Physical Activity as a Modulator of Gut Microbiota Diversity: Evidence from Human Studies
DOI:
https://doi.org/10.12775/QS.2026.57.72576Keywords
Gastrointestinal Microbiome, Exercise, Physical Activity, Microbial Diversity, Dysbiosis, Short-Chain Fatty AcidsAbstract
Introduction and purpose: The human gut microbiota plays a crucial role in maintaining overall health, influencing metabolic, immune, and neurological processes. Physical activity has emerged as a potentially modifiable factor affecting gut microbiota composition and diversity. The aim of this narrative review was to evaluate current evidence on the impact of physical activity on gut microbiota diversity in humans.
Brief description of the state of knowledge: This review was based on a comprehensive search of PubMed and Google Scholar and included studies published between 2010 and 2026. Only studies involving human participants and examining the relationship between physical activity and gut microbiota were considered. Available evidence indicates that physical activity is associated with changes in gut microbiota composition and, in some cases, with increased diversity and a greater abundance of beneficial bacterial taxa. Both observational and interventional studies suggest that exercise may positively influence microbial composition; however, the magnitude of these effects depends on exercise type, intensity, duration, and individual characteristics. Diet was consistently identified as a major confounding factor influencing gut microbiota outcomes.
Summary: Physical activity appears to be an important modulator of gut microbiota in humans, with more consistent effects on microbial composition and function than on overall diversity. However, these effects are complex and influenced by multiple interacting factors, particularly dietary habits. Further well-designed human studies are needed to clarify the mechanisms underlying these interactions.
References
1. Allen JM, Mailing LJ, Niemiro GM, Moore R, Cook MD, White BA, et al. Exercise Alters Gut Microbiota Composition and Function in Lean and Obese Humans. Med Sci Sports Exerc. 2018 Apr;50(4):747–57. https://doi.org/10.1249/MSS.0000000000001495
2. Mailing LJ, Allen JM, Buford TW, Fields CJ, Woods JA. Exercise and the Gut Microbiome: A Review of the Evidence, Potential Mechanisms, and Implications for Human Health. Exerc Sport Sci Rev. 2019 Apr;47(2):75. https://doi.org/10.1249/JES.0000000000000183
3. Aya V, Jimenez P, Muñoz E, Ramírez JD. Effects of exercise and physical activity on gut microbiota composition and function in older adults: a systematic review. BMC Geriatr. 2023 Jun 12;23(1):364. https://doi.org/10.1186/s12877-023-04066-y
4. Clarke SF, Murphy EF, O’Sullivan O, Lucey AJ, Humphreys M, Hogan A, et al. Exercise and associated dietary extremes impact on gut microbial diversity. Gut. 2014 Dec;63(12):1913–20. https://doi.org/10.1136/gutjnl-2013-306541
5. Estaki M, Pither J, Baumeister P, Little JP, Gill SK, Ghosh S, et al. Cardiorespiratory fitness as a predictor of intestinal microbial diversity and distinct metagenomic functions. Microbiome. 2016 Aug 8;4(1):42. https://doi.org/10.1186/s40168-016-0189-7
6. Min L, Ablitip A, Wang R, Luciana T, Wei M, Ma X. Effects of Exercise on Gut Microbiota of Adults: A Systematic Review and Meta-Analysis. Nutrients. 2024 Apr 5;16(7):1070. https://doi.org/10.3390/nu16071070
7. Lozupone CA, Stombaugh JI, Gordon JI, Jansson JK, Knight R. Diversity, stability and resilience of the human gut microbiota. Nature. 2012 Sep 13;489(7415):220–30. https://doi.org/10.1038/nature11550
8. Valdes AM, Walter J, Segal E, Spector TD. Role of the gut microbiota in nutrition and health. BMJ. 2018 Jun 13;361:k2179. https://doi.org/10.1136/bmj.k2179
9. Gilbert JA, Blaser MJ, Caporaso JG, Jansson JK, Lynch SV, Knight R. Current understanding of the human microbiome. Nat Med. 2018 Apr 10;24(4):392–400. https://doi.org/10.1038/nm.4517
