sports 1882719 1280

Going to the gym affects you in more ways than one

ByMokhtar Sahraoui

 

Resistance exercise increases gastrointestinal symptoms, markers of intestinal permeability, and damage in resistance-trained adults.

Hart TL, Townsend JR, Grady NJ, Johnson KD, Littlefield LA, Vergne MJ, Fundaro G. Med Sci Sports Exerc. May 25, 2022. doi: 10.1249/MSS.0000000000002967. E-publishing prior to printing.

https://pubmed.ncbi.nlm.nih.gov/35612399/

Take home message

Men subjectively and objectively show more signs of gastrointestinal stress and intestinal permeability after resistance training than after 45 minutes of rest.

Background

Exercise offers numerous health benefits; however, it can cause gastrointestinal upset, at least in part due to the reduced blood flow to the intestines. Most research in this area has focused on endurance athletes. We know much less about resistance training. Understanding the impact of resistance training on the gastrointestinal system would help physicians develop strategies to reduce these side effects and optimize nutrient absorption.

Study aim

Hart and colleagues completed a randomized, crossover study of 30 (15 male, 15 female) resistance-trained participants to determine the influence of acute resistance training and biological sex on subjective gastrointestinal symptoms, gastrointestinal damage, and gastrointestinal permeability.

Methods

The researchers enrolled 30 participants who participated in resistance training at least three times a week for at least a year before the study. They also had to be able to do leg presses of at least twice their body weight. Participants completed a health and activity questionnaire and the Gastrointestinal Symptom Rating Scale to identify pre-existing gastrointestinal conditions. The authors standardized each participant’s diet, physical activity, and hydration status to be consistent between the two sessions. Participants completed the experimental sessions two weeks apart and in random order. During the resistance training, participants completed a standardized warm-up routine and exercise protocol of squat, seated shoulder press, deadlift, bend-over row and leg press exercises. They performed all exercises on 70% of the participants, a maximum of 1 repetition for 4 sets of 10 repetitions with standardized rest breaks. During the control session, participants completed all assessments but remained seated for 45 minutes. Before and after the experimental studies, participants completed the Gastrointestinal Symptom Rating Scale to assess GI symptoms. Blood samples were also taken after experimental sessions to assess biomarkers of gastrointestinal complaints.

Results

Seventy percent of participants reported at least one gastrointestinal symptom after strength training, most commonly at least nausea (63%). Analysis of blood samples showed that biomarkers of intestinal damage and intestinal permeability were highest after strength training in men. Females had no differences in serum measures of intestinal damage or permeability after exercise or control sessions.

Viewpoints

Interestingly, men who participated in resistance exercises had the greatest risk of gastrointestinal problems and permeability. Therefore, they may also have an altered ability to absorb nutrients after resistance training. It would be interesting to reproduce these results in a larger study and among people with different levels of experience in resistance training.

Clinical implications

Clinicians should recognize that a session of resistance training can cause gastrointestinal symptoms and complaints that affect nutrient intake/absorption. It may be helpful to discuss with a nutritionist whether an athlete needs changes in food intake after exercise if he or she reports greater gastrointestinal symptoms after strength training.

Questions for discussion

Does this new finding help contextualize experiences you’ve had with patients? How might this affect your use or recommendation of resistance training?

Written by: Kyle Harris
Review by: Jeffrey Driban

related posts

Position statement on resistance training for youth: the 2014 international consensus
Resistance training versus static stretching
I can’t stand this: training with a mask.

9 EBP CEU courses

Source link

Related Articles

Best Stretches for Knee StiffnessExercises to Avoid With Meniscus TearQuad Strengthening for Bad Knees: Safe Exercises and ModificationsKnee replacement infection signs
Medical disclaimer: This article is for general information only and is not medical advice, diagnosis or treatment. Always talk to your doctor or a qualified health professional about knee pain or an injury. Get urgent care for severe pain, a knee you cannot put weight on, sudden major swelling, or a hot, red knee with fever. Read our full disclaimer.
Mokhtar Sahraoui

About the author: Mokhtar Sahraoui

Mokhtar Sahraoui is the founder and editor of Knee Hurt. He researches and writes practical, easy-to-understand guides on knee pain, knee injuries, arthritis and recovery, based on trusted medical sources. Knee Hurt articles are general information and are not a substitute for advice from your doctor or physical therapist.

