My passion for sports, particularly football, has been a defining aspect of my identity for as long as I can remember. Anyone who knows me knows of my unwavering enthusiasm for the football game, as well as my broader love for sports in general.

Whether it's the thrill of watching a closely contested match, the camaraderie among fellow fans, or the appreciation for the athleticism and skill on display, my dedication to sports is an integral part of who I am.

From eagerly following my favourite team, the mighty Reds- Manchester United, to engaging in spirited debates about game strategies and player performances, my passion for sports brings me joy, excitement, and a sense of connection to a global community of enthusiasts who share in the exhilaration of competition and the beauty of athletic achievement.

For those who follow the game, it's common knowledge that the Red Devils have historically been one of the most successful teams not only in England but on a global scale.

However, it's been a bittersweet period for our beloved treble-winning team as they've struggled to replicate their past glories in recent years. Despite their storied history and a legacy of triumphs, the team has faced challenges and has yet to consistently deliver the top-tier performances that fans have come to expect in the last couple of years.

While watching sports can be quite enjoyable, recent research into international football has identified a number of physiological responses associated with spectatorship, including heightened cortisol and testosterone levels on match days causing unhealthy stress.

Cortisol is a hormone that plays a significant role in the body's response to stress, often referred to as the "fight or flight" response.

When faced with a perceived threat or stressful situation, cortisol is released by the adrenal glands. This hormone serves several functions, including increasing blood sugar levels to provide the body with quick energy, suppressing non-essential functions like digestion and immune response, and sharpening focus, awareness and concentration—all of which can be crucial in responding to immediate threats.

In ancestral times, this stress response was indeed beneficial for our ancestors, as it helped them react swiftly and effectively to physical dangers, such as predators. It prepared the body to either confront the threat (fight) or flee from it (flight), thereby enhancing their chances of survival.

However, in modern society, chronic stress and sustained high levels of cortisol due to ongoing life pressures can have detrimental effects on health, including increased risk of various physical and mental health issues.

So while cortisol's role in the "fight or flight" response was advantageous for our ancestors, its continuous activation in our fast-paced and often stress-filled lives can have adverse consequences.

Recent scientific literature has shown that football fans who are strongly fused or bonded with their teams—like many of us—are more likely to experience higher concentrations of stress hormones, which sometimes can reach dangerous levels.

For many fans, watching their team play can evoke intense emotions, and the outcome of a game can have a genuine impact on their mood and stress levels.

While these physiological responses are a natural part of being emotionally invested in a team, it's essential to note that they are typically temporary and not inherently dangerous.

However, in extreme cases or when combined with other stressors, they could contribute to negative health effects.

It's also worth mentioning that for most people, the emotional benefits and sense of belonging and community that come from being a dedicated sports fan outweigh the occasional stress response associated with intense games.

As with any form of entertainment and recreation, moderation is key, and fans should be aware of their emotional responses and seek healthy ways to manage stress when necessary.

While it's natural to feel stress when watching sports, especially in high-stakes situations, addressing and managing this stress is important for one's overall well-being, enjoyment, and maintaining a balanced perspective on sports as a form of entertainment.

Firstly, setting realistic expectations for the game's outcome can help reduce anxiety. Engaging in relaxation techniques like deep breathing or mindfulness exercises during tense moments can be effective in managing stress.

Creating a comfortable and inviting viewing environment, perhaps with friends or family, can foster a sense of camaraderie and support.

Limiting alcohol consumption and staying hydrated can also contribute to a more measured emotional response. In the world of football, loyalty runs deep, but so does the potential for stress-related heart risks.

As we continue to support our teams through thick and thin, let's also pledge allegiance to our own heart's well-being, ensuring that the passion for the game leaves a legacy of health, not heartache.

It's crucial to remember that watching football is ultimately a form of entertainment, and maintaining a healthy perspective, along with post-game debriefing or physical activity, can help dissipate stress and promote a positive connection with the beloved game.

While watching football matches, people should always remember that a healthy mind is needed for a healthy heart, and by the end "it is just a game”.

Dr Vincent Mutabazi is an applied epidemiologist.