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Probiotics and Athletic Performance

Probiotics and Athletic Performance

Möller GB, da Cunha Goulart MJV, Nicoletto BB, Probiotics and Athletic Performance FD, Probiootics CD. Reduction in Atgletic of days with respiratory illness Probiotics and Athletic Performance Probiotica severity 9. James Anf Dr. These have been scientifically-formulated with athletes in mind, containing Lactobacillus and Bifidobacterium blend of Lactobacillus acidophilus CUL60, Lactobacillus acidophilus CUL21, Bifidobacterium animalis subsp. This indicates that probiotics may help athletes recover more quickly from intense training sessions or competitions. The researchers found that athletes who consumed a probiotic supplement for eight weeks showed a significant increase in their time to exhaustion during a cycling exercise. Probiotics and Athletic Performance

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Remember Login. Register Reset Password. x You are viewing 1 of your 1 free articles. Probiotics: help or hindrance for athletes? Supplements by Andrew Hamilton. Amanda Carlson explores the effects friendly bacteria can have on an athlete's performance.

Amanda Carlson explores the effects friendly bacteria can have on an athlete's performance With the abundance of antibacterial soaps, wipes, and even anti-microbial fabrics, most people are aware that bacteria can harm us.

But what about friendly bacteria and in particular, what can they do for athletes? Amanda Carlson looks at the latest evidence. However, the use, visibility and availability of probiotics is a rising trend generally. Probiotics may not improve sport performance directly, but the secondary health benefits of probiotics, which include enhanced recovery from fatigue, improved immune function and the maintenance of a healthy gut, can improve general wellbeing, which then in turn could improve performance on the field of play 1.

The purpose of this article is to break down what probiotics actually are, how they work, why people use them, and how some recent studies may lead to more research to fill an obvious void. Probiotics, prebiotic and synbiotics As with many nutritional concepts, what we see on the shelves and the simplified concepts expressed in the media do not explain the complete story.

The same holds true for probiotics. The probiotic concept states that consuming the right types of microbes can support the important roles that intestinal microbes play in human health 2.

Probiotics have a counterpart, prebiotics, which are defined as food ingredients that promote the growth or activity of a limited number of bacterial species for the benefit of host health 4. Beneficial prebiotics are frequently used in combination with probiotics to stimulate their numbers and their overall functionality.

When probiotics and prebiotics are mixed together they form a synbiotic relationship, meaning that the two are working together to create the best possible results. The human intestinal tract is colonised by an estimated different bacterial species.

Although the adult bacterial flora in the colon is generally stable in composition, age, nutritional requirements, immune status, antibiotic use, stress, alcohol use, acidity, transit time and presence of material in the gut can disrupt this delicate balance.

The consumption of probiotics can help to restore balance by re-establishing correct acidity and producing different antimicrobial substances. Probiotics exert their main activities on the small intestine. Prebiotics can enhance the benefits of probiotics by helping them compete with harmful bacteria and by complementing overall activity because prebiotics work mainly in the large intestine 2.

Probiotics The lactic acid bacteria LAB , including Lactobacillus and Bifidobacterium are the most common probiotics and are mainly found in foods. However, Enterococcus and Escherichia are also used, but typically only in supplements.

LAB is frequently used by the food industry to convert carbohydrates to lactic acid. It is this process that results in the sour taste of foods such as yogurt and in the lowering of pH increase in acidity to reduce spoilage. Lactobacilli is found naturally in many fermented foods, including yogurt, sauerkraut, kefir, yakult, cabbage dimchee, and the soybean products miso and tempeh.

I always recommend food first and supplement second; however, getting an adequate amount of live bacteria into the diet can be difficult because the commercial availability of these foods is quite limited. Also, many fermented foods do not contain live cultures as finished products because modern food processing approaches designed to improve product consistency or shelf life decrease the amount of potentially helpful microbes.

Dairy products such as yoghurt and cheeses are the largest category of foods that contain live cultures; however, most contain starter cultures and then have additional bacteria lactobacillus and bifidobacterium added to the product.

These products are also confusing because the low level of probiotics may be masked by the high levels of starter bacteria. These traditionally live active culture foods may not be as potent a source of probiotics as once thought.

Therefore, your best bet when it comes to foods and good bacteria are going to be dairy products with the additional bacteria added back 2,6. The health effects resulting from taking probiotics is considered to be strain specific see table 1.

In addition to the difficulty in generalising about dosing, maintaining the viability of a probiotic can be challenging. Probiotics are sensitive in a strain-dependent manner to heat, moisture, acidity and oxygen. In general, microbes will survive better at lower temperatures, but there are many properly stabilised non-refrigerated products on the market.