Similar Posts

  • |

    Failed knee replacement symptoms

    ByMokhtar Sahraoui

    What if the relief you expected after your joint procedure never arrives? This unsettling question faces a small percentage of individuals each year. While statistics show that 85% to 90% of patients enjoy successful outcomes for 15 to 20 years after their initial knee replacement surgery, some do not. failed knee replacement symptoms We understand that persistent discomfort following this major operation can be a source of deep frustration. It can severely limit your mobility and daily life. Our guide is here to shed light on the various signs that may indicate your implant is not performing as designed. Identifying these indicators early is critically important. It ensures you get the right medical attention and potential intervention from a qualified specialist. If you experience persistent pain and stiffness, understanding the next steps is vital. We will walk you through common warning signs, the diagnostic process, and the treatment paths available to restore your comfort and movement. Key Takeaways Most knee replacement procedures are highly successful for many years. Recognizing early warning signs of a problem is crucial for your health. Specialized care models, like the one at University of Utah Hospital, combine expert teams for complex cases. Persistent pain, swelling, or instability after recovery should not be ignored. Several effective treatment options exist to address implant issues. Early consultation with an orthopedic surgeon can lead to better outcomes. Your long-term mobility and quality of life are the ultimate goals. Understanding Knee Replacement Surgery Modern orthopedic medicine offers a reliable solution for severe joint damage through artificial joint implantation. This procedure aims to restore comfortable movement when natural cartilage wears down. knee replacement surgery components How Knee Replacements Work During this operation, surgeons remove damaged joint surfaces. They replace them with precisely engineered metal and plastic components. These artificial parts are designed to glide smoothly. They mimic your joint’s natural motion, reducing discomfort. Fixation Method How It Works Key Consideration Cemented Fixation Special bone cement bonds the implant directly to your bone. Provides immediate, strong stability after the operation. Biologic Fixation The bone grows into a porous coating on the device over time. Creates a durable, long-term bond without cement. Surgeon’s Choice The method is selected based on your bone quality and age. Each technique has specific advantages for different situations. Long-Term Expectations and Implant Lifespan Most modern devices are engineered for durability. A typical lifespan ranges from 15 to 20 years. “The longevity of a joint implant depends on multiple factors, including the patient’s activity level and overall bone health.” We emphasize that these components are not indestructible. They experience natural wear from daily use over time. Regular monitoring helps ensure your artificial joint functions well for as long as possible. Your activity choices and general health play significant roles. Recognizing Failed Knee Replacement Symptoms When an artificial joint doesn’t function as intended, your body sends distinct signals that demand attention. Learning to identify these signs is crucial for your long-term health and mobility. Persistent Pain and Swelling Persistent pain in the knee joint that lingers long after the typical recovery period is a primary indicator. This pain isn’t normal soreness. It often presents as a deep, constant ache. Swelling around the knee joint that refuses to fade with rest is another red flag. Persistent pain and swelling are common companions. They can suggest underlying issues like inflammation or component loosening. Instability and Changes in Joint Function A feeling of instability, where your leg might buckle, is alarming. This instability often feels like the joint is giving way when you put weight on it. You might also notice a noticeable decline in how well it moves. Stiffness, developing a limp, or hearing odd popping noises are critical functional changes. We encourage you to monitor these signs closely. They are the primary indicators that your implant may require further clinical assessment. Common Causes of Knee Replacement Failure…

  • | |

    How to recover from your ACL injury like a professional athlete

    ByMokhtar Sahraoui

    Last winter I connected with another NFL player who was going through an ACL recovery. Before meeting him, he had been working as hard as he could to recover efficiently from the ACL injury. But he had just been to his doctor, who had taken him through several to test to determine how well his…

  • Fibromyalgia Quiz | Signs, Symptoms & Treatments – AOTC Jax

    ByMokhtar Sahraoui

    At Arthritis and Osteoporosis Treatment Center, we are committed to the compassionate treatment of all patients. That’s why, this Fibromyalgia Awareness Month, we want to help you learn the signs, symptoms, and available treatment options for this condition. Take our fibromyalgia test below and don’t forget to consult our doctors for the best, personalized care….

