Gastric emptying during walking and running: effects of varied exercise intensity
Abstract
Gastric emptying is increased during running (50%-70% maximal aerobic uptake, VO2max) as compared to rest. Whether this increase varies as a function of mode (i.e. walking vs running) and intensity of treadmill exercise is unknown. To examine the gastric emptying characteristics of water during treadmill exercise performed over a wide range of intensities relative to resting conditions, 10 men ingested 400 ml of water prior to each of six 15 min exercise bouts or 15 min of seated rest. Three bouts of walking exercise (1.57 m.s-1) were performed at increasing grades eliciting approximately 28%, 41% or 56% of VO2max. On a separate day, three bouts of running (2.68 ms-1) exercise were performed at grades eliciting approximately 57%, 65% or 75% of VO2max. Gastric emptying was increased during treadmill exercise at all intensities excluding 75% VO2max as compared to rest. Gastric emptying was similar for all intensities during walking and at 57% and 65% VO2max during running. However, running at 74% VO2max decreased the volume of original drink emptied as compared to all lower exercise intensities. Stomach secretions were markedly less during running as compared to walking and rest. These data demonstrate that gastric emptying is similarly increased during both moderate intensity (approximately 28%-65% VO2max) walking or running exercise as compared to resting conditions. However, gastric emptying decreases during high intensity exercise. Increases in gastric emptying during moderate intensity treadmill exercise may be related to increases in intragastric pressure brought about by contractile activity of the abdominal muscles.
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At higher exercise intensities, such as above 70% VO2max, gastric emptying appears to be delayed.
“at higher intensities (e.g., above 70% VO2max), gastric emptying appears to be delayed [121–124].”
From The athletic gut microbiota (2020) · cites this paper as [123]
Cites
The Physiology and Pathophysiology of Gastric Emptying in Humans
Minami, H., & McCallum, R. W. (1984) · Gastroenterology · doi:10.1016/s0016-5085(84)80178-x · Cited by 511 · see citing works
Regulation of the Gastric Emptying of Glucose
Brener, W., Hendrix, T. R., & McHugh, P. R. (1983) · Gastroenterology · doi:10.1016/s0016-5085(83)80232-7 · Cited by 438 · see citing works
Thermoregulatory and blood responses during exercise at graded hypohydration levels
Sawka, M. N., Young, A. J., Francesconi, R. P., Muza, S. R., & PANDOLF, K. B. (1985) · Journal of Applied Physiology · doi:10.1152/jappl.1985.59.5.1394 · Cited by 402 · see citing works
Self-citationPhysiology of Man in the Desert
Adolph, E. F. (1969) · Medical Entomology and Zoology · Cited by 372 · see citing works
Factors limiting gastric emptying during rest and exercise.
COSTILL, D. L., & Saltin, B. (1974) · Journal of Applied Physiology · doi:10.1152/jappl.1974.37.5.679 · Cited by 332 · see citing works
WORK IN THE HEAT AS AFFECTED BY INTAKE OF WATER, SALT AND GLUCOSE
Pitts, G. C., Johnson, R. E., & Consolazio, F. C. (1944) · American Journal of Physiology-Legacy Content · doi:10.1152/ajplegacy.1944.142.2.253 · Cited by 218 · see citing works
Cardiovascular Adjustments to Thermal Stress
Rowell, L. B. (1983) · Comprehensive physiology · doi:10.1002/cphy.cp020327 · Cited by 199 · see citing works
Gastric emptying and intestinal absorption during prolonged severe exercise.
Fordtran, J. S., & Saltin, B. (1967) · Journal of Applied Physiology · doi:10.1152/jappl.1967.23.3.331 · Cited by 170 · see citing works
Murray, R. D. (1987) · Sports Medicine · doi:10.2165/00007256-198704050-00002 · Cited by 157 · see citing works
Schedl, H. P. (1966) · Gut · doi:10.1136/gut.7.2.159 · Cited by 118 · see citing works
Effects of exercise and carbohydrate composition on gastric emptying
Neufer, P. D., COSTILL, D. L., Fink, W. J., Kirwan, J. P., Fielding, R. A., & Flynn, M. G. (1986) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198612000-00009 · Cited by 67 · see citing works
Self-citationGastric Emptying Characteristics of Glucose and Glucose Polymer Solutions
Foster, C., COSTILL, D. L., & Fink, W. J. (1980) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.1980.10605198 · Cited by 63 · see citing works
Opiates and the gastrointestinal tract.
