Causes of runner’s diarrhea and dietary recommendations to avoid it - systematic review

Complaints of diarrhea and other gastrointestinal symptoms are common among endurance runners. These problems may interfere with athletic activities and be the main cause of underperformance during sports events. It is estimated that this difficulty affects 30 to 90 percent of long-distance runners....

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Main Authors: Klaudia Jedlina, Katarzyna Pacek, Karolina Makowska, Izabela Kamińska, Agata Pikulicka, Izabela Szulc, Weronika Swacha, Małgorzata Piekarska, Radosław Kasperski, Klaudia Rusin
Format: Article
Language:English
Published: Kazimierz Wielki University 2023-05-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/43719
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author Klaudia Jedlina
Katarzyna Pacek
Karolina Makowska
Izabela Kamińska
Agata Pikulicka
Izabela Szulc
Weronika Swacha
Małgorzata Piekarska
Radosław Kasperski
Klaudia Rusin
author_facet Klaudia Jedlina
Katarzyna Pacek
Karolina Makowska
Izabela Kamińska
Agata Pikulicka
Izabela Szulc
Weronika Swacha
Małgorzata Piekarska
Radosław Kasperski
Klaudia Rusin
author_sort Klaudia Jedlina
collection DOAJ
description Complaints of diarrhea and other gastrointestinal symptoms are common among endurance runners. These problems may interfere with athletic activities and be the main cause of underperformance during sports events. It is estimated that this difficulty affects 30 to 90 percent of long-distance runners. The most important pathophysiological factors affecting the occurrence of gastrointestinal symptoms are ischemia and mechanical damage to the intestines, as well as the secretion of neuroendocrine substances. The diet before physical exercise is also one of the most significant factors related to the appearance of gastrointestinal symptoms. Avoiding the intake of fat, caffeine, protein, fiber, non-steroidal anti-inflammatory drugs and dehydration before performance is one of the suggestions for preventing runner’s diarrhea. There are new recommendations for athletes, such as avoidance of fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) and the intake of multiple transportable carbohydrates. It seems that a short-term gluten free diet has no effect on the performance of athletes but further research is needed. Mechanisms of runner’s diarrhea are still poorly understood, so more research needs to be conducted to improve the recommendations to runners. 
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spelling doaj.art-2836f47d4a174ff8a9d27a1ec93b5de62023-05-28T10:46:02ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-05-0134110.12775/JEHS.2023.34.01.001Causes of runner’s diarrhea and dietary recommendations to avoid it - systematic reviewKlaudia Jedlina0Katarzyna Pacek1Karolina Makowska2Izabela Kamińska3Agata Pikulicka4Izabela Szulc5Weronika Swacha6Małgorzata Piekarska7Radosław Kasperski8Klaudia Rusin9Centralny Szpital Kliniczny MSWiA in WarsawCentralny Szpital Kliniczny MSWiA in WarsawUniwersyteckie Centrum Kształcenia WUM in WarsawSzpital Czerniakowski sp. z o. o. in WarsawSZPITAL SOLEC in WarsawSzpital Praski P.W. Przemienienia Pańskiego in WarsawMazowieckie Centrum Stomatologii in WarsawWojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego SPZOZ in LublinWojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego SPZOZ in LublinMazowieckie Centrum Stomatologii in WarsawComplaints of diarrhea and other gastrointestinal symptoms are common among endurance runners. These problems may interfere with athletic activities and be the main cause of underperformance during sports events. It is estimated that this difficulty affects 30 to 90 percent of long-distance runners. The most important pathophysiological factors affecting the occurrence of gastrointestinal symptoms are ischemia and mechanical damage to the intestines, as well as the secretion of neuroendocrine substances. The diet before physical exercise is also one of the most significant factors related to the appearance of gastrointestinal symptoms. Avoiding the intake of fat, caffeine, protein, fiber, non-steroidal anti-inflammatory drugs and dehydration before performance is one of the suggestions for preventing runner’s diarrhea. There are new recommendations for athletes, such as avoidance of fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) and the intake of multiple transportable carbohydrates. It seems that a short-term gluten free diet has no effect on the performance of athletes but further research is needed. Mechanisms of runner’s diarrhea are still poorly understood, so more research needs to be conducted to improve the recommendations to runners.  https://apcz.umk.pl/JEHS/article/view/43719runner's diarrheanutritiondietgastrointestinal problems
spellingShingle Klaudia Jedlina
Katarzyna Pacek
Karolina Makowska
Izabela Kamińska
Agata Pikulicka
Izabela Szulc
Weronika Swacha
Małgorzata Piekarska
Radosław Kasperski
Klaudia Rusin
Causes of runner’s diarrhea and dietary recommendations to avoid it - systematic review
Journal of Education, Health and Sport
runner's diarrhea
nutrition
diet
gastrointestinal problems
title Causes of runner’s diarrhea and dietary recommendations to avoid it - systematic review
title_full Causes of runner’s diarrhea and dietary recommendations to avoid it - systematic review
title_fullStr Causes of runner’s diarrhea and dietary recommendations to avoid it - systematic review
title_full_unstemmed Causes of runner’s diarrhea and dietary recommendations to avoid it - systematic review
title_short Causes of runner’s diarrhea and dietary recommendations to avoid it - systematic review
title_sort causes of runner s diarrhea and dietary recommendations to avoid it systematic review
topic runner's diarrhea
nutrition
diet
gastrointestinal problems
url https://apcz.umk.pl/JEHS/article/view/43719
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