No effect of nutritional adenosine receptor antagonists on exercise performance in the heat
Abstract
Nutritional adenosine receptor antagonists can enhance endurance exercise performance in temperate environments, but their efficacy during heat stress is not well understood. This double-blinded, placebo-controlled study compared the effects of an acute dose of caffeine or quercetin on endurance exercise performance during compensable heat stress (40°C, 20–30% rh). On each of three occasions, 10 healthy men each performed 30-min of cycle ergometry at 50% V̇o2peak followed by a 15-min performance time trial after receiving either placebo ( Group P), caffeine ( Group C; 9 mg/kg), or quercetin ( Group Q; 2,000 mg). Serial blood samples, physiological (heart rate, rectal, and mean skin body temperatures), perceptual (ratings of perceived exertion, pain, thermal comfort, motivation), and exercise performance measures (total work and pacing strategy) were made. Supplementation with caffeine and quercetin increased preexercise blood concentrations of caffeine (55.62 ± 4.77 μM) and quercetin (4.76 ± 2.56 μM) above their in vitro inhibition constants for adenosine receptors. No treatment effects were observed for any physiological or perceptual measures, with the exception of elevated rectal body temperatures (0.20–0.30°C; P < 0.05) for Group C vs. Groups Q and P. Supplementation did not affect total work performed ( Groups P: 153.5 ± 28.3, C: 157.3 ± 28.9, and Q: 151.1 ± 31.6 kJ; P > 0.05) or the self-selected pacing strategy employed. These findings indicate that the nutritional adenosine receptor antagonists caffeine and quercetin do not enhance endurance exercise performance during compensable heat stress.
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In a study of healthy men, compared with placebo, single doses of 9 mg/kg body weight caffeine consumed after four days of caffeine abstinence increased core rectal body temperature by 0.20-0.30 degrees Celsius, but not skin temperature.
“Compared with placebo, single doses of 9 mg/kg bw caffeine consumed after four days of caffeine abstinence also increased core (rectal) body temperature (by 0.20-0.30C), but not skin temperature, in 10 healthy men”
From Scientific Opinion on the safety of caffeine (2015) · cites this paper as Cheuvront et al., 2009
Cites
American College of Sports Medicine position stand
Otis, C. L. (1997) · Medical Entomology and Zoology · Cited by 4,407 · see citing works
Borg's Perceived Exertion and Pain Scales
Borg, G. A. V. (1998) · Cited by 3,366 · see citing works
Flavonoids--Chemistry, metabolism, cardioprotective effects, and dietary sources
Cook, N., & Samman, S. (1996) · The Journal of Nutritional Biochemistry · doi:10.1016/0955-2863(95)00168-9 · Cited by 2,361 · see citing works
ACSM Position Stand: Exercise and Fluid Replacement
Convertino, V. A., Armstrong, L. E., Coyle, E. F., Mack, G. W., Sawka, M. N., Senay, L. C., & Sherman, W. M. (1996) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199610000-00045 · Cited by 1,977 · see citing works
Self-citationA new weighting system for mean surface temperature of the human body
Ramanathan, N. (1964) · Journal of Applied Physiology · doi:10.1152/jappl.1964.19.3.531 · Cited by 1,892 · see citing works
Flavonoids—Chemistry, metabolism, cardioprotective effects, and dietary sources
Cook, N. C., & Samman, S. (1996) · The Journal of Nutritional Biochemistry · doi:10.1016/s0955-2863(95)00168-9 · Cited by 1,717 · see citing works
Exercise and Fluid Replacement
(2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31802ca597 · Cited by 1,497 · see citing works
Self-citationDesign and analysis of research on sport performance enhancement
HOPKINS, W. G., HAWLEY, J. A., & BURKE, L. M. (1999) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199903000-00018 · Cited by 708 · see citing works
Effects of ambient temperature on the capacity to perform prolonged cycle exercise in man
Galloway, S. D. R., & Maughan, R. J. (1997) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199709000-00018 · Cited by 689 · see citing works
Possible mechanisms of central nervous system fatigue during exercise
Davis, J. M., & Bailey, S. P. (1997) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199701000-00008 · Cited by 686 · see citing works
