The athletic gut microbiota.

Richard B Kreider, Jose Antonio, Paul J Arciero, Jessica A Ter Haar, Carmen P Ortega-Santos, Jamie N Pugh, Douglas S Kalman, Marco Pane, Craig J Wissent, Jonathan Scheiman, Laurent Bannock, Bill I Campbell, Alex E Mohr, Shawn M Arent, Shawn D Wells, David B Pyne, Michael Gleeson, Katherine Black, Nicholas P West, Jeremy R Townsend, Martin Purpura, Chad M Kerksick, Katie C Carpenter, Ralf Jäger

Journal: Journal of the International Society of Sports Nutrition 2020;17(1):24

PMID: 32398103

Abstract

The microorganisms in the gastrointestinal tract play a significant role in nutrient uptake, vitamin synthesis, energy harvest, inflammatory modulation, and host immune response, collectively contributing to human health. Important factors such as age, birth method, antibiotic use, and diet have been established as formative factors that shape the gut microbiota. Yet, less described is the role that exercise plays, particularly how associated factors and stressors, such as sport/exercise-specific diet, environment, and their interactions, may influence the gut microbiota. In particular, high-level athletes offer remarkable physiology and metabolism (including muscular strength/power, aerobic capacity, energy expenditure, and heat production) compared to sedentary individuals, and provide unique insight in gut microbiota research. In addition, the gut microbiota with its ability to harvest energy, modulate the immune system, and influence gastrointestinal health, likely plays an important role in athlete health, wellbeing, and sports performance. Therefore, understanding the mechanisms in which the gut microbiota could play in the role of influencing athletic performance is of considerable interest to athletes who work to improve their results in competition as well as reduce recovery time during training. Ultimately this research is expected to extend beyond athletics as understanding optimal fitness has applications for overall health and wellness in larger communities. Therefore, the purpose of this narrative review is to summarize current knowledge of the athletic gut microbiota and the factors that shape it. Exercise, associated dietary factors, and the athletic classification promote a more "health-associated" gut microbiota. Such features include a higher abundance of health-promoting bacterial species, increased microbial diversity, functional metabolic capacity, and microbial-associated metabolites, stimulation of bacterial abundance that can modulate mucosal immunity, and improved gastrointestinal barrier function.

Address: College of Health Solutions, Arizona State University, Phoenix, AZ, USA. [email protected].; Increnovo LLC, Milwaukee, WI, 53202, USA.; Isagenix International LLC, Gilbert, AZ, USA.; Exercise and Performance Nutrition Laboratory, School of Health Sciences, Lindenwood University, St. Charles, MO, USA.; Exercise and Nutrition Science Graduate Program, Lipscomb University, Nashville, TN, 37204, USA.; School of Medical Research and Menzies Health Institute of QLD, Griffith Health, Griffith University, Southport, Australia.; Department of Human Nutrition, University of Otago, Dunedin, New Zealand.; School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.; Research Institute for Sport and Exercise, University of Canberra, Canberra, ACT 2617, Australia.; WGI, Lewisville, TX, USA.; Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.; Exercise & Sport Nutrition Lab, Human Clinical Research Facility, Department of Health & Kinesiology, Texas A&M University, College Station, TX, 77843-4253, USA.; Performance & Physique Enhancement Laboratory, University of South Florida, Tampa, FL, USA.; Institute of Performance Nutrition, London, UK.; Fitbiomics, Inc, New York, NY, USA.; Jamieson Wellness Inc., 4025 Rhodes Drive, Windsor, Ontario, N8W 5B5, Canada.; Bioloab Research, Via E. Mattei 3, 28100, Novara, Italy.; Scientific Affairs, Nutrasource Diagnostics, Inc. Guelph, Guelph, Ontario, Canada.; Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Tom Reilly Building, Byrom St Campus, Liverpool, L3 3AF, UK.; College of Health Solutions, Arizona State University, Phoenix, AZ, USA.; International Probiotic Association, Los Angeles, CA, USA.; Health and Human Physiological Sciences Department, Skidmore College, Saratoga Springs, NY, USA.; Exercise and Sport Science, Nova Southeastern University, Davie, FL, USA.
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