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Clin Sports Med. 2017 Oct;36(4):655-669. doi: 10.1016/j.csm.2017.06.001.

Gastrointestinal Conditions in the Female Athlete.

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Department of Sports Medicine, James Madison University, 261 Bluestone Drive MSC 2301, Harrisonburg, VA 24401, USA. Electronic address:


Exercise can have significant effects on gastrointestinal diseases. Regular, moderate exercise can impart beneficial effects for the intestinal microbiome, irritable bowel syndrome symptoms, and inflammatory bowel disease. High-intensity training or prolonged endurance training, on the other hand, can have negative effects on these same entities. Female athletes report a higher prevalence of irritable bowel syndrome and celiac disease, and furthermore, have gastrointestinal symptoms modulated by the menstrual cycle. Management of gastrointestinal problems in the athletic population is widespread and includes training adjustments, dietary measures, and medicine management of symptoms.


Athlete; Bariatric surgery; Celiac disease; Exercise; FODMAPs diet; Inflammatory bowel disease; Intestinal microbiome; Irritable bowel syndrome

[Indexed for MEDLINE]

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