Effects of creatine and caffeine ingestion in combination on exercise performance: A systematic review.

Creatine (CRE) and caffeine (CAF) have been used as ergogenic aids to improve exercise performance. The present study reviewed the current evidence supporting the additional use of CAF intake during or after the CRE loading on exercise performance. The search was carried out in eight databases, with the methodological quality of the studies assessed via the QualSyst tool. From ten studies that met the criteria for inclusion, six had strong, three moderate, and one weak methodological quality. CAF was ingested ∼1 h before the performance trial (5-7 mg.kg-1) after a CRE loading period (5-6 days with 0.3 g.kg-1.d-1) in five studies, with the combination CAF + CRE providing additional ergogenic effect compared to CRE alone in three of these studies. Furthermore, CAF was ingested daily during the CRE loading protocol in five studies, with CAF showing additive benefits compared to CRE alone only in one study (3 g.d-1 of CRE during 3 days + 6 mg.kg-1 of CAF for 3 days). The combination CAF + CRE seems to provide additional benefits to exercise performance when CAF is acutely ingested after a CRE loading. There is, however, no apparent benefit in ingesting CAF during a CRE loading period.Supplemental data for this article is available online at https://doi.org/10.1080/10408398.2021.2007470.

Comparison of physiological responses of running on a nonmotorized and conventional motor-propelled treadmill at similar intensities.

This study aimed to test the agreement of the incremental test's physiological responses between tethered running on a nonmotorized treadmill (NMT) to matched relative intensities while running on a conventional motorized treadmill (MT). Using a within-subject crossover design, nine male recreational runners (age = 22 ± 5 years; height = 175 ± 6 cm; weight = 68.0 ± 16.6 kg) underwent two test sessions: one was an incremental intensity protocol on an MT; the other was on an instrumented NMT. Intensity thresholds at [Formula: see text]O2max, respiratory compensation point (iRCP), and lactate threshold (iLT) were registered for analysis, together with [Formula: see text]̇O2, [Formula: see text]̇E, ƒR, and blood lactate concentration ([Lac]). Comparisons were based on hypothesis testing (Student's T-test), effect sizes (Cohen's d), ICC, and Bland Altman analysis. Statistical significance was accepted at p < 0.05. Attained [Formula: see text]O2max (MT = 52.2 ± 7.3 mL·kg-1·min-1 vs NMT = 50.1 ± 8.1 mL·kg-1·min-1) and [Formula: see text]̇O2 at iRCP (MT = 46.3 ± 7.2 mL·kg-1·min-1 vs NMT = 42.8 ± 9.3 mL·kg-1·min-1) were not different between ergometers (p = 0.15 and 0.13, respectively), with significant ICCs (0.84 and 0.70, respectively) and Pearson's correlations (r = 0.87 and 0.76, respectively). The [Lac] at iLT presented poor agreement between conditions. Significant correlations were found (r between 0.72 and 0.83) for relative power values of i[Formula: see text]O2max (6.56 ± 1.28 W·kg-1), iRCP (4.38 ± 1.50 W·kg-1), and iLT (4.15 ± 1.29 W·kg-1) related to their counterpart obtained on MT. Results show that running on an NMT offers a higher glycolytic demand under the same relative internal load as running on an MT but with a similar aerobic response and correlated intensity determination.

Caffeine improves various aspects of athletic performance in adolescents independent of their 163 C > A CYP1A2 genotypes.

