Epidemiology of exercise-related transient abdominal pain at the Sydney city to Surf community run

Morton, DP; Richards, David; Callister, Robin

doi:10.1016/s1440-2440(05)80006-4

Cited by 19 publications

(44 citation statements)

References 10 publications

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“…Exercise‐induced transient abdominal pain was reported in 18% of the competitors in a recreational run, whereas 4% reported severe abdominal pain . This observed incidence is comparable to a study in 848 runners in whom 27% experienced ETAP during a 14 km . Morton et al .…”

Section: Clinical Presentation and Management Of Exercise‐induced Gassupporting

confidence: 54%

Review article: the pathophysiology and management of gastrointestinal symptoms during physical exercise, and the role of splanchnic blood flow

Steege

Kolkman

2012

Aliment Pharmacol Ther

106

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Summary Background The prevalence of exercise‐induced gastrointestinal (GI) symptoms has been reported up to 70%. The pathophysiology largely remains unknown. Aim To review the physiological and pathophysiological changes of the GI‐tract during physical exercise and the management of the most common gastrointestinal symptoms. Methods Search of the literature published in the English and Dutch languages using the Pubmed database to review the literature that focused on the relation between splanchnic blood flow (SBF), development of ischaemia, postischaemic endotoxinemia and motility. Results During physical exercise, the increased activity of the sympathetic nervous system (SNS) redistributes blood flow from the splanchnic organs to the working muscles. With prolonged duration and/or intensity, the SBF may be decreased by 80% or more. Most studies point in the direction of increased SNS‐activity as central driving force for reduction in SBF. A severely reduced SBF may frequently cause GI ischaemia. GI‐ischaemia combined with reduced vagal activity probably triggers changes in GI‐motility and GI absorption derangements. GI‐symptoms during physical exercise may be prevented by lowering the exercise intensity, preventing dehydration and avoiding the ingestion of hypertonic fluids. Conclusions Literature on the pathophysiology of exercise‐induced GI‐symptoms is scarce. Increased sympathetic nervous system activity and decreased splanchnic blood flow during physical exercise seems to be the key factor in the pathogenesis of exercise‐induced GI‐symptoms, and this should be the target for symptom reduction.

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Section: Clinical Presentation and Management Of Exercise‐induced Gassupporting

confidence: 54%

Review article: the pathophysiology and management of gastrointestinal symptoms during physical exercise, and the role of splanchnic blood flow

Steege

Kolkman

2012

Aliment Pharmacol Ther

106

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“…ETAP appears to be more prevalent in younger athletes as the occurrence of ETAP declines with age (14).…”

Section: Introductionmentioning

confidence: 97%

Gastrointestinal considerations related to youth sports and the young athlete

Koon¹,

Atay²,

Lapsia³

2017

Transl. Pediatr.

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Young athletes, though often healthy, can carry a variety of symptoms that may impede their participation in sports or other activities. Typically we might think of musculoskeletal and respiratory problems primarily, however disorders of the gastrointestinal (GI) tract must also be considered. In some instances musculoskeletal complaints may bring to light activity of an underlying GI condition as is the case with inflammatory bowel disease. Gastrointestinal symptoms in the young athlete can be quite significant and a nuisance for participation. We aim to describe and discuss treatment options of a few conditions targeted specifically for your young athlete both that arise specifically from athletic participation and those GI disorders that are chronic in nature whose presence must not be neglected in the athlete.

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“…The different characteristics of acute pain, known as ETAP, are related to diaphragmatic ischemia, stress on peritoneal ligaments, and irritation of the parietal peritoneum (Morton et al 2005, Eichner 2006 The occurrence is regardless of discipline, gender, body mass index, or the capacity and intensity taken to complete the event (Tsikouris 2003). ETAP appears to be most prevalent in activities that involve repetitive torso movement, either vertical translation or longitudinal rotation (Brown 2000, Cameron et al 2003, Peterson and Renstrom 2001.…”

Section: Introductionmentioning

confidence: 99%