Prevalence of gastrointestinal complaints during national triathlon competition

  • Clarissa Leite Dantas Universidade Federal do Tocantins (UFT)
  • Luana Ávila Belous Universidade Federal do Tocantins (UFT)
  • Matilde Bosaipo Matos Universidade Federal do Tocantins (UFT)
  • Tatienne Neder Figueira da Costa Universidade Federal do Tocantins (UFT)
Keywords: Gastrointestinal disorders, Physical exercise, Pathophysiology

Abstract

Introduction: It is notoriously known that physical exercise promotes many beneficial effects on the gastrointestinal tract. However, among individuals practicing predominantly aerobic exercises and long-lasting, as runners, cyclists and triathletes, the prevalence of gastrointestinal symptoms is common, a condition that can impair performance during a race. Objective: to evaluate the prevalence of gastrointestinal symptoms during national triathlon competition. Materials and Methods: The study included 11 amateur triathletes, of both sexes (33.3 ± 8.5% men and 25.0 women), age (33.3 ± 8.5 years), body weight (76.8 ± 9.1kg men and 60.1 ± 4.4kg women) who responded to the finish a questionnaire about the presence of symptoms of upper gastrointestinal tract and lower during the competition. Results and Discussion: Of the 14 reported incidents, 78.6% were related to upper gastrointestinal tract and only 21.4% related to lower symptoms. The most prevalent symptom (36.0%) was the belching, followed by lateral pain, which amounted to 21.0% of the sample. There are several etiologic factors involved in the onset of gastrointestinal symptoms during exercise, such as intestinal hypoperfusion endotoxemia, dehydration, diet, mechanical factors, as well as aspects related to the exercise, which possibly explains the symptomatic prevalence observed in this study. Conclusion: the evaluated triathletes had several gastrointestinal symptoms, and those of the upper gastrointestinal tract predominantly.

References

-Brock-Utne, J.G.; Gaffin, S.L.; Wells, M.T.; Gathiram, P.; Sohar, E.; James, M.F.; Morrell, D.F.; Norman, R.J. Endotoxemia in exhausted runners after a long-distance race. South African Medical Journal. Vol. 73. Num. 9. 1988. p. 533-536.

-Brouns, F.; Saris, W.H.; Rehrer, N.J. Abdominal Complaints and Gastrointestinal Function During Long-Lasting Exercise. International Journal of Sports Medicine. Vol. 8. Num. 3. 1987. p. 175-189.

-Casa, D.J.; Armstrong, L.E.; Hillman, S.K.; Montain, S.J.; Reiff, R.V; Rich, B.S.E; Roberts, W.O.; Stone, J.A. National Athletic Trainers’ Association Position Statement: Fluid Replacement for Athletes. Journal of Athletic Training. Vol. 35. Num. 2. 2000. p. 212-224.

-Choi, S.C.; Choi, S.J.; Kim, J.A.; Nah, Y.H.; Yazaki, E.; Evans, D.F. The role of gastrointestinal endoscopy in long-distance runners with gastrointestinal symptoms. European Journal of Gastroenterology & Hepatology. Vol. 13. Num. 9. 2001. p. 1089-1094.

-Collings, K.L.; Pierce, P.F.; Rodriguez-Stanley, S.; Bemben, M.; Miner, P.B. Esophageal reflux in conditioned runners, cyclists, and weightlifters. Medicine and Science in Sports and Exercise. Vol. 35. Num. 5. 2003. p. 730-735.

-Eichner, E.R. Stitch in the Side: Causes, Workup, and Solutions. Current Sports Medicine Reports. Vol. 5. Num. 6. 2006. p. 289-292.

-Glace, B.; Murphy, C.; McHugh, M. Food and fluid intake and disturbances in gastrointestinal and mental function during an ultramarathon. International Journal of Sport Nutrition and Exercise Metabolism. Vol. 12. Num. 4. 2002. p. 414-427.