PURPOSE: The purpose of this study was to investigate whether variations in 163 C > A CYP1A2 genotypes (rs 762 551) (AA, AC, and CC) modify the ergogenic effects of caffeine (CAF) on strength, power, muscular endurance, agility, and endurance in adolescent athletes. METHODS: One hundred adolescents (age = 15 ± 2 years) were recruited. Participants ingested CAF (6 mg.kg-1 ) or placebo (PLA, 300 mg of cellulose) 1 hour before performing a sequence of physical tests: handgrip strength, vertical jumps, agility test, sit-ups, push-ups, and the Yo-Yo intermittent recovery test level 1 (Yo-Yo IR1). RESULTS: Compared to PLA, CAF enhanced (P < .05) sit-up (CAF = 37 ± 9; PLA = 35 ± 8 repetitions) and push-up repetitions (CAF = 26 ± 11; PLA = 24 ± 11 repetitions), and increased distance covered in Yo-Yo IR1 test (CAF = 1010.4 ± 378.9; PLA = 903.2 ± 325.7 m). There was no influence of CAF on handgrip strength (CAF = 35.1 ± 8.9; PLA = 33.7 ± 8.7 kgf), countermovement jump height (CAF = 49.3 ± 12.6; PLA = 47.9 ± 13.8 cm), spike jump height (CAF = 54.2 ± 13.6; PLA = 52.9 ± 14.5 cm), and time in agility test (CAF = 15.8 ± 1.1; PLA = 15.9 ± 1.3 s, P > .05). When present, the ergogenic effect of CAF was not dependent of genotype. CONCLUSION: CAF improves muscular endurance and aerobic performance in adolescent athletes, regardless of their 163 C > A CYP1A2 genotype.

Cycling time trial performance is improved by carbohydrate ingestion during exercise regardless of a fed or fasted state.

PURPOSE: We tested the hypothesis that carbohydrate ingestion during exercise improves time trial (TT) performance and that this carbohydrate-induced improvement is greater when carbohydrates are ingested during exercise in a fasted rather than a fed state. METHODS: Nine males performed 105 minutes of constant-load exercise (50% of the difference between the first and second lactate thresholds), followed by a 10-km cycling TT. Exercise started at 9 am, 3 hours after either breakfast (FED, 824 kcal, 67% carbohydrate) or a 15-hour overnight fast (FAST). Before exercise, after every 15 minutes of exercise and at 5 km of the TT, participants ingested 2 mL kg-1 body mass of a non-caloric sweetened solution containing either carbohydrate (8% of maltodextrin, CHO) or placebo (0% carbohydrate, PLA). RESULTS: Irrespective of the fasting state, when carbohydrate was ingested during exercise, the rating of perceived exertion (RPE) was lower throughout the constant-load exercise, while the plasma glucose concentration and carbohydrate oxidation were higher during the last stages of the constant-load exercise (P < 0.05). Consequently, TT performance was faster when carbohydrate was ingested during exercise (18.5 ± 0.3 and 18.7 ± 0.4 minutes for the FEDCHO and FASTCHO conditions, respectively) than when the placebo was ingested during exercise (20.2 ± 0.8 and 21.7 ± 1.4 minutes for the FEDPLA and FASTPLA conditions, respectively), regardless of fasting. CONCLUSION: These findings indicate that even when breakfast is provided before exercise, carbohydrate ingestion during exercise is still beneficial for exercise performance. However, ingesting carbohydrate during exercise can overcome a lack of breakfast.

Effect of Endurance Training on The Lactate and Glucose Minimum Intensities.

Due to the controversy about the sensitive of lactate minimum intensity (LMI) to training and the need to develop other tool for aerobic fitness evaluation, the purpose of this study was to analyze the sensitivity of glucose minimum intensity (GMI) and LMI to endurance training. Eight trained male cyclists (21.4 ± 1.9 years, 67.6 ± 7.5 kg and 1.72 ± 0.10 m) were evaluated twice, before and after 12 weeks of training. GMI and LMI were calculated, respectively, by the lowest blood glucose and lactate values attained during an incremental test performed after a hyperlactemia induction, and VO2max was determined during standard incremental effort. The training was prescribed in three different zones and controlled by heart rate (HR). The training distribution was equivalent to 59.7%, 25.0% and 15.3% below, at and above anaerobic threshold HR respectively. The anaerobic threshold evaluated by GMI and LMI improvement 9.89 ± 4.35% and 10.28 ± 9.89 respectively, after training, but the VO2max 2.52 ± 1.81%. No differences were found between GMI and LMI in pre (218.2 ± 22.1 vs 215.0 ± 18.6 W) and post (240.6 ± 22.9 vs 237.5 ± 18.8 W) training situations. LMI and GMI were sensitive to 12-week aerobic training in cyclist; thus, both protocols can be used to assess aerobic adaptation, athletes diagnostic and prescribe training.

