Quantifying the “Slosh Stomach”: A Novel Tool for Assessment of Exercise-Associated Gastroparesis Symptoms in Endurance Athletes

Abstract

Introduction. We describe a novel scale and its field use for evaluation of exercise-associated gastroparesis in the endurance athlete. Methods. A scale was created based on gastroparesis tools previously described in the medical literature. Surveys of the tool were administered to runners participating in a 210 km multiday foot race in Sri Lanka. Results. Use of this novel scale was demonstrated to be useful in assessing gastroparesis severity scores of athletes and how these symptoms affected their race performance. Of the 27 race participants who completed the survey, 27 felt that the tool adequately captured their symptoms. Conclusions. This novel survey tool was able to assess the presence and severity of exercise-associated gastroparesis symptoms in endurance racers in a remote location. This tool may be helpful with further research of the identification and management of gastroparesis and other gastrointestinal upset in the endurance race environment.

A systematic review: Role of dietary supplements on markers of exercise-associated gut damage and permeability

“…In addition, exercise stimulates the sympathetic neuroendocrine pathways, which reduces gastric emptying and overall motility, possibly exacerbating any risk of gastric distress. Gastroparesis or ‘slosh stomach’ may contribute to reduced nutrient absorption or gastrointestinal cell injury, but the overall rates and consequences in athletes are unknown [ 15 ]. Research continues to build a comprehensive picture around the various aspects of the cascade and its possible mitigating factors.…”