10. Warburton DER, Bredin SSD. Health benefits of physical activity: a systematic review of current systematic reviews. Curr Opin Cardiol. 2017 Sep;32(5):541–56. https://doi.org/10.1097/HCO.0000000000000437
11. Bycura D, Santos AC, Shiffer A, Kyman S, Winfree K, Sutliffe J, et al. Impact of Different Exercise Modalities on the Human Gut Microbiome. Sports. 2021 Feb;9(2):14. https://doi.org/10.3390/sports9020014
12. Bressa C, Bailén-Andrino M, Pérez-Santiago J, González-Soltero R, Pérez M, Montalvo-Lominchar MG, et al. Differences in gut microbiota profile between women with active lifestyle and sedentary women. PloS One. 2017;12(2):e0171352. https://doi.org/10.1371/journal.pone.0171352
13. Barton W, Penney NC, Cronin O, Garcia-Perez I, Molloy MG, Holmes E, et al. The microbiome of professional athletes differs from that of more sedentary subjects in composition and particularly at the functional metabolic level. Gut. 2018 Apr 1;67(4):625–33. https://doi.org/10.1136/gutjnl-2016-313627
14. Dalile B, Van Oudenhove L, Vervliet B, Verbeke K. The role of short-chain fatty acids in microbiota-gut-brain communication. Nat Rev Gastroenterol Hepatol. 2019 Aug;16(8):461–78. https://doi.org/10.1038/s41575-019-0157-3
15. Martin-Gallausiaux C, Marinelli L, Blottière HM, Larraufie P, Lapaque N. SCFA: mechanisms and functional importance in the gut. Proc Nutr Soc. 2021 Feb;80(1):37–49. https://doi.org/10.1017/S0029665120006916
16. Munukka E, Ahtiainen JP, Puigbó P, Jalkanen S, Pahkala K, Keskitalo A, et al. Six-Week Endurance Exercise Alters Gut Metagenome That Is not Reflected in Systemic Metabolism in Over-weight Women. Front Microbiol. 2018;9:2323. https://doi.org/10.3389/fmicb.2018.02323
17. Ruiz-Limón P, Muralidharan J, Gomez-Perez AM, Murri M, Vioque J, Corella D, et al. Physical activity shifts gut microbiota structure in aged subjects with overweight/obesity and metabolic syndrome. Biol Sport. 2024 Jul;41(3):47–60. https://doi.org/10.5114/biolsport.2024.133005
18. Torquati L, Gajanand T, Cox ER, Willis CRG, Zaugg J, Keating SE, et al. Effects of exercise intensity on gut microbiome composition and function in people with type 2 diabetes. Eur J Sport Sci. 2023;23(4):530–41. https://doi.org/10.1080/17461391.2022.2035436
19. Murtaza N, Burke LM, Vlahovich N, Charlesson B, O’ Neill H, Ross ML, et al. The Effects of Dietary Pattern during Intensified Training on Stool Microbiota of Elite Race Walkers. Nutrients. 2019 Jan 24;11(2):261. https://doi.org/10.3390/nu11020261
20. Singh RK, Chang HW, Yan D, Lee KM, Ucmak D, Wong K, et al. Influence of diet on the gut microbiome and implications for human health. J Transl Med. 2017 Apr 8;15(1):73. https://doi.org/10.1186/s12967-017-1175-y
21. Demmer RT, Pope ZC, Avenido FRR, Mitchell NR, Richmond Hubbard PF, Johnson S, et al. The Effect of Physical Activity on the Gut Microbiome in Prediabetes: Results From a Randomized Controlled Trial. Diabetes Obes Cardiometabolic CARE. 2026 Mar 1;1(2):219–29. https://doi.org/10.2337/doc25-0067
22. Petersen LM, Bautista EJ, Nguyen H, Hanson BM, Chen L, Lek SH, et al. Community characteristics of the gut microbiomes of competitive cyclists. Microbiome. 2017 Aug 10;5(1):98. https://doi.org/10.1186/s40168-017-0320-4
23. Scheiman J, Luber JM, Chavkin TA, MacDonald T, Tung A, Pham LD, et al. Meta-omics analysis of elite athletes identifies a performance-enhancing microbe that functions via lactate metabolism. Nat Med. 2019 Jul;25(7):1104–9. https://doi.org/10.1038/s41591-019-0485-4
24. Mach N, Fuster-Botella D. Endurance exercise and gut microbiota: A review. J Sport Health Sci. 2017 Jun;6(2):179–97. https://doi.org/10.1016/j.jshs.2016.05.001
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Julia Kossakowska, Marcin Ruszkowski, Mikołaj Celmer, Mateusz Majchrzak, Urszula Kacprzak, Zofia Biernacka, Norbert Piątkowski, Andrzej de Laval

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 4
Number of citations: 0