Evidence map›Paper›PMID 40551374›Full record

ArticleExperimental physiology2026

Faecal microbiome, gastrointestinal integrity, inflammation and thermoregulation in recent exertional heat illness patients and matched controls.

Alex A M Gould, Neil P Walsh, Michael J Tipton, Michael J Zurawlew, Omar Tayari, Carol House, Simon K Delves, Samuel C Robson, Janis J Shute, Joy E M Watts and 4 more

Abstract read
In one paragraph

Article in Experimental physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
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

14 authors.

Alex A M GouldExtreme Environments Laboratory, School of Psychology, Sport, and Health Sciences, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK.
Neil P WalshSchool of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.
Michael J TiptonExtreme Environments Laboratory, School of Psychology, Sport, and Health Sciences, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK.
Michael J ZurawlewSchool of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.
Omar TayariEnvironmental Medicine and Science Division, Institute of Naval Medicine, Alverstoke, UK.
Carol HouseEnvironmental Medicine and Science Division, Institute of Naval Medicine, Alverstoke, UK.
Simon K DelvesEnvironmental Medicine and Science Division, Institute of Naval Medicine, Alverstoke, UK.
Samuel C RobsonInstitute of Life Sciences and Healthcare & Centre for Enzyme Innovation, University of Portsmouth, Portsmouth, UK.
Janis J ShuteSchool of Medicine, Pharmacy and Biomedical Sciences, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK.
Joy E M WattsSchool of the Environment and Life Sciences, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK.
Andrew J RobertsArmy Recruit Health and Performance Research, Medical Branch, HQ Army Recruiting and Initial Training Command, Ministry of Defence, Upavon, UK.
Alex J RawcliffeArmy Recruit Health and Performance Research, Medical Branch, HQ Army Recruiting and Initial Training Command, Ministry of Defence, Upavon, UK.
Megan R RobinsonSchool of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.
Jo CorbettExtreme Environments Laboratory, School of Psychology, Sport, and Health Sciences, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK.ORCID 0000-0002-6552-6471

Funding

Army Recruiting and Initial Training Command
6 · The paper itself

Abstract

The gastrointestinal (GI) microbiota and GI barrier integrity are hypothesised to contribute to exertional heat illness (EHI) aetiology. We compared the faecal microbiome, GI barrier integrity, inflammation and thermoregulation of 29 recent (∼4 months) EHI patients (a group with elevated EHI risk) and 29 control individuals without prior EHI history, matched for variables influencing thermoregulation and GI microbiota. Participants completed an exercise heat tolerance assessment (HTA), with faecal microbiome assessed by 16S rRNA gene amplicon sequencing of stool samples and blood biomarkers of GI barrier integrity and inflammation measured pre- and post-HTA. With the exception of the Simpson index (patient = 0.97 ± 0.01 vs. control = 0.98 ± 0.00, P = 0.030), there were no between-groups differences in faecal microbiome composition (α-diversity, β-diversity, relative abundance, differential abundance), GI barrier integrity, inflammation or terminal thermoregulatory indices. Individuals were subsequently classified as heat tolerant (n = 46) or intolerant (n = 12) on the basis of the HTA. Heat intolerant individuals demonstrated lower sudomotor response (intolerant = 0.53 (0.17) vs. tolerant = 0.62 (0.20) L m

Indexed as

Body Temperature RegulationFecesGastrointestinal MicrobiomeGastrointestinal TractHeat Stress DisordersInflammationAdultExerciseFemaleHumansMaleMiddle AgedRNA, Ribosomal, 16SRNA, Ribosomal, 16Sexercise induced gastrointestinal syndromegastrointestinal paradigmheat strokeintestinal epithelial hyperpermeabilitymilitary

Identifiers

PMID40551374
PMCPMC12857521

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.