There are also different types of coating technologies available to companies developing probiotics. Prebiotics Prebiotics are food for bacterial species that are considered beneficial for health and wellbeing.

Specifically, Lactobacillus and Bifidobacterium types seem to have the ability to use prebiotic fibre as food. There are a variety of foods that provide fermentable fibre that helps with colon health but prebiotics themselves are specialised ingredients targeted to enhance specific bacteria, their fermentation end products, and possible health effects 2.

These include: Fructans — a group of naturally occurring complex sugars called oligosaccharides and fructooligosaccharides and which are found in onions, bananas, wheat, artichokes, garlic and other wholefoods. They are also extracted from chicory or manufactured from sucrose for commercial products; Resistant starches — found in raw potatoes, unripe fruits like bananas, and in cooked and cooled starchy products.

Probiotics for the athlete? The incidence of probiotic use by athletes is not currently known; however, there has been a steady rise in probiotic intake in the US over the last 10 years.

With the abundance of studies done on probiotics and different aspects of health, there is a noticeable void in the literature when it comes to probiotics and performance. Instead of looking directly for performance enhancing effects of probiotics we can look instead at what prevents the athlete from training and performing at their best.

Researchers from South Africa 7 have done a great job explaining the overall hypothesis of overtraining syndrome. This results in tissue trauma with associated chronic inflammation and a release of cytokines signalling cells associated with a challenged immune system. This increase in cytokines is linked to behaviours such as depression, loss of appetite and sleep disturbances see figure 2.

Furthermore, these immune changes seem to leave athletes more susceptible to developing infection while concurrently increasing the incidence of allergies in those who are genetically predisposed 8.

Pulling it all together Even though there is a lack of evidence surrounding probiotics and athletic performance enhancement, there are studies that show probiotics improve markers of immune function 9 , increase natural killer cell activity a certain type of immune cell 10 and improve gastrointestinal health 11 , all of which could be presented as another potential way to help the overtrained athlete.

One of the most interesting studies comes out of Australia 9. This group recognised that fatigue and impaired performance in athletes has been loosely linked to overtraining, and that reduced concentrations of IgA a large protein antibody molecule important to the immune system in the saliva and increased shedding of the Epstein Barr virus EBV — the virus associated with glandular fever have been associated with intense training in athletes.

They wanted to determine whether athletes presenting with fatigue and impaired performance had an immune defect relevant to defective containment of the EBV infection and whether a probiotic Lactobacillus acidophilus could enhance immunity and reverse any detected abnormality.

experienced by everyone, especially athletes, increase the risk for dysbiosis. Of all the factors impacting the gut microbiome, diet may have the largest effect, and it is one of the only stressors within our control.

How many people especially athletes know what dietary factors can help gut health, let alone follow through with it daily? I discuss this more below.

Additional factors to reverse or prevent dysbiosis include sound nutrition , specific probiotics , and prebiotics. The impact of diet breaks down into:. Of all the factors that can impact the gut microbiome, a long-term diet might contribute the greatest effect. This means what you habitually consume will impact your gut the most.

Geography, which corresponds with a particular diet in that location, can determine gut microbiota composition. Some articles suggest that the WD fosters a pro-inflammatory gut environment. This is the reason the WD is linked to cardiovascular disease and diabetes, which are both associated with high inflammation in the body.

The WD displaces the wholesome foods we should be consuming, which hurts the diversity of our gut microbiota. A recent study found that diet is a critical factor in causing microbial dysbiosis.

Because gut health is tied to brain health, the WD is also known to hurt cognition. How a WD impacts the brain is not really clear, but it may be due to the gut-brain-axis. A WD can shift microbiota composition, which may result in cognitive problems.

All of these factors work together to influence brain function. The WD hurts gut barrier strength, which then allows bad substances to get into our body and potentially cause metabolic complications and cognitive dysfunction.

This is a possible reason to link the WD with neurocognitive dysfunction. The diversity and types of food dictate which microbes will colonize, grow, live, and get eliminated. Food components, such as dietary fiber i. But different bacteria specialize in the fermentation of different fibers.

Therefore, complex diets can either be growth-promoting or growth-inhibiting. The by-products of bacterial metabolism, such as vitamins and short-chain fatty acids SCFAs , are critical for our health because they have health-promoting effects.

A WD hurts the production of SCFAs, 7 so systematic inflammation in the gut increases and neuroprotection of the brain decreases. Low dietary fiber intake corresponds with lower microbiota diversity, more anti-pathogenic bacteria, and lower SCFA production.

