The impact of physical exercise on the gastrointestinal tract

Current Opinion in Clinical Nutrition and Metabolic Care

Volumn 12, Issue 5, 2009, Pages 533-538

  De Oliveira, Erick Prado ^a   Burini, Roberto Carlos ^a  

^a SÃO PAULO STATE UNIVERSITY UNESP   (Brazil)

Author keywords

Gastrointestinal benefits; Gastrointestinal distress; Physical exercise

Indexed keywords

ABDOMINAL PAIN; ATHLETE; CANCER PREVENTION; CHOLELITHIASIS; COLON CANCER; COLON DIVERTICULOSIS; CONSTIPATION; CYCLING; DEHYDRATION; DIARRHEA; ENDURANCE SPORT; EXERCISE; EXERCISE INTENSITY; FOOD COMPOSITION; GASTROINTESTINAL HEMORRHAGE; GASTROINTESTINAL MOTILITY; GASTROINTESTINAL SYMPTOM; GASTROINTESTINAL TRACT FUNCTION; HEARTBURN; HORMONAL REGULATION; HUMAN; HYDRATION; INTESTINE ISCHEMIA; LIFESTYLE MODIFICATION; NAUSEA; PATHOPHYSIOLOGY; REVIEW; SWIMMING; VOMITING;

DIGESTIVE SYSTEM PHYSIOLOGICAL PHENOMENA; EXERCISE; GASTROINTESTINAL DISEASES; GASTROINTESTINAL TRANSIT; HUMANS; REGIONAL BLOOD FLOW; RUNNING; WATER-ELECTROLYTE BALANCE;

EID: 68449093748     PISSN: 13631950     EISSN: 14736519     Source Type: Journal    
DOI: 10.1097/MCO.0b013e32832e6776     Document Type: Review

References (68)

