The role of exercise in modulating the gut muscle axis: Implications for performance and recovery
Keywords:
Exercise physiology, fatigue, gut muscle axis, gut microbiota, recovery, Sports performanceAbstract
Background & Objective: The gut muscle axis has lately emerged as an important relationship between exercise physiology, microbiome research, and nutrition. This systematic review investigated how exercise alters gut microbial composition and function, and how these changes influence muscular performance, recovery, and overall health. Key Findings: Current studies suggest that both acute and chronic exercise result to beneficial changes in microbial diversity, increasing the production of metabolites such as short chain fatty acids, bile acids, and tryptophan derivatives that aid in energy metabolism, mitochondrial efficiency, and anti-inflammatory pathways. Also, gut-derived signals appear to affect muscle adaptation, immunological regulation, and fatigue resistance, indicating a bidirectional link. Nutritional Implications: Nutritional techniques such as probiotic, prebiotic, and symbiotic supplementation can influence the gut-muscle axis, which has implications for protein metabolism, amino acid availability, and tissue repair. Studies in athletes suggest that gut microbial composition is linked to endurance ability, recovery rates, and resilience to overtraining-related inflammation. Limitation: However, methodological limitations, such as heterogeneity in study designs and limits in microbiome sequencing, restrict the generalizability of current findings. This review highlights important limitations in the integration of gut microbial profile-based exercise prescription, tailored nutrition, and multi-omics techniques. Conclusion & Future Directions: Future studies should use systems biology and precision medicine frameworks to further describe the functional effects of gut muscle interactions in various populations, such as clinical groups with metabolic problems or sarcopenia. The gut muscle axis is a promising area of study in sports and exercise science that may help develop tailored interventions that improve long-term health outcomes, speed up recovery, and maximize performance.
Downloads
References
Al-Beltagi, M., Saeed, N. K., Bediwy, A. S., El-Sawaf, Y., Elbatarny, A., & Elbeltagi, R. (2025). Exploring the gut-exercise link: A systematic review of gastrointestinal disorders in physical activity. World J Gastroenterol, 31(22), 106835. https://doi.org/10.3748/wjg.v31.i22.106835.
Aoi, W., Inoue, R., Mizushima, K., Honda, A., Björnholm, M., Takagi, T., & Naito, Y. (2023). Exercise-acclimated microbiota improves skeletal muscle metabolism via circulating bile acid deconjugation. IScience, 26(3), 106251. https://doi.org/10.1016/j.isci.2023.106251.
Barton, W., Penney, N. C., Cronin, O., Garcia-Perez, I., Molloy, M. G., Holmes, E., Shanahan, F., Cotter, P. D., & O'Sullivan, O. (2018). The microbiome of professional athletes differs from that of more sedentary subjects in composition and particularly at the functional metabolic level. Gut, 67(4), 625–633. https://doi.org/10.1136/gutjnl-2016-313627
Chew, W., Lim, Y. P., Lim, W. S., Chambers, E. S., Frost, G., Wong, S. H., & Ali, Y. (2023). Gut-muscle crosstalk. A perspective on influence of microbes on muscle function. Front Med, 9,1065365. https://doi.org/10.3389/fmed.2022.1065365
Clarke S. F., Murphy, E. F., O'Sullivan, O., Lucey, A. J., Humphreys, M., Hogan, A., Hayes, P., O'Reilly M., Jeffery, I. B., Wood-Martin, R., Kerins, D. M., Quigley, E., Ross, R. P., O'Toole, P. W., Molloy, M. G., Falvey, E., Shanahan F., & Cotter, P. D. (2014). Exercise and associated dietary extremes impact on gut microbial diversity. Gut, 63(12), 1913-1920. https://doi.org/10.1136/gutjnl-2014-307305