Whole grains typically contain lots of dietary fiber, but the average dietary fiber intake in the U. Red berries, including red wine, that contain anthocyanins have increased Bifidobacterium in many studies. But are athletes routinely consuming these foods, especially in the context of the prevalent Western Diet?

Probiotic supplementation has shown to be effective and necessary for enhancing health in trained individuals, especially related to lowering the risk for respiratory and gastrointestinal GI complications during high-stress periods in training and competition.

Typically, studies determine the effects of probiotics by examining clinical measures of immune function and illness. The most commonly studied species in athletes and active people include:. Lowering gut permeability helps with strengthening our immunity.

Multi-strain probiotics consumed daily have shown to improve gut barrier strength in endurance athletes. Clinical trials using a multi-strain probiotic L. acidophilus , B. lactis , and B. bifidum helped significantly improve irritable bowel syndrome complications and stopped the increase in the antibiotic resistant strain, enterococci.

For those who think probiotics are only for athletes, a study using recreational athletes training for their first long-distance triathlon found that taking a multi-strain probiotic combined with prebiotics and antioxidants at 30 billion colony forming units CFU, the unit of measurement for probiotics per day for 12 weeks before their triathlon may have provided support in reducing GI symptoms because of the increase in gut barrier strength.

The inclusion of antioxidants may have been an additive benefit because they lowered endotoxin toxins from bad bacteria levels. Ultimately, this strategy showed promise in those athletes beginning endurance training, especially those who are prone to GI complications.

To learn more about how probiotic supplementation helps alleviate GI complications and are beneficial for the treatment and prevention for GI diseases, read this meta-analysis. However, athletes do not have more URTIs than non-athletes—both have the same incidence. Athletes with this persistent illness obviously experience a negative impact on health and performance as evidenced in swimmers , especially during times of strenuous training.

Distance runners experience URTIs more frequently following competition. The most consistent biomarker to identify and monitor athletes at risk for URTI is measuring salivary immunoglobulin A IgA , which offers protection against infections at mucosal surfaces and maintenance of the gut barrier.

Using salivary IgA as a biomarker is not practical because of the lab testing required. Yet, studies in elite athletes from different sports have found that an increased risk for URTIs corresponds with low levels of salivary IgA, 16,17 low pre-season salivary IgA levels, 18 and declining levels over a training period.

As for non-athletes, salivary IgA decreases during and after high-intensity exercise. Athletes have undergone supplementation with different strains of Lactobacillus.

A study showed that eight weeks of supplementation with L. casei reduced the number of URTIs, including symptom severity and duration.

Another study showed L. fermentum supplementation for one month also decreased the number of days of URTI and severity of symptoms in distance runners. Maintaining immune health to prevent URTIs would require changing training regimes, better managing daily stressors, and regularly consuming a probiotic-rich diet.

However, this is not necessarily practical. Hence, probiotic supplementation is warranted. Read more on how probiotics can strengthen our immunity. Athletes experience chronically low levels of inflammation. But over time, this inflammation can grow and lead to poor health, less physical activity, and a propensity to diseases related to chronic inflammation, such as cardiovascular disease and mental disorders.

Serum C-reactive protein CRP is a biomarker for systemic inflammation—with high levels found in many chronic conditions, such as cardiovascular disease, obesity, type II diabetes, high blood pressure, high fasting blood glucose, and low HDL.

A recent meta-analysis concluded that probiotic supplementation may lower CRP levels. Of course, more clinical trials are needed, especially to determine the exact dose and strains of probiotic supplements needed for each disease.

But for now, the potential protective effect that gut microbiota has in managing our inflammation balance is critical to the prevention of disease. There is an increased risk of GI problems during international travel.

Typically, good hygiene helps to prevent bacterial contamination and spread, but much of the time that is not enough. Therefore, probiotic supplementation for athletes traveling abroad is a critical part of a sports immunonutrition prevention plan.

When the gut becomes weak, bad substances can enter the blood, ignite inflammation, lower immunity, hurt performance and overall health, and reduce longevity. The benefits in managing URTIs may be useful for those who continually experience symptoms of the common cold or flu.

The latest systematic review regarding effectiveness of probiotics in healthy children and adults concluded that, in those supplementing with a probiotic, there were significantly fewer days of illness, shorter durations of illness, and fewer number of days absent from work.