American College of Sports Medicine Position Stand: Exercise and Fluid Replacement
Shephard, R. J. (2007) · Yearbook of Sports Medicine · doi:10.1016/s0162-0908(08)70206-x · Cited by 666 · see citing works
Hyperthermia and central fatigue during prolonged exercise in humans
Nybo, L., & Nielsen, B. (2001) · Journal of Applied Physiology · doi:10.1152/jappl.2001.91.3.1055 · Cited by 623 · see citing works
Absorption, metabolism and health effects of dietary flavonoids in man
Hollman, P., & Katan, M. (1997) · Biomedicine & Pharmacotherapy · doi:10.1016/s0753-3322(97)88045-6 · Cited by 609 · see citing works
Adenosine, Adenosine Receptors and the Actions of Caffeine
Fredholm, B. B. (1995) · Pharmacology & Toxicology · doi:10.1111/j.1600-0773.1995.tb00111.x · Cited by 597 · see citing works
Central nervous system effects of caffeine and adenosine on fatigue
Davis, J. M., Zhao, Z., Stock, H. S., Mehl, K. A., Buggy, J., & Hand, G. A. (2003) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.00386.2002 · Cited by 591 · see citing works
A new validated endurance performance test
Jeukendrup, A. E., Saris, W. H. M., Brouns, F. J. P. H., & Kester, A. D. M. (1996) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199602000-00017 · Cited by 560 · see citing works
Doherty, M., & Smith, P. M. (2005) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/j.1600-0838.2005.00445.x · Cited by 512 · see citing works
Metabolic, Catecholamine, and Exercise Performance Responses to Various Doses of Caffeine
Graham, T. E., & Spriet, L. L. (1995) · Journal of Applied Physiology · doi:10.1152/jappl.1995.78.3.867 · Cited by 488 · see citing works
Conjugation position of quercetin glucuronides and effect on biological activity
Day, A. J., Bao, Y., Morgan, M. R. A., & Williamson, G. (2000) · Free Radical Biology and Medicine · doi:10.1016/s0891-5849(00)00416-0 · Cited by 376 · see citing works
Gagge, A. P., Stolwijk, J. A. J., & Saltin, B. (1969) · Environmental Research · doi:10.1016/0013-9351(69)90037-1 · Cited by 317 · see citing works
Effects of heat stress on physiological responses and exercise performance in elite cyclists
Tatterson, A., Hahn, A. G., Martin, D. T., & Febbraio, M. A. (2000) · Journal of science and medicine in sport · doi:10.1016/s1440-2440(00)80080-8 · Cited by 314 · see citing works
Impact of Weather on Marathon-Running Performance
Ely, M. R., Cheuvront, S. N., Roberts, W. O., & Montain, S. J. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31802d3aba · Cited by 305 · see citing works
Self-citationEvaluation of cognitive performance in the heat by functional brain imaging and psychometric testing
Hocking, C., Silberstein, R. B., Lau, W. M., Stough, C. K. K., & Roberts, W. (2001) · Comparative Biochemistry and Physiology Part A Molecular & Integrative Physiology · doi:10.1016/s1095-6433(01)00278-1 · Cited by 268 · see citing works
Effects of Caffeine Ingestion on Exercise Testing: A Meta-Analysis
Doherty, M., & Smith, P. M. (2004) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.14.6.626 · Cited by 263 · see citing works
Watson, P., Hasegawa, H., Roelands, B., Piacentini, M. F., Looverie, R., & MEEUSEN, R. R. (2005) · The Journal of Physiology · doi:10.1113/jphysiol.2004.079202 · Cited by 233 · see citing works
Bailey, S. P., Davis, J. M., & Ahlborn, E. N. (1993) · Journal of Applied Physiology · doi:10.1152/jappl.1993.74.6.3006 · Cited by 226 · see citing works
Placebo Effects of Caffeine on Cycling Performance
Beedie, C., STUART, E. M., COLEMAN, D. A., & FOAD, A. J. (2006) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000233805.56315.a9 · Cited by 210 · see citing works
Quercetin Reduces Illness but Not Immune Perturbations after Intensive Exercise
NIEMAN, D. C., HENSON, D. A., GROSS, S. J., JENKINS, D. P., DAVIS, J. M., MURPHY, E. A., CARMICHAEL, M. D., DUMKE, C. L., UTTER, A. C., MCANULTY, S. R., et al. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318076b566 · Cited by 193 · cited 1× · see citing works
“Unlike caffeine, quercetin also has numerous potential health benefits which include the possibility of reducing viral illness, antioxidant and antiinflammatory properties (11, 15, 31, 37).”