Clauss, M., Gérard, P., Mosca, A., & Leclerc, M. (2021). Interplay between exercise and gut microbiome in the context of human health and performance. Front Nutr, 8, 637010. https://doi.org/10.3389/fnut.2021.637010
Cullen, J. M., Shahzad, S., & Dhillon, J. (2023). A systematic review on the effects of exercise on gut microbial diversity, taxonomic composition, and microbial metabolites: Identifying research gaps and future directions. Front Physiol, 14, 1292673. https://doi.org/ 10.3389/fphys.2023.1292673
de Paiva, A. K., de Oliveira, E. P., Mancini, L., Paoli, A., & Mota, J. F. (2023). Effects of probiotic supplementation on performance of resistance and aerobic exercises: a systematic review. Nutr Rev, 81(2), 153-167. https://doi.org/10.1093/nutrit/nuac046
Dmytriv, T. R., Storey, K. B., & Lushchak, V. I. (2024). Intestinal barrier permeability: the influence of gut microbiota, nutrition, and exercise. Front Physiol, 15, 1380713. https://doi.org/ 10.3389/fphys.2024.1380713
Facchin, S., Bertin, L., Bonazzi, E., Lorenzon, G., De Barba, C., Barberio, B., Zingone, F., Maniero, D., Scarpa, M., Ruffolo, C., Angriman, I., & Savarino, E. V. (2024). Short-Chain Fatty Acids and Human Health: From Metabolic Pathways to Current Therapeutic Implications. Life, 14(5), 559. https://doi.org/10.3390/life14050559
Ghaffar, T., Ubaldi, F., Volpini, V., Valeriani, F., & Romano Spica, V. (2024). The role of gut microbiota in different types of physical activity and their intensity: Systematic review and meta-analysis. Sports, 12(8), 221. https://doi.org/10.3390/sports12080221
Giron, M., Thomas, M., Dardevet, D., Chassard, C., & Savary‐Auzeloux, I. (2022). Gut microbes and muscle function: can probiotics make our muscles stronger? J Cachexia Sarcopenia Muscle, 13(3), 1460-1476. https://doi.org/10.1002/jcsm.12964
Huang, W. C., Lee, M. C., Lee, C. C., Ng, K. S., Hsu, Y. J., Tsai, T. Y., ... & Huang, C. C. (2019). Effect of Lactobacillus plantarum TWK10 on exercise physiological adaptation, performance, and body composition in healthy humans. Nutrients, 11(11), 2836. https://doi.org/10.3390/nu11112836
Idrisa, K., GATO, E., & Agossou, J. A. (2025). Postbiotics and musculoskeletal health: emerging applications in bone, muscle, and joint care. International Journal of Research Publication and Reviews, 6(5), 18334-18339. https://doi.org/10.55248/gengpi.6.0525.2025
Jäger, R., Mohr, A. E., Carpenter, K. C., Kerksick, C. M., Purpura, M., Moussa, A., ... & Antonio, J. (2019). International society of sports nutrition position stand: probiotics. J Int Soc Sports Nutr, 16(1), 62. https://doi.org/10.1186/s12970-019-0329-0
Jardon, K. M., Canfora, E. E., Goossens, G. H., & Blaak, E. E. (2022). Dietary macronutrients and the gut microbiome: a precision nutrition approach to improve cardiometabolic health. Gut, 71(6), 1214-1226. https://doi.org/10.1136/gutjnl-2020-323715
Keirns, B. H., Koemel, N. A., Sciarrillo, C. M., Anderson, K. L., & Emerson, S. R. (2020). Exercise and intestinal permeability: another form of exercise-induced hormesis? Am J Physiol Gastrointest Liver Physiol, 319(4), G512-G518. https://doi.org/10.1152/ajpgi.00232.2020
Kim, C. H., Park, J., & Kim, M. (2014). Gut microbiota-derived short-chain fatty acids, T cells, and inflammation. Immune Netw, 14(6), 277. https://doi.org/10.4110/in.2014.14.6.277
Kumar, A., Green, K. M., & Rawat, M. (2024). A comprehensive overview of postbiotics with a special focus on discovery techniques and clinical applications. Foods, 13(18), 2937. https://doi.org/10.3390/foods13182937
Li, T., Yin, D., & Shi, R. (2024). Gut-muscle axis mechanism of exercise prevention of sarcopenia. Front Nutr, 11, 1418778. https://doi.org/10.3389/fnut.2024.1418778