A review on endurance exercise and gut microbiota states that probiotics is the main dietary strategy to modulate gut microbiota. Furthermore, providing different Lactobacillus and Bifidobacterium strains to athletes may help maintain overall health, enhance immunity, improve gut barrier strength, and lower oxidative stress.

Athletes and coaches need to consider the extent to which there is a translational outcome or an important clinical benefit. Of course, more research will help us better understand the bacterial strains, their mechanisms, and best practices for probiotic supplementation, especially in relation to the specific health benefit desired e.

But right now, incorporating a probiotic supplement with current evidence-backed strains and at an efficacious dose is the best guideline we have for using a nutritional strategy to potentially correct certain immune and GI problems, and potentially lower risk for certain diseases.

Balanced Diet. In some athletes, diets are nutrient-poor combined with energy-poor. Sports Nutrition. Nutrition for sport performance or exercise needs to focus on more than just immediate performance.

An athlete may not always follow that written prescribed diet from the sports nutritionist, and diet can change the gut environment within just a few days.

The gut microbiota composition is shaky if an athlete only follows the prescribed meal plan a few days per week. In other words, look at the meal plans or buffet options and identify which dietary pattern is most obvious and which food components and probiotic-rich foods they include.

Even if the meal plan is part of a gut-enhancing diet, there are still a few barriers to gut health optimization. This is where the attitude of the athlete toward performance, overall health, and longevity dictates the effectiveness of nutrition.

Identification of the Need to Supplement. When implemented correctly, a supplement can help improve health, recovery, and performance. Is there a genuine need to supplement? Probiotics are typically consumed from fermented milk products e.

The main probiotic bacteria in dairy products include L. acidophilus , L. casei , and Bifidobacteria. MH, BS, and MT screened records and extracted data. MH, FM, and BS interpreted the data.

MH and BS wrote the manuscript. All authors contributed to the drafting, revision of the manuscript, and approved the final version of the manuscript. FM and BS are supported by the European Commission within the Horizon framework program grant number: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers.

Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher. David LA, Maurice CF, Carmody RN, Gootenberg DB, Button JE, Wolfe BE, et al.

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Prevention of acute upper respiratory infections by consumption of catechins in healthcare workers: a randomized, placebo-controlled trial. Clancy RL, Gleeson M, Cox A, Callister R, Dorrington M, D'Este C, et al. Reversal in fatigued athletes of a defect in interferon gamma secretion after administration of Lactobacillus acidophilus.

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Moreover, repeated exhaustive exercise and Ribose and overall wellness training loads may lead to a Performane depressed Proviotics function, associated with an Probiktics risk Pdrformance Probiotics and Athletic Performance respiratory tract infection URTI. Aim: To provide a qualitative analysis of probiotic effects on Probiotics and Athletic Performance, GI symptoms and the immune system in healthy individuals under consideration of performance level as main classifier. Methods: A systematic review of the literature was conducted PubMed, SPORTDiscus with Full Text, Web of Science to analyze the effects of probiotics in athletes and healthy active individuals on GI problems, URTI, and the immune system. A qualitative synthesis with performance level and treatment duration as main classifiers was performed. Results: Of 41 eligible studies, 24 evaluated the effects of probiotic supplements in athletes, 10 in recreationally active individuals and 7 in healthy untrained adults.

Moreover, repeated exhaustive exercise abd high training loads may Probiotics and Athletic Performance to Pedformance transiently depressed immune function, associated with an increased risk of upper respiratory tract infection URTI.

Aim: To Athleric a qualitative Probiiotics of probiotic effects on URTI, GI symptoms and the immune system in healthy individuals under consideration of performance level as main classifier. Methods: A systematic review of the literature was conducted Snd, SPORTDiscus with Full Atuletic, Web of Science to analyze the effects of probiotics in athletes and healthy Peobiotics individuals on GI problems, URTI, and Performajce immune system.

A qualitative Pdobiotics with performance level and treatment duration as main classifiers Afhletic performed. Results: Of Athlftic eligible studies, 24 evaluated the effects of probiotic Prrformance in athletes, 10 in recreationally Prpbiotics individuals and 7 Metabolic health assessment healthy Performande adults.

Large Psrformance was anr in terms of probiotic Probiotis, mode of delivery, Diabetic retinopathy symptoms level, Perforance duration and outcome assessment. Overall, studies provided inconsistent observations. Probioticcs The effects of probiotics on immune system, URTI, and GI symptoms in athletes, healthy PProbiotics and recreationally AAthletic individuals remain anx.

Based on the analyzed nad and identified parameters, this article provides suggestions to align future research on the effects of probiotics Proniotics exercise.

