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Monash University Nutrition & Exercise Clinic in Notting Hill, Victoria, Australia | Sport & recreation



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Monash University Nutrition & Exercise Clinic

Locality: Notting Hill, Victoria, Australia

Phone: +61 3 9902 4270



Address: Level 1, 264 Ferntree Gully Road 3168 Notting Hill, VIC, Australia

Website: www.med.monash.edu.au/base/clinics/sport-exercise.html

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25.01.2022 Our gut microbiota paper is now fully released :-) https://www.sciencedirect.com//arti/pii/S1440244020306629



23.01.2022 No 6. Bennett C, Snipe R, Henry R, Costa RJS (2020). Is the gut microbiota bacterial abundance and composition associated with intestinal epithelial injury, systemic inflammatory profile, and gastrointestinal symptoms in response to exertional-heat stress? J Sci Med Sport. 23(12): 1141-1153. https://www.jsams.org/article/S1440-2440(20)30662-9/fulltext One of your pioneering research projects in the area of exercise gastroenterology- the first study to identify the link betwe...en the gut microbiota and exercise-induced gastrointestinal syndrome (EIGS). There will be more to come in 2021. Key finding and practical implications: -The gut microbiota composition may play a role in ameliorating EIGS, and therefore should be a consideration within clinical assessment of athletes. -No one singular commensal or pathogenic bacterial taxa group was identified as a standout key association gastrointestinal microorganism. Associations between the gut microbiota with EIGS and gut symptoms during exercise appears to favour a bacterial diversity. -The gut microbiota composition has linked with how an individual's thermoregulation responses to exercising in the heat.

23.01.2022 NIGHT RUNNING RESULTS IN GREATER GUT FUNCTIONAL ISSUES COMPARED WITH DAY RUNNING!!! Great work from the Monash University Sports Dietetic Team (Steph, Alex, Chris, and Ricardo) for undertaking such a difficult study resulting in another ground-breaking research finding, published in the prestigious Medicine & Science in Sports & Exercise, a journal of the American College of Sports Medicine (ACSM). We also thank the journal reviewers for their feedback aimed at improving t...he presentation and message clarity of this comprehensive scientific paper. Performing exercise at night is now becoming common especially during endurance and ultra-endurance competitions with a nocturnal element or stage, in which feeding during exercise may be needed. Main findings: 16 endurance runners started the study. 3 had to withdraw due to projectile vomiting or explosive diarrhoea on the NIGHT run, but had no gut issues on the DAY run. Delayed gut motility was observed more on NIGHT than DAY running; and 3 runners presented absent gut motility on the NIGHT run, but no gut motility issues on the DAY run. There was no difference in gut injury, permeability, and systemic inflammatory response between NIGHT and DAY running. There was no difference in total carbohydrate and fat oxidation between NIGHT and DAY running. Practical implications: Established guidelines and recommendations for feeding during endurance exercise in the DAY may not be appropriate for endurance exercise at NIGHT considering the impaired gut function. Feeding strategies during endurance exercise at NIGHT need to be further explored considering the greater gut intolerance. : https://doi.org/10.1249/MSS.0000000000002546

21.01.2022 For those colleagues who want an update on managing gut symptoms in athletes- causal and exacerbation factors, and nutritional management summary presentation. Including some of our recent research findings.



16.01.2022 Some of our preliminary findings in an athlete population that is generally overlooked. Great work Zoya for undertaking such an enormous research task. https://www.researchsquare.com/article/rs-51873/v1

16.01.2022 As we come to the end of the year and reflect on what has happened and/or didn't happen, some of us may be thinking and planning for a more hopeful 2021. We have several fully funded PhD positions available to start in 2021. Please see below for respective topics. Please contact Ricardo for more details ([email protected])

11.01.2022 No7. Gaskell S.K., Parr A., Rauch C., Costa R.J.S. (2020). Diurnal versus Nocturnal ExerciseImpact on the Gastrointestinal Tract. Med Sci Sport Exerc. (In press). https://journals.lww.com//Diurnal_versus_Nocturnal_Exercis Further pioneering work in the field of exercise gastroenterology. There appears to be circadian variation in how athlete response to exercise-induced gastrointestinal syndrome. In this case, gut functional responses.



10.01.2022 Tune in on Friday 30th to hear our very own Dr Ricardo Costa from Monash University Nutrition & Exercise Clinic present findings on his world-leading research on the effects of a low and high FODMAP diet on exercise-induced GI syndrome. Some of us had a sneak preview today and the findings are very interesting!