Konturek, S. J. (1980) · PubMed · Cited by 61 · see citing works
Effect of exercise on postprandial gastric secretion and emptying in humans
Feldman, M., & Nixon, J. V. I. (1982) · Journal of Applied Physiology · doi:10.1152/jappl.1982.53.4.851 · Cited by 52 · see citing works
Gastric Emptying Rates for Selected Athletic Drinks
Coyle, E. F., COSTILL, D. L., Fink, W. J., & Hoopes, D. G. (1978) · Research Quarterly for Exercise and Sport · doi:10.1080/10671315.1978.10615516 · Cited by 45 · see citing works
Gastric-emptying characteristics of two glucose polymer-electrolyte solutions
Seiple, R., Vivian, V. M., Fox, E. L., & BARTELS, R. L. (1983) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198315050-00004 · Cited by 31 · see citing works
Intestinal water and electrolyte flux of glucose-polymer electrolyte solutions
WHEELER, K. B., & Banwell, J. G. (1986) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198608000-00013 · Cited by 29 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
National athletic trainers' association position statement: fluid replacement for athletes.
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. (2000) · Europe PMC (PubMed Central) · Cited by 884 · see citing works
Mohr, A. E., Jäger, R., Carpenter, K. C., Kerksick, C. M., Purpura, M., Townsend, J. R., West, N. P., Black, K., Gleeson, M., Pyne, D. B., et al. (2020) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-020-00353-w · Cited by 378 · see citing works
Potential benefits and hazards of physical activity and exercise on the gastrointestinal tract
Peters, H. P. F., de Vries, W. R., Henegouwen, G. P. V. B., & Akkermans, L. M. A. (2001) · Gut · doi:10.1136/gut.48.3.435 · Cited by 336 · see citing works
The Thermophysiology of Uncompensable Heat Stress
Cheung, S. S., McLellan, T. M., & Tenaglia, S. A. (2000) · Sports Medicine · doi:10.2165/00007256-200029050-00004 · Cited by 303 · see citing works
Thermoregulation and Marathon Running
Cheuvront, S. N., & Haymes, E. M. (2001) · Sports Medicine · doi:10.2165/00007256-200131100-00004 · Cited by 285 · see citing works
Role of CRF in Stress‐Related Alterations of Gastric and Colonic Motor Functiona
Taché, Y., Mönnikes, H., Bonaz, B. L., & Rivier, J. (1993) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1993.tb49936.x · Cited by 206 · see citing works
Hazell, T. J., Islam, H., Townsend, L. K., Schmale, M. S., & Copeland, J. L. (2015) · Appetite · doi:10.1016/j.appet.2015.12.016 · Cited by 177 · see citing works
King, N. A., Horner, K., Hills, A. P., Byrne, N. M., Wood, R. E., Bryant, E., Caudwell, P., Finlayson, G., Gibbons, C., Hopkins, M., et al. (2012) · British Journal of Sports Medicine · doi:10.1136/bjsm.2010.082495 · Cited by 169 · see citing works
“Overall, the evidence points to a delay in gastric emptying with strenuous exercise (>70% VO2max).[49-57], whilst mild to moderate exercise stimulates (i.”
BackgroundThe Effect of Exercise on the Gastrointestinal Tract1
Moses, F. M. (1990) · Sports Medicine · doi:10.2165/00007256-199009030-00004 · Cited by 159 · see citing works
Exercise induces gastric ischemia in healthy volunteers: a tonometry study
Otte, J. A., Oostveen, E., Geelkerken, R. H., Groeneveld, A. B. J., & Kolkman, J. J. (2001) · Journal of Applied Physiology · doi:10.1152/jappl.2001.91.2.866 · Cited by 138 · see citing works
Gao, R., Tao, Y., Zhou, C., Li, J., Wang, X., Chen, L., Li, F., & Guo, L. (2019) · Scandinavian Journal of Gastroenterology · doi:10.1080/00365521.2019.1568544 · Cited by 134 · see citing works
Acute Exercise and Gastric Emptying: A Meta-Analysis and Implications for Appetite Control
Horner, K. M., Schubert, M. M., Desbrow, B., Byrne, N. M., & King, N. A. (2015) · Sports Medicine · doi:10.1007/s40279-014-0285-4 · Cited by 128 · see citing works
Is There an Exercise-Intensity Threshold Capable of Avoiding the Leaky Gut?
