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The impact of physical exercise on the gastrointestinal tract.
Curr Opin Clin Nutr Metab Care. 2009 Sep; 12(5):533-8.CO

Abstract

PURPOSE OF REVIEW

Physical exercise can be both beneficial and harmful for the gastrointestinal tract in a dose-effect relationship between its intensity and health. Mild-to-moderate intensity exercises play a protective role against colon cancer, diverticular disease, cholelithiasis and constipation, whereas acute strenuous exercise may provoke heartburn, nausea, vomiting, abdominal pain, diarrhea and even gastrointestinal bleeding. This review focuses on mechanisms involved in those symptoms and their associations with type of exercises in humans.

RECENT FINDINGS

One quarter to one half of elite athletes are hampered by the gastrointestinal symptoms that may deter them from participation in training and competitive events. Vigorous exercise-induced gastrointestinal symptoms are often attributed to altered motility, mechanical factor or altered neuroimmunoendocrine secretions. Training, lifestyle modifications, meal composition, adequate hydration and avoidance of excessive use of some medications are the recommendations.

SUMMARY

Strenuous exercise and dehydrated states would be the causes of gastrointestinal symptoms referred by 70% of the athletes. Gut ischemia would be the main cause of nausea, vomiting, abdominal pain and (bloody) diarrhea. The frequency is almost twice as high during running than during other endurance sports as cycling or swimming and 1.5-3.0 times higher in the elite athletes than the recreational exercisers.

Authors+Show Affiliations

Centre for Physical Exercise and Nutrition Metabolism, UNESP School of Medicine, Public Health Department, Botucatu City, São Paulo State, Brazil.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

19535976

Citation

de Oliveira, Erick Prado, and Roberto Carlos Burini. "The Impact of Physical Exercise On the Gastrointestinal Tract." Current Opinion in Clinical Nutrition and Metabolic Care, vol. 12, no. 5, 2009, pp. 533-8.
de Oliveira EP, Burini RC. The impact of physical exercise on the gastrointestinal tract. Curr Opin Clin Nutr Metab Care. 2009;12(5):533-8.
de Oliveira, E. P., & Burini, R. C. (2009). The impact of physical exercise on the gastrointestinal tract. Current Opinion in Clinical Nutrition and Metabolic Care, 12(5), 533-8. https://doi.org/10.1097/MCO.0b013e32832e6776
de Oliveira EP, Burini RC. The Impact of Physical Exercise On the Gastrointestinal Tract. Curr Opin Clin Nutr Metab Care. 2009;12(5):533-8. PubMed PMID: 19535976.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of physical exercise on the gastrointestinal tract. AU - de Oliveira,Erick Prado, AU - Burini,Roberto Carlos, PY - 2009/6/19/entrez PY - 2009/6/19/pubmed PY - 2009/10/29/medline SP - 533 EP - 8 JF - Current opinion in clinical nutrition and metabolic care JO - Curr Opin Clin Nutr Metab Care VL - 12 IS - 5 N2 - PURPOSE OF REVIEW: Physical exercise can be both beneficial and harmful for the gastrointestinal tract in a dose-effect relationship between its intensity and health. Mild-to-moderate intensity exercises play a protective role against colon cancer, diverticular disease, cholelithiasis and constipation, whereas acute strenuous exercise may provoke heartburn, nausea, vomiting, abdominal pain, diarrhea and even gastrointestinal bleeding. This review focuses on mechanisms involved in those symptoms and their associations with type of exercises in humans. RECENT FINDINGS: One quarter to one half of elite athletes are hampered by the gastrointestinal symptoms that may deter them from participation in training and competitive events. Vigorous exercise-induced gastrointestinal symptoms are often attributed to altered motility, mechanical factor or altered neuroimmunoendocrine secretions. Training, lifestyle modifications, meal composition, adequate hydration and avoidance of excessive use of some medications are the recommendations. SUMMARY: Strenuous exercise and dehydrated states would be the causes of gastrointestinal symptoms referred by 70% of the athletes. Gut ischemia would be the main cause of nausea, vomiting, abdominal pain and (bloody) diarrhea. The frequency is almost twice as high during running than during other endurance sports as cycling or swimming and 1.5-3.0 times higher in the elite athletes than the recreational exercisers. SN - 1473-6519 UR - https://www.unboundmedicine.com/medline/citation/19535976/The_impact_of_physical_exercise_on_the_gastrointestinal_tract_ L2 - https://doi.org/10.1097/MCO.0b013e32832e6776 DB - PRIME DP - Unbound Medicine ER -