Effects of probiotics in triathletes: integrative review
Abstract
Probiotics are live microorganisms that inhabit the gastrointestinal tract (GIT), which in adequate amounts have beneficial effects to the host. The composition of the gut microbiota is subject to several factors, both intrinsic and extrinsic. Thus, in recent years, several strategies have been used with nutritional supplementation of probiotics in order to improve sports performance, reduce gastrointestinal complaints and common infectious diseases in athletes. The present research is, then, an integrative review which aims to analyze the supplementation of probiotics and its impact on the gastrointestinal system, immune system and performance in triathletes. For the development of this research, studies, in the Pubmed, Scielo and Elsevier databases, were used, from 2011 to 2021, with the following descriptors: Gut Microbiota, Performance and Recovery, Probiotic Supplements and Triathletes. Overall, eight articles met the eligibility criteria. Some studies have shown positive results not only for the athletes’ performance, but also for the adaptation and physiological recovery that influence the improvement of training, competitive performance and the athlete’s health recovery. However, given the different forms of methodology addressed in researches, further studies are needed to verify the effects of probiotics and which strains (dosage and supplementation period) are more effective in sports practice.
References
-Bäckhed, F.; Manchester, J. K.; Semenkovich, C. F.; Gordon, J. I. Mechanisms underlying the resistance to diet-induced obesity in germ-free mice. Proceedings of the National Academy of Sciences of the United States of America. St. Louis. Vol. 104. Num.3. 2007. p. 979-984.
-Cardoso, D.S.C. Microbiota, probióticos e saúde. Dissertação de Mestrado. Faculdade de Medicina da Universidade de Coimbra. Coimbra. 2016.
-Colbey, C.; Cox, A.; Zhang, P.; Cripps, A.; Pyne, D.; Vlahovich, N.; Hughes, D.; Waddington, G.; Drew, M.; West, N. The gut microbiome and inflammatory profiling in athlete health Abstracts / Journal of Science and Medicine in Sport. Vol. 20. 2017. p. 81.
-Cuppari, L. Nutrição Clínica no Adulto. São Paulo. Manole. 2019. p. 96, 287.
-Gleeson, M.; Bishop, N. C.; Struszczak, L. Effects of Lactobacillus casei Shirota ingestion on common cold infection and herpes virus antibodies in endurance athletes: a placebo-controlled, randomized trial. European journal of applied physiology. Vol. 116. Num. 8. 2016. p.1555-1563.
-Hammes, O. T. Probióticos e Prebióticos. In: Dietoterapia nas Doenças Gastrintestinais do Adulto. Rio de Janeiro. Rubio. 2016.
-Huang, W. C.; Pan, C. H.; Wei, C. C.; Huang, H. Y. Lactobacillus plantarum PS128 Improves Physiological Adaptation and Performance in Triathletes through Gut Microbiota Modulation. Nutrients. Vol.12. Num. 8. 2020. p. 2315.
-Huang, W. C.; Wei, C. C.; Huang, C. C.; Chen, W. L.; Huang, H. Y. The Beneficial Effects of Lactobacillus plantarum PS128 on High-Intensity, Exercise-Induced Oxidative Stress, Inflammation, and Performance in Triathletes. Nutrients. Vol. 11. Num. 2. 2019. p. 353.
-Jager, R.; Shields K. A.; Lowery R. P.; Souza, E. O.; Partl, J. M.; Holler, C.; Purpura, M.; Wilson, J. M. Probiotic Bacillus coagulans GBI- 30, 6086 reduces exercise-induced muscle damage and increases recovery. Peer, J. Tampa. Vol. 4. 2016. p.e 2276.
-Kakanis, M. W.; Peake, J.; Brenu, E.W.; Simmonds, M.; Gray, B.; Hooper, S.L.; Marshall-Gradisnik, S.M. The open window of susceptibility to infection after acute exercise in healthy young male elite athletes. Exerc Immunol Rev. Vol. 16. 2010. p.119-37.
-Latvala, S.; Miettinen, M.; Kekkonen, R. A.; Korpela, R.; Julkunen, I. Lactobacillus rhamnosus GG and Streptococcus thermophilus induce suppressor of cytokine signaling 3 (SOCS3) gene expression directly and indirectly via interleukin-10 in human primary macrophages. Clinical & Experimental Immunology. Vol. 165. Núm. 1. 2011. p. 94-103.
-Lamprecht, M.; Bogner, S.; Schippinger, G.; Steinbauer, K.; Fankhauser, F.; Hallstroem, S.; Schuetz, B.; Greilberger, J. F. The open window of susceptibility to infection after acute exercise in healthy young male elite athletes. Exerc Immunol Rev. Vol. 9. Num 1. 2012. p.45
-Mara, S. L.; Carvalho T.; Lineburger A. A.; Goldfeder R.; Lemos, R. M.; Brochi L. Dano Muscular e Perfil Imunológico no Triatlo Ironman Brasil. Rev Bras Med Esporte. Vol. 19. Num. 4. 2012.
