Document Detail


No variation of physical performance and perceived exertion after adrenal gland stimulation by synthetic ACTH (Synacthen) in cyclists.
MedLine Citation:
PMID:  18584198     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There is anecdotal evidence that athletes use the banned substance Synacthen because of its perceived benefit with its associated rise in cortisol. To test the performance-enhancing effects of Synacthen, eight trained cyclists completed two, 2-day exercise sessions separated by 7-10 days. On the first day of each 2-day exercise session, subjects received either Synacthen (0.25 mg, TX) or placebo (PLA) injection. Performance was assessed by a 20-km time trial (TT) after a 90-min fatigue period on day 1 and without the fatiguing protocol on day 2. Plasma androgens and ACTH concentrations were measured during the exercise bouts as well as the rate of perceived exertion (RPE). Spot urines were analyzed for androgens and glucocorticoids quantification. Basal plasma hormones did not differ significantly between PLA and TX groups before and 24 h after the IM injection (P > 0.05). After TX injection, ACTH peaked at 30 min and hormone profiles were significantly different compared to the PLA trial (P < 0.001). RPE increased significantly in both groups as the exercise sessions progressed (P < 0.001) but was not influenced by treatment. The time to completion of the TT was not affected on both days by Synacthen treatment. In the present study, a single IM injection of synthetic ACTH did not improve either acute or subsequent cycling performance and did not influence perceived exertion. The investigated urinary hormones did not vary after treatment, reinforcing the difficulty for ACTH abuse detection.
Authors:
Norbert Baume; Graeme Steel; Tony Edwards; Eric Thorstensen; Benjamin F Miller
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2008-06-27
Journal Detail:
Title:  European journal of applied physiology     Volume:  104     ISSN:  1439-6319     ISO Abbreviation:  Eur. J. Appl. Physiol.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-07     Completed Date:  2008-12-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100954790     Medline TA:  Eur J Appl Physiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  589-600     Citation Subset:  IM    
Affiliation:
Department of Sport and Exercise Science, Tamaki Campus, The University of Auckland, Auckland, New Zealand. norbert.baume@chuv.ch
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MeSH Terms
Descriptor/Qualifier:
Adrenal Glands / drug effects*,  physiology
Adrenocorticotropic Hormone / blood,  pharmacology*
Adult
Athletic Performance / physiology*
Bicycling / physiology*
Cross-Over Studies
Dehydroepiandrosterone / blood
Double-Blind Method
Glucocorticoids / blood
Glucuronides / urine
Heart Rate / drug effects,  physiology
Humans
Hydrocortisone / blood
Male
Physical Exertion / physiology*
Testosterone / blood
Chemical
Reg. No./Substance:
0/Glucocorticoids; 0/Glucuronides; 50-23-7/Hydrocortisone; 53-43-0/Dehydroepiandrosterone; 58-22-0/Testosterone; 9002-60-2/Adrenocorticotropic Hormone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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