BackgroundPlacebo effect of carbohydrate feedings during a 40-km cycling time trial
CLARK, V. R., Hopkins, W. G., Hawley, J. A., & Burke, L. M. (2000) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200009000-00019 · Cited by 190 · see citing works
ACSM's advanced exercise physiology
Tipton, C. M., Sawka, M. N., Tate, C. A., & Terjung, R. L. (2006) · Medical Entomology and Zoology · Cited by 175 · see citing works
Self-citationDietary Antioxidant Supplementation Combined with Quercetin Improves Cycling Time Trial Performance
MacRae, H., & Mefferd, K. (2006) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.16.4.405 · Cited by 137 · see citing works
Circadian rhythm in sweating and cutaneous blood flow
Stephenson, L. A., Wenger, C. B., O'Donovan, B. H., & Nadel, E. R. (1984) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1984.246.3.r321 · Cited by 134 · cited 1× · see citing works
“All experiments were conducted at the same time of day to control for circadian fluctuations in body temperature and other biological variables (48).”
BackgroundSharma, H. S., & Dey, P. K. (1987) · Brain Research · doi:10.1016/0006-8993(87)91205-4 · Cited by 127 · see citing works
Quercetin reduces susceptibility to influenza infection following stressful exercise
Davis, J. M., Murphy, E. A., McClellan, J. L., Carmichael, M. D., & Gangemi, J. D. (2008) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.90319.2008 · Cited by 123 · see citing works
Physiologic tolerance to uncompensable heat: intermittent exercise, field vs laboratory
Sawka, M. N., Latzka, W. A., Montain, S. J., Cadarette, B. S., Kolka, M. A., Kraning, K. K., & Gonzalez, R. R. (2001) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200103000-00014 · Cited by 119 · see citing works
Self-citationInteractions of Flavonoids and Other Phytochemicals with Adenosine Receptors
Ji, X., Melman, N., & Jacobson, K. A. (1996) · Journal of Medicinal Chemistry · doi:10.1021/jm950661k · Cited by 106 · see citing works
Improved 2000-Meter Rowing Performance in Competitive Oarswomen after Caffeine Ingestion
Anderson, M. E., Bruce, C. R., Fraser, S. F., Stepto, N. K., Klein, R., Hopkins, W. G., & Hawley, J. A. (2000) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.10.4.464 · Cited by 103 · see citing works
Neurohumoral responses during prolonged exercise in humans
Nybo, L., Nielsen, B., Blomstrand, E., Møller, K., & Secher, N. H. (2003) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00241.2003 · Cited by 101 · see citing works
Researching on new species of "Mate": Ilex brevicuspis
Filip, R., & Ferraro, G. (2003) · European Journal of Nutrition · doi:10.1007/s00394-003-0399-1 · Cited by 99 · see citing works
Haskell, W. L., & Kiernan, M. (2000) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/72.2.541s · Cited by 99 · see citing works
Pharmacological and Psychological Effects of Caffeine Ingestion in 40-km Cycling Performance
FOAD, A. J., Beedie, C., & COLEMAN, D. A. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181593e02 · Cited by 93 · see citing works
Effects of caffeine ingestion on endurance racing in heat and humidity
Cohen, B. S., Nelson, A. G., Prevost, M. C., Thompson, G. D., Marx, B. D., & Morris, G. S. (1996) · European Journal of Applied Physiology · doi:10.1007/bf02425499 · Cited by 88 · see citing works
Caffeine effects on short‐term performance during prolonged exercise in the heat
DEL COSO, J., ESTEVEZ, E., & MORA-RODRIGUEZ, R. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181621336 · Cited by 85 · see citing works
Flavonoids as antagonists at A1adenosine receptors
Alexander, S. P. H. (2006) · Phytotherapy Research · doi:10.1002/ptr.1975 · Cited by 84 · see citing works
Influence of Caffeine on Exercise Performance in Habitual Caffeine Users
Fisher, S., McMurray, R., Berry, M., Mar, M., & Forsythe, W. (1986) · International Journal of Sports Medicine · doi:10.1055/s-2008-1025774 · Cited by 75 · see citing works
Branched-chain amino acid supplementation and human performance when hypohydrated in the heat
Cheuvront, S. N., Carter, R., Kolka, M. A., Lieberman, H. R., Kellogg, M. D., & Sawka, M. N. (2004) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00357.2004 · Cited by 75 · see citing works
Self-citationPhysiological Systems and Their Responses to Conditions of Heat and Cold
Kenefick, R. W., Cheuvront, S. N., Montain, S. J., Carter, R., Sawka, M. N., Gonzalez, R. R., Ely, B. R., Moran, D. S., Hadid, A., & Endrusick, T. L. (2006) · Cited by 74 · see citing works
Self-citationResponse of unacclimatized males to repeated weekly bouts of exercise in the heat.
