Assessing the Association of Elevated Zonulin Concentration in Stool with Increased Intestinal Permeability in Active Professional Athletes

<i>Background and Objectives</i>: The causative factors or conditions leading to increased intestinal permeability (IIP) have only been partly elucidated, suggesting excessive zonulin release to be a key factor among them. Likewise, it is known that athletic activity predisposes individu...

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Main Authors: Maciej Hałasa, Dominika Maciejewska, Karina Ryterska, Magdalena Baśkiewicz-Hałasa, Krzysztof Safranow, Ewa Stachowska
Format: Article
Language:English
Published: MDPI AG 2019-10-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/55/10/710
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author Maciej Hałasa
Dominika Maciejewska
Karina Ryterska
Magdalena Baśkiewicz-Hałasa
Krzysztof Safranow
Ewa Stachowska
author_facet Maciej Hałasa
Dominika Maciejewska
Karina Ryterska
Magdalena Baśkiewicz-Hałasa
Krzysztof Safranow
Ewa Stachowska
author_sort Maciej Hałasa
collection DOAJ
description <i>Background and Objectives</i>: The causative factors or conditions leading to increased intestinal permeability (IIP) have only been partly elucidated, suggesting excessive zonulin release to be a key factor among them. Likewise, it is known that athletic activity predisposes individuals towards the development of IIP; however, little is understood about the nature of this phenomenon. We decided to test the actual coincidence between IIP and increased stool zonulin (ISZ) in actively training athletes. <i>Materials and Methods</i>: We compared intestinal permeability tested with lactulose/mannitol differential absorption (lactulose/mannitol (L/M) test) and zonulin concentration in stool in 20 professional athletes (PRO), 9 amateur athletes (AMA), and 9 non-athletes (CTR). <i>Results</i>: The results confirmed that professional athletic activity showed significant positive association with intestinal permeability. ISZ was observed exclusively in athletes (CTR vs. AMA vs. PRO, respectively, 0% vs. 22% vs. 55%), and its prevalence was significantly higher in PRO than CTR. When we divided the participants into four categories related to exceeding the upper reference limits for both tested parameters (ISZ + or &#8722; and IIP + or &#8722;), significant differences were found between CTR and PRO; however, no significant differences were found between CTR and AMA or AMA and PRO. <i>Conclusions</i>: Our trial confirmed previous findings that professional athletic activity predisposes individuals to IIP. We also demonstrated that although ISZ was associated with intense training, there was no statistically significant association between ISZ and IIP in the tested group of professional athletes, which suggests the existence of additional mechanisms causing IIP.
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spelling doaj.art-4c27e6eb0c6c444e84a2d332be41cb492023-09-02T13:55:03ZengMDPI AGMedicina1010-660X2019-10-01551071010.3390/medicina55100710medicina55100710Assessing the Association of Elevated Zonulin Concentration in Stool with Increased Intestinal Permeability in Active Professional AthletesMaciej Hałasa0Dominika Maciejewska1Karina Ryterska2Magdalena Baśkiewicz-Hałasa3Krzysztof Safranow4Ewa Stachowska5Department of Human Nutrition and Metabolomics, Pomeranian Medical University, 71-460 Szczecin, PolandDepartment of Human Nutrition and Metabolomics, Pomeranian Medical University, 71-460 Szczecin, PolandDepartment of Human Nutrition and Metabolomics, Pomeranian Medical University, 71-460 Szczecin, PolandDepartment of General Pathology, Pomeranian Medical University, 70-111 Szczecin, PolandDepartment of Biochemistry and Medical Chemistry, Pomeranian Medical University, 70-111 Szczecin, PolandDepartment of Human Nutrition and Metabolomics, Pomeranian Medical University, 71-460 Szczecin, Poland<i>Background and Objectives</i>: The causative factors or conditions leading to increased intestinal permeability (IIP) have only been partly elucidated, suggesting excessive zonulin release to be a key factor among them. Likewise, it is known that athletic activity predisposes individuals towards the development of IIP; however, little is understood about the nature of this phenomenon. We decided to test the actual coincidence between IIP and increased stool zonulin (ISZ) in actively training athletes. <i>Materials and Methods</i>: We compared intestinal permeability tested with lactulose/mannitol differential absorption (lactulose/mannitol (L/M) test) and zonulin concentration in stool in 20 professional athletes (PRO), 9 amateur athletes (AMA), and 9 non-athletes (CTR). <i>Results</i>: The results confirmed that professional athletic activity showed significant positive association with intestinal permeability. ISZ was observed exclusively in athletes (CTR vs. AMA vs. PRO, respectively, 0% vs. 22% vs. 55%), and its prevalence was significantly higher in PRO than CTR. When we divided the participants into four categories related to exceeding the upper reference limits for both tested parameters (ISZ + or &#8722; and IIP + or &#8722;), significant differences were found between CTR and PRO; however, no significant differences were found between CTR and AMA or AMA and PRO. <i>Conclusions</i>: Our trial confirmed previous findings that professional athletic activity predisposes individuals to IIP. We also demonstrated that although ISZ was associated with intense training, there was no statistically significant association between ISZ and IIP in the tested group of professional athletes, which suggests the existence of additional mechanisms causing IIP.https://www.mdpi.com/1010-660X/55/10/710intestinal permeabilityzonulin in stoolathletic activityzonulin dependent mechanisms
spellingShingle Maciej Hałasa
Dominika Maciejewska
Karina Ryterska
Magdalena Baśkiewicz-Hałasa
Krzysztof Safranow
Ewa Stachowska
Assessing the Association of Elevated Zonulin Concentration in Stool with Increased Intestinal Permeability in Active Professional Athletes
Medicina
intestinal permeability
zonulin in stool
athletic activity
zonulin dependent mechanisms
title Assessing the Association of Elevated Zonulin Concentration in Stool with Increased Intestinal Permeability in Active Professional Athletes
title_full Assessing the Association of Elevated Zonulin Concentration in Stool with Increased Intestinal Permeability in Active Professional Athletes
title_fullStr Assessing the Association of Elevated Zonulin Concentration in Stool with Increased Intestinal Permeability in Active Professional Athletes
title_full_unstemmed Assessing the Association of Elevated Zonulin Concentration in Stool with Increased Intestinal Permeability in Active Professional Athletes
title_short Assessing the Association of Elevated Zonulin Concentration in Stool with Increased Intestinal Permeability in Active Professional Athletes
title_sort assessing the association of elevated zonulin concentration in stool with increased intestinal permeability in active professional athletes
topic intestinal permeability
zonulin in stool
athletic activity
zonulin dependent mechanisms
url https://www.mdpi.com/1010-660X/55/10/710
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