Int J Sports Med 2007; 28(9): 722-726
DOI: 10.1055/s-2007-964891
Physiology & Biochemistry

© Georg Thieme Verlag KG Stuttgart · New York

Effect of Aspirin and Ibuprofen on GI Permeability during Exercise

G. P. Lambert1 , M. Boylan2 , J.-P. Laventure1 , A. Bull1 , S. Lanspa3
  • 1Department of Exercise Science and Athletic Training, Creighton University, Omaha, United States
  • 2Department of Biology, Creighton University, Omaha, United States
  • 3Department of Medicine, Creighton University, Omaha, United States
Further Information

Publication History

accepted after revision September 21, 2006

Publication Date:
13 April 2007 (online)

Abstract

This study was conducted to determine the effects of aspirin or ibuprofen on gastrointestinal permeability when combined with exercise. Eight runners completed three 60 min treadmill runs at 70 % V·O2max. For 24 hours prior to each run, subjects ingested aspirin (2 × 325 mg), ibuprofen (2 × 200 mg), or placebo capsules every 6 hours. Immediately before each run, a solution containing 5 g sucrose, 5 g lactulose, and 2 g rhamnose was ingested. Urine produced during each run, and for 4 h afterwards was collected. Urinary excretion of sucrose is an indicator of gastroduodenal permeability. The excretion ratio of lactulose-to-rhamnose assesses small intestinal permeability. Sucrose excretion (%) was greater (p < 0.017) for aspirin (0.37 [0.2 - 0.97]) compared to placebo (0.09 [0.05 - 0.30]) or ibuprofen (0.22 [0.1 - 0.39]) and sucrose excretion for ibuprofen was greater than placebo. The lactulose-to-rhamnose ratio was greater for aspirin (0.09 [0.08 - 0.30]) than placebo (0.065 [0.04 - 0.08]) however ibuprofen (0.08 [0.06 - 0.19]) was not different from aspirin or placebo. These results indicate that with prolonged running, gastroduodenal permeability is increased if aspirin or ibuprofen is used prior to such exercise. Furthermore, aspirin promotes greater gastroduodenal permeability and also increases small intestinal permeability.