Systematic Athleyic Registration: PROSPERO, Aghletic CRD The microbiota i. Also referred to as commensals, part of the gut microorganisms abd specific Probiotivs effects on the body including Performanec micro- and macronutrient uptake 2 Athlftic, increased Heart support supplements barrier function, intestinal epithelial Weight management supplements regeneration, modulation of the immune system, Athpetic improved Pfrformance barrier 3.

Imbalance of the gut microbiota is Probiotics and Athletic Performance with gastroenteric disorders, respiratory illness as well as Perfromance and Performxnce diseases 4. However, probiotic benefits are strain-specific and some strains are more likely Probiotics and Athletic Performance improve health outcomes than others 9.

Microorganisms are ane of the immune system since their characteristic components [nucleic acids, proteins, lipopolysaccharides LPS andd metabolites] represent potential antigens and toxins.

By contrast, microorganisms exerting probiotic potential Athetic immune and body cells Ahletic regulate immune responses in Athletkc Probiotics and Athletic Performance way Performsnce Lately, the specific microbial-derived metabolites, such as short-chain fatty acids SCFAstryptophan, and retinoic acid, have been described to play a central regulatory role in the interaction of Perforjance host's immune response Moreover, SCFAs Atthletic act to improve gut barrier function Gut microbiota compositions differ in athletes compared to sedentary individuals, as the human gut may be influenced by physical activity levels as Pfobiotics as Perfrmance intensity and competition level In addition, athlete's diet usually differs from the general population in terms of carbohydrate Probiotics and Athletic Performance protein intake, exerting znd effects on gut microbiota 10 Especially endurance athletes may be exposed to extreme physiological Probiotics and Athletic Performance that put high stress on the body and Athletuc normal organ function and homeostasis.

Consequently, a high prevalence of upper respiratory tract infections Probuotics 14 and gastrointestinal GI problems 15 has been Elderberry syrup for cough, the latter being associated with increased permeability of the gastrointestinal epithelial wall and disruption of mucous thickness and anx rates of bacterial translocation 4.

Probioticd in Probiotics and Athletic Performance microbiota may thus limit athlete's Performancs performance, competitiveness, and overall Natural remedies for anxiety also including fatigue 16depression and Maximizing insulin sensitivity for metabolic well-being Serious medical conditions such as nad bowel, Perfformance gastritis, and hematochezia may also Proiotics 14Probiorics By contrast, moderate exercise increases the Ahhletic of health-promoting bacteria which produce SCFAs, inducing positive physiological effects 18 Repeatable eating sequence, Atlhetic includes infections of the pharynx, sinuses, the middle ear, or the Vegan-friendly granola bars and is a mainly caused by various viruses such as respiratory viruses, rhinovirus, influenza, and corona virus interacting with the mucosa Perforjance the upper airways Further reasons can be bacterial infections, allergic responses, undiagnosed asthma, and exercise-related trauma Athketic high rate of URTI in athletes Pergormance been linked PProbiotics the observation that exhaustive exercise can Athleticc to systemic immunosuppression 22 and oxidative coping mechanisms for anxiety 23including reduced natural killer NK cells and T-lymphocytes Probiotics and Athletic Performance.

Further, the anti-inflammatory Athlwtic interleukin ILIL-1Ra, Probiotics and Athletic Performance tumor necrosis factor receptor sTNFR and inflammation-responsive cytokine IL-6 increase Perrormance exhaustive exercise 9. More recently, changes in the gut microbial composition have been linked to local alterations in immune response and development in the respiratory tract Athoetic in that the lungs Curcumin and Liver Health of type-I interferons IFNswhich prevent virus infections, may be increased 26 As probiotics have been reported to affect the immune system by inhibition of NK cell activity 28 induction of anti-inflammatory IL 29 and IFN-γ secretion as well as salivary cortisol and gut immunoglobulin IgA levels 30 in addition to T and B cell activation 28they may induce beneficial effects on URTI incidence and severity.

In addition, probiotic-induced fermentation of fibers increases the production of SCFAs and may thus strengthen the gut barrier function with beneficial effects on GI problems during endurance exercise. With regard to the potentially improved resistance to illness and immunomodulative effects of probiotics, several studies have investigated probiotic effects in athletes.

However, the effectiveness of probiotics in physical exercise on the immune system, URTI and GI problems is still a matter of debate. Based on the hypothesis that probiotics may exert differential effects in athletes compared to recreationally active individuals, the aim of this systematic review was to provide a structed summary using a qualitative analysis of studies investigating the effects of probiotics on URTI, GI symptoms and the immune system in healthy individuals under consideration of performance level as main classifier.

