Effects of probiotics supplementation on gastrointestinal permeability, inflammation and exercise performance in the heat
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Purpose This study aimed to investigate the effects of multi-strain probiotics supplementation on gastrointestinal permeability, systemic markers of inflammation and running performance when exercising in the heat.Methods Ten male runners were randomized to 4 weeks of daily supplementation with a probiotics capsule (45 billion CFU of Lactobacillus, Bifidobacterium and Streptococcus strains) or placebo, separated by a washout period (double-blind, cross-over trial). After each treatment, the runners exercised to fatigue at 80% of their ventilatory threshold at 35 °C and 40% humidity. To assess gastrointestinal permeability, runners ingested lactulose and rhamnose before exercise and post-exercise urine was collected to measure sugar concentrations. Venous blood samples were collected before, immediately after and 1 h after exercise, and core temperature was monitored during exercise.Results Probiotics supplementation significantly increased run time to fatigue (min:s 37:44 ± 2:42 versus 33:00 ± 2:27; P = 0.03, d = 0.54). Average core temperature during exercise was similar between trials (probiotic 38.1 ± 0.2 °C, placebo 38.1 ± 0.1 °C; P = 0.77, d = 0.13). Serum lipopolysaccharide concentration increased post-exercise (P < 0.001), while there was a moderate to large reduction in pre-exercise (d = 0.70) and post-exercise (d = 1.24) concentration following probiotics supplementation. Plasma concentrations of IL-6, IL-10 and IL-1ra increased after exercise (P < 0.01), but there was no significant difference between trials (P > 0.05). There was a small to moderate reduction (d = 0.35) in urine lactulose:rhamnose and a small reduction (d = 0.25) in symptoms of gastrointestinal discomfort following probiotics supplementation (both P = 0.25).Conclusion Four weeks of supplementation with a multi-strain probiotic increased running time to fatigue in the heat. Further studies are required to elucidate the exact mechanisms for this performance benefit.
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In ten male runners, 4 weeks of multi-strain probiotics improved time to fatigue while running in the heat.
“In another study researching the effect of multi-strain probiotics Shing et al. [46] found 4 weeks of supplementation improved time to fatigue while running in the heat for ten male runners.”
From International Society of Sports Nutrition Position Stand: Probiotics (2019) · cites this paper as [46]
Four weeks of multi-strain probiotic supplementation had no significant effect on lactulose:rhamnose ratio, urinary claudin-3, or serum LPS in male runners exercising in the heat.
“There was no significant effect on lactulose:rhamnose ratio, urinary claudin-3 or serum LPS and it is possible that 4 weeks may not have been sufficient to detect changes.”
From International Society of Sports Nutrition Position Stand: Probiotics (2019) · cites this paper as [46]
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- Authors
- Shing, C. M., Peake, J. M., Lim, C. L., Briskey, D., Walsh, N. P., Fortes, M. B., Ahuja, K. D. K., & Vitetta, L.
- Affiliations
- University of Tasmania (AU)
- Queensland University of Technology (AU)
- National University of Singapore (SG)
- The University of Queensland (AU)
- Bangor University (GB)
- Corresponding author
- Shing, Cecilia M.
- Venue
- European Journal of Applied Physiology
- Published
- 2013-10-23
- Volume
- 114
- Issue
- 1
- Pages
- 93-103
- ISSN
- 0020-9376 (ISSN-L)
- 1439-6319
- 1439-6327
- OpenAlex
- W1601403942
- Cited by
- 204
- References
- 45
- Citations by year
- 2026: 14 · 2025: 18 · 2024: 22 · 2023: 17 · 2022: 27 · 2021: 19 · 2020: 23 · 2019: 20 · 2018: 20 · 2017: 11 · 2016: 5 · 2015: 3 · 2014: 5
- FWCI
- 6.45
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- Locations
- European Journal of Applied Physiology (publishedVersion)
- PubMed (publishedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Faculty of Health; Institute of Health and Biomedical Innovation
- Funders
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
- Keywords
- multi-strain probiotics, gastrointestinal permeability, exercise in the heat, running performance, systemic inflammation, lipopolysaccharide, interleukins, core body temperature, gastrointestinal discomfort, Lactobacillus, Bifidobacterium, Streptococcus
- MeSH terms
- Adult, Double-Blind Method, Hot Temperature, Humans, Inflammation, Intestinal Absorption, Male, Running, Cytokines, Exercise Tolerance, Cross-Over Studies, Probiotics, Gastrointestinal Tract
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