References

  • 1 Ashton T, Young I S, Davison G W, Rowlands C C, McEneny J, Blerk C V, Jones E, Peters J R, Jackson S K. Exercise-induced endotoxemia: The effect of ascorbic acid supplementation.  Free Rad Biol Med. 2003;  35 284-291
  • 2 Bjarnason I, MacPherson A, Hollander D. Intestinal permeability: an overview.  Gastroenterology. 1995;  108 1566-1581
  • 3 Bjarnason I, Williams P, Smethurst P, Peters T J, Levi A J. Effect of non-steroidal anti-inflammatory drugs and prostaglandins on the permeability of the human small intestine.  Gut. 1986;  27 1292-1297
  • 4 Bjarnason I, Zanelli G, Prouse P, Williams P, Gumpel M J, Levi A J. Effect of non-steroidal anti-inflammatory drugs on the human small intestine.  Drugs. 1986;  32 (Suppl 1) 35-41
  • 5 Bouchama A, Parhar R S, El-Yazigi A, Sheth K, Al-Sedairy S. Endotoxemia and release of tumor necrosis factor and interleukin 1-alpha in acute heatstroke.  J Appl Physiol. 1991;  70 2640-2644
  • 6 Brock-Utne J G, Gaffin S L, Wells M T, Gathiram P, Sohar E, James M F, Morrell D F, Norman R J. Endotoxemia in exhausted runners after a long-distance race.  S African Med J. 1988;  73 533-536
  • 7 Garnett W R. GI effects of OTC analgesics: implications for product selection.  J Am Pharm Assoc. 1996;  NS36 565-572
  • 8 Gisolfi C V. Is the GI system built for exercise?.  NIPS. 2000;  15 114-119
  • 9 Jackson L M, Hawkey C J. NSAIDs and the GI tract-potential hazards and benefits.  Apoptosis. 1999;  4 397-402
  • 10 Jeukendrup A E, Vet-Joop K, Sturk A, Stegen J H, Senden J, Saris W H, Wagenmakers A J. Relationship between gastro-intestinal complaints and endotoxemia, cytokine release and the acute-phase reaction duirng and after a long-distance triathlon in highly trained men.  Clin Sci (Lond). 2000;  98 47-55
  • 11 Lambert G P. Role of gastrointestinal permeability in exertional heatstroke.  Exer Sport Sci Rev. 2004;  32 185-190
  • 12 Lambert G P, Broussard L J, Mason B L, Mauermann W J, Gisolfi C V. Gastrointestinal permeability during exercise: effects of aspirin and energy-containing beverages.  J Appl Physiol. 2001;  90 2075-2080
  • 13 Meddings J B, Sutherland L R, Byles N I, Wallace J L. Sucrose: a novel permeability marker for gastroduodenal disease.  Gastroenterology. 1993;  104 1619-1626
  • 14 Otte J A, Oosteveen E, Geelkerken R H, Groeneveld A BJ, Kolkman J J. Exercise induces gastric ischemia in healthy volunteers: a tonometry study.  J Appl Physiol. 2001;  91 866-871
  • 15 Pals K L, Chang R T, Ryan A J, Gisolfi C V. Effect of running intensity on intestinal permeability.  J Appl Physiol. 1997;  82 571-576
  • 16 Payan D G, Shearn M A. Nonsteroidal anti-inflammatory drugs; nonopioid analgesics; drugs used in gout. Katzung BG Basic and Clinical Pharmacology. 4th ed. Norwalk; Appleton & Lang 1989: 431-450
  • 17 Perko M J, Nielsen H B, Skak C, Clemmesen J O, Schroeder T V, Secher N H. Mesenteric, coeliac, splanchnic blood flow in humans during exercise.  J Physiol. 1998;  513.3 907-913
  • 18 Qamar M I, Read A E. Effects of exercise on mesenteric blood flow in man.  Gut. 1987;  28 583-587
  • 19 Rowell L B. Human cardiovascular adjustments to exercise and thermal stress.  Physiol Rev. 1974;  54 75-159
  • 20 Ryan A J, Chang R-T, Gisolfi C V. Gastrointestinal permeability following aspirin intake and prolonged running.  Med Sci Sports Exerc. 1996;  28 698-705
  • 21 Sigthorsson G, Tibble J, Hayllar J, Menzies I, Macpherson A, Moots R, Scott D, Gumpel M J, Bjarnason I. Intestinal permeability and inflammation in patients on NSAIDS.  Gut. 1998;  43 506-511
  • 22 Somasundaram S, Hayllar H, Rafi S, Wrigglesworth J M, Macpherson A JS, Bjarnson I. The biochemical basis of non-steroidal anti-inflammatory drug-induced damage to the gastrointestinal tract: a review and a hypothesis.  Scand J Gastroent. 1995;  30 289-299
  • 23 Somasundaram S, Sigthorsson G, Simpson R J, Watts J, Jacob M, Tavares I A, Rafi S, Roseth A, Foster R, Price A B, Wrigglesworth J M, Bjarnason I. Uncoupling of intestinal mitochondiral oxidative phosphorylation and inhibition of cyclooxygenase are requried for the development of NSAID-enteropathy in the rat.  Aliment Pharmacol Ther. 2000;  15 639-650
  • 24 Sutherland L R, Verhoef M, Wallace J L, Rosendaal Gv, Crutche R, Meddings J B. A simple, non-invasive marker of gastric damage: sucrose permeability.  Lancet. 1994;  343 998-1000
  • 25 Tomlinson J, Blikslager A. Role of nonsteroidal anti-inflammatory drugs in gastrointestinal tract injury and repair.  JAVMA. 2003;  222 946-951
  • 26 Travis S, Menzies I. Intestinal permeability: functional assessment and significance.  Clin Sci. 1992;  82 471-488
  • 27 van Niewenhoven M A, Brouns F, Brummer R-J M. Gastrointestinal profile of symptomatic athletes at rest and during physical exercise.  Eur J Appl Physiol. 2004;  91 429-434
  • 28 van Niewenhoven M A, Vriens B EPJ, Brummer R-J M, Brouns F. Effect of dehydration on gastrointestinal function at rest and during exercise in humans.  Eur J Appl Physiol. 2000;  83 578-584

PhD G. Patrick Lambert

Department of Exercise Science and Athletic Training
Creighton University

2500 California Plaza

Room 225 KFC

68178 Omaha

United States

Phone: + 40 22 80 24 20

Fax: + 40 22 80 47 32

Email: plambert@creighton.edu

    >