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Gut microbiota alternation with training periodization and physical fitness in Japanese elite athletes. Front Sports Act Living. 2023, 5:1219345. 10.3389\/fspor.2023.1219345","journal-title":"Front Sports Act Living"},{"key":"ref54","doi-asserted-by":"publisher","DOI":"10.1038\/s42255-020-0188-7","article-title":"Short-chain fatty acids as potential regulators of skeletal muscle metabolism and function","volume":"2","author":"Frampton J","year":"2020","unstructured":"Frampton J, Murphy KG, Frost G, Chambers ES. Short-chain fatty acids as potential regulators of skeletal muscle metabolism and function. Nat Metab. 2020, 2:840-8. 10.1038\/s42255-020-0188-7","journal-title":"Nat Metab"},{"key":"ref55","doi-asserted-by":"publisher","DOI":"10.3390\/ijms23052679","article-title":"Intertwined relationship of mitochondrial metabolism, gut microbiome and exercise potential","volume":"23","author":"Imdad S","year":"2022","unstructured":"Imdad S, Lim W, Kim JH, Kang C. Intertwined relationship of mitochondrial metabolism, gut microbiome and exercise potential. Int J Mol Sci. 2022, 23:2679. 10.3390\/ijms23052679","journal-title":"Int J Mol Sci"},{"key":"ref56","doi-asserted-by":"publisher","DOI":"10.3390\/foods13111680","article-title":"Dietary strategies to improve exercise performance by modulating the gut microbiota","volume":"13","author":"Zhang L","year":"2024","unstructured":"Zhang L, Li H, Song Z, Liu Y, Zhang X. Dietary strategies to improve exercise performance by modulating the gut microbiota. Foods. 2024, 13:1680. 10.3390\/foods13111680","journal-title":"Foods"},{"key":"ref57","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2024.1380713","article-title":"Intestinal barrier permeability: the influence of gut microbiota, nutrition, and exercise","volume":"15","author":"Dmytriv TR","year":"2024","unstructured":"Dmytriv TR, Storey KB, Lushchak VI. Intestinal barrier permeability: the influence of gut microbiota, nutrition, and exercise. Front Physiol. 2024, 15:1380713. 10.3389\/fphys.2024.1380713","journal-title":"Front Physiol"},{"key":"ref58","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0247039","article-title":"Association between physical activity and changes in intestinal microbiota composition: a systematic review","volume":"16","author":"Aya V","year":"2021","unstructured":"Aya V, Fl\u00f3rez A, Perez L, Ram\u00edrez JD. Association between physical activity and changes in intestinal microbiota composition: a systematic review. PLoS One. 2021, 16:e0247039. 10.1371\/journal.pone.0247039","journal-title":"PLoS One"},{"key":"ref59","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deac094","article-title":"The healthy female microbiome across body sites: effect of hormonal contraceptives and the menstrual cycle","volume":"37","author":"Krog MC","year":"2022","unstructured":"Krog MC, Hugerth LW, Fransson E, et al.. The healthy female microbiome across body sites: effect of hormonal contraceptives and the menstrual cycle. Hum Reprod. 2022, 37:1525-43. 10.1093\/humrep\/deac094","journal-title":"Hum Reprod"},{"key":"ref60","doi-asserted-by":"publisher","DOI":"10.1163\/18762891-20230031","article-title":"The effects of physical activity on the modulation of gut microbiota composition: a systematic review","volume":"14","author":"Lavilla-Lerma ML","year":"2023","unstructured":"Lavilla-Lerma ML, Aibar-Almaz\u00e1n A, Mart\u0131 Nez-Amat A, Benomar-El-Bakali N, Abriouel-Hayani H, Hita-Contreras F. The effects of physical activity on the modulation of gut microbiota composition: a systematic review. Benef Microbes. 2023, 14:553-64. 10.1163\/18762891-20230031","journal-title":"Benef Microbes"},{"key":"ref61","doi-asserted-by":"publisher","DOI":"10.1080\/19490976.2020.1758009","article-title":"The composition and richness of the gut microbiota differentiate the top Polish endurance athletes from sedentary controls","volume":"11","author":"Kulecka M","year":"2020","unstructured":"Kulecka M, Fraczek B, Mikula M, et al.. The composition and richness of the gut microbiota differentiate the top Polish endurance athletes from sedentary controls. Gut Microbes. 