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Medicine & Science in Sports & Exercise:
Basic Sciences/Regulatory Physiology: Original Investigations

Gastrointestinal permeability following aspirin intake and prolonged running


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We sought to evaluate the effects of exercise and aspirin on gastroduodenal and intestinal permeability. Seven volunteers (age = 29 ± 3 yr;˙VO2max = 56.8 ± 4.1 ml·kg-1·min-1) rested or performed treadmill exercise (60 min at ≈68% ˙VO2max), with or without aspirin ingestion. Placebo (glucose) or aspirin (1.3 g) was taken the night before and prior to rest or exercise (total 2.6 g). A permeability test solution (≈ 1300 mOsm·kg-1), containing 10 g lactulose (L), 5 g mannitol(M), and 10 g sucrose (S), was ingested prior to rest or exercise. Urinary excretion rates (6·h-1), expressed as a percentage of ingested dose, were used to quantify intestinal (L/M ratio) or gastroduodenal (S) permeability. Ingestion of aspirin before running increased (P < 0.05) intestinal permeability compared to placebo + running and placebo + rest, but not compared to aspirin + rest; mean (±SE) values for the L/M ratio were 0.248 ± 0.046, 0.029 ± 0.012, 0.012 ± 0.004, and 0.104 ± 0.057, respectively. Gastroduodenal permeability following aspirin + running (3.25 ± 1.21%) was also elevated (P < 0.05) compared to placebo + running (0.43 ± 0.15%) and placebo + rest(0.24 ± 0.11%), but not compared to aspirin + rest (0.66 ± 0.27%). Neither running nor aspirin ingestion was associated with gastrointestinal (GI) complaints. Thus, GI permeability while running can be markedly elevated by aspirin ingestion.

©1996The American College of Sports Medicine


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