Exercise related transient abdominal pain

Morton, Darren

doi:10.1136/bjsm.37.4.287

Cited by 11 publications

(4 citation statements)

References 8 publications

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“…длительный бег является наиболее провоцирующим возникновение боли [21]. исходя из этого абдоминальная боль является наиболее преобладающей в действиях, связанных с повторяющимися движениями туловища, включая вертикальное или продольное перемещение и вращения, особенно когда туловище находится в вытянутом положении [22]. Все эти условия наиболее чётко реализуются при беге, что объясняет высокую распространённость абдоминальной боли в этом виде спорта.…”

Section: Discussionunclassified

Prevalence and mechanisms of abdominal pain development among athletes during exercise (results of an online survey)

Ахмедов

Gavrilenko

2022

jour

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Objective: to study the frequency and intensity of abdominal pain that occurs in professional and amateur athletes during endurance sports.Materials and methods: a single-stage cross-sectional study was carried out. A questionnaire was developed, the questionnaire included questions about the training process and about the presence and nature of abdominal pain. The intensity of abdominal pain have been assessed by a 7-point scale. The survey involved 107 people aged 18 to 29 years (average age 21.58 ± 2.86 years). Participation in the study was oﬀered to students of the Siberian State University of Physical Culture and Sports (SibGUFC) and the Omsk Olympic Reserve School (UOR Omsk), who are professionally engaged in endurance sports (long-distance running, cycling and swimming), as well as amateur athletes who study at Omsk State Medical University (OmSMU). Among the respondents, 43 (40.19%) were men and 64 (59.81%) were women. 45 (42.68%) people are engaged in professional sports, and 62 (57.94%) amateur athletes were surveyed.Results: abdominal pain occurred in 37 (82.22%) professional athletes and 22 (83.87%) amateur athletes. When comparing the intensity of pain during training in professional athletes (3.75±2.32) and amateurs (2.5+-1.42), it was revealed that the intensity of pain is greater in professional athletes (p=0.004). 22 (59.46%) people among professionals and 34 (65.38%) among amateurs noted the localized nature of pain. The majority of the questionnaire participants in two groups indicated the stabbing nature of pain - 21 (56.76%) professionals, 28 (53.85%) amateur athletes. 26 (70.27%) and 34 (65.38%) respondents in the groups of professional and amateur athletes, respectively, note that they had to reduce the intensity of exercise.Conclusion: sports are associated with the development of abdominal pain among both amateur and professional athletes, which requires a reduction in the intensity of physical activity. The intensity of abdominal pain is higher in professional athletes engaged in endurance sports. The results obtained require the development of appropriate measures to prevent the development of abdominal pain in athletes during exercise.

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Section: Discussionunclassified

Prevalence and mechanisms of abdominal pain development among athletes during exercise (results of an online survey)

Ахмедов

Gavrilenko

2022

jour

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“…1,4,17 Pensa-se que na sua génese intervenham a isquemia diafragmática e fatores mecânicos, como o stress nos ligamentos que suportam as vísceras abdominais e a irritação por fricção do peritoneu peritoneal que pode ser agravada pela distensão gástrica motivada pela ingestão de alimentos. 4,18 Diagnóstico e abordagem Trata-se habitualmente de uma dor abdominal aguda/lancinante, sensação de cãibra (aching) ou sensação de repuxamento abdominal (pulling in the abdomen), bem localizada (80%) aos quadrantes superiores, sobretudo direitos, de intensidade ligeira, que surge no contexto do exercício e cessa em repouso. 17 Na presença de sinais de alarme (tabela 1) deve procurar-se outras causas de dor abdominal tal como na população geral.…”

Section: Sintomas Gastrointestinais Baixosunclassified

Distúrbios Gastrointestinais em Atletas

Engenheiro,

Loureiro,

Mendes

et al. 2023

Revdesp

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Gastrointestinal disorders are frequent in athletes, especially in those not trained to ingest food and fluids during exercise, and may affect performance. Its pathogenesis is related to the physiologic changes resulting from exercise, being favored by dehydration and the use of non-steroidal anti-inflammatory drugs. Symptoms are usually self-limited, requiring only supportive management and mainly preventive treatment, although red flags for secondary pathologies should not be overlooked. The importance of a multidisciplinary approach in the sporting context is highlighted, namely with the involvement of nutrition and psychology, to improve symptomatology and performance.

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“…As described previously, the experience of ETAP varies for different sporting activities, with running consistently being reported as most provocative of the condition [ 1 , 2 , 6 , 10 – 12 , 26 , 28 ]. It has been concluded that ETAP is most prevalent in activities that involve repetitive torso movement, involving either vertical translation or longitudinal rotation, especially when the torso is in an extended posture [ 1 , 29 ]. These conditions are all met in running, which explains the high prevalence of ETAP in this activity.…”

Section: Factors Influencing the Experience Of Etapmentioning

confidence: 99%

Exercise-Related Transient Abdominal Pain (ETAP)

Morton

Callister

2014

Sports Med

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Exercise-related transient abdominal pain (ETAP), commonly referred to as ‘stitch’, is an ailment well known in many sporting activities. It is especially prevalent in activities that involve repetitive torso movement with the torso in an extended position, such as running and horse riding. Approximately 70 % of runners report experiencing the pain in the past year and in a single running event approximately one in five participants can be expected to suffer the condition. ETAP is a localized pain that is most common in the lateral aspects of the mid abdomen along the costal border, although it may occur in any region of the abdomen. It may also be related to shoulder tip pain, which is the referred site from tissue innervated by the phrenic nerve. ETAP tends to be sharp or stabbing when severe, and cramping, aching, or pulling when less intense. The condition is exacerbated by the postprandial state, with hypertonic beverages being particularly provocative. ETAP is most common in the young but is unrelated to sex or body type. Well trained athletes are not immune from the condition, although they may experience it less frequently. Several theories have been presented to explain the mechanism responsible for the pain, including ischemia of the diaphragm; stress on the supportive visceral ligaments that attach the abdominal organs to the diaphragm; gastrointestinal ischemia or distension; cramping of the abdominal musculature; ischemic pain resulting from compression of the celiac artery by the median arcuate ligament; aggravation of the spinal nerves; and irritation of the parietal peritoneum. Of these theories, irritation of the parietal peritoneum best explains the features of ETAP; however, further investigations are required. Strategies for managing the pain are largely anecdotal, especially given that its etiology remains to be fully elucidated. Commonly purported prevention strategies include avoiding large volumes of food and beverages for at least 2 hours prior to exercise, especially hypertonic compounds; improving posture, especially in the thoracic region; and supporting the abdominal organs by improving core strength or wearing a supportive broad belt. Techniques for gaining relief from the pain during an episode are equivocal. This article presents a contemporary understanding of ETAP, which historically has received little research attention but over the past 15 years has been more carefully studied.

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Exercise related transient abdominal pain

Cited by 11 publications

References 8 publications

Prevalence and mechanisms of abdominal pain development among athletes during exercise (results of an online survey)

Prevalence and mechanisms of abdominal pain development among athletes during exercise (results of an online survey)

Distúrbios Gastrointestinais em Atletas

Exercise-Related Transient Abdominal Pain (ETAP)

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