2020, 11:1374-84. 10.1080\/19490976.2020.1758009","journal-title":"Gut Microbes"},{"key":"ref62","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2021.600668","article-title":"The female menstrual cycles effect on strength and power parameters in high-level female team athletes","volume":"12","author":"Dasa MS","year":"2021","unstructured":"Dasa MS, Kristoffersen M, Ersv\u00e6r E, et al.. The female menstrual cycles effect on strength and power parameters in high-level female team athletes. Front Physiol. 2021, 12:600668. 10.3389\/fphys.2021.600668","journal-title":"Front Physiol"},{"key":"ref63","doi-asserted-by":"publisher","DOI":"10.1002\/ame2.12464","article-title":"Role of short-chain fatty acids in host physiology","volume":"7","author":"Liu M","year":"2024","unstructured":"Liu M, Lu Y, Xue G, et al.. Role of short-chain fatty acids in host physiology. Animal Model Exp Med. 2024, 7:641-52. 10.1002\/ame2.12464","journal-title":"Animal Model Exp Med"},{"key":"ref64","doi-asserted-by":"publisher","DOI":"10.1038\/s41430-024-01512-x","article-title":"Expression of PGC-1\u03b1, PPAR-\u03b1 and UCP1 genes, metabolic and anthropometric factors in response to sodium butyrate supplementation in patients with obesity: a triple-blind, randomized placebo-controlled clinical trial","volume":"79","author":"Amiri P","year":"2025","unstructured":"Amiri P, Hosseini SA, Saghafi-Asl M, Roshanravan N, Tootoonchian M. Expression of PGC-1\u03b1, PPAR-\u03b1 and UCP1 genes, metabolic and anthropometric factors in response to sodium butyrate supplementation in patients with obesity: a triple-blind, randomized placebo-controlled clinical trial. Eur J Clin Nutr. 2025, 79:249-57. 10.1038\/s41430-024-01512-x","journal-title":"Eur J Clin Nutr"},{"key":"ref65","doi-asserted-by":"publisher","DOI":"10.1007\/s13105-024-01006-1","article-title":"PGC-1\u03b1 activation boosts exercise-dependent cellular response in the skeletal muscle","volume":"80","author":"Mozaffaritabar S","year":"2024","unstructured":"Mozaffaritabar S, Koltai E, Zhou L, et al.. PGC-1\u03b1 activation boosts exercise-dependent cellular response in the skeletal muscle. J Physiol Biochem. 2024, 80:329-35. 10.1007\/s13105-024-01006-1","journal-title":"J Physiol Biochem"},{"key":"ref66","doi-asserted-by":"publisher","DOI":"10.1098\/rsob.230014","article-title":"Short chain fatty acids: key regulators of the local and systemic immune response in inflammatory diseases and infections","volume":"13","author":"Ney LM","year":"2023","unstructured":"Ney LM, Wipplinger M, Grossmann M, Engert N, Wegner VD, Mosig AS. Short chain fatty acids: key regulators of the local and systemic immune response in inflammatory diseases and infections. Open Biol. 2023, 13:230014. 10.1098\/rsob.230014","journal-title":"Open Biol"},{"key":"ref67","doi-asserted-by":"publisher","DOI":"10.3390\/cells12050793","article-title":"Gut-microbiota-derived metabolites maintain gut and systemic immune homeostasis","volume":"12","author":"Wang J","year":"2023","unstructured":"Wang J, Zhu N, Su X, Gao Y, Yang R. Gut-microbiota-derived metabolites maintain gut and systemic immune homeostasis. Cells. 2023, 12:793. 10.3390\/cells12050793","journal-title":"Cells"},{"key":"ref68","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2019.01365","article-title":"Tryptophan metabolism by gut microbiome and gut-brain-axis: an in silico analysis","volume":"13","author":"Kaur H","year":"2019","unstructured":"Kaur H, Bose C, Mande SS. Tryptophan metabolism by gut microbiome and gut-brain-axis: an in silico analysis. Front Neurosci. 2019, 13:1365. 