Castell · Nutrition (Burbank, Los Angeles County, Calif.) 2002 · narrative review · n=?

Can glutamine modify the apparent immunodepression observed after prolonged, exhaustive exercise?

Cited 43 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review and mechanism-based reasoning without systematic methodology

PubMed 11985938 · doi:10.1016/s0899-9007(02)00754-2 · record verified 2026-08-26

What was done

Narrative review examining how prolonged, exhaustive exercise impacts blood glutamine concentrations, how this relates to post-exercise immunodepression, and whether glutamine supplementation alters illness incidence in endurance athletes.

What was found

The abstract provides no quantitative data, sample sizes, or numerical effect estimates. It reports qualitatively that blood glutamine levels decrease substantially during physiological stress such as strenuous exercise, coinciding with transient immunodepression. Providing glutamine or a precursor was noted to decrease illness incidence in endurance athletes, with emerging evidence suggesting neutrophil involvement, though exact mechanisms remain undefined.

Why it matters

Outlines the physiological rationale for glutamine supplementation to mitigate exercise-associated immune impairment and subsequent illness in endurance competitors.

Limits

This is a narrative overview reporting no primary data, statistical metrics, or systematic search methodology. The specific immune cellular targets and clinical magnitude of benefit are not established in the abstract.

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