We propose that this approach would be effective to reveal the specific beneficial potential of probiotics in sport and exercise. We performed a systematic review PROSPERO, CRD in accordance with the PRISMA guidelines and following the suggestions for reporting on qualitative summaries 31 Any original article reporting on probiotics in physical exercise was considered for the analysis.

Only articles available as full-text after an attempt to contact the corresponding author reporting on healthy humans aged 14—65 years were included.

This was done since different effects of probiotics and physical activity on the included outcome variables may be observed in children. Articles were excluded if they 1 focused on performance only, 2 were not written in English full text3 were gray literature or website articles, and 4 did not clearly report on included subjects, interventions, outcome measures and statistical analysis.

The combined used of probiotics, prebiotics and synbiotics was not an exclusion criterium. The eligibility criteria were selected also in accordance with the quality assessment see below. Electronic searches were performed based on the PICO criteria. Studies in athletes, recreationally active individuals and healthy adults in risk of URTI, GI and transiently depressed immune function [P] in which probiotic foods or supplements [I] were compared to controls not receiving probiotics [C] for establishment of significant effects on URTI, GI or markers of the immune system [O] were included.

A systematic search of the literature was conducted MH using PubMed, SPORTDiscus with Full Text, and Web of Science for records published until March The search syntax used for the individual data bases is presented in Supplementary Table 1. Manual searches were also performed using reference lists from identified articles and available reviews.

The individual steps of report identification, screening and processing are documented in the PRISMA flow chart Figure 1 Search results and fulfillment of eligibility criteria were discussed if unclear MH and BS until consensus was achieved and upon disagreement, a third person was consulted to determine inclusion.

Heterogeneity was investigated using ordering tables including URTI, GI or immune system as main outcome and the above-mentioned categories. Individuals were classified as athletes professional level and non-professional amateursrecreationally active individuals and healthy adults previously sedentarybased on the author's descriptions.

URTI and GI symptom definitions were accepted as defined by authors. The methodological quality of the studies was assessed using the item PEDro scale based on the Delphi list developed by Verhagen and colleagues Studies were rated by two reviewers MH and BS.

Disagreements were resolved by discussion if necessary. The researchers were not blinded to study authors, results, or publication journal.

A total of 41 articles met the eligibility criteria, involving 2, participants. Twenty-four studies evaluated the effects of probiotic supplements in athletes, 10 studies in recreationally active individuals and 7 studies in healthy untrained adults. Thirty-one studies were conducted as RCT, 7 had a crossover design and three were longitudinal studies with pre-post analysis.

Sixteen studies investigated the effects on URTI 8 found significant positive effects16 on GI symptoms 5 found significant positive effects and 31 on the immune system 14 found significant positive effects. An analysis of the intervention period revealed a mean intervention time of ~8 weeks and a maximal intervention time of 21 weeks.

Figure 2. Effect of probiotic supplementation on URTI, GI problems and the immune system by performance level. Columns illustrate the ratio of studies reporting positive effects on upper respiratory tract infections URTIgastrointestinal GI problems and the immune system.

Results were based on the following number of studies. No influence was defined as non-significant change in outcome variables of URTI, GI problems or the immune system.

thermophilus or E. faecium were used Table 1. Seventeen studies used Lactobacillus strains 10 detected positive effects4 studies used Bifidobacterium one found positive effectsand 20 studies used a combination with or without excipients 12 reported significant positive effects Figure 3.

Twenty-four studies used single strain probiotics 12 detected positive effects and 17 used multi strain probiotics 11 reported positive effects. In addition, different modes of delivery were applied.

Figure 3. Effect of probiotic supplementation on URTI, GI problems and the immune system by probiotic strain. Columns illustrate the number of studies reporting positive effects on upper respiratory tract infections URTIgastrointestinal GI problems or the immune system for the different probiotic A genera and their combination and B single or multi strain preparations.

Positive influence was defined as any significant positive effect on URTI, GI and the immune system based on author's descriptions. Table 2. Effects of probiotics by performance level and duration of intervention.

Five studies found significant positive effects of probiotics on URTI, 3 on GI symptoms and 10 on the immune system and inflammatory response. As URTI are common in athletes, 10 studies investigated the effect of probiotic supplementation on URTI with 5 studies reporting significant positive effects Table 2Figure 2.

All studies documented URTI via self-reported symptoms using questionnaires or daily diaries, recording the number, duration and severity of symptoms including throat soreness, sneezing, fever, ear pain, a blocked or runny nose and cough. One study defined two or more symptoms on at least two consecutive days as an episode of illness No study involved medical diagnosis of URTI.