10.3389\/fnins.2019.01365","journal-title":"Front Neurosci"},{"key":"ref69","doi-asserted-by":"publisher","DOI":"10.1038\/s41564-024-01737-3","article-title":"Dietary fibre directs microbial tryptophan metabolism via metabolic interactions in the gut microbiota","volume":"9","author":"Sinha AK","year":"2024","unstructured":"Sinha AK, Laursen MF, Brinck JE, et al.. Dietary fibre directs microbial tryptophan metabolism via metabolic interactions in the gut microbiota. Nat Microbiol. 2024, 9:1964-78. 10.1038\/s41564-024-01737-3","journal-title":"Nat Microbiol"},{"key":"ref70","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2021.711359","article-title":"Circulating levels of the short-chain fatty acid acetate mediate the effect of the gut microbiome on visceral fat","volume":"12","author":"Nogal A","year":"2021","unstructured":"Nogal A, Louca P, Zhang X, et al.. Circulating levels of the short-chain fatty acid acetate mediate the effect of the gut microbiome on visceral fat. Front Microbiol. 2021, 12:711359. 10.3389\/fmicb.2021.711359","journal-title":"Front Microbiol"},{"key":"ref71","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2022.863407","article-title":"Messengers from the gut: gut microbiota-derived metabolites on host regulation","volume":"13","author":"Li C","year":"2022","unstructured":"Li C, Liang Y, Qiao Y. Messengers from the gut: gut microbiota-derived metabolites on host regulation. Front Microbiol. 2022, 13:863407. 10.3389\/fmicb.2022.863407","journal-title":"Front Microbiol"},{"key":"ref72","doi-asserted-by":"publisher","DOI":"10.3390\/biology10050362","article-title":"Upper respiratory tract infections in sport and the immune system response. A review","volume":"10","author":"Cicchella A","year":"2021","unstructured":"Cicchella A, Stefanelli C, Massaro M. Upper respiratory tract infections in sport and the immune system response. A review. Biology (Basel). 2021, 10:362. 10.3390\/biology10050362","journal-title":"Biology (Basel)"},{"key":"ref73","doi-asserted-by":"publisher","DOI":"10.3390\/microorganisms12061160","article-title":"The importance of maintaining and improving a healthy gut microbiota in athletes as a preventive strategy to improve heat tolerance and acclimatization","volume":"12","author":"Cinca-Morros S","year":"2024","unstructured":"Cinca-Morros S, \u00c1lvarez-Herms J. The importance of maintaining and improving a healthy gut microbiota in athletes as a preventive strategy to improve heat tolerance and acclimatization. Microorganisms. 2024, 12:1160. 10.3390\/microorganisms12061160","journal-title":"Microorganisms"},{"key":"ref74","doi-asserted-by":"publisher","DOI":"10.5114\/ctd\/194184","article-title":"Dual-edged health benefit of Akkermansia muciniphila: impact on metformin and insulin resistance in type 2 diabetes - a perspective","volume":"4","author":"Rajpurohit YS","year":"2024","unstructured":"Rajpurohit YS. Dual-edged health benefit of Akkermansia muciniphila: impact on metformin and insulin resistance in type 2 diabetes - a perspective. Curr Top Diabetes. 2024, 4:118-27. 10.5114\/ctd\/194184","journal-title":"Curr Top Diabetes"},{"key":"ref75","doi-asserted-by":"publisher","DOI":"10.1093\/sxmrev\/qeae011","article-title":"Combined estrogen-progestin oral contraceptives and female sexuality: an updated review","volume":"12","author":"Krapf JM","year":"2024","unstructured":"Krapf JM, Goldstein AT. Combined estrogen-progestin oral contraceptives and female sexuality: an updated review. Sex Med Rev. 2024, 12:307-20. 10.1093\/sxmrev\/qeae011","journal-title":"Sex Med Rev"},{"key":"ref76","doi-asserted-by":"publisher","DOI":"10.1007\/s00248-022-02081-x","article-title":"Human gut microbiota and drug metabolism","volume":"86","author":"Pant A","year":"2023","unstructured":"Pant A, Maiti TK, Mahajan D, Das B. Human gut microbiota and drug metabolism. Microb Ecol. 2023, 86:97-111. 