Ribeiro, F. M., Petriz, B. A., Marques, G., Kamilla, L. H., & Franco, O. L. (2021) · Frontiers in Nutrition · doi:10.3389/fnut.2021.627289 · Cited by 118 · see citing works
Physical activity and the gastrointestinal tract
Simrén, M. (2002) · European Journal of Gastroenterology & Hepatology · doi:10.1097/00042737-200210000-00003 · Cited by 81 · see citing works
The effects of exercise on the pharmacokinetics of drugs.
Khazaeinia, T., Ramsey, A. A., & Tam, Y. K. (2000) · PubMed · Cited by 79 · see citing works
Association of Gastrointestinal Distress in Ultramarathoners With Race Diet
Stuempfle, K. J., Hoffman, M. D., & Hew-Butler, T. (2013) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.23.2.103 · Cited by 78 · see citing works
“…(~25–70% VO2max) has been reported to not change (Carrio et al., 1989) or to increase gastric emptying (Neufer et al., 1986; Neufer, Young, & Sawka, 1989), whereas highintensity running (>75% VO2max) decreases gastric emptying (Leiper, Nicholas, Ali, Williams, & Maughan, 2005; Neufer et al., 1989).”
BackgroundMcLellan, T. M., & Selkirk, G. A. (2006) · Industrial Health · doi:10.2486/indhealth.44.414 · Cited by 77 · see citing works
Maleki, B. H., Tartibian, B., Mooren, F. C., FitzGerald, L., Krüger, K., Chehrazi, M., & Malandish, A. (2017) · Cytokine · doi:10.1016/j.cyto.2017.12.016 · Cited by 76 · see citing works
RetractedOxidation of Solid versus Liquid CHO Sources during Exercise
Pfeiffer, B., Stellingwerff, T., Zaltas, E., & Jeukendrup, A. E. (2010) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181e0efc9 · Cited by 75 · see citing works
“Gastric volume and moderate-intensity exercise are potent factors to enhance gastric emptying (2,5,25,28,29).”
BackgroundDiagnosis and treatment of chronic gastroparesis and chronic intestinal pseudo-obstruction
Smith, D. S., Williams, C. S., & Ferris, C. D. (2003) · Gastroenterology Clinics of North America · doi:10.1016/s0889-8553(03)00028-1 · Cited by 70 · see citing works
“Strenuous activity, however, such as long-distance running, can have a negative effect on gastric function [70,71].”
BackgroundCurrent Concepts in Diabetic Gastroparesis
Smith, D. S., & Ferris, C. D. (2003) · Drugs · doi:10.2165/00003495-200363130-00002 · Cited by 68 · see citing works
Effect of heavy exercise on gastrointestinal transit in endurance athletes
Strid, H., Simrén, M., Störsrud, S., Stotzer, P.-O., & Sadik, R. (2011) · Scandinavian Journal of Gastroenterology · doi:10.3109/00365521.2011.558110 · Cited by 65 · see citing works
“The emptying of liquids and solids from the stomach appears to be unchanged or accelerated at low exercise intensities [7,8], whereas high-intensity training delays gastric emptying [7].”
BackgroundDrenowatz, C. J. (2015) · Advances in Nutrition · doi:10.3945/an.115.008615 · Cited by 65 · see citing works
“The reduction in energy intake after exercise has been attributed to a reduction in appetite, which has been shown, in response to high-intensity aerobic exercise, as a result of a delay in gastric emptying (7, 53, 54).”
BackgroundThe effects of weight loss strategies on gastric emptying and appetite control
Horner, K., Byrne, N., Cleghorn, G. J., Näslund, E., & King, N. (2011) · Obesity Reviews · doi:10.1111/j.1467-789x.2011.00901.x · Cited by 60 · see citing works
“In general, the evidence clearly supports a delay in gastric emptying during strenuous exercise (147–153), and although there is some disparity (154,155), there is an acceleration in gastric emptying during mild to moderate exercise (150,156,157).”
