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Exercise-induced changes to the human gut microbiota and implications for colorectal cancer: a narrative review
Journal article   Open access   Peer reviewed

Exercise-induced changes to the human gut microbiota and implications for colorectal cancer: a narrative review

Alexander N. Boytar, Marloes Dekker Nitert, Mark Morrision, Tina L. Skinner and David G. Jenkins
The Journal of Physiology, Vol.600(24), pp.5189-5201
2022
PMCID: PMC10099575
PMID: 36369926
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Exercise-induced changes to the human gut microbiota and implications for colorectal cancer - a narrative review559.10 kBDownloadView
Published Version Open Access CC BY-NC-ND V4.0
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https://doi.org/10.1113/JP283702View
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Abstract

colorectal neoplasms exercise gastrointestinal microbiome microbiota neoplasms
Physical activity is associated with reduced risks of colorectal cancer (CRC) incidence, recurrence and mortality. While these findings are consistent, the mechanism/s underlying this association remain unclear. Growing evidence supports the many ways in which differing characteristics of the gut microbiota can be tumourigenic or protective against CRC. CRC is characterised by significant dysbiosis including reduced short chain fatty acid-producing bacteria. Recent findings suggest that exercise can modify the gut microbiota, and these changes are inverse to the changes seen with CRC; however, this exercise-microbiota interaction is currently understudied in CRC. This review summarises parallel areas of research that are rapidly developing: The exercise-gut microbiota research and cancer-gut microbiota research and highlights the salient similarities. Preliminary evidence suggests that these areas are linked, with exercise mediating changes that promote the antitumorigenic characteristics of the gut microbiota. Future mechanistic and population-specific studies are warranted to confirm the physiological mechanism/s by which exercise changes the gut microbiota, and the influence of the exercise-gut interaction on cancer specific outcomes in CRC.

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