Evidence map›Paper›PMID 39876077›Full record

Trial reportMedicine and science in sports and exercise2025

Effect of Ibuprofen on Markers of Acute Kidney Injury, Intestinal Injury, and Endotoxemia after Running in the Heat.

Jonathan W Specht, Alyssa R Bailly, Serena Garcia, Steven Klepacz, Suzana Andrade DE Oliveira, David Lucero, Zachary J McKenna, Zachary J Schlader, Fabiano T Amorim

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine and science in sports and exercise, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jonathan W SpechtDepartment of Health, Exercise, and Sports Sciences, University of New Mexico, Albuquerque, NM.
Alyssa R BaillyDepartment of Health, Exercise, and Sports Sciences, University of New Mexico, Albuquerque, NM.
Serena GarciaDepartment of Health, Exercise, and Sports Sciences, University of New Mexico, Albuquerque, NM.
Steven KlepaczDepartment of Health, Exercise, and Sports Sciences, University of New Mexico, Albuquerque, NM.
Suzana Andrade DE OliveiraDepartment of Health, Exercise, and Sports Sciences, University of New Mexico, Albuquerque, NM.
David LuceroDepartment of Health, Exercise, and Sports Sciences, University of New Mexico, Albuquerque, NM.
Zachary J McKennaInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital, and University of Texas Southwestern Medical Center, Dallas, TX.
Zachary J SchladerDepartment of Kinesiology, Indiana University School of Public Health, Bloomington, IN.
Fabiano T AmorimDepartment of Health, Exercise, and Sports Sciences, University of New Mexico, Albuquerque, NM.

Funding

Low-energy cooling strategies to reduce the thermal, cardiovascular, and renal consequences of heat waves in the elderly.F32HL168826 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI MCKENNA, ZACHARY JOHN · 2024 to 2025
$149k
NHLBI NIH HHS F32 HL168826NIOSH CDC HHS R01 OH011528
6 · The paper itself

Abstract

purposeTo test the hypothesis that ibuprofen ingestion exacerbates markers of acute kidney injury (AKI), gastrointestinal (GI) injury, and endotoxemia after running in the heat.

methodsUsing a randomized double-blind crossover design, 11 physically active individuals (six women) ingested 600 mg of ibuprofen or placebo 12- and 1-h before running 1 h in a heated chamber (35°C, 20%-60% R.H.) at an intensity of 60% V̇O 2peak . Blood and urine samples were collected preexercise, postexercise, and 1-h postexercise to assess cytokines and markers of AKI, GI injury, and endotoxemia.

resultsOne hour of running in the heat increased markers of AKI (urinary product of IGFBP7•TIMP2 [Placebo: ∆ 1.8 ± 0.8 log 10 (ng·mL 2 )/1000, Ibuprofen: ∆ 1.8 ± 0.9 log 10 (ng·mL 2 )/1000], urinary NGAL, and serum cystatin C), GI damage (I-FABP [Placebo: ∆ 631 ± 446 pg·mL -1 , Ibuprofen: ∆ 576 ± 455 pg·mL -1 ]), and inflammatory cytokines (TNFα [Placebo: ∆ 5.2 ± 3.5 pg·mL -1 , Ibuprofen: ∆ 6.2 ± 4.9 pg·mL -1 ], IL-6, IL-10, and MCP-1), but these changes were not exacerbated by ibuprofen ingestion. There were effects of time ( P < 0.001) and condition ( P = 0.03) for serum IL-8, with greater concentrations in the ibuprofen (pre: 11.4 ± 5.1 pg·mL -1 , post: 15.5 ± 7.3 pg·mL -1 ) trials than placebo (pre: 9.7 ± 4.2 pg·mL -1 , post: 11.7 ± 5.4 pg·mL -1 ). There were no effects of time or condition on markers of endotoxemia (LBP [Placebo: ∆ -1.2 ± 3.2 μg·mL -1 , Ibuprofen: ∆ 1.0 ± 1.6 μg·mL -1 ], sCD14).

conclusionsThese findings indicate that ibuprofen ingestion does not worsen intestinal or renal injury experienced during 1 h of exercise in the heat, but increases pro-inflammatory IL-8.

Indexed as

Acute Kidney InjuryAnti-Inflammatory Agents, Non-SteroidalEndotoxemiaHot TemperatureIbuprofenRunningAcute-Phase ProteinsAdultBiomarkersCross-Over StudiesCytokinesDouble-Blind MethodFatty Acid-Binding ProteinsFemaleHumansLipocalin-2Acute-Phase ProteinsAnti-Inflammatory Agents, Non-SteroidalBiomarkersCytokinesFatty Acid-Binding ProteinsIbuprofenLCN2 protein, humanLipocalin-2LipocalinsTIMP2 protein, humanTissue Inhibitor of Metalloproteinase-2CYTOKINEEXERCISEEXERTIONAL HEAT STRESSNSAID

Identifiers

PMID39876077
PMCPMC12101219

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.