Sports Dietitians Australia and Ultra Sports Science Foundation Joint Position Statement: A Practitioner Guide to the Prevention and Management of Exercise-Associated Gastrointestinal Perturbations and Symptoms

Gordon B, Levine SA, Wilmaers A. Observations on a group of marathon runners: with special reference to the circulation. Arch Intern Med. 1924;33(4):425–34. https://doi.org/10.1001/archinte.1924.00110280023003.

Article  Google Scholar 

www.history.com/topics/sports/olympic-games.

Costa RJS, Snipe RMJ, Kitic CM, Gibson PR. Systematic review: exercise-induced gastrointestinal syndrome-implications for health and intestinal disease. Aliment Pharmacol Ther. 2017;46(3):246–65. https://doi.org/10.1111/apt.14157. (Epub 20170607).

Article  CAS  PubMed  Google Scholar 

Brouns F, Saris WH, Rehrer NJ. Abdominal complaints and gastrointestinal function during long-lasting exercise. Int J Sports Med. 1987;8(3):175–89. https://doi.org/10.1055/s-2008-1025653.

Article  CAS  PubMed  Google Scholar 

Rehrer NJ, Beckers E, Brouns F, ten Hoor F, Saris WH. Exercise and training effects on gastric emptying of carbohydrate beverages. Med Sci Sports Exerc. 1989;21(5):540–9.

Article  CAS  PubMed  Google Scholar 

Rehrer NJ, van Kemenade M, Meester W, Brouns F, Saris WH. Gastrointestinal complaints in relation to dietary intake in triathletes. Int J Sport Nutr. 1992;2(1):48–59. https://doi.org/10.1123/ijsn.2.1.48.

Article  CAS  PubMed  Google Scholar 

Rehrer NJ, Meijer GA. Biomechanical vibration of the abdominal region during running and bicycling. J Sports Med Phys Fitness. 1991;31(2):231–4.

CAS  PubMed  Google Scholar 

Worobetz LJ, Gerrard DF. Gastrointestinal symptoms during exercise in Enduro athletes: prevalence and speculations on the aetiology. N Z Med J. 1985;98(784):644–6.

CAS  PubMed  Google Scholar 

Scrivin R, Costa RJ, Pelly F, Lis D, Slater G. Development and validation of a questionnaire investigating endurance athletes practices to manage gastrointestinal symptoms around exercise. Nutr Diet. 2021;78(3):286–95. https://doi.org/10.1111/1747-0080.12674. (Epub 20210527).

Article  PubMed  Google Scholar 

Scrivin R, Costa RJS, Pelly F, Lis D, Slater G. An exploratory study of the management strategies reported by endurance athletes with exercise-associated gastrointestinal symptoms. Front Nutr. 2022;9:1003445. https://doi.org/10.3389/fnut.2022.1003445. (Epub 20221109).

Article  CAS  PubMed  PubMed Central  Google Scholar 

Gaskell SK, Costa RJS. Applying a low-FODMAP dietary intervention to a female ultraendurance runner with irritable bowel syndrome during a multistage ultramarathon. Int J Sport Nutr Exerc Metab. 2019;29(1):61–7. https://doi.org/10.1123/ijsnem.2017-0398. (Epub 20180926).

Article  CAS  PubMed  Google Scholar 

Gaskell SK, Rauch CE, Costa RJS. Gastrointestinal assessment and therapeutic intervention for the management of exercise-associated gastrointestinal symptoms: a case series translational and professional practice approach. Front Physiol. 2021;12: 719142. https://doi.org/10.3389/fphys.2021.719142. (Epub 20210907).

Article  PubMed  PubMed Central  Google Scholar 

Lis D, Ahuja KD, Stellingwerff T, Kitic CM, Fell J. Case study: utilizing a low FODMAP diet to combat exercise-induced gastrointestinal symptoms. Int J Sport Nutr Exerc Metab. 2016;26(5):481–7. https://doi.org/10.1123/ijsnem.2015-0293. (Epub 20160824).

Article  PubMed  Google Scholar 

Mujika I. Case Study: Long-term low-carbohydrate, high-fat diet impairs performance and subjective well-being in a world-class vegetarian long-distance triathlete. Int J Sport Nutr Exerc Metab. 2019;29(3):339–44. https://doi.org/10.1123/ijsnem.2018-0124. (Epub 20181113).

Article  CAS  PubMed  Google Scholar 

Costa RJ, Gill S, Hankey J, Scheer V, Murray A, Thake D. Compromised energy and nutritional intake of ultra-endurance runners during a multi-stage ultra-marathon conducted in a hot ambient environment. Int J Sports Sci. 2013;3(2):51–61. https://doi.org/10.5923/j.sports.20130302.03.

Article  Google Scholar 

Costa RJ, Gill SK, Hankey J, Wright A, Marczak S. Perturbed energy balance and hydration status in ultra-endurance runners during a 24 h ultra-marathon. Br J Nutr. 2014;112(3):428–37. https://doi.org/10.1017/s0007114514000907. (Epub 20140513).