Determinant factors of peak treadmill speed in physically active men.

BACKGROUND: The aim of the present study was to determine whether physiological factors and maximal dynamic strength are able to determine the peak treadmill speed (PTS) in physically active individuals. METHODS: One hundred and fifty physically active healthy males voluntarily visit the laboratory on three separate occasions and underwent the following activities: first visit - IPAQ (short version), anthropometric measurements, and a maximal incremental test performed for physiological variables (maximal oxygen uptake [V̇O2] and respiratory compensation point [RCP]); second visit - constant speed test for running economy (RE) measurement, and familiarization with the Maximum Dynamic Strength (1RM) Test in the leg press exercise; third visit - 1RM test. RESULTS: The stepwise multiple regression model selected four independent variables to predict PTS (RCP, V̇O2, RE, and 1RM). RCP explained 59% (P<0.001) of variance in PTS, whereas V̇O2, RE and 1RM accounted for additional 8% (P<0.001), 4% (P<0.001), and 1.4% (P=0.038), respectively. CONCLUSIONS: In conclusion, the results of the present study demonstrate that PTS, an important predictor of endurance performance, is determined by both physiological (i.e., RCP, V̇O2, and RE) and muscular (1RM) parameters in healthy active individuals. These results demonstrate that, during a physical evaluation, PTS is able to represent physiological and muscular parameters of physically active individuals. This has the advantage during aerobic fitness evaluations of not requiring expensive equipment and specialized software.

Forced Swim Reliability for Exercise Testing in Rats by a Tethered Swimming Apparatus.

To assess the physical capacity of rats in forced swim tests, the animal should perform a continuous activity (CON) at the surface to avoid apnea. Bobbing movement (BOB), vigorous paddling known as climbing (CLI), and diving activity (DIV) are inadequate swimming patterns known to increase the exercise intensity variability, impairing the test reliability. Thus, the exercise work accomplished and related physiological variables, such as the blood lactate concentration, may be unreproducible in forced swim. This study aimed to verify the exercise work reproducibility in rats with a 30-min test-retest at maximal lactate steady state (MLSS) intensity using a tethered-swimming apparatus that analyzes swimming patterns by the direct measurement of swimming force. Additionally, it was determined the swimming force and duration of CON, BOB, CLI, and DIV at physiologically different exercise-intensities. The swimming force at MLSS (n = 64) was 38 ± 7 gf.Kg-1, while the blood lactate concentration was 4.2 ± 1.6 mmol.L-1. In the test-retest (N = 23), swimming force (36.6 ± 7 gf.Kg-1 vs. 36.4 ± 7 gf.Kg-1) and blood lactate concentration (4.7 ± 1.7 mmol.L-1 vs. 4.2 ± 1.7 mmol.l-1) were similar, but only the swimming force was highly correlated (0.90 and 0.31). Although it was not statistically different, the swimming force for CON tends to be slightly lower than CLI and slightly higher than BOB independently of exercise-intensity. The CON pattern predominates (∼52.8 ± 18%) at intensities below and of MLSS but BOB was the swimming pattern more often observed above MLSS-intensity (52.6 ± 18%). The present study used a tethered swimming apparatus to investigate the reliability of forced swim tests for exercise testing in rats and better understand the swimming patterns when determining the MLSS, but the results can be extended to any study that rely on forced swim for exercise testing and training. The result suggests that, at least at intensities of physiological stability, the exercise work accomplished by rats is reproducible in forced swim, but the blood lactate concentration seems to be affected by other factors, such as the apnea and stress caused by the possibility of drowning, besides the exercise-intensity.

Glycemic Control and Muscle Damage in 3 Athletes With Type 1 Diabetes During a Successful Performance in a Relay Ultramarathon: A Case Report.

