

If they are self-administering the treatment, they should have sufficient quantities for the duration of their stay, as well as the equipment needed to administer it. Medication and equipment must be transported and maintained safely both during the journey and at the place of destination. If the person is traveling by plane, treatment and equipment should be shown to the luggage control personnel.

References:

1. The United States Centers for Disease Control and Prevention.
Travel Safe with a Bleeding Disorder. 2020. Available at: http://www.cdc.gov/ncbddd/hemophilia/travel-safe.html . Accessed June 2021
2.Ross C, et al. Athletic participation in severe hemophilia: Bleeding and joint outcomes in children on prophylaxis. Pediatrics 2009; 124(5): 1267-1272.
3. Srivastava A, Santagostino E, Dougall A, et al. WFH Guidelines for the Management of Hemophilia, 3rd edition. Haemophilia. 2020: 26(Suppl 6): 1-158. https://doi.org/10.1111/hae.14046

Initiated by:
This information is intended to inform and update the public and may in no way serve as a substitute to consultation with a doctor or other professional health service.
M-SG-00000340-06-2021
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