-Michalickova, D. M.; Kostic-Vucicevic, M. M.; Vukasinovic-Vesic, M. D.; Stojmenovic, T. B.; Dikic, N. V.; Andjelkovic, M. S.; Djordjevic, B. I.; Tanaskovic, B. P.; Minic, R. D. Lactobacillus helveticus Lafti L10 Supplementation Modulates Mucosal and Humoral Immunity in Elite Athletes: A Randomized, Double-Blind, Placebo-Controlled Trial. Journal of strength and conditioning research. Vol. 31 Num. 1. 2017. p. 62-70.
-Michalickova, D.; Minic, R.; Dikic, N.; Andjelkovic, M.; Kostic-Vucicevic, M.; Stojmenovic, T.; Nikolic, I.; Djordjevic, B. Lactobacillus helveticus Lafti L10 supplementation reduces respiratory infection duration in a cohort of elite athletes: a randomized, double-blind, placebo-controlled trial. Applied physiology, nutrition, and metabolism. Vol. 41. Num. 7. 2016. p. 782-789.
-Mohr, A. E.; Jäger, R.; Carpenter, K. C.; Kerksick C. M.; Purpura, M.; Townsend, J.R.; West N. P.; Black, K.; Gleeson, M.; Pyne, D. B.; Wells, S. D.; Arent, S. M.; Kreider, R. B.; Campbell, B. I.; Bannock, L.; Scheiman, J.; Wissent, C. J.; Pane, M.; Kalman, D. S.; Pugh, J. N.; Ortega-Santos, C. P.; Ter Haar, J. A.; Arciero, P. J.; Antonio, J. A microbiota intestinal do atleta. Jornal da Sociedade Internacional de Nutrição Esportiva. Vol.17. Num. 24. 2020.
-Moreno, L. B.; Soltero, G.R.; Bressa C.; Bailén, M.; Larrosa, M. Modulación a través del estilo de vida de la microbiota intestinal. Nutr Hosp. Madrid. Vol. 36. Num 3. 2019. p. 35-39.
-Nieman, D. C.; Henson, D. A.; Austin, M. D.; Sha, W. Upper respiratory tract infection is reduced in physically fit and active adults. British Journal of Sports Medicine. Kannapolis. Vol. 45. Num. 12. 2011. p.987-992.
-Oliveira, E.P.; Burini, R.C; Jeukendrup, A. Gastrointestinal complaints during exercise: Prevalence, etiology, and nutritional recommendations. Sports Medicine. Vol. 44. 2014. p. 79-85.
-Rehrer, N.J.; Brouns, F.; Beckers, E.J.; Frey, W.O.; Villiger, B.; Riddoch, C. J.; Saris, W. H. M. Fisiológicos alterações e sintomas gastrointestinais como resultado de ultra-corrida de resistência. European Journal of Applied Physiology e Fisiologia Ocupacional. Maastricht. Vol. 64. Num.1. 1992. p. 1-8.
-Roberts, J. D.; Suckling, C. A.; Peedle, G. Y.; Murphy, J. A.; Dawkins, T. G.; Roberts, M. G. An Exploratory Investigation of Endotoxin Levels in Novice Long Distance Triathletes, and the Effects of a Multi-Strain Probiotic/Prebiotic, Antioxidant Intervention. Nutrients. Cambridge. Vol. 8. Num. 11. 2016. p. 733.
-Walsh, N. P.; Gleeson, M.; Shephard, R. J; Gleeson, M.; Woods, J. A.; Bishop, N. C.; Fleshner, M.; Green, C.; Pedersen, B. K.; Hoffman-Goetz, L.; Rogers, C. J.; Northoff, H.; Abbasi, A. Simon, P. Declaração de posição. Parte um: Função imunológica e exercícios. Exerc Immunol Rev. Vol. 17. 2011. p. 6-63.
Copyright (c) 2022 Daniele Correia Lima, Andréa Silva de Lima Alves, Nathália dos Santos Monteiro Silva, Luciana Tavares Toscano

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish in this journal agree to the following terms:
- Authors retain the copyright and grant the journal the right of first publication, with work simultaneously licensed under the Creative Commons Attribution License BY-NC which allows the sharing of the work with acknowledgment of the authorship of the work and initial publication in this journal.
- Authors are authorized to enter into additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, publishing in institutional repository or book chapter), with acknowledgment of authorship and initial publication in this journal.
- Authors are allowed and encouraged to post and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this can bring about productive change as well as increase impact and impact. citation of published work (See The Effect of Free Access).