10.01.2022 We are collaborating on a research project further exploring gut issues in endurance athletes. If you are an endurance athlete, we would much appreciate your participation. survey link: https://uniofsunshinecoast.syd1.qualtrics.com//SV_262pE824

09.01.2022 No 5. Costa, R.J.S., Camões-Costa, V., Snipe, R.M.J., Dixon, D., Russo, I., Huschtscha, Z. (2020). The impact of a dairy milk recovery beverage on bacterially-stimulated neutrophil function and gastrointestinal tolerance in response to hypohydration inducing exercise stress. Int J Sport Nutr Exerc Metab. (In press, doi: 10.1123/ijsnem.2019-0349). https://journals.humankinetics.com///30/4/article-p237.xml Highlights the role of dairy milk, consumed immediately after exercis...e, as a recovery nutrition beverage: - Aiding immunocompetency post-exercise: prevents the exercise-associated reduction in bacterially challenged neutrophil function + appear to boost responses at the 3h mark. - Gastrointestinal status and symptoms similar to water, but individual tolerance responses were observed- substantial carbohydrate malabsorption in a few participants due to EIGS (exercise-induced gastrointestinal syndrome) and exercise-associated gut shut down. - Appears to be a better rehydration aid than water alone, e.g., enhance systemic water retention capacity by avoiding hypervolaemia and diuresis. See more

09.01.2022 Great to see the launch of the new Ultra Sports Science Foundation website, helping to advance the knowledge and practice of sports medicine in ultra sports- ‘keeping our ultra athletes safe, using evidence based practice’. Monash University’s Dr Ricardo Costa on the USSF scientific committee and contribute to the exercise gastroenterology section within. Also great to see the work of Monash University’s sports dietetic and extremes physiology team and alumni Sam Gill, Rhiannon Snipe, Stephanie Gaskell, and Isabella Russo, and all those Monash Sports Dietetic team members that contributing to supporting ultra athletes in managing gut issues https://www.ultrasportsscience.org/EN/fundation.php

08.01.2022 Alan McCubbin from our team sat down to chat with Amanda's Wellbeing Podcast on a range of topics - from setting up the first online-only dietetics practice in 2010, to more recent research work in hydration & sodium for endurance and ultra-endurance athletes at Monash Nutrition. : https://amandaswellbeingpodcast.com/alan-mccubbin/Alan



08.01.2022 Steph and Isabella discussing the circadian gut and exercise study- if you do events with a night segment, it’s a ‘must’ watch.

06.01.2022 Monash University’s Food & Dairy Network Symposium, Wednesday 11th November. Great line-up of food and dairy industry-research partnership speakers; integrating science, engineering, medicine, nutrition & dietetics. Our very own Zoya Maree will be presenting snapshots from her PhD- dairy, exercise, and markers of sarcopenia in the active aging. Register: https://monash.zoom.us//tJYtc--hrjkoGtVZJ3qKW4yVyOLfUUN6mr

02.01.2022 Final publication for the year: Russo, I., Della Gatta, P.A., Garnham, A., Porter, J., Burke, L.M., Costa, R.J.S., (2020). Does the nutritional composition of a dairy-based recovery beverage influence post-exercise gastrointestinal and immune status, and subsequent markers of recovery optimisation in response to high intensity interval exercise? Front. Nutri. (In press) Well done Isabella and Monash Team for undertaking and completing such a challenging research study, which... brings a new translational concept to exercise recovery nutrition. This first paper focuses on nutrient density on markers of exercise 'recovery optimisation'. Over 50 years of elegantly conducted previous exercise recovery nutrition has clearly established guidelines and recommendation for food and fluid intake after exercise: Refuel, Repair, and Rehydrate. However, each element has been focused in isolation and two elements have been generally ignored and/or forgotten. We have now elaborated on the overall aspects of exercise recovery nutrition and their integrated relationship that will inform recovery outcomes, starting at food/fluid choices, into the gut, and finishing at the muscle. Recovery Optimisation (The 5 R's): Start. Behavioural- food and fluid choice, and intake timing. 1. Regulate- nutrient availability into circulation regulated by gut. 2. Restore- immune competency to immunodepression exercise to aid repair/healing/adaptations and pathogenic clearance. 3. Rehydrate- water availability to recover fluid balance to exercise associated dehydration. 4. Refuel- carbohydrate availability to replenish or manipulate muscle glycogen store in accordance with preceding exercise session. 5. Repair- protein availability to aid repair/healing/adaptations. https://www.frontiersin.org//10./fnut.2020.622270/abstract

01.01.2022 From Peak Endurance- Isobel Ross. Getting straight to the point: ultra-running nutrition/hydration topical Q&A and topical summaries. Highlighting some of the sports dietetic research over the past 5 years at BASE- Monash Uni, that is helping ultra-runners worldwide. Including, gut issues, gut training, enhancing fat oxidation, dietary periodisation, recovery nutrition, hyper hydration etc....

01.01.2022 We are collaborating on a research project further exploring gut issues in endurance athletes. If you are an endurance athlete, we would much appreciate your participation. survey link: http://tiny.cc/USC_Survey

01.01.2022 Our colleagues from Griffith University and Bond University in conjunction with Triathlon Australia are conducting a home-based study of caffeine on cycling performance using Zwift. If you're a cyclist living in , 18-50 yrs old, riding 5+hr/wk and a caffeine consumer then you are eligible to participate. More Info: https://drive.google.com//16KBOpj7nD2wParV9I3dfVh7uU/view

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