Evidence map›Paper›PMID 40170530›Full record

ArticlePhysiological reports2025

Impact of moderate environmental heat stress during running exercise on circulating markers of gastrointestinal integrity in endurance athletes.

Thomas Beiter, Gunnar Erz, Anna Würden, Andreas M Nieß

Abstract read
In one paragraph

Article in Physiological reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Article
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

4 authors.

Thomas BeiterDepartment of Sports Medicine, University Hospital Tübingen, Tübingen, Germany.ORCID 0000-0001-7299-7303
Gunnar ErzDepartment of Sports Medicine, University Hospital Tübingen, Tübingen, Germany.
Anna WürdenDepartment of Sports Medicine, University Hospital Tübingen, Tübingen, Germany.ORCID 0009-0007-0848-0079
Andreas M NießDepartment of Sports Medicine, University Hospital Tübingen, Tübingen, Germany.

Funding

Bundesinstitut für Sportwissenschaft (BISp) ZMI4-070112/21-22
6 · The paper itself

Abstract

In the present study, we aimed to determine the effect of moderate ambient heat stress on exercise-provoked patterns of "leaky gut" biomarkers and stress markers in well-trained athletes. Eleven triathletes performed a strenuous 1-h treadmill run, both under normal ambient conditions (N, 18-21°C) as well as under moderate heat environmental conditions (H, 28-30°C). Core body temperature (Tc), heart rate (HR), and rating of perceived exertion (RPE) significantly increased under both conditions, with significantly higher values during and after the H run. We observed a significant main effect of acute exercise on circulating leukocyte numbers, release of cell-free human DNA (cfDNA) but not bacterial DNA (bacDNA), and on plasma levels of intestinal fatty-acid binding protein (I-FABP), lipopolysaccharide-binding protein (LBP), endotoxin (LPS), and D-lactate. Exercising under H conditions accelerated the mobilization of circulating neutrophils and lymphocytes, and significantly affected the release of cfDNA, D-lactate, I-FABP, creatinine, and blood potassium levels. Multiple correlation analysis revealed a significant association between Tc, max and exercise-provoked release of cfDNA (r = 0.583, p = 0.012) as well as with I-FABP (r = 0.554, p = 0.026). Our data indicate that acute exercising and heat stress may not only affect paracellular but also transcellular intestinal permeability.

Indexed as

Gastrointestinal TractHeat-Shock ResponseHeat Stress DisordersPhysical EnduranceRunningAcute-Phase ProteinsAdultAthletesBiomarkersCarrier ProteinsCell-Free Nucleic AcidsExerciseFatty Acid-Binding ProteinsHeart RateHot TemperatureHumansAcute-Phase ProteinsBiomarkersCarrier ProteinsCell-Free Nucleic AcidsFatty Acid-Binding ProteinsLactic AcidLipopolysaccharide-Binding ProteinMembrane Glycoproteinsbody temperatureexercisegastrointestinal integrityheat stressintestinal permeabilityleaky gut

Identifiers

PMID40170530
PMCPMC11962213

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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.