1. Galbo H. The hormonal response to exercise. Proc Nutr Soc 1985; 44:257-266.
2. Christensen NJ, Galbo H. Sympathetic nervous activity during exercise. Annu Rev Physiol 1983; 45:139-153.
3. Evans W. Functional and metabolic consequences of sarcopenia. J Nutr 1997; 127:998S-1003S.
4. Nair KS. Aging muscle. Am J Clin Nutr 2005; 81:953-963.
5. Pedersen BK, Fischer CP. Physiological roles of muscle-derived interleukin-6 in response to exercise. Curr Opin Clin Nutr Metab Care 2007; 10:265-271.
6. Blair SN, Jackson AS. Physical fitness and activity as separate heart disease risk factors: a meta-analysis. Med Sci Sports Exerc 2001; 33:762-764.
7. WCRF/AICR. Food, nutrition, physical activity, and the prevention of cancer: a global perspective. Washington, DC: World Cancer Research Fund International; 2007.
8. Meyerhardt JA, Giovannucci EL, Holmes MD, et al. Physical activity and survival after colorectal cancer diagnosis. J Clin Oncol 2006; 24:3527-3534.
9. Courneya KS, Friedenreich CM, Quinney HA, et al. A longitudinal study of exercise barriers in colorectal cancer survivors participating in a randomized controlled trial. Ann Behav Med 2005; 29:147-153.
10. Peddle CJ, Au HJ, Courneya KS. Associations between exercise, quality of life, and fatigue in colorectal cancer survivors. Dis Colon Rectum 2008; 51:1242-1248.
11. Peters HP, De Vries WR, Vanberge-Henegouwen GP, Akkermans LM. Potential benefits and hazards of physical activity and exercise on the gastrointestinal tract. Gut 2001; 48:435-439.
12. Simren M. Physical activity and the gastrointestinal tract. Eur J Gastroenterol Hepatol 2002; 14:1053-1056.
13. Casey E, Mistry DJ, MacKnight JM. Training room management of medical conditions: sports gastroenterology. Clin Sports Med 2005; 24:525-540; viii.
14. Dainese R, Serra J, Azpiroz F, Malagelada JR. Effects of physical activity on intestinal gas transit and evacuation in healthy subjects. Am J Med 2004; 116:536-539.
15. Bi L, Triadafilopoulos G. Exercise and gastrointestinal function and disease: an evidence-based review of risks and benefits. Clin Gastroenterol Hepatol 2003; 1:345-355.
16. Daley AJ, Grimmett C, Roberts L, et al. The effects of exercise upon symptoms and quality of life in patients diagnosed with irritable bowel syndrome: a randomised controlled trial. Int J Sports Med 2008; 29:778-782.
17. Raven PB, Fadel PJ, Ogoh S. Arterial baroreflex resetting during exercise: a current perspective. Exp Physiol 2006; 91:37-49.
18. Ogoh S. Autonomic control of cerebral circulation: exercise. Med Sci Sports Exerc 2008; 40:2046-2054.
19. Qamar MI, Read AE. Effects of exercise on mesenteric blood flow in man. Gut 1987; 28:583-587.
20. Oktedalen O, Lunde OC, Opstad PK, et al. Changes in the gastrointestinal mucosa after long-distance running. Scand J Gastroenterol 1992;27:270-274.
21. Heer M, Repond F, Hany A, et al. Acute ischaemic colitis in a female long distance runner. Gut 1987; 28:896-899.
22. Maresh CM, Gabaree-Boulant CL, Armstrong LE, et al. Effect of hydration status on thirst, drinking, and related hormonal responses during low-intensity exercise in the heat. J Appl Physiol 2004; 97:39-44.
23. Fox PC, van der Ven PF, Sonies BC, et al. Xerostomia: evaluation of a symptom with increasing significance. J Am Dent Assoc 1985; 110:519-525.
24. Moses FM. The effect of exercise on the gastrointestinal tract. Sports Med 1990; 9:159-172.
25. van Nieuwenhoven MA, Brouns F, Brummer RJ. Gastrointestinal profile of symptomatic athletes at rest and during physical exercise. Eur J Appl Physiol 2004; 91:429-434.
26. Rao KA, Yazaki E, Evans DF, Carbon R. Objective evaluation of small bowel and colonic transit time using pH telemetry in athletes with gastrointestinal symptoms. Br J Sports Med 2004; 38:482-487.
27. Kayaleh RA, Meshkinpour H, Avinashi A, Tamadon A. Effect of exercise on mouth-to-cecum transit in trained athletes: a case against the role of runners' abdominal bouncing. J Sports Med Phys Fitness 1996; 36:271-274.
28. Peters HP, Bos M, Seebregts L, et al. Gastrointestinal symptoms in long-distance runners, cyclists, and triathletes: prevalence, medication, and etiology. Am J Gastroenterol 1999; 94:1570-1581.
29. Smith JA. Exercise immunology and neutrophils. Int J Sports Med 1997; 18 (Suppl 1):S46-S55.
30. Sabbadini E, Berczi I. The submandibular gland: a key organ in the neuroimmuno-regulatory network? Neuroimmunomodulation 1995; 2:184-202.
31. Nehlsen-Cannarella SL, Nieman DC, Balk-Lamberton AJ, et al. The effects of moderate exercise training on immune response. Med Sci Sports Exerc 1991; 23:64-70.
32. Gleeson M, McDonald WA, Pyne DB, et al. Salivary IgA levels and infection risk in elite swimmers. Med Sci Sports Exerc 1999; 31:67-73.
33. Nieman DC, Nehlsen-Cannarella SL. The effects of acute and chronic exercise of immunoglobulins. Sports Med 1991; 11:183-201.
34. Hill JO, Melby C, Johnson SL, Peters JC. Physical activity and energy requirements. Am J Clin Nutr 1995; 62:1059S-1066S.
35. King NA, Burley VJ, Blundell JE. Exercise-induced suppression of appetite: effects on food intake and implications for energy balance. Eur J Clin Nutr 1994; 48:715-724.
36. Blundell JE, Stubbs RJ, Hughes DA, et al. Cross talk between physical activity and appetite control: does physical activity stimulate appetite? Proc Nutr Soc 2003; 62:651-661.
