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与运动相关的胃肠道疾病:从微生物群到营养保健品的潜在作用,一项叙述性分析

Sports-Related Gastrointestinal Disorders: From the Microbiota to the Possible Role of Nutraceuticals, a Narrative Analysis.

作者信息

Bertuccioli Alexander, Zonzini Giordano Bruno, Cazzaniga Massimiliano, Cardinali Marco, Di Pierro Francesco, Gregoretti Aurora, Zerbinati Nicola, Guasti Luigina, Matera Maria Rosaria, Cavecchia Ilaria, Palazzi Chiara Maria

机构信息

Department of Biomolecular Sciences, University of Urbino Carlo Bo, 61122 Urbino, Italy.

Microbiota International Clinical Society, 10123 Torino, Italy.

出版信息

Microorganisms. 2024 Apr 16;12(4):804. doi: 10.3390/microorganisms12040804.

Abstract

Intense physical exercise can be related to a significant incidence of gastrointestinal symptoms, with a prevalence documented in the literature above 80%, especially for more intense forms such as running. This is in an initial phase due to the distancing of the flow of blood from the digestive system to the skeletal muscle and thermoregulatory systems, and secondarily to sympathetic nervous activation and hormonal response with alteration of intestinal motility, transit, and nutrient absorption capacity. The sum of these effects results in a localized inflammatory process with disruption of the intestinal microbiota and, in the long term, systemic inflammation. The most frequent early symptoms include abdominal cramps, flatulence, the urge to defecate, rectal bleeding, diarrhea, nausea, vomiting, regurgitation, chest pain, heartburn, and belching. Promoting the stability of the microbiota can contribute to the maintenance of correct intestinal permeability and functionality, with better control of these symptoms. The literature documents various acute and chronic alterations of the microbiota following the practice of different types of activities. Several nutraceuticals can have functional effects on the control of inflammatory dynamics and the stability of the microbiota, exerting both nutraceutical and prebiotic effects. In particular, curcumin, green tea catechins, boswellia, berberine, and cranberry PACs can show functional characteristics in the management of these situations. This narrative review will describe its application potential.

摘要

剧烈体育锻炼可能与胃肠道症状的高发生率相关,文献记载其患病率超过80%,尤其是对于跑步等更剧烈的运动形式。这在初始阶段是由于血液从消化系统流向骨骼肌和体温调节系统,其次是交感神经激活以及激素反应导致肠道蠕动、转运和营养吸收能力改变。这些影响的总和导致局部炎症过程,伴有肠道微生物群的破坏,长期来看还会引发全身炎症。最常见的早期症状包括腹部绞痛、肠胃气胀、便意、直肠出血、腹泻、恶心、呕吐、反流、胸痛、烧心和嗳气。促进微生物群的稳定性有助于维持正确的肠道通透性和功能,从而更好地控制这些症状。文献记载了不同类型活动后微生物群的各种急性和慢性改变。几种营养保健品对控制炎症动态和微生物群的稳定性具有功能作用,兼具营养保健和益生元作用。特别是,姜黄素、绿茶儿茶素、乳香、黄连素和蔓越莓原花青素在处理这些情况时可表现出功能特性。本叙述性综述将描述其应用潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f73/11051759/15dcb1ce269e/microorganisms-12-00804-g001.jpg

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