Inhaled beta2‐agonist, formoterol, enhances intense exercise performance, and sprint ability in elite cyclists

Purpose Many athletes use long‐acting beta2‐agonist formoterol in treatment of asthma. However, studies in non‐athlete cohorts demonstrate that inhaled formoterol can enhance sprint performance calling into question whether its use in competitive sports should be restricted. We investigated whether...

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Veröffentlicht in:Scandinavian journal of medicine & science in sports 2024-01, Vol.34 (1), p.e14500-n/a
Hauptverfasser: Jeppesen, Jan S., Jessen, Søren, Thomassen, Martin, Backer, Vibeke, Bangsbo, Jens, Hostrup, Morten
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container_start_page e14500
container_title Scandinavian journal of medicine & science in sports
container_volume 34
creator Jeppesen, Jan S.
Jessen, Søren
Thomassen, Martin
Backer, Vibeke
Bangsbo, Jens
Hostrup, Morten
description Purpose Many athletes use long‐acting beta2‐agonist formoterol in treatment of asthma. However, studies in non‐athlete cohorts demonstrate that inhaled formoterol can enhance sprint performance calling into question whether its use in competitive sports should be restricted. We investigated whether formoterol at upper recommended inhaled doses (54 μg) would enhance sprint ability and intense exercise performance in elite cyclists. Methods Twenty‐one male cyclists (V̇O2max: 70.4 ± 4.3 mL × min−1 × kg−1, mean ± SD) completed two 6‐s all‐out sprints followed by 4‐min all‐out cycling after inhaling either 54 μg formoterol or placebo. We also assessed cyclists' leg muscle mass by dual‐energy X‐ray absorptiometry and muscle fiber type distribution of vastus lateralis biopsies. Results Peak and mean power output during the 6‐s sprint was 32 W (95% CI, 19–44 W, p 
doi_str_mv 10.1111/sms.14500
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However, studies in non‐athlete cohorts demonstrate that inhaled formoterol can enhance sprint performance calling into question whether its use in competitive sports should be restricted. We investigated whether formoterol at upper recommended inhaled doses (54 μg) would enhance sprint ability and intense exercise performance in elite cyclists. Methods Twenty‐one male cyclists (V̇O2max: 70.4 ± 4.3 mL × min−1 × kg−1, mean ± SD) completed two 6‐s all‐out sprints followed by 4‐min all‐out cycling after inhaling either 54 μg formoterol or placebo. We also assessed cyclists' leg muscle mass by dual‐energy X‐ray absorptiometry and muscle fiber type distribution of vastus lateralis biopsies. Results Peak and mean power output during the 6‐s sprint was 32 W (95% CI, 19–44 W, p &lt; 0.001) and 36 W (95% CI, 24–48 W, p &lt; 0.001) higher with formoterol than placebo, corresponding to an enhancing effect of around 3%. Power output during 4‐min all‐out cycling was 9 W (95% CI, 2–16 W, p = 0.01) greater with formoterol than placebo, corresponding to an enhancing effect of 2.3%. Performance changes in response to formoterol were unrelated to cyclists' VO2max and leg lean mass, whereas muscle fiber Type I distribution correlated with change in sprinting peak power in response to formoterol (r2 = 0.314, p = 0.012). Conclusion Our findings demonstrate that an inhaled one‐off dose of 54 μg formoterol has a performance‐enhancing potential on sprint ability and short intense performance in elite male cyclists, which is irrespective of training status but partly related to muscle fiber type distribution for sprint ability.</description><identifier>ISSN: 0905-7188</identifier><identifier>EISSN: 1600-0838</identifier><identifier>DOI: 10.1111/sms.14500</identifier><language>eng</language><publisher>Oxford: Blackwell Publishing Ltd</publisher><subject>anti‐doping ; beta‐agonists ; Bicycling ; ergogenic ; intense exercise capacity ; LABA ; SABA ; sprinting ability</subject><ispartof>Scandinavian journal of medicine &amp; science in sports, 2024-01, Vol.34 (1), p.e14500-n/a</ispartof><rights>2023 The Authors. published by John Wiley &amp; Sons Ltd.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). 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However, studies in non‐athlete cohorts demonstrate that inhaled formoterol can enhance sprint performance calling into question whether its use in competitive sports should be restricted. We investigated whether formoterol at upper recommended inhaled doses (54 μg) would enhance sprint ability and intense exercise performance in elite cyclists. Methods Twenty‐one male cyclists (V̇O2max: 70.4 ± 4.3 mL × min−1 × kg−1, mean ± SD) completed two 6‐s all‐out sprints followed by 4‐min all‐out cycling after inhaling either 54 μg formoterol or placebo. We also assessed cyclists' leg muscle mass by dual‐energy X‐ray absorptiometry and muscle fiber type distribution of vastus lateralis biopsies. Results Peak and mean power output during the 6‐s sprint was 32 W (95% CI, 19–44 W, p &lt; 0.001) and 36 W (95% CI, 24–48 W, p &lt; 0.001) higher with formoterol than placebo, corresponding to an enhancing effect of around 3%. Power output during 4‐min all‐out cycling was 9 W (95% CI, 2–16 W, p = 0.01) greater with formoterol than placebo, corresponding to an enhancing effect of 2.3%. Performance changes in response to formoterol were unrelated to cyclists' VO2max and leg lean mass, whereas muscle fiber Type I distribution correlated with change in sprinting peak power in response to formoterol (r2 = 0.314, p = 0.012). 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However, studies in non‐athlete cohorts demonstrate that inhaled formoterol can enhance sprint performance calling into question whether its use in competitive sports should be restricted. We investigated whether formoterol at upper recommended inhaled doses (54 μg) would enhance sprint ability and intense exercise performance in elite cyclists. Methods Twenty‐one male cyclists (V̇O2max: 70.4 ± 4.3 mL × min−1 × kg−1, mean ± SD) completed two 6‐s all‐out sprints followed by 4‐min all‐out cycling after inhaling either 54 μg formoterol or placebo. We also assessed cyclists' leg muscle mass by dual‐energy X‐ray absorptiometry and muscle fiber type distribution of vastus lateralis biopsies. Results Peak and mean power output during the 6‐s sprint was 32 W (95% CI, 19–44 W, p &lt; 0.001) and 36 W (95% CI, 24–48 W, p &lt; 0.001) higher with formoterol than placebo, corresponding to an enhancing effect of around 3%. Power output during 4‐min all‐out cycling was 9 W (95% CI, 2–16 W, p = 0.01) greater with formoterol than placebo, corresponding to an enhancing effect of 2.3%. Performance changes in response to formoterol were unrelated to cyclists' VO2max and leg lean mass, whereas muscle fiber Type I distribution correlated with change in sprinting peak power in response to formoterol (r2 = 0.314, p = 0.012). Conclusion Our findings demonstrate that an inhaled one‐off dose of 54 μg formoterol has a performance‐enhancing potential on sprint ability and short intense performance in elite male cyclists, which is irrespective of training status but partly related to muscle fiber type distribution for sprint ability.</abstract><cop>Oxford</cop><pub>Blackwell Publishing Ltd</pub><doi>10.1111/sms.14500</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-1210-0282</orcidid><orcidid>https://orcid.org/0000-0002-6201-2483</orcidid><orcidid>https://orcid.org/0000-0002-7461-1264</orcidid><oa>free_for_read</oa></addata></record>
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subjects anti‐doping
beta‐agonists
Bicycling
ergogenic
intense exercise capacity
LABA
SABA
sprinting ability
title Inhaled beta2‐agonist, formoterol, enhances intense exercise performance, and sprint ability in elite cyclists
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