37. Martins C, Robertson MD, Morgan LM. Effects of exercise and restrained eating behaviour on appetite control. Proc Nutr Soc 2008; 67:28-41.
38. Broom DR, Batterham RL, King JA, Stensel DJ. Influence of resistance and aerobic exercise on hunger, circulating levels of acylated ghrelin, and peptide YY in healthy males. Am J Physiol Regul Integr Comp Physiol 2009; 296:R29-35.
39. Chanoine JP, Mackelvie KJ, Barr SI, et al. GLP-1 and appetite responses to a meal in lean and overweight adolescents following exercise. Obesity (Silver Spring) 2008; 16:202-204.
40. Lira CAB, Vancini RL, Silva AC, Noualhetas VLA. Effects of physical exercise on the gastrointestinal tract. Revista Brasileira de Medicina do Esporte 2008; 14:64-67.
41. ter Steege RW, Van der Palen J, Kolkman JJ. Prevalence of gastrointestinal complaints in runners competing in a long-distance run: an internet-based observational study in 1281 subjects. Scand J Gastroenterol 2008; 43: 1477-1482.
42. Collings KL, Pierce Pratt F, Rodriguez-Stanley S, et al. Esophageal reflux in conditioned runners, cyclists, and weightlifters. Med Sci Sports Exerc 2003; 35:730-735.
43. Swanson DR. Running, esophageal acid reflux, and atrial fibrillation: a chain of events linked by evidence from separate medical literatures. Med Hypotheses 2008; 71:178-185.
44. Becker KM, Moe CL, Southwick KL, MacCormack JN. Transmission of Norwalk virus during football game. N Engl J Med 2000; 343:1223-1227.
45. Lustyk MK, Jarrett ME, Bennett JC, Heitkemper MM. Does a physically active lifestyle improve symptoms in women with irritable bowel syndrome? Gastroenterol Nurs 2001; 24:129-137.
46. Caldarella MP, Serra J, Azpiroz F, Malagelada JR. Prokinetic effects in patients with intestinal gas retention. Gastroenterology 2002; 122:1748-1755.
47. Serra J, Azpiroz F, Malagelada JR. Impaired transit and tolerance of intestinal gas in the irritable bowel syndrome. Gut 2001; 48:14-19.
48. Serra J, Salvioli B, Azpiroz F, Malagelada JR. Lipid-induced intestinal gas retention in irritable bowel syndrome. Gastroenterology 2002; 123:700-706.
49. Lin HC. Small intestinal bacterial overgrowth: a framework for understanding irritable bowel syndrome. J Am Med Assoc 2004; 292:852-858.
50. Rudzki SJ, Hazard H, Collinson D. Gastrointestinal blood loss in triathletes: it's etiology and relationship to sports anaemia. Aust J Sci Med Sport 1995; 27:3-8.
51. Choi SC, Choi SJ, Kim JA, et al. The role of gastrointestinal endoscopy in long-distance runners with gastrointestinal symptoms. Eur J Gastroenterol Hepatol 2001; 13:1089-1094.
52. Gaudin C, Zerath E, Guezennec CY. Gastric lesions secondary to long-distance running. Dig Dis Sci 1990; 35:1239-1243.
53. Davies NM, Saleh JY, Skjodt NM. Detection and prevention of NSAID-induced enteropathy. J Pharm Pharm Sci 2000; 3:137-155.
54. Nieman DC. Exercise, upper respiratory tract infection, and the immune system. Med Sci Sports Exerc 1994; 26:128-139.
55. Akimoto T, Kumai Y, Akama T, et al. Effects of 12 months of exercise training on salivary secretory IgA levels in elderly subjects. Br J Sports Med 2003; 37:76-79.
56. Peters EM, Bateman ED. Ultramarathon running and upper respiratory tract infections. An epidemiological survey. S Afr Med J 1983; 64:582-584.
57. Peters EM, Goetzsche JM, Grobbelaar B, Noakes TD. Vitamin C supplementation reduces the incidence of postrace symptoms of upper-respiratory-tract infection in ultramarathon runners. Am J Clin Nutr 1993; 57:170-174.
58. Bishop NC, Blannin AK, Armstrong E, et al. Carbohydrate and fluid intake affect the saliva flow rate and IgA response to cycling. Med Sci Sports Exerc 2000; 32:2046-2051.
59. Walsh NP, Montague JC, Callow N, Rowlands AV. Saliva flow rate, total protein concentration and osmolality as potential markers of whole body hydration status during progressive acute dehydration in humans. Arch Oral Biol 2004; 49:149-154.
60. Sari-Sarraf V, Reilly T, Doran DA. Salivary IgA response to intermittent and continuous exercise. Int J Sports Med 2006; 27:849-855.
61. Sari-Sarraf V, Reilly T, Doran D, Atkinson G. Effects of repeated bouts of soccer-specific intermittent exercise on salivary IgA. Int J Sports Med 2008; 29:366-371.
62. Sari-Sarraf V, Reilly T, Doran DA, Atkinson G. The effects of single and repeated bouts of soccer-specific exercise on salivary IgA. Arch Oral Biol 2007; 52:526-532.
63. Malkova D, McLaughlin R, Manthou E, et al. Effect of moderate-intensity exercise session on preprandial and postprandial responses of circulating ghrelin and appetite. Horm Metab Res 2008; 40:410-415.
64. O'Connor AM, Johnston CF, Buchanan KD, et al. Circulating gastrointestinal hormone changes in marathon running. Int J Sports Med 1995; 16:283-287.
65. Greenberg GR, Marliss EB, Zinman B. Effect of exercise on the pancreatic polypeptide response to food in man. Horm Metab Res 1986; 18:194-196.
66. Holmqvist N, Secher NH, Sander-Jensen K, et al. Sympathoadrenal and parasympathetic responses to exercise. J Sports Sci 1986; 4:123-128.
67. Gingerich RL, Hickson RC, Hagberg JM, Winder WW. Effect of endurance exercise training on plasma pancreatic polypeptide concentration during exercise. Metabolism 1979; 28:1179-1182.
68. Cheng MH, Bushnell D, Cannon DT, Kern M. Appetite regulation via exercise prior or subsequent to high-fat meal consumption. Appetite 2009; 52:193-198.