Barnett, A., & Maughan, R. J. (1993) · British Journal of Sports Medicine · doi:10.1136/bjsm.27.1.39 · Cited by 70 · see citing works
Lipid and fatty acid composition of canine lipoproteins
Maldonado, E. N., Romero, J. R., Ochoa, B., et al. (2001) · Comparative Biochemistry and Physiology Part B Biochemistry and Molecular Biology · doi:10.1016/s1096-4959(00)00366-3 · Cited by 69 · see citing works
PASSCLAIM - Physical performance and fitness
Saris, W. H. M., Antoine, J., Brouns, F. J. P. H., Fogelholm, M., Gleeson, M., Hespel, P., Jeukendrup, A. E., Maughan, R., Pannemans, D. L. E., & Štich, V. (2003) · European Journal of Nutrition · doi:10.1007/s00394-003-1104-0 · Cited by 53 · see citing works
Thermoregulatory responses to exercise in the heat: chronic caffeine intake has no effect.
Roti, M. W., Casa, D. J., Pumerantz, A. C., Watson, G., Judelson, D. A., Dias, J. C., Ruffin, K. T., & Armstrong, L. E. (2006) · PubMed · Cited by 47 · see citing works
Estimating Sample Size in Repeated-Measures Analysis of Variance
Tran, Z. V. (1997) · Measurement in Physical Education and Exercise Science · doi:10.1207/s15327841mpee0101_6 · Cited by 47 · see citing works
Stebbins, C. L., Daniels, J. W., & Lewis, W. R. (2001) · Clinical Physiology · doi:10.1046/j.1365-2281.2001.00365.x · Cited by 36 · see citing works
The Effect of Ambient Temperature on the Reliability of a Preloaded Treadmill Time-Trial
Tyler, C. J., & Sunderland, C. D. (2008) · International Journal of Sports Medicine · doi:10.1055/s-2007-989321 · Cited by 35 · see citing works
Physiological Systems and Their Responses to Conditions of Heat and Cold
Sawka, M. N., & Young, A. J. (2006) · Defense Technical Information Center (DTIC) · Cited by 33 · see citing works
Self-citationThermal regulation in the heat during exercise after caffeine and ephedrine ingestion.
Bell, D. G., Jacobs, I. A., Tm, M., Miyazaki, M., & Sabiston, C. M. (1999) · PubMed · Cited by 31 · see citing works
Endurance exercise: effect of work-rest schedules and repeated testing.
Gleser, M. A., & Vogel, J. A. (1971) · Journal of Applied Physiology · doi:10.1152/jappl.1971.31.5.735 · Cited by 29 · see citing works
Exercise in the Heat: Effects of an Adenosine Antagonist
Durkot, M. J., & de Garavilla, L. (2000) · International Journal of Sports Medicine · doi:10.1055/s-2000-312 · Cited by 19 · see citing works
Double blind carbohydrate ingestion does not improve exercise duration in warm humid conditions
Nassif, C., Ferreira, A. P. A., Gomes, A. R., et al. (2007) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2007.08.015 · Cited by 16 · see citing works
[Effect of caffeine in the performance of cyclists under high thermal risk].