-Haaf, D.S.M.T.; Worp, M.P.V.D.; Groenewoud, H.M.M.; Leij-Halfwerk, S.; Der Sanden, M.W.G.N.; Verbeek, A.L.M. Nutritional Indicators for gastrointestinal symptoms in female runners: the ‘Marikenloop study’. British Medical Journal Open. Vol. 4. Num. 8. 2014. p.1-9.

-Heer, M.; Repond, F.; Hany, A.; Sulser, H.; Kehl, O.; Jäger, K. Acute ischaemic colitis in a female long distance runner. Gut. Vol. 28. Num. 7. 1987. p. 896-899.

-Jeukendrup, A.E.; Vet-Joop, K.; Sturk, A.;Stegen, J.H.J.C.; Senden, J.; Saris, W.H.M.; Wagenmakers, A.J.M. Relationship between gastrointestinal complaints and endotoxaemia, cytokine release and the acute-phase reaction during and after a long-distance triathlon in highly trained men. Clinical Science. Vol. 98. Num. 1. 2000. p. 47-55.

-Kenney, W.L.; Ho, C.W. Age alters regional distribution of blood flow during moderate-intensity exercise. Journal of Applied Physiology. Vol. 79. Num. 4. 1995. p. 1112-1119.

-Koukias, N.; Woodland, P.; Yazaki, E.; Sifrim, D. Supragastric Belching: Prevalence and Association with Gastroesophageal Reflux Disease and Esophageal Hypomotility. Journal of Neurogastroenterology and Motility. Vol. 21. Num. 3. 2015. p. 398-403.

-Lira,C.A.B.; Vancini, R.L.; Silva, A.C.; Nouailhetas, V.L.A. Efeitos do Exercício Físico Sobre o Trato Gastrintestinal. Revista Brasileira de Medicina do Esporte. Vol. 14. Num. 1. 2008. p. 64-67.

-Morton, D.P. Exercise related transient abdominal pain. British Journal of Sports Medicine. Vol. 37. Num. 4. 2003. p. 287-288.

-Morton, D.P.; Callister, R. Characteristics and etiology of exercise-related transient abdominal pain. Medicine and Science in Sports and Exercise. Vol. 32. Num. 2. 2000. p. 432-438.

-Morton, D.R.; Callister, R. Factors influencing exercise related transient abdominal pain. Medicine and Science in Sports and Science. Vol. 34. Num. 5. 2002. p. 745-749.

-Morton, D.P.; Richards, D.; Callister, R. Epidemiology of exercise-related transient abdominal pain at the Sydney City to Surf community run. Journal of Science and Medicine in Sport. Vol. 8. Num. 2. 2005. p. 152-162.

-Neufer, P.D.; Young, A.J.; Sawka, M.N. Gastric emptying during running and walking: effects of varied exercise intensity. European Journal of Applied Physiology. Vol. 58. Num. 4. 1989. p. 440-445.

-Oektedalen, O.; Lunde, O.C.; Opstad, P.K.; Aabakken, L.; Kvernebo, K.Changes in the gastro-intestinal mucose after long-distance running. Scandinavian Journal of Gastroenterology. Vol. 27. Num. 4. 1992. p. 270-274.

-Oliveira, E.P.; Burini, R.C. The impact of physical exercise on the gastrointestinal tract. Current Opinion Clinical Nutrition and Metabolic Care. Vol. 12. Num. 5. 2009. p. 533-538.

-Oliveira, E.P.; Burini, R.C.; Jeukendrup, A. Gastrointestinal Complaints During Exercise: Prevalence, Etiology and Nutritional Recommendations. Sports Medicine. Vol. 44. Supl. 1. 2014. p. 79-85.

-Oliveira, E.P.; Jeukendrup, A. Nutritional Recommendations to Avoid Gastrointestinal Complaints during Exercise. Sports Science Exchange. Vol. 26. Num. 114. 2013. p.1-4.

