Repeated-Sprint Exercise in the Heat Increases Indirect Markers of Gastrointestinal Damage in Well-Trained Team-Sport Athletes

Int J Sport Nutr Exerc Metab. 2022 May 1;32(3):153-162. doi: 10.1123/ijsnem.2021-0150. Epub 2022 Feb 7.

Abstract

Introduction: Athletes engaged in repeated-sprint training in the heat can be at an increased risk of gastrointestinal ischemia and damage in response to a redistribution of blood to working skeletal muscles and the skin. This study investigated the effects of repeated sprinting in hot and cool conditions on markers of gastrointestinal damage.

Methods: Twenty-five, well-trained, nonheat acclimated male team-sport athletes completed a five-session, repeated-sprint training regimen over 7 days in either HOT (40 °C and 40% relative humidity [RH]) or COOL (20 °C and 40% RH) conditions. Participants underwent a 20-min warm-up and four sets of 5 × 6-s maximal cycling sprints, with 24-s rest and 5-min recovery between sets. Venous blood was collected pre-, post-, and 1 hr postexercise and analyzed for intestinal fatty acid binding protein, lipopolysaccharide binding protein, soluble CD14, and heat-shock protein.

Results: Intestinal fatty acid binding protein concentrations were significantly increased (p < .004) postexercise (593 and 454 pg/ml) and 1 hr postexercise (466 and 410 pg/ml) on both Days 1 and 5 in HOT. Soluble CD14 increased by 398 and 308 ng/ml postexercise (p = .041), and lipopolysaccharide binding protein increased by 1,694 ng/ml postexercise on Day 1 in HOT (p < .05) and by 1,520 ng/ml on Day 5 in COOL (p = .026). Core and skin temperature, rating of perceived exertion, and thermal sensation were higher (p < .05) in HOT on Days 1 and 5 during sprinting.

Conclusions: Repeated sprinting in the heat induced greater thermal strain and mild changes in gastrointestinal damage, likely attributable to the combination of environmental conditions and maximal-intensity exercise.

Keywords: endotoxemia; gut; hyperthermia; maximal exercise.

MeSH terms

  • Acute-Phase Proteins
  • Athletes
  • Carrier Proteins
  • Fatty Acid-Binding Proteins
  • Gastrointestinal Tract* / physiopathology
  • Heart Rate / physiology
  • Heat-Shock Proteins
  • Hot Temperature*
  • Humans
  • Lipopolysaccharide Receptors*
  • Male
  • Membrane Glycoproteins
  • Running*

Substances

  • Acute-Phase Proteins
  • Carrier Proteins
  • Fatty Acid-Binding Proteins
  • Heat-Shock Proteins
  • Lipopolysaccharide Receptors
  • Membrane Glycoproteins
  • lipopolysaccharide-binding protein