Mach, N., & Fuster-Botella, D. (2017). Endurance exercise and gut microbiota: A review. J Sport Health Sci, 6(2), 179–197. https://doi.org/10.1016/j.jshs.2016.05.001
Neis, E. P., Dejong, C. H., & Rensen, S. S. (2015). The role of microbial amino acid metabolism in host metabolism. Nutrients, 7(4), 2930-2946. https://www.mdpi.com/2072-6643/7/4/2930
Nogal, A., Valdes, A. M., & Menni, C. (2021). The role of short-chain fatty acids in the interplay between gut microbiota and diet in cardio-metabolic health. Gut microbes, 13(1), 1–24. https://doi.org/10.1080/19490976.2021.1897212
O'Brien, M. T., O'Sullivan, O., Claesson, M. J., & Cotter, P. D. (2022). The athlete gut microbiome and its relevance to health and performance: a review. Sports Med, 52(1), 119–128. https://doi.org/10.1007/s40279-022-01785-x
Petersen, L. M., Bautista, E. J., Nguyen, H., Hanson, B. M., Chen, L., Lek, S. H., Sodergren, E., & Weinstock, G. M. (2017). Community characteristics of the gut microbiomes of competitive cyclists. Microbiome, 5(1), 98. https://doi.org/10.1186/s40168-017-0320-4
Picca, A., Fanelli, F., Calvani, R., Mulè, G., Pesce, V., Sisto, A., Pantanelli, C., Bernabei, R., Landi, F., & Marzetti, E. (2018). Gut dysbiosis and muscle aging: searching for novel targets against sarcopenia. Mediators Inflamm, 2018, 7026198. https://doi.org/10.1155/2018/7026198
Saponaro, F., Bertolini, A., Baragatti, R., Galfo, L., Chiellini, G., Saba, A., & D’Urso, G. (2024). Myokines and microbiota: new perspectives in the endocrine muscle–gut axis. Nutrients, 16(23), 4032. https://doi.org/10.3390/nu16234032
Scheiman, J., Luber, J. M., Chavkin, T. A., MacDonald, T., Tung, A., Pham, L. D., … & Kostic, A. D. (2019). Meta-omics analysis of elite athletes identifies a performance-enhancing microbe that functions via lactate metabolism. Nat Med, 25(7), 1104–1109. https://doi.org/10.1038/s41591-019-0485-4
Sonnenburg, J. L., & Bäckhed, F. (2016). Diet–microbiota interactions as moderators of human metabolism. Nature, 535(7610), 56-64. https://doi.org/10.1038/nature18846
Tang, Y., Wang, Y. D., Wang, Y. Y., Liao, Z. Z., & Xiao, X. H. (2023). Skeletal muscles and gut microbiota-derived metabolites: novel modulators of adipocyte thermogenesis. Front Endocrinol (Lausanne), 14, 1265175. https://doi.org/10.3389/fendo.2023.1265175
Tremaroli, V., & Bäckhed, F. (2012). Functional interactions between the gut microbiota and host metabolism. Nature, 489(7415), 242–249. https://doi.org/10.1038/nature11552
Varghese, S., Rao, S., Khattak, A., Zamir, F., & Chaari, A. (2024). Physical exercise and the gut microbiome: a bidirectional relationship influencing health and performance. Nutrients, 16(21), 3663. https://doi.org/10.3390/nu16213663
Wang, Y., Li, Y., Bo, L., Zhou, E., Chen, Y., Naranmandakh, S., Xie, W., Ru, Q., Chen, L., Zhu, Z., Ding, C., & Wu, Y. (2023). Progress of linking gut microbiota and musculoskeletal health: casualty, mechanisms, and translational values. Gut Microbes, 15(2), 2263207. https://doi.org/10.1080/19490976.2023.2263207
Wegierska, A. E., Charitos, I. A., Topi, S., Potenza, M. A., Montagnani, M., & Santacroce, L. (2022). The Connection Between Physical Exercise and Gut Microbiota: Implications for Competitive Sports Athletes. Sports Med, 52(10), 2355–2369. https://doi.org/10.1007/s40279-022-01696-x
Xu, Y., & He, B. (2025) The gut-muscle axis: a comprehensive review of the interplay between physical activity and gut microbiota in the prevention and treatment of muscle wasting disorders. Front Microbiol, 16, 1695448. https://doi.org/10.3389/fmicb.2025.1695448
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Nicholas Mwebaze, Roland Shimey Mukana, Loyce Nahwera, Annet Nankwanga, Ricky Richard Ojara, Elyvania Nabaggala, Linika Lumbuye, Milton Chebet, Timothy Makubuya

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This work is licensed under a