BackgroundPark, C. H., Park, J. C., Kim, E. H., Chung, H., An, J. Y., Kim, H., Shin, S. K., Lee, S. K., Cheong, J., Hyung, W. J., et al. (2014) · Gastrointestinal Endoscopy · doi:10.1016/j.gie.2014.06.024 · Cited by 58 · see citing works
“Variable SEMS placement (n [ 217) Palliative GJJ (n [ 39) P value Procedure time, min, median (range) 10 (5-50) 84 (42-137) !.”
BackgroundInfluentialCasa, D. J. (1999) · Europe PMC (PubMed Central) · Cited by 52 · see citing works
Walking During the Postprandial Period Decreases Alimentary Lipaemia
Hardman, A. E., & Aldred, H. E. (1995) · Journal of Cardiovascular Risk · doi:10.1177/174182679500200111 · Cited by 59 · see citing works
Gastric emptying of a carbohydrate-electrolyte drink during a soccer match
LEIPER, J. B., PRENTICE, A. S., WRIGHTSON, C., & MAUGHAN, R. J. (2001) · Medicine and Science in Sports and Exercise · doi:10.1097/00005768-200111000-00020 · Cited by 44 · see citing works
The Impact of Morning versus Afternoon Exercise on Iron Absorption in Athletes
McCormick, R., Moretti, D., McKay, A. K. A., Laarakkers, C. M., vanSwelm, R., Trinder, D., Cox, G. R., Zimmermann, M. B., Sim, M., Goodman, C., et al. (2019) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002026 · Cited by 47 · see citing works
“Moreover, rates of gastric emptying have been shown to be equivalent, or even enhanced, during moderate intensity exercise up to 70% V̇O2max, such as the 90-min protocol used here (36,37).”
BackgroundGastrointestinal Symptoms During Exercise
Peters, H. P. F., Akkermans, L. M. A., Bol, E., & MOSTERD, W. L. (1995) · Sports Medicine · doi:10.2165/00007256-199520020-00002 · Cited by 43 · see citing works
Walking and chewing reduce postprandial acid reflux
Avidan, B., Sonnenberg, A., Schnell, T. G., & Sontag, S. J. (2001) · Alimentary Pharmacology & Therapeutics · doi:10.1046/j.1365-2036.2001.00902.x · Cited by 41 · see citing works
Chun, A. K., Asselin, P. K., Knezevic, S., Kornfeld, S. D., Bauman, W. A., Korsten, M. A., Harel, N. Y., Huang, V. S., & Spungen, A. M. (2019) · Spinal Cord · doi:10.1038/s41393-019-0392-z · Cited by 39 · see citing works
ROWE, J. T., KING, R. F. G. J., KING, A. J., MORRISON, D. J., PRESTON, T., WILSON, O. J., & O’HARA, J. P. (2021) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002764 · Cited by 37 · see citing works
“The potential for a lower rate of gastric emptying during running (18,49) may have been tempered in the present study by the hydrogel solution because a faster rate of gastric emptying can be achieved when CHO is ingested as a hydrogel compared with a standard CHO solution (28).”
BackgroundInfluentialJeon, H. H., Park, C. H., Park, J. C., Shim, C. N., Kim, S., Lee, H. J., Lee, H., Shin, S. K., Lee, S. K., & Lee, Y. C. (2013) · Surgical Endoscopy · doi:10.1007/s00464-013-3268-x · Cited by 37 · see citing works
“Gastric emptying of liquids and solid food appears to be slightly accelerated at lower exercise intensity [17], and colonic transit time is accelerated after physical activity [18–20].”
BackgroundStrenuous exercise decreases motility and cross-sectional area of human gastric antrum
Brown, B., Ketelaar, M. A., Schulze‐Delrieu, K., Abu‐Yousef, M. M., & Brown, C. K. (1994) · Digestive Diseases and Sciences · doi:10.1007/bf02087541 · Cited by 34 · see citing works
Effect of Ingested Fluid Composition on Exercise-Related Transient Abdominal Pain
Morton, D. P., Vargas, A., & Callister, R. (2004) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.14.2.197 · Cited by 31 · see citing works
Selkirk, G. A., McLellan, T. M., & Wong, J. (2006) · Ergonomics · doi:10.1080/00140130600558007 · Cited by 28 · see citing works
“…and temperature (Wimer et al. 1997, McLellan and Cheung 2000) of the fluid ingested, the rate of gastric emptying from the stomach, the rate at which fluid is absorbed from the small intestine (Neufer et al. 1989a, Mitchell and Voss 1991) and type of exercise being performed (Neufer et al. 1989b).”
