Impact of endurance exercise and probiotic supplementation on the intestinal microbiota: a cross-over pilot study

Abstract Background The human microbiota has a broad range of functions contributing to metabolic processes and the activities of our immune system. Its influence on health, well-being and chronic diseases are discussed in various studies. The intestinal microbiota and the mucosal integrity are infl...

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Main Authors: Laura Schmitz, Nina Ferrari, Andreas Schwiertz, Kerstin Rusch, Ulrich Woestmann, Esther Mahabir, Christine Graf
Format: Article
Language:English
Published: BMC 2019-06-01
Series:Pilot and Feasibility Studies
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40814-019-0459-9
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author Laura Schmitz
Nina Ferrari
Andreas Schwiertz
Kerstin Rusch
Ulrich Woestmann
Esther Mahabir
Christine Graf
author_facet Laura Schmitz
Nina Ferrari
Andreas Schwiertz
Kerstin Rusch
Ulrich Woestmann
Esther Mahabir
Christine Graf
author_sort Laura Schmitz
collection DOAJ
description Abstract Background The human microbiota has a broad range of functions contributing to metabolic processes and the activities of our immune system. Its influence on health, well-being and chronic diseases are discussed in various studies. The intestinal microbiota and the mucosal integrity are influenced by diet, environment and other lifestyle factors, including physical activity. There are correlations between cardiorespiratory fitness and important markers of intestinal health. However, data linking endurance exercise to microbiota composition are sparse. Many endurance athletes take probiotics to reduce gastrointestinal symptoms linked to exercise or immunosuppression, but the longitudinal data is insufficient. This randomised, controlled cross-over pilot study will examine the impact of specific endurance training and probiotic supplementation on the intestinal microbiota and mucosa in healthy, athletic students. Objective The aim of this pilot study is to elucidate the impact of physical activity on the intestinal microbiota and mucosa with regard to the effects of a probiotic supplementation. Methods In this pilot study, thirty non-specifically trained student athletes will participate in an intervention consisting of a two-week rest (baseline) period, a four-week exercise programme and a four-week probiotic intervention using SymbioLactComp®. The exercise programme consists of three 60-min running workouts per week at 70–85% of the peak heart rate (HRpeak). Primary endpoint of this pilot study is the feasibility and practicality of the intervention as well as a sample size estimation. Furthermore, anthropometric measurements and information on nutrition and lifestyle will be obtained. The peak oxygen uptake (VO2peak) and peak heart rate (HRpeak) (determined during a shuttle run test) as well as selected blood and saliva parameters (haemogram, cytokines) will be evaluated. Changes to the intestinal microbiota will be analysed by stool diagnostics (KyberKompaktPRO®, KyberPlus®). The potential changes may include microbiota composition, bacterial metabolites and mucosa- and immune markers. Conclusion Results will be used for the design of a main randomised controlled trial with a larger collective based on feasibility, validity and sample size estimation as well as the potential effects of endurance exercise on intestinal microbiota and mucosa. Evidence-based information of an exercise-altered microbiota could be of importance for the prevention and therapy of intestinal or immune disorders. Trial registration German Clinical Trials Register: DRKS00011108. Retrospectively registered on 28 November 2016.