-Peters, H.P.; Bos, M.; Seebregts, L.; Akkermans, L.M.; Van Berge-Henegouwen, G.P.; Bol, E.; Mosterd, W.L.; De Vries, W.R. Gastrointestinal symptoms in long-distance runners, cyclists, and triathletes: prevalence, medication, and etiology. The American Journal of Gastroenterology. Vol. 94. Num. 6. 1999. p. 1570-1581.

-Peters, H.P.; De Vries, W.R.; Akkermans, L.M.; Van Berge-Henegouwen, G.P.; Koerselman, J.; Wiersma, J.W.; Bol, E.; Mosterd, W.L. Duodenal motility during a run-bike-run protocol: the effect of a sports drink. European Journal of Gastroenterology & Hepatology. Vol. 14. Num. 10. 2002. p. 1125-1132.

-Rehrer, N.J.; Beckers, E.J.; Brouns, F.; Hoor, F.T.; Saris W.H. Effects of dehydration on gastric emptying and gastrointestinal distress while running. Medicine & Science in Sports & Exercise. Vol. 22. Num. 6. 1990. p. 790-795.

-Rehrer, N.J; Janssen, G.M.; Brouns, F.; Saris, W.H. Fluid Intake and Gastrointestinal Problems in Runners Competing in a 25-km Race and a Marathon. International Journal of Sports Medicine. Vol. 10. Supl. 1. 1989. p. 22-25.

-Rehrer, N.J.; Smets, A.; Reynaert, H.; Goes, E.; De Meirleir, K. Effect of exercise on portal vein blood flow in man. Medicine and Science in Sports and Exercise. Vol. 33. Num. 9. 2001. p. 1533-1537.

-Simons, S.M.; Kennedy, R.G. Gastrointestinal problems in runners. Current Sports Medicine Reports. Vol. 3. Num. 2. 2004. p. 112-116.

-Simren, M. Physical activity and the gastrointestinal tract. European Journal of Gastroenterology & Hepatology. Vol. 14. Num. 10. 2002. p. 1053-1056.

-Tack, J.; Talley, N.J.; Camilleri, M.; Holtmann, G.; Hu, P.; Malagelada, J.R.; Stanghellini, V. Functional gastroduodenal disorders. Gastroenterology. Vol. 130. Num. 5. 2006. p. 1466-1479.

-Ter Steege, R.W.F.; Kolkman, J.J. Review article: the pathophysiology and managementof gastrointestinal symptoms during physical exercise, and the role of splanchnic blood flow. Alimentary Pharmacology & Therapeutics. Vol. 35. Num. 5. 2012. p. 516-528.

-Ter Steege, R.W.; Van der Palen, J.; Kolkman, J.J. Prevalence of gastrointestinalcomplaints in runners competing in a long-distance run: an Internet-based observational study in 1281 subjects. Scandinavian Journal of Gastroenterology. Vol. 43. Num. 12. 2008. p. 1477-1482.

-Van Deventer, S.J.; Gouma, D. Bacterial translocation and endotoxin transmigration in intestinal ischaemia and reperfusion. Current Opinion in Anesthesiology, Vol. 7. Num. 2. 1994. p. 126-130.

-Viola, T.A. Evaluation of the athlete with exertional abdominal pain. Current Sports Medicine Reports. Vol. 9. Num. 2. 2010. p. 106-110.

-Waterman, J.J.; Kapur, R. Upper Gastrointestinal Issues in Athletes. Current Sports Medicine Reports. Vol. 11. Num. 2. 2012. p. 99-104.

Published
2017-06-12
How to Cite
Dantas, C. L., Belous, L. Ávila, Matos, M. B., & Costa, T. N. F. da. (2017). Prevalence of gastrointestinal complaints during national triathlon competition. RBNE - Brazilian Journal of Sports Nutrition, 11(64), 477-484. Retrieved from https://www.rbne.com.br/index.php/rbne/article/view/835
Section
Scientific Articles - Original