BackgroundWang, Y., Kondo, T., Suzukamo, Y., Oouchida, Y., & Izumi, S. (2010) · The Tohoku Journal of Experimental Medicine · doi:10.1620/tjem.222.155 · Cited by 29 · see citing works
“Formerly, increases in gastric emptying during mild intensity treadmill exercise was assumed to be related to increases in intragastric pressure brought about by contractile activity of the abdominal muscles (Neufer et al. 1989).”
BackgroundEnhanced Postprandial Gastric Myoelectrical Activity After Moderate-Intensity Exercise
Lu, C., Shidler, N., & Chen, J. D. Z. (2000) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2000.01762.x · Cited by 27 · see citing works
A Guide to Treating Ironman Triathletes at the Finish Line
MAYERS, L. B., & Noakes, T. D. (2000) · The Physician and Sportsmedicine · doi:10.3810/psm.2000.08.1157 · Cited by 26 · see citing works
Gastrointestinal symptoms during long-distance walking
Peters, H. P. F., ZWEERS, M., BACKX, F. J. G., Bol, E., HENDRIKS, R. H. A., Mosterd, W. L., & de Vries, W. R. (1999) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199906000-00002 · Cited by 25 · see citing works
Lam, S., & Hart, A. R. (2017) · Diseases of the Esophagus · doi:10.1093/dote/dox099 · Cited by 23 · see citing works
“Finally, low or moderate intensity (30-60% of VO2max) running or walking increases rather than delays gastric emptying and may therefore decrease reflux risk.(8) As the type and intensity of physical”
BackgroundMelin, B., Cur�, M., Jimenez, C., Koulmann, N., Savourey, G., & Bittel, J. H. M. (1994) · European Journal of Applied Physiology · doi:10.1007/bf00571443 · Cited by 23 · see citing works
Gastrointestinal Disorders in the Athlete
Green, G. A. (1992) · Clinics in Sports Medicine · doi:10.1016/s0278-5919(20)30540-8 · Cited by 21 · see citing works
Proposed new mechanism for food and exercise induced anaphylaxis based on case studies
Chen, J. Y. F., Quirt, J., & Lee, K. J. (2013) · Allergy Asthma and Clinical Immunology · doi:10.1186/1710-1492-9-11 · Cited by 20 · see citing works
“This is supported by the concurrent onset of increased heart rate and decreased acid production with escalating difficulty of exercise [24].”
BackgroundBarney, D. E., Ippolito, J., Berryman, C. E., & Hennigar, S. R. (2022) · Journal of Nutrition · doi:10.1093/jn/nxac129 · Cited by 26 · see citing works
A Review of Psychophysiological Stressors on Pharmacokinetics
Peng, H. T., & Cheung, B. (2011) · The Journal of Clinical Pharmacology · doi:10.1177/0091270010393344 · Cited by 20 · see citing works
Gastrointestinal Problems Related to Endurance Event Training
Halvorsen, F.-A., & Ritland, S. (1992) · Sports Medicine · doi:10.2165/00007256-199214030-00002 · Cited by 18 · see citing works
Shin, Y. S., Choi, C. W., Kang, D. H., Kim, H. W., Kim, S. J., Cho, M., Hwang, S.-H., & Lee, S.-H. (2015) · Scandinavian Journal of Gastroenterology · doi:10.3109/00365521.2015.1064992 · Cited by 17 · see citing works
“Because gastric emptying of food and colonic transit time could be accelerated at lower exercise intensity [24,25], poorer performance status might impair the clinical success of SEMS placement, even if SEMS placement is technically successful.”
BackgroundSavoie, F. A., Dion, T., Asselin, A., Gariepy, C., Boucher, P., Berrigan, F., & Goulet, E. D. B. (2015) · Physiological Measurement · doi:10.1088/0967-3334/36/2/259 · Cited by 16 · see citing works
“…running and cycling exercises (Rehrer et al 1990) and that it diminishes as exercise intensity surpasses 70–75% of V̇O2max (Costill and Saltin 1974, Neufer et al 1989), it is reasonable to estimate the gastric emptying rate of our participants to have averaged no more than 18 ml min−1 during…”
BackgroundLam, S., Alexandre, L., Luben, R., & Hart, A. R. (2017) · European Journal of Gastroenterology & Hepatology · doi:10.1097/meg.0000000000000998 · Cited by 15 · see citing works
“exercise such as walking also increases gastric emptying and may therefore decrease reflux episodes [7].”
