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Effect of Increased Pain Tolerance on Exercise Performance

Not Applicable
Completed
Conditions
Opioid Use
Exercise
Interventions
Other: Placebo
Registration Number
NCT03934411
Lead Sponsor
University of Copenhagen
Brief Summary

Clinical prescription and use of opioids is a clear problem in large parts of the world and has the recent years received an increasing publicity in sports. This is in particular due to the World Anti-Doping Agency monitoring list, which reveal that endurance athletes utilize the opioid Tramadol frequently with the aim to enhance performance according to anecdotal evidence.

Studies investigating the effect of tramadol on exercise performance in healthy humans is limited to one study in moderate trained subjects. However, this effect may be different in highly trained subjects due to the effects of chronic exercise. Furthermore, ingestion of tramadol may impact motor-cognitive performance and it remains unknown whether tramadol can be detected in highly trained subjects following exercise.

In the present study the investigators apply a randomized double-blind placebo-controlled counterbalanced cross-over design to investigate whether tramadol treatment improves a preloaded cycling time trial performance, whether it affects motor-cognitive performance and whether it is detectable following exercise.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
16
Inclusion Criteria
  • Maximal oxygen uptake < 55 ml O2/min/kg
  • Plasma creatinine concentration between 60-105 umol/L
  • Plasma alanine aminotransferase between 10-70 U/L
  • Familiarized with endurance training for at least a few years
Exclusion Criteria
  • Donated blood within the last 3 months
  • Exposed to an altitude greater than 1000 m above sea level within the last two months
  • Smoking

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Tramadol treatmentTramadol-
Placebo treatmentPlacebo-
Primary Outcome Measures
NameTimeMethod
Power output30 minutes

Mean power output during a 15-km time trial

Motor-cognitive performance1 hour

The motor-cognitive performance evaluated by mathematical calculations combined with the ability to pinch a certain force with the thumb and index finger

Detection rate1 day

The detection rate of tramadol following the exercise intervention measured before, immediately after as well as 6 and 24h after treatment

Secondary Outcome Measures
NameTimeMethod
pH90 min

The response of blood pH to exercise performance

Lactate90 min

The response of blood lactate to exercise performance

Bicarbonate90 min

The response of blood bicarbonate to exercise performance

Glucose90 min

The response of blood glucose to exercise performance

Potassium90 min

The response of blood potassium to exercise performance

Sodium90 min

The response of blood sodium to exercise performance

Oxygen uptake90 min

The response of systemic oxygen uptake during exercise performance

Pulmonary ventilation90 min

The response of pulmonary ventilation during exercise performance.

Respiratory exchange ratio90 min

The response of respiratory exchange ratio during exercise performance, calculated as the ratio between system oxygen uptake and systemic carbon monoxide production. The unit of measure is arbitrary.

Rate of Perceived Exertion90 min

Measurement of the rate of perceived exertion by questionnaire during exercise performance using "The borg scale of perceived exertion", which range from 6 (minimum value) to 20 (maximum value). Higher values represent a higher perceived exertion.

Leg Pain90 min

Measurement of the leg pain by questionnaire during exercise performance using the "10-point pain scale", which range from 0 (minimum) to 10 (maximum). Higher values represent a higher pain.

Heart rate90 min

The response of heart rate to exercise performance

Power output during preload60 min

Mean power output during a 60-min cycling exercise

Power output during time trial30 min

The power output measured for each km of the time trial

Trial Locations

Locations (1)

Department of Nutrition, Exercise and Sports

🇩🇰

Copenhagen, Denmark

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