Article  CAS  PubMed  Google Scholar 

Costa RJ, Snipe R, Camões-Costa V, Scheer V, Murray A. The impact of gastrointestinal symptoms and dermatological injuries on nutritional intake and hydration status during ultramarathon events. Sports Med Open. 2016;2:16. https://doi.org/10.1186/s40798-015-0041-9. (Epub 20160105).

Article  PubMed  PubMed Central  Google Scholar 

Engebretsen L, Soligard T, Steffen K, Alonso JM, Aubry M, Budgett R, et al. Sports injuries and illnesses during the London Summer Olympic Games 2012. Br J Sports Med. 2013;47(7):407–14. https://doi.org/10.1136/bjsports-2013-092380. (Epub 20130320).

Article  PubMed  Google Scholar 

Jeukendrup AE, Vet-Joop K, Sturk A, Stegen JH, Senden J, Saris WH, et al. Relationship between gastro-intestinal complaints and endotoxaemia, cytokine release and the acute-phase reaction during and after a long-distance triathlon in highly trained men. Clin Sci (Lond). 2000;98(1):47–55.

Article  CAS  PubMed  Google Scholar 

Pfeiffer B, Stellingwerff T, Hodgson AB, Randell R, Pöttgen K, Res P, et al. Nutritional intake and gastrointestinal problems during competitive endurance events. Med Sci Sports Exerc. 2012;44(2):344–51. https://doi.org/10.1249/MSS.0b013e31822dc809.

Article  CAS  PubMed  Google Scholar 

Benmassaoud A, Kanber Y, Nawar J, Bessissow T. Exercise-induced ischemic colitis in an amateur marathon runner. Endoscopy. 2014;46(Suppl 1 UCTN):E480. https://doi.org/10.1055/s-0034-1377536. (Epub 20141014).

Article  PubMed  Google Scholar 

Cohen DC, Winstanley A, Engledow A, Windsor AC, Skipworth JR. Marathon-induced ischemic colitis: why running is not always good for you. Am J Emerg Med. 2009;27(2):255.e5-7. https://doi.org/10.1016/j.ajem.2008.06.033.

Article  PubMed  Google Scholar 

García Gavilán MC, Morales Alcázar F, Montes Aragón C, Sánchez Cantos AM. Ischemic colitis of the right colon after triathlon: the importance of high clinical suspicion. Gastroenterol Hepatol. 2021;44(8):565–6. https://doi.org/10.1016/j.gastrohep.2020.08.010. (Epub 20201112).

Article  PubMed  Google Scholar 

Grames C, Berry-Cabán CS. Ischemic colitis in an endurance runner. Case Rep Gastrointest Med. 2012;2012: 356895. https://doi.org/10.1155/2012/356895. (Epub 20121010).

Article  PubMed  PubMed Central  Google Scholar 

Robertson JD, Maughan RJ, Davidson RJ. Faecal blood loss in response to exercise. Br Med J (Clin Res Ed). 1987;295(6593):303–5. https://doi.org/10.1136/bmj.295.6593.303.

Article  CAS  PubMed  Google Scholar 

Gaskell SK, Rauch CE, Parr A, Costa RJS. Diurnal versus nocturnal exercise-effect on the gastrointestinal tract. Med Sci Sports Exerc. 2021;53(5):1056–67. https://doi.org/10.1249/mss.0000000000002546.

Article  CAS  PubMed  Google Scholar 

Gaskell SK, Burgell R, Wiklendt L, Dinning P, Costa RJS. Does exertional heat stress impact gastrointestinal function and symptoms? J Sci Med Sport. 2022;25(12):960–7. https://doi.org/10.1016/j.jsams.2022.10.008. (Epub 20221017).

Article  PubMed  Google Scholar 

Gaskell SK, Burgell R, Wiklendt L, Dinning PG, Costa RJS. Impact of exercise duration on gastrointestinal function and symptoms. J Appl Physiol (1985). 2023;134(1):160–71. https://doi.org/10.1152/japplphysiol.00393.2022. (Epub 20221208).

Article  CAS  PubMed  Google Scholar 

Gaskell SK, Henningsen K, Young P, Gill P, Muir J, Henry R, et al. The impact of a 24-h low and high fermentable oligo- di- mono-saccharides and polyol (FODMAP) diet on plasma bacterial profile in response to exertional-heat stress. Nutrients. 2023. https://doi.org/10.3390/nu15153376. (Epub 20230729).

Article  PubMed  PubMed Central  Google Scholar 

Gill SK, Hankey J, Wright A, Marczak S, Hemming K, Allerton DM, et al. The impact of a 24-h ultra-marathon on circulatory endotoxin and cytokine profile. Int J Sports Med. 2015;36(8):688–95. https://doi.org/10.1055/s-0034-1398535. (Epub 20150505).

Article  CAS  PubMed 

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