Ultramarathon races are fairly demanding and impose substantial physiological stress on healthy athletes. These competitions may thus be considerably more challenging for individuals with diabetes. This case study aims to describe glycemic control, muscle damage, inflammation, and renal function in 3 athletes with type 1 diabetes during a successful performance in a relay ultramarathon. The team completed the race in 29 hours and 28 minutes, earning third place. The total distance covered by each athlete was 68.7, 84.5, and 65.1 km. Most blood glucose levels showed that athletes were in a zone where it was safe to exercise (90-250 mg/dL or 5.0-13.9 mmol/L). Creatine kinase, lactate dehydrogenase, and aspartate aminotransferase serum levels increased 1.2- to 50.7-fold prerace to postrace, and were higher than the reference ranges for all the athletes postrace. Blood leukocytes, neutrophils, and serum C-reactive protein (CRP) increased 1.6- to 52-fold prerace to postrace and were higher than the reference ranges for 2 athletes after the race. Serum creatinine increased 1.2-fold prerace to postrace for all the athletes but did not meet the risk criteria for acute kidney injury. In conclusion, our main findings show evidence of satisfactory glycemic control in athletes with type 1 diabetes during a relay ultramarathon. Moreover, elevation of muscle damage and inflammatory biomarkers occurred without affecting renal function and challenging the maintenance of blood glucose among athletes. These findings are novel and provide an initial understanding of the physiological responses in athletes with type 1 diabetes during ultramarathon races.

Short and Long Term Effects of High-Intensity Interval Training on Hormones, Metabolites, Antioxidant System, Glycogen Concentration, and Aerobic Performance Adaptations in Rats.

The purpose of the study was to investigate the effects of short and long term High-Intensity Interval Training (HIIT) on anaerobic and aerobic performance, creatinine, uric acid, urea, creatine kinase, lactate dehydrogenase, catalase, superoxide dismutase, testosterone, corticosterone, and glycogen concentration (liver, soleus, and gastrocnemius). The Wistar rats were separated in two groups: HIIT and sedentary/control (CT). The lactate minimum (LM) was used to evaluate the aerobic and anaerobic performance (AP) (baseline, 6, and 12 weeks). The lactate peak determination consisted of two swim bouts at 13% of body weight (bw): (1) 30 s of effort; (2) 30 s of passive recovery; (3) exercise until exhaustion (AP). Tethered loads equivalent to 3.5, 4.0, 4.5, 5.0, 5.5, and 6.5% bw were performed in incremental phase. The aerobic capacity in HIIT group increased after 12 weeks (5.2 ± 0.2% bw) in relation to baseline (4.4 ± 0.2% bw), but not after 6 weeks (4.5 ± 0.3% bw). The exhaustion time in HIIT group showed higher values than CT after 6 (HIIT = 58 ± 5 s; CT = 40 ± 7 s) and 12 weeks (HIIT = 62 ± 7 s; CT = 49 ± 3 s). Glycogen (mg/100 mg) increased in gastrocnemius for HIIT group after 6 weeks (0.757 ± 0.076) and 12 weeks (1.014 ± 0.157) in comparison to baseline (0.358 ± 0.024). In soleus, the HIIT increased glycogen after 6 weeks (0.738 ± 0.057) and 12 weeks (0.709 ± 0.085) in comparison to baseline (0.417 ± 0.035). The glycogen in liver increased after HIIT 12 weeks (4.079 ± 0.319) in relation to baseline (2.400 ± 0.416). The corticosterone (ng/mL) in HIIT increased after 6 weeks (529.0 ± 30.5) and reduced after 12 weeks (153.6 ± 14.5) in comparison to baseline (370.0 ± 18.3). In conclusion, long term HIIT enhanced the aerobic capacity, but short term was not enough to cause aerobic adaptations. The anaerobic performance increased in HIIT short and long term compared with CT, without differences between HIIT short and long term. Furthermore, the glycogen super-compensation increased after short and long term HIIT in comparison to baseline and CT group. The corticosterone increased after 6 weeks, but reduces after 12 weeks. No significant alterations were observed in urea, uric acid, testosterone, catalase, superoxide dismutase, sulfhydryl groups, and creatine kinase in HIIT group in relation to baseline and CT.