BackgroundTroubles hépato-digestifs du sportif
Watelet, J., & Bigard, M. (2005) · Gastroentérologie Clinique et Biologique · doi:10.1016/s0399-8320(05)82123-2 · Cited by 14 · see citing works
“Si l’acclimatation à des températures élevées ne modifie pas la motricité gastrique [50], la prévention de la déshydratation apparaît comme un des facteurs prépondérants pour éviter la survenue de crampes épigastriques ou de nausées : une déshydratation inférieure à 3 % du poids du corps ne devrait pas occasionner de…”
Oh, H.-H., Cho, S. B., Hong, J.-Y., Kim, D. H., Yang, H., Kim, S., Lee, J., Kim, S., Han, Y.-D., Seo, G.-S., et al. (2022) · Medicine · doi:10.1097/md.0000000000030156 · Cited by 14 · see citing works
“These patients may, therefore, have decreased peristalsis, resulting in lower rates of stent migration.[31,32] However, this study had some limitations.”
Lee, J. E., Lee, K., Hong, Y. S., Kim, E. R., Lee, H., & Min, B. (2015) · PLoS ONE · doi:10.1371/journal.pone.0140648 · Cited by 13 · see citing works
“This limited activity could result in decreased bowel movement [11, 12] and might lead to reduced clinical success rates despite successful deployment of the SEMS in the proper position across the stricture site.”
BackgroundPredictors of Gastrointestinal Transit Times in Colon Capsule Endoscopy
Moen, S., Vuik, F. E. R., Voortman, T., Kuipers, E. J., & Spaander, M. C. W. (2022) · Clinical and Translational Gastroenterology · doi:10.14309/ctg.0000000000000498 · Cited by 12 · see citing works
“In line with this, previous literature has shown that physical activity can accelerate small bowel transit, but with increasing intensity, it can cause delayed gastric emptying (16, 26).”
Song, Q., Wang, J., Jia, Y., Wang, C., Wang, N., Tan, B., Ma, W., Guan, S., Jiang, D., & Cheng, Y. (2014) · Annals of Surgical Oncology · doi:10.1245/s10434-014-3628-3 · Cited by 12 · see citing works
Stocks, B., Betts, J. A., & McGawley, K. (2016) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/sms.12544 · Cited by 11 · see citing works
“…70% of VO max2 ) than those used to calculate exogenous carbohydrate oxidation rates (∼ 50–60% of VO max2 ), gastric emptying (Costill & Saltin, 1974; Neufer et al., 1989) and intestinal absorption (Lang et al., 2006) may become limiting to carbo- hydrate delivery and therefore performance, such…”
BackgroundExercise-induced hypohydration impairs 3 km treadmill-running performance in temperate conditions
Funnell, M. P., Embleton, D., Morris, T., Macrae, H. Z., Hart, N., Mazzotta, T., Lockyer, W., Juett, L. A., Mears, S. A., & James, L. J. (2023) · Journal of Sports Sciences · doi:10.1080/02640414.2023.2259728 · Cited by 11 · see citing works
“Increasing exercise intensity also reduces gastric emptying rate (Leiper et al., 2001; Neufer et al., 1989) and may cause gastrointestinal distress, which in turn reduces fluid intake.”
BackgroundEffect of Carbohydrate Mouth Rinse on Performance after Prolonged Submaximal Cycling
Jensen, M. B., Klimstra, M. D., Sporer, B. C., & Stellingwerff, T. (2017) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001529 · Cited by 10 · see citing works
“, interval workouts) when blood shunting away from the GI tract can cause GI issues (25).”
