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Marathon training and immune function.

David C Nieman1

  • 1Department of Health and Exercise Science, Appalachian State University, Boone, North Carolina 28608, USA. niemandc@appstate.edu

Sports Medicine (Auckland, N.Z.)
|May 1, 2007
PubMed
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Marathon running causes immune system dysfunction, increasing infection risk. Carbohydrates help, but other immune cell functions remain suppressed, necessitating further research into effective countermeasures.

Area of Science:

  • Exercise immunology
  • Physiology of endurance events

Background:

  • Marathon exertion significantly alters immune system components across various body sites.
  • Innate immune cells like natural killer (NK) cells, neutrophils, and macrophages show pronounced changes in number and function.

Purpose of the Study:

  • To review immune system changes following marathon-type exertion.
  • To evaluate nutritional and pharmacological countermeasures for marathon-induced immune perturbations.

Main Methods:

  • Review of existing literature on immune responses to endurance exercise.
  • Analysis of the effectiveness of various countermeasures, including carbohydrates, glutamine, antioxidants, and ibuprofen.

Main Results:

  • Marathon exertion leads to an 'open window' of immune dysfunction (3-72 hours), increasing susceptibility to infection.

Related Experiment Videos

  • Carbohydrate ingestion during exercise mitigates some immune changes (cytokines, stress hormones) but not others (NK and T-cell function, salivary IgA).
  • Glutamine, antioxidants, and ibuprofen have shown limited efficacy.
  • Conclusions:

    • Carbohydrate supplementation is partially effective but insufficient alone to counter all exercise-induced immune changes.
    • Further research is needed to identify effective companion agents to carbohydrate for mitigating marathon-induced immune dysfunction.