Interaction between advanced glycation end products formation and vascular responses in femoral and coronary arteries from exercised diabetic rats.

BACKGROUND: The majority of studies have investigated the effect of exercise training (TR) on vascular responses in diabetic animals (DB), but none evaluated nitric oxide (NO) and advanced glycation end products (AGEs) formation associated with oxidant and antioxidant activities in femoral and coronary arteries from trained diabetic rats. Our hypothesis was that 8-week TR would alter AGEs levels in type 1 diabetic rats ameliorating vascular responsiveness. METHODOLOGY/PRINCIPAL FINDINGS: Male Wistar rats were divided into control sedentary (C/SD), sedentary diabetic (SD/DB), and trained diabetic (TR/DB). DB was induced by streptozotocin (i.p.: 60 mg/kg). TR was performed for 60 min per day, 5 days/week, during 8 weeks. Concentration-response curves to acetylcholine (ACh), sodium nitroprusside (SNP), phenylephrine (PHE) and tromboxane analog (U46619) were obtained. The protein expressions of eNOS, receptor for AGEs (RAGE), Cu/Zn-SOD and Mn-SOD were analyzed. Tissues NO production and reactive oxygen species (ROS) generation were evaluated. Plasma nitrate/nitrite (NO(x)⁻), superoxide dismutase (SOD), catalase (CAT), thiobarbituric acid reactive substances (TBARS) and N(ε)-(carboxymethyl) lysine (CML, AGE biomarker). A rightward shift in the concentration-response curves to ACh was observed in femoral and coronary arteries from SD/DB that was accompanied by an increase in TBARS and CML levels. Decreased in the eNOS expression, tissues NO production and NO(x)⁻ levels were associated with increased ROS generation. A positive interaction between the beneficial effect of TR on the relaxing responses to ACh and the reduction in TBARS and CML levels were observed without changing in antioxidant activities. The eNOS protein expression, tissues NO production and ROS generation were fully re-established in TR/DB, but plasma NO(x)⁻ levels were partially restored. CONCLUSION: Shear stress induced by TR fully restores the eNOS/NO pathway in both preparations from non-treated diabetic rats, however, a massive production of AGEs still affecting relaxing responses possibly involving other endothelium-dependent vasodilator agents, mainly in coronary artery.

Metabolic responses to acute physical exercise in young rats recovered from fetal protein malnutrition with a fructose-rich diet.

BACKGROUND: Malnutrition in utero can "program" the fetal tissues, making them more vulnerable to metabolic disturbances. Also there is association between excessive consumption of fructose and the development of metabolic syndrome. However, there is little information regarding the acute effect of physical exercise on subjects recovered from malnutrition and/or fed with a fructose-rich diet. The objective of this study was to evaluate the metabolic aspects and the response to acute physical exercise in rats recovered from fetal protein malnutrition with a fructose-rich diet. METHODS: Pregnant Wistar rats were fed with a balanced (B) diet or a low-protein (L) diet. After birth and until 60 days of age, the offspring were distributed into four groups according to the diet received: B: B diet during the whole experiment; balanced/fructose (BF): B diet until birth and fructose-rich (F) diet afterwards; low protein/balanced (LB): L diet until birth and B diet afterwards; low protein/fructose (LF): L diet until birth and F diet afterwards. RESULTS: The excess fructose intake reduced the body weight gain, especially in the BF group. Furthermore, the serum total cholesterol and the LDL cholesterol were elevated in this group. In the LF group, the serum total cholesterol and the muscle glycogen increased. Acute physical exercise increased the serum concentrations of glucose, triglycerides, HDL cholesterol and liver lipids and reduced the concentrations of muscle glycogen in all groups. CONCLUSION: An excess fructose intake induced some signs of metabolic syndrome. However, protein malnutrition appeared to protect against the short term effects of fructose. In other hand, most responses to acute physical exercise were not influenced by early malnutrition and/or by the fructose overload.