BackgroundEffects of ranitidine for exercise induced gastric mucosal changes and bleeding
Choi, S. J. (2006) · World Journal of Gastroenterology · doi:10.3748/wjg.v12.i16.2579 · Cited by 10 · see citing works
“It has been reported that as intensity increases, gastric emptying is delayed [13, 19 ]”
BackgroundLambert, G. P., BLEILER, T. L., Chang, R.-T., Johnson, A. K., & GISOLFI, C. V. (1993) · International Journal of Sport Nutrition · doi:10.1123/ijsn.3.2.177 · Cited by 11 · see citing works
Gastrointestinal function following endurance exercise under different environmental temperatures
Sumi, D., Okazaki, K., & Goto, K. (2024) · European Journal of Applied Physiology · doi:10.1007/s00421-023-05387-x · Cited by 10 · see citing works
“Several physiological factors affect the GE rate, including appetite-regulating hormone secretions (Neufer et al. 1986; Houmard et al. 1991; Leiper et al. 2001), GI blood flow (Neufer et al. 1989a, b) and sympathetic/parasympathetic activities (Cammack et al. 1982).”
Franke, A., Harder, H., Orth, A. K., Zitzmann, S., & Singer, M. V. (2008) · PubMed · Cited by 9 · see citing works
Funnell, M. P., Juett, L. A., Ferrara, R., Mears, S. A., & James, L. J. (2023) · Physiology & Behavior · doi:10.1016/j.physbeh.2023.114227 · Cited by 7 · see citing works
“, only at scheduled breaks, such as half-time or full-time), reduced gastric emptying (due to high intensity exercise) potentially resulting in gastrointestinal discomfort, palatability of the fluid, an athlete’s knowledge of the need for fluid, and awareness of sweat losses [5,7,27].”
BackgroundHydration for Athletic Performance
Muñoz, C. X., & Johnson, E. C. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-813922-6.00045-x · Cited by 6 · see citing works
Isoflurane anesthesia suppresses gastric myoelectric power in the ferret
Tomaselli, L., Sciullo, M., Fulton, S., Yates, B. J., Fisher, L. E., Ventura, V., & Horn, C. C. (2024) · Neurogastroenterology & Motility · doi:10.1111/nmo.14749 · Cited by 4 · see citing works
The Interaction Between Exercise, Appetite, and Food Intake
King, N. A., Horner, K. M., Hills, A. P., Byrne, N. M., Wood, R. E., Bryant, E. J., Caudwell, P., Finlayson, G., Gibbons, C., Hopkins, M., et al. (2013) · American Journal of Lifestyle Medicine · doi:10.1177/1559827613475584 · Cited by 4 · see citing works
“Overall, the evidence points to a delay in gastric emptying with strenuous exercise,(64-72) whereas mild to moderate exercise stimulates (ie, accelerates) gastric emptying.(69,70,73-75) There have also been reports of no change in gastric emptying with moderate-intensity exercise.”
BackgroundExercise-Induced Gastrointestinal Symptoms
Green, G. A. (1993) · The Physician and Sportsmedicine · doi:10.1080/00913847.1993.11710430 · Cited by 4 · see citing works
Importance of Gastrointestinal Function to Athletic Performance and Health
Rehrer, N. J., Laughlin, J. M., & Wasse, L. K. (2013) · doi:10.1002/9781118692318.ch43 · Cited by 4 · see citing works
Effects of exercise on gastrointestinal function
Lorenzo‐Figueras, M., & Merritt, A. M. (2013) · Elsevier eBooks · doi:10.1016/b978-0-7020-4771-8.00046-6 · Cited by 3 · see citing works
The Consequences of Exercise on Thirst and Fluid Intake
GREENLEAF, J. E. (1991) · ILSI human nutrition reviews · doi:10.1007/978-1-4471-1817-6_27 · Cited by 3 · see citing works
Appearance of D2O in Sweat after Oral and Oral-Intravenous Rehydration in Men
Emmanuel, H., Casa, D. J., Beasley, K. N., Lee, E. C., McDermott, B. P., Yamamoto, L. M., Armstrong, L. E., & Maresh, C. M. (2011) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0b013e31821e4bba · Cited by 3 · see citing works
“The degree of thermal stress is inversely related to the gastric emptying rate (23,25).”
