Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Food-dependent, exercise-induced gastrointestinal distress | de Oliveira and Burini Journal of the International Society of Sports Nutrition 2011 8 12 http content 8 1 12 REVIEW jissn journal of the international lociety of Iporti nutrition Open Access Food-dependent exercise-induced gastrointestinal distress Erick Prado de Oliveira1 2 and Roberto Carlos Burini1 Abstract Among athletes strenuous exercise dehydration and gastric emptying GE delay are the main causes of gastrointestinal GI complaints whereas gut ischemia is the main cause of their nausea vomiting abdominal pain and blood diarrhea. Additionally any factor that limits sweat evaporation such as a hot and humid environment and or body dehydration has profound effects on muscle glycogen depletion and risk for heat illness. A serious underperfusion of the gut often leads to mucosal damage and enhanced permeability so as to hide blood loss microbiota invasion or endotoxemia and food-born allergen absorption with anaphylaxis . The goal of exercise rehydration is to intake more fluid orally than what is being lost in sweat. Sports drinks provide the addition of sodium and carbohydrates to assist with intestinal absorption of water and muscle-glycogen replenishment respectively. However GE is proportionally slowed by carbohydrate-rich hyperosmolar solutions. On the other hand in order to prevent hyponatremia avoiding overhydration is recommended. Caregiver s responsibility would be to inform athletes about potential dangers of drinking too much water and also advise them to refrain from using hypertonic fluid replacements. Keywords diet gastrointestinal distress physical exercise 1. Introduction The importance of physical activity to well-being cannot be overstated. The physiological psychological and social benefits of regular exercise are plentiful and profound. Examples of such benefits include positive effects on weight bone strength metabolic factors such as glucose and cholesterol organ function sleep mood and self-image. Coupled with the .