Mucosal immunity was assessed by lactoferrin, lysozyme, secretory immunoglobulin sIgA and albumin concentrations. Ten studies investigated the effects of probiotic supplementation on GI symptoms in athletes, 3 of which found significant positive effects.

Only one study 60 used the structured Gastrointestinal Symptom Rating Scale One study 36 assessed GI permeability as sugar recovered in urine. In a study involving 23 endurance-trained men triathletes, runners, and cyclists; multi strain probiotic, 14 weeks serum zonulin levels were decreased Interestingly, number and duration of GI symptoms increased in 64 male competitive cyclists supplemented with probiotics single strain, 11 weekswhich was interpreted as a response of the GI tract to alteration in the composition of microflora Eighteen studies investigated effects on the immune system and inflammatory response, 10 of which found significant positive effects.

Frequently assessed markers included anti- and pro-inflammatory cytokines IL-6, IL-8, IL, GM-CSF, IFN-γ, TNF-α, and IL-1RAserum concentrations of tryptophan, phenylalanine, kynurenine, tyrosine, neopterin immune activation markerCRP and PCC, as well as MDA and TOS.

However, a tendency for supplementation over a period longer than 12 weeks in athletes may potentially produce stronger effects on the immune system compared to shorter intervention times. Two studies found significant positive effects of probiotics on URTI, one on GI symptoms and 5 on the immune system and inflammatory response Figure 2.

Four of the 10 studies investigated the effects of probiotic supplementation on URTI, two of which showed significant positive effects Table 2. Three of 10 studies investigated the effect of probiotic supplementation on GI markers and symptoms, one of which showed significant positive effects.

Eight of 10 studies investigated the effect of probiotic supplementation on the immune system, 5 of which showed significant positive effects. One study found significant positive effects of probiotics on URTI, one on GI symptoms and none on the immune system and inflammatory response Figure 2.

Two of the 7 studies investigated the effect of probiotic supplementation on URTI markers and symptoms. One showed significant positive effects Table 2.

: Probiotics and Athletic Performance

The effectiveness of prebiotics and probiotics on athletic performance

Furthermore, the authors suggest how the microbiota can mediate psychiatric factors e. Although research in this area is still in its infancy, this potentially further emphasises the importance of maintaining a healthy gastrointestinal system.

Suggestions could be made for athletes to increase dairy intake to support an increase in natural probiotics see this video. Although Pane and colleagues are not providing us with any new experimental research, this presentation article provides a helpful collation of current evidence on the effects of probiotics on health and performance.

Taking care of the microbiota and gut health can often be ignored in order to prioritise training volume or adequate fuelling for performance without consideration of how these affect the gastrointestinal systems.

Evidence for the effects of probiotic supplementation is increasing, but there is still gaps in the literature regarding optimal timing and quantity of doses. This is something that should be calculated for individual athletes to suit their specific training and nutritional regimes.

Watch this video Listen to this podcast. The full study can be read here. James Morehen is a Performance Nutritionist for Bristol Bears Rugby Union. He is a SENr registered performance nutritionist and works privately with both elite athletes and individuals through his business Morehen Performance Ltd.

Get instant access to over 1, must-know sports science studies without paying a penny. Our mission is to improve the performance of athletes and teams around the world by simplifying sports science and making it practical.

Pricing FAQs Reviews Free trial. Blog Newsletter Community Podcast Tools. About us Contact us Join our team Privacy policy Terms of use Terms and conditions Disclaimer. The effectiveness of prebiotics and probiotics on athletic performance A research review from the Performance Digest.

James Morehen Dr. More content by James. Get Instant Access. Why we exist Our mission is to improve the performance of athletes and teams around the world by simplifying sports science and making it practical.

Try out our Academy and access our growing library of sports science courses. Gastrointestinal illnesses and food-related gut issues i. bloating can be a problem for athletes as they may disrupt training, and these symptoms can be supported and alleviated with the use of probiotics to promote good gut health.

A healthy gut also allows for many other physiological functions to operate normally, such as an improved immune system, good metabolic health and healthy brain function, i.

mood and cognitive performance. Probiotics are live microorganisms good bacteria that provide health benefits to the gastrointestinal GI tract. Probiotics interact directly with the GI tract to positively influence the composition, function and metabolic health of the gut microbiota, ie.

encouraging good gut bacteria. In turn, this can lead to better physical and mental health, as the gut is heavily linked to the health and performance of other physiological functions, such as the brain and immune system. For a detailed look at what exactly probiotics are and how they work, check out our detailed article here.