10.1007\/s00248-022-02081-x","journal-title":"Microb Ecol"},{"key":"ref77","doi-asserted-by":"publisher","DOI":"10.3390\/nu16244421","article-title":"Short-term supplementation of sauerkraut induces favorable changes in the gut microbiota of active athletes: a proof-of-concept study","volume":"16","author":"Kara\u010di\u0107 A","year":"2024","unstructured":"Kara\u010di\u0107 A, Zonji\u0107 J, Stefanov E, et al.. Short-term supplementation of sauerkraut induces favorable changes in the gut microbiota of active athletes: a proof-of-concept study. Nutrients. 2024, 16:4421. 10.3390\/nu16244421","journal-title":"Nutrients"},{"key":"ref78","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2024.105562","article-title":"Fermented foods: harnessing their potential to modulate the microbiota-gut-brain axis for mental health","volume":"158","author":"Balasubramanian R","year":"2024","unstructured":"Balasubramanian R, Schneider E, Gunnigle E, Cotter PD, Cryan JF. Fermented foods: harnessing their potential to modulate the microbiota-gut-brain axis for mental health. Neurosci Biobehav Rev. 2024, 158:105562. 10.1016\/j.neubiorev.2024.105562","journal-title":"Neurosci Biobehav Rev"},{"key":"ref79","doi-asserted-by":"publisher","DOI":"10.3390\/nu16234081","article-title":"From food supplements to functional foods: emerging perspectives on post-exercise recovery nutrition","volume":"16","author":"Wang L","year":"2024","unstructured":"Wang L, Meng Q, Su CH. From food supplements to functional foods: emerging perspectives on post-exercise recovery nutrition. Nutrients. 2024, 16:4081. 10.3390\/nu16234081","journal-title":"Nutrients"},{"key":"ref80","doi-asserted-by":"publisher","DOI":"10.1080\/19490976.2017.1290756","article-title":"Dietary fiber and prebiotics and the gastrointestinal microbiota","volume":"8","author":"Holscher HD","year":"2017","unstructured":"Holscher HD. Dietary fiber and prebiotics and the gastrointestinal microbiota. Gut Microbes. 2017, 8:172-84. 10.1080\/19490976.2017.1290756","journal-title":"Gut Microbes"},{"key":"ref81","doi-asserted-by":"publisher","DOI":"10.3390\/foods12081591","article-title":"Optimization of mixed inulin, fructooligosaccharides, and galactooligosaccharides as prebiotics for stimulation of probiotics growth and function","volume":"12","author":"Kaewarsar E","year":"2023","unstructured":"Kaewarsar E, Chaiyasut C, Lailerd N, Makhamrueang N, Peerajan S, Sirilun S. Optimization of mixed inulin, fructooligosaccharides, and galactooligosaccharides as prebiotics for stimulation of probiotics growth and function. Foods. 2023, 12:1591. 10.3390\/foods12081591","journal-title":"Foods"},{"key":"ref82","doi-asserted-by":"publisher","DOI":"10.3390\/nu16121921","article-title":"Efficacy of Lactococcus lactis subsp. lactis LY-66 and Lactobacillus plantarum PL-02 in enhancing explosive strength and endurance: a randomized, double-blinded clinical trial","volume":"16","author":"Lee MC","year":"2024","unstructured":"Lee MC, Hsu YJ, Chen MT, et al.. Efficacy of Lactococcus lactis subsp. lactis LY-66 and Lactobacillus plantarum PL-02 in enhancing explosive strength and endurance: a randomized, double-blinded clinical trial. Nutrients. 2024, 16:1921. 10.3390\/nu16121921","journal-title":"Nutrients"},{"key":"ref83","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20032226","article-title":"Effects of probiotic supplementation on sports performance and performance-related features in athletes: a systematic review","volume":"20","author":"Di Dio M","year":"2023","unstructured":"Di Dio M, Calella P, Pelullo CP, Liguori F, Di Onofrio V, Gall\u00e8 F, Liguori G. Effects of probiotic supplementation on sports performance and performance-related features in athletes: a systematic review. Int J Environ Res Public Health. 2023, 20:2226. 10.3390\/ijerph20032226","journal-title":"Int J Environ Res Public Health"},{"key":"ref84","doi-asserted-by":"publisher","DOI":"10.1186\/s12970-017-0189-4","article-title":"International society of sports nutrition position stand: nutrient timing","volume":"14","author":"Kerksick CM","year":"2017","unstructured":"Kerksick CM, Arent S, Schoenfeld BJ, et al.. 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