Chris Coleman is concerned by the deterioration in his health since he became Fulham manager but he still would not trade his job for any other.

Coleman took over the Craven Cottage coaching reins in April 2003 and has experienced a roller-coaster ride since with the club lurching from the top four to a relegation battle in successive seasons.

The strain of overseeing a Barclays Premiership side has taken its toll physically and while the punishing schedule continues, Coleman has drawn comfort from conversations with his rivals.

“I had sleepless nights in the first year when we were fourth at Christmas – you still worry about everything before the game even though you’re winning,” he said.

“We beat Charlton last Saturday which put us in a healthy position and I slept that night. But the next night I was up again, thinking about Wigan and the results over the next week.

“In the first game of the season against Birmingham I put the heart monitor on and after 20 minutes of standing still my heart rate went up to 144. When I played my maximum was 188.

“That can’t be good and it’s got worse during the season. My health has definitely got worse over the last three years. The stress is there – nerves and anxiety.

“My blood pressure has gone up and I suffer from a lack of sleep. I talk to other managers like Steve Bruce, Sam Allardyce and David Moyes and they all say the same thing.

“It’s there for every manager and you either cope with it or you don’t. It’s not going to get any easier.”

Fulham’s performance has been encouraging under Coleman, who steered the club to their best ever top flight finish with ninth in 2004.

Last season they completed the Premiership campaign in 12th and this term they have never seriously looked like going down – a reasonable return given the budget Coleman is forced to operate on.

But Fulham’s crippling inconsistency has made life difficult for their boss who despite his difficulty in unwinding outside of the game, loves his job like no other.

“I can switch off with my children, although I don’t spend enough time with them.

“If it’s a school night I try to do their homework with them – not that they ask because they know more than me anyway – and I can switch off for an hour. But then I’ll put Sky Sports on. It’s ongoing.

“But my family and friends enjoy me doing the job as much as I do. They see it as a wonderful opportunity for me.

“I’m lucky I’m still doing it. It’s a hard job but don’t get me wrong, I wouldn’t swap it for anything.”