BackgroundGISOLFI, C. V. (2003) · Springer eBooks · doi:10.1007/978-1-4614-7543-9_12 · Cited by 2 · see citing works
Kim, W. J., Choi, C. W., Kim, S. J., Ryu, D. G., Park, S. B., Jang, J. O., Lee, C. M., Jo, H., Synn, S. B., Choi, E. J., et al. (2025) · Surgical Endoscopy · doi:10.1007/s00464-025-12032-5 · Cited by 1 · see citing works
“Even after technically successful SEMS placement, these patients may not achieve symptomatic relief due to reduced gastric emptying and colonic motility, which are known to respond to even low levels of physical exertion [21, 22].”
Pathologie hépatogastroentérologique du sportif
Watelet, J., & Bronowicki, J. (2005) · EMC - Hépato-Gastroenterologie · doi:10.1016/j.emchg.2004.12.001 · Cited by 1 · see citing works
Supressão do apetite induzida pelo exercício físico
de Freitas, M. C., Silva, V. E. L. D. M. E., Malta, T. E. D. N., de Moura, H. P. D. S. N., Ribeiro, S. L. G., & Wai, F. E. W. W. (2020) · Conexões · doi:10.20396/conex.v18i0.8657880 · Cited by 2 · see citing works
Intestinal Adaptation to Environmental Stress
Horvath, P. J., & Weiser, M. M. (1996) · Comprehensive physiology · doi:10.1002/cphy.cp040265 · Cited by 1 · see citing works
Sport et hydratation de l'organisme
Melin, B. (1997) · Revue Française des Laboratoires · doi:10.1016/s0338-9898(97)80212-0 · Cited by 1 · see citing works
Gastrointestinal Function and Exercise
Rehrer, N. J., & GERRARD, D. F. (2000) · Wiley eBooks · doi:10.1002/9780470693766.ch18
Exercise Tonometry for the Diagnosis of Chronic Gastrointestinal Ischemia
Otte, J. A. (2006) · EUR Research Repository (Erasmus University Rotterdam)
Carbohydrate intake and metabolism during prolonged endurance exercise
Pfeiffer, B. (2010) · University of Birmingham Institutional Research Archive (University of Birmingham)
Exercise and Obesity: Lifestyle Modification as a Means in Prevention and Treatment
Pavlou, K. N. (2008) · World review of nutrition and dietetics · doi:10.1159/000152983
der Abteilung, A., & Hamburg, K. (2007)
Jensen, M. (2018) · UVic’s Research and Learning Repository (University of Victoria)
EFECTOS DEL EJERCICIO EN ENFERMEDADES DEL TUBO DIGESTIVO
Pino-Zúñiga, J., Gómez, S., Olivares, M., Quera, R., Simian, D., Escaffi, M. J., & Patricio Ibáñez, L. (2020) · Revista Médica Clínica Las Condes · doi:10.1016/j.rmclc.2020.05.004 · Cited by 1 · see citing works
Gastrointestinal Considerations
Moses, F. M. (2003) · Wiley eBooks · doi:10.1002/9780470757277.ch26
Luu, M. N., & Quach, D. T. (2024) · Revista de Gastroenterología de México · doi:10.1016/j.rgmx.2024.09.008
Luu, M. N., & Quach, D. T. (2025) · Revista de Gastroenterología de México (English Edition) · doi:10.1016/j.rgmxen.2024.09.008
Intestinal Adaptation to Environmental Stress
Horvath, P. J., & Weiser, M. M. (1994) · Comprehensive physiology · doi:10.1002/j.2040-4603.1994.tb01213.x
Tsintzas, O. K. (1993) · doi:10.12681/eadd/4687 · Cited by 2 · see citing works
- Authors
- Neufer, P. D., Young, A. J., & Sawka, M. N.
- Affiliations
- U.S. Army Research Institute of Environmental Medicine (US)
- Venue
- European Journal of Applied Physiology and Occupational Physiology
- Published
- 1989
- Volume
- 58
- Issue
- 4
- Pages
- 440-445
- ISSN
- 0020-9376 (ISSN-L)
- 0301-5548
- 1439-6327
- OpenAlex
- W2075497073
- Cited by
- 91
- References
- 17
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 4 · 2015: 6 · 2014: 3 · 2013: 6
- FWCI
- 5.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Journal of Applied Physiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
- Keywords
- gastric emptying, exercise intensity, walking, running, treadmill exercise, VO2max, intragastric pressure, abdominal muscle contraction
- MeSH terms
- Adult, Physical Exertion, Gastric Emptying, Humans, Male, Rest, Running
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