  • |

    Knee pain after sex

    ByMokhtar Sahraoui

    What if a common physical sensation is quietly shaping the quality of our most private moments? This discomfort can feel isolating. It may make us pull back from our partner. The American Osteopathic Association notes that about one-third of Americans live with joint issues that hinder daily activities. knee pain after sex This statistic reflects a wider reality. When our bodies signal distress, it often echoes in our shared life. The ache isn’t just physical. It can create an invisible barrier to intimacy. We believe understanding is the first step toward change. By exploring the reasons behind this discomfort, we can make smart adjustments. Small changes to our routine can have a big impact. Our goal is to help you move from frustration to solution. Let’s look at how to protect your physical connection and ensure your experiences remain fulfilling and joyful. Key Takeaways Joint discomfort during intimate moments is a common issue that affects emotional and physical connection. Nearly one-third of adults in the U.S. report joint-related problems that impact their daily quality of life. This physical barrier can lead to avoiding closeness, which may strain a relationship. Identifying the root cause of the discomfort is a crucial proactive step toward improvement. Simple adjustments to routines and positions can help maintain a healthy and satisfying sex life. Open communication with your partner about physical limits is essential for mutual comfort. Seeking professional guidance can provide tailored strategies for long-term relief and enjoyment. Understanding Knee Pain After Sex It’s a reality for many: seeking closeness, only to be met with a sharp, distracting sensation. This discomfort has specific roots. Knowing them helps us adapt and find relief. Common Causes and Triggers Physical intimacy involves movement and pressure. These actions can strain the joint if it’s already sensitive. A sudden twist or prolonged kneeling might be the direct trigger. Interestingly, gentle motion can be helpful. Maiken Jacobs, an orthopedic patient educator, notes that moving a joint through its range of motion can release endorphins. This is good for your condition. Acute vs. Chronic Pain Explained We must distinguish between two main types. Acute discomfort often results from sudden injuries, like a sprain. It comes on quickly and usually fades with time and care. Chronic issues stem from long-term conditions. Osteoarthritis is a common example. This ongoing pain affects mobility and daily comfort for many people. Identifying which type you’re experiencing is the first step toward smart management. It guides our approach to maintaining a fulfilling connection. Preparing for Intimacy with Knee Sensitivity A little preparation can transform our intimate moments from a source of worry into a space of comfort and connection. We focus on simple, proactive steps that address physical sensitivity head-on. The Role of Warm Baths and Epsom Salts Starting with a warm bath is a powerful ritual. Adding Epsom salt helps soothe muscles and promotes deep relaxation. Taking a warm Epsom salt bath before intimacy can proactively ease joint discomfort and help you relax. Maiken Jacobs, Orthopedic Patient Educator This practice isn’t just solitary self-care. Turning it into a shared, sensual experience with our partner helps us both unwind and set the right mood. preparing for intimacy with knee sensitivity Pre-medicating and Managing Stress Stress tightens our bodies and can heighten our perception of discomfort. Managing tension is therefore a vital part of our preparation. If we’re concerned about potential aches, seeking information from a doctor is wise. They can advise on the ideal timing for taking an anti-inflammatory to maintain comfort. Proactive planning, like using a heating pad beforehand, ensures our focus stays on connection. Preparation Method Primary Benefit Key Consideration Warm Epsom Salt Bath Soothes muscles & promotes relaxation Can be a shared ritual with a partner Consulting a Doctor Personalized timing for medication Provides expert guidance for safety Stress Management Reduces tension that worsens discomfort Includes deep breathing or meditation…

  • |

    LSU Student Research Fellowship – Adult and Child Tracks

    ByMokhtar Sahraoui

      LSU Ortho Student Research Fellowship This opportunity allows highly motivated students interested in orthopedics to be integrated into our academic orthopedics department for a year. You will be in constant conversation with faculty, residents, and department researchers as you learn the basics of research design, methodology, data analysis, and how to navigate the process…

One Comment

  1. Pingback: Antibiotics Wreak Havoc On Athletic Performance - Knee Hurt

Leave a Reply

Your email address will not be published. Required fields are marked *