Gastrointestinal function following endurance exercise under different environmental temperatures

Eur J Appl Physiol. 2024 May;124(5):1601-1608. doi: 10.1007/s00421-023-05387-x. Epub 2024 Jan 4.

Abstract

Purpose: We determined the effects of different environmental temperatures on exercise-induced gastrointestinal (GI) damage and delayed gastric emptying (GE) rate.

Methods: Eleven trained males completed three trials on different days, consisting of (1) exercise in a thermoneutral environment (CON, 23 °C), (2) exercise in a hot environment (HOT, 35 °C), and (3) exercise in a cold environment (COLD, 10 °C). The subjects performed high-intensity interval-type endurance exercises in all trials. Blood intestinal fatty acid binding protein (I-FABP) levels was determine before and after exercise. We evaluated Tmax (time when the 13C-excretion/h reached a maximum level) as an indication of the GE rate during post-exercise.

Results: Rectal temperature during exercise was significantly higher (P < 0.001) in the HOT (38.7 ± 0.3 °C) trial compared with the CON (38.2 ± 0.3 °C) and COLD (38.2 ± 0.3 °C) trials, with no significant difference between the CON and COLD trials. Plasma I-FABP level after exercise (relative to the pre-exercise level) were significantly greater (P = 0.005) in the HOT trial (92.9 ± 69.6%) than in the CON (37.2 ± 31.6%) and COLD (37.6 ± 41.8%) trials. However, there was no significant difference between the CON and COLD trials. Moreover, the Tmax was delayed significantly (P = 0.006) in the HOT trial compared with the CON and COLD trials, with no significant difference between the CON and COLD trials.

Conclusion: GI function following endurance exercise was similar between thermoneutral and cold environments, while endurance exercise in a hot environment exacerbated GI function compared with thermoneutral and cold environments.

Keywords: Cold stress; Endurance exercise; Gastric emptying rate; Gastrointestinal damage; Heat stress.

MeSH terms

  • Adult
  • Body Temperature / physiology
  • Cold Temperature
  • Exercise* / physiology
  • Fatty Acid-Binding Proteins* / blood
  • Gastric Emptying / physiology
  • Gastrointestinal Tract / physiology
  • Hot Temperature
  • Humans
  • Male
  • Physical Endurance* / physiology
  • Young Adult

Substances

  • Fatty Acid-Binding Proteins