Glutamine is an amino acid essential for many important homeostatic fu
nctions and for the optimal functioning of a number of tissues in the
body, particularly the immune system and the gut. However, during vari
ous catabolic states, such as infection, surgery, trauma and acidosis,
glutamine homeostasis is placed under stress, and glutamine reserves,
particularly in the skeletal muscle, are depleted. With regard to glu
tamine metabolism, exercise stress may be viewed in a similar light to
other catabolic stresses. Plasma glutamine responses to both prolonge
d and high intensity exercise are characterised by increased levels du
ring exercise followed by significant decreases during the post-exerci
se recovery period, with several hours of recovery required for restor
ation of pre-exercise levels, depending on the intensity and duration
of exercise. If recovery between exercise bouts is inadequate, the acu
te effects of exercise on plasma glutamine level may be cumulative, si
nce overload training has been shown to result in low plasma glutamine
levels requiring prolonged recovery. Athletes suffering from the over
training syndrome (OTS) appear to maintain low plasma glutamine levels
for months or years. All these observations have important implicatio
ns for organ functions in these athletes, particularly with regard to
the gut and the cells of the immune system, which may be adversely aff
ected. In conclusion, if methodological issues are carefully considere
d, plasma glutamine level may be useful as an indicator of an overtrai
ned state.