Ferreira, G. M. H., Guerra, G. C. B., & Guerra, R. O. (2005) · PubMed · Cited by 10 · see citing works
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McLellan, T. M., Caldwell, J. A., & Lieberman, H. R. (2016) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2016.09.001 · Cited by 840 · see citing works
International society of sports nutrition position stand: caffeine and performance
Goldstein, E. R., Ziegenfuss, T., Kalman, D., Kreider, R., Campbell, B., Wilborn, C., Taylor, L., Willoughby, D., Stout, J., Graves, B. S., et al. (2010) · Journal of the International Society of Sports Nutrition · doi:10.1186/1550-2783-7-5 · Cited by 686 · see citing works
International Society of Sports Nutrition Position Stand: Caffeine and Exercise Performance
Guest, N. S., VanDusseldorp, T. A., Nelson, M. T., Grgic, J., Schoenfeld, B. J., Jenkins, N. D. M., Arent, S. M., Antonio, J., Stout, J. R., Trexler, E. T., et al. (2021) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-020-00383-4 · Cited by 665 · see citing works
Scientific Opinion on the safety of caffeine
EFSA Panel on Dietetic Products, N. A. A. (. (2015) · EFSA Journal · doi:10.2903/j.efsa.2015.4102 · Cited by 613 · see citing works
“30 C), but not skin temperature, in 10 healthy men performing 30 minutes of cycle ergometry at 50 % VO2peak followed by a 15-minute performance time trial at 40 C and 20–30 % relative humidity (Cheuvront et al., 2009).”
MethodThe Dietary Flavonoid Quercetin Increases VO2max and Endurance Capacity
Davis, J. M., Carlstedt, C. J., Chen, S., Carmichael, M. D., & Murphy, E. A. (2010) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.20.1.56 · Cited by 146 · see citing works
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KRESSLER, J., MILLARD-STAFFORD, M., & WARREN, G. L. (2011) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31822495a7 · Cited by 105 · see citing works
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Roelands, B., Buyse, L., Pauwels, F., Delbeke, F., Deventer, K., & Meeusen, R. (2011) · European Journal of Applied Physiology · doi:10.1007/s00421-011-1945-9 · Cited by 70 · see citing works
Nutritional implications for ultra-endurance walking and running events
Williamson, E. (2016) · Extreme Physiology & Medicine · doi:10.1186/s13728-016-0054-0 · Cited by 53 · see citing works
The acute effect of Quercetin on muscle performance following a single resistance training session
Patrizio, F., Ditroilo, M., Felici, F., Duranti, G., De Vito, G., Sabatini, S., Sacchetti, M., & Bazzucchi, I. (2018) · European Journal of Applied Physiology · doi:10.1007/s00421-018-3834-y · Cited by 46 · see citing works
Effects of Six Weeks of Quercetin Supplementation on Physical Performance in ROTC Cadets
Bigelman, K. A., Fan, E. H., Chapman, D. P., Freese, E. C., Trilk, J. L., & Cureton, K. J. (2010) · Military Medicine · doi:10.7205/milmed-d-09-00088 · Cited by 45 · see citing works
Pelletier, D. M., Lacerte, G., & Goulet, E. D. B. (2013) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.23.1.73 · Cited by 35 · see citing works
- Authors
- Cheuvront, S. N., Ely, B. R., Kenefick, R. W., Michniak-Kohn, B. B., Rood, J. C., & Sawka, M. N.
- Affiliations
- U.S. Army Research Institute of Environmental Medicine (US)
- Pennington Biomedical Research Center (US)
- Venue
- American Journal of Physiology-Regulatory, Integrative and Comparative Physiology
- Publisher
- American Physiological Society
- Published
- 2009-02
- Volume
- 296
- Issue
- 2
- Pages
- R394-R401
- ISSN
- 0363-6119 (ISSN-L)
- 1522-1490
- OpenAlex
- W2133370737
- Cited by
- 80
- References
- 60
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 5 · 2020: 2 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 4 · 2015: 3 · 2014: 10 · 2013: 9 · 2012: 5
- FWCI
- 4.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Physiology-Regulatory, Integrative and Comparative Physiology (publishedVersion)
- Defense Technical Information Center (DTIC) (submittedVersion)
- Funders
- Defense Advanced Research Projects Agency
- Topics
- Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
- Health Sciences › Medicine › Pharmacology › Coffee research and impacts
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Keywords
- adenosine receptor antagonists, caffeine, quercetin, heat stress, endurance exercise performance, rectal temperature, pacing strategy, exercise thermoregulation, dietary supplementation
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