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spelling doaj.art-4555b3c7a94f432893edb029bde336972022-12-22T00:45:38ZengBMCPilot and Feasibility Studies2055-57842019-06-01511810.1186/s40814-019-0459-9Impact of endurance exercise and probiotic supplementation on the intestinal microbiota: a cross-over pilot studyLaura Schmitz0Nina Ferrari1Andreas Schwiertz2Kerstin Rusch3Ulrich Woestmann4Esther Mahabir5Christine Graf6Institute of Movement and Neuroscience, Department of Movement and Health Promotion, German Sport University CologneInstitute of Movement and Neuroscience, Department of Movement and Health Promotion, German Sport University CologneMVZ Institute of MicroecologyMVZ Institute of MicroecologyAcademic postgraduate training practice of the University DüsseldorfComparative Medicine, Center for Molecular Medicine, University of CologneInstitute of Movement and Neuroscience, Department of Movement and Health Promotion, German Sport University CologneAbstract Background The human microbiota has a broad range of functions contributing to metabolic processes and the activities of our immune system. Its influence on health, well-being and chronic diseases are discussed in various studies. The intestinal microbiota and the mucosal integrity are influenced by diet, environment and other lifestyle factors, including physical activity. There are correlations between cardiorespiratory fitness and important markers of intestinal health. However, data linking endurance exercise to microbiota composition are sparse. Many endurance athletes take probiotics to reduce gastrointestinal symptoms linked to exercise or immunosuppression, but the longitudinal data is insufficient. This randomised, controlled cross-over pilot study will examine the impact of specific endurance training and probiotic supplementation on the intestinal microbiota and mucosa in healthy, athletic students. Objective The aim of this pilot study is to elucidate the impact of physical activity on the intestinal microbiota and mucosa with regard to the effects of a probiotic supplementation. Methods In this pilot study, thirty non-specifically trained student athletes will participate in an intervention consisting of a two-week rest (baseline) period, a four-week exercise programme and a four-week probiotic intervention using SymbioLactComp®. The exercise programme consists of three 60-min running workouts per week at 70–85% of the peak heart rate (HRpeak). Primary endpoint of this pilot study is the feasibility and practicality of the intervention as well as a sample size estimation. Furthermore, anthropometric measurements and information on nutrition and lifestyle will be obtained. The peak oxygen uptake (VO2peak) and peak heart rate (HRpeak) (determined during a shuttle run test) as well as selected blood and saliva parameters (haemogram, cytokines) will be evaluated. Changes to the intestinal microbiota will be analysed by stool diagnostics (KyberKompaktPRO®, KyberPlus®). The potential changes may include microbiota composition, bacterial metabolites and mucosa- and immune markers. Conclusion Results will be used for the design of a main randomised controlled trial with a larger collective based on feasibility, validity and sample size estimation as well as the potential effects of endurance exercise on intestinal microbiota and mucosa. Evidence-based information of an exercise-altered microbiota could be of importance for the prevention and therapy of intestinal or immune disorders. Trial registration German Clinical Trials Register: DRKS00011108. Retrospectively registered on 28 November 2016.http://link.springer.com/article/10.1186/s40814-019-0459-9Physical activityCardiorespiratory fitnessExerciseIntestinal microbiotaIntestinal healthProbiotics
spellingShingle Laura Schmitz
Nina Ferrari
Andreas Schwiertz
Kerstin Rusch
Ulrich Woestmann
Esther Mahabir
Christine Graf
Impact of endurance exercise and probiotic supplementation on the intestinal microbiota: a cross-over pilot study
Pilot and Feasibility Studies
Physical activity
Cardiorespiratory fitness
Exercise
Intestinal microbiota
Intestinal health
Probiotics
title Impact of endurance exercise and probiotic supplementation on the intestinal microbiota: a cross-over pilot study
title_full Impact of endurance exercise and probiotic supplementation on the intestinal microbiota: a cross-over pilot study
title_fullStr Impact of endurance exercise and probiotic supplementation on the intestinal microbiota: a cross-over pilot study
title_full_unstemmed Impact of endurance exercise and probiotic supplementation on the intestinal microbiota: a cross-over pilot study
title_short Impact of endurance exercise and probiotic supplementation on the intestinal microbiota: a cross-over pilot study
title_sort impact of endurance exercise and probiotic supplementation on the intestinal microbiota a cross over pilot study
topic Physical activity
Cardiorespiratory fitness
Exercise
Intestinal microbiota
Intestinal health
Probiotics
url http://link.springer.com/article/10.1186/s40814-019-0459-9
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