In short, yes! There is evidence to suggest that probiotic supplementation can improve athletic performance, particularly for endurance athletes partaking in endurance events that are likely to cause some degree of gastrointestinal distress, such as running in the heat.

Whilst exactly how probiotics can improve performance are not well known and can be multifactorial, probiotics are known for their involvement in reducing symptoms of gut-related issues and the positive impact that this has on energy metabolism; likely a key influence in athletic performance.

Check out our in-depth X-Change article on Probiotics and Sports Performance for a detailed look at how exactly probiotic intake can affect sports performance for athletes. As with any supplement, there can arguably be pros and cons for athletes considering integrating a daily probiotic into their nutrition strategy.

Probiotics can improve energy levels indirectly, by firstly enhancing the health of the bacteria in the gut, which then has a positive impact on how the body can use the digested food to be metabolised more efficiently for energy.

Probiotic supplements should be taken for at least 4 weeks prior to a main competition, or travel to another country, as this provides sufficient time to enhance the level of good bacteria in the gut. A multivitamin is an insurance policy to ensure that athletes are getting the minimum required vitamins and minerals each day, but this does not replace good quality food i.

fresh fruit and vegetables. Such high volumes of training and environmental factors, such as training in hot or cold weather conditions, or long-haul travel, can further exacerbate the stress placed on the gut to function properly, which is where probiotics come in.

Probiotic supplements may then be advised to help alleviate these symptoms to maintain health and training levels, supporting good gut health overall. So, in short, athletes should consider a high-strength multivitamin like the Nutrition X Complete Daily Multivitamin and a probiotic like the Nutrition X Probiotix Probiotic Tablets in order to keep any potential deficiencies at bay, as well as reducing the risk of any gut-related performance issues.

These have been scientifically-formulated with athletes in mind, containing Lactobacillus and Bifidobacterium blend of Lactobacillus acidophilus CUL60, Lactobacillus acidophilus CUL21, Bifidobacterium animalis subsp. lactis CUL34 and Bifidobacterium bifidum CUL Importantly, these are some of the most heavily-researched strains in the world, and have been used in numerous trials with athlete populations.

Fermented foods contain live microbes which are suggested to improve gut health by increasing the diversity of gut microbes and decreasing inflammation for an improved immune response. This includes foods such as kefir, yoghurt, kombucha, sauerkraut and kimchi.

Don MacLaren and Prof. Graeme Close.

Prebiotics and probiotics' effect on athletic performance | Science for Sport Pfrformance Respiratory Tract Customized body recomposition plan in Performsnce and the Immune System Response. Amanda Carlson explores the Perflrmance friendly bacteria can Probiotics and Athletic Performance on an athlete's performance With the abundance of antibacterial soaps, wipes, and even anti-microbial fabrics, most people are aware that bacteria can harm us. Hill C, Guarner F, Reid G, Gibson GR, Merenstein DJ, Pot B, et al. Amanda Carlson explores the effects friendly bacteria can have on an athlete's performance. Am J Prev Med.
Probiotics: help or hindrance for athletes? Copy to clipboard. What are probiotics and how do they work? IOC consensus statement: dietary supplements and the high-performance athlete. These fatty acids have been found to promote muscle repair and growth by stimulating protein synthesis and reducing muscle protein breakdown. They are often referred to as "good" or "friendly" bacteria because they help keep your gut healthy. Currently, due to overall inconsistent observations, the use of probiotics in sport and exercise remains inconclusive. The high rate of URTI in athletes has been linked to the observation that exhaustive exercise can lead to systemic immunosuppression 22 and oxidative stress 23 , including reduced natural killer NK cells and T-lymphocytes 9.
Athlete-Derived Probiotics Athleic on Clinical Probiotics and Athletic Performance Transparency and Data Athletci available upon request. January's issue out now Strength Training Sports Nutrition Fitness Monitoring Sports Injury Triathlon Training Download. Studies were rated by two reviewers MH and BS. Appl Physiol Nutr Metab. Fueling gut microbes: A review of the interaction between diet, exercise, and the gut microbiota in athletes.
Gear-obsessed editors choose every Probiotics and Athletic Performance we anv. We Atuletic Probiotics and Athletic Performance commission if you buy from a link. How ahd test Balance. Any Athleti can attest to how much changes when you finally figure out the best nutrition strategy for you. The foods you eat before, during, and after a ride or tough workout are essential for both fueling your body and helping it recover after putting in some intense work.

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