Saturday 2 March 2013

Is caffeine good for sports performance?


Caffeine occurs naturally in the leaves, nuts and seeds of a number of plants.  Major dietary sources of caffeine, such as tea, coffee, chocolate and cola drinks typically provide 30-100 mg of caffeine per serve, while some non-prescriptive medications contain 100-200 mg of caffeine per tablet.  
The introduction of caffeine (or guarana) to 'energy drinks', confectionery and sports foods/supplements has increased the opportunities for athletes and non-athletes to consume caffeine, either as part of their everyday diet or for specific use as an ergogenic aid. 
Caffeine has numerous actions on different body tissues.  It varies from person to person but may include the mobilisation of fats from adipose tissue and the muscle cell, changes to muscle contractility, alterations to the central nervous system to change perceptions of effort or fatigue, stimulation of the release and activity of adrenaline, and effects on cardiac muscle. 
Two myths about caffeine that we can dispel:
1. Caffeine enhances endurance performance because it promotes an increase in the utilisation of fat as an exercise fuel and 'spares' the use of the limited muscle stores of glycogen.
In fact, studies show that the effect of caffeine on 'glycogen sparing' during sub-maximal exercise is short-lived and inconsistent - not all athletes respond in this way.  Therefore, it is unlikely to explain the enhancement of exercise capacity and performance seen in prolonged continuous events and exercise protocols.
2. Caffeine-containing drinks have a diuretic effect and cause an athlete to become dehydrated. 
Small to moderate doses of caffeine have minor effects on urine losses or the overall hydration in people who are habitual caffeine users.  In addition, caffeine-containing drinks such as tea, coffee and cola drinks provide a significant source of fluid in the everyday diets of many people.
There is sound evidence that caffeine enhances endurance and provides a small but worthwhile enhancement of performance over a range of exercise programs.  
These include short-duration high-intensity events (1-5 min), prolonged high-intensity events (20-60 min), endurance events (90 min + continuous exercise), ultra-endurance events (4 hours +), and prolonged intermittent high-intensity protocols (team and racquet sports).  The effect on strength/power and brief sprints (10-20 sec) is unclear. 
The reason for these benefits is also unclear, but it is likely to involve alterations to the perception of effort or fatigue, as well as to the direct effects on the muscle. 
However, most studies on caffeine and performance have been undertaken in laboratories which may not give a true representation of the effects in athletes during real-life training. However it has been suggested that caffeine can be taken one hour prior to an event, in doses equivalent to ~ 6 mg/kg (e.g. 300-500 mg for a typical athlete).
There is evidence, (from studies involving prolonged exercise lasting longer than 60 minutes) that caffeine use can enhance performance.  In particular, benefits have been seen with small-moderate levels of caffeine (1-3 mg/kg BM or 70-200 mg caffeine) taken before and/or throughout exercise, or towards the end of exercise when the athlete is becoming fatigued. 
It has also been shown that performance benefits do not increase with increases in the caffeine dose above 3 mg/kg.  The use of larger doses of caffeine just increases the risk of side-effects.
How much caffeine is in my drink? 
    Table 1: Caffeine content of common foods and drinks.
    Food or Drink
    Serve
    Caffeine Content (mg)
    Instant coffee
    250 ml cup
    60 (12-169)a
    Brewed coffee
    250 ml cup
    80 (40-110)a
    Short black coffee/espresso
    1 standard serve


    107 (25-214)b
    Starbucks Breakfast Blend brewed coffee
    600 ml (Venti size)
    415 (300-564)c
    Iced coffee - Commercial Brands
    500 ml bottle
    30-200
    Frappuccino
    375 ml cup
    90
    Tea
    250 ml cup
    27 (9-51)a
    Iced Tea
    600 ml bottle
    20-40
    Hot chocolate
    250 ml cup
    5-10
    Chocolate -milk
    60 g
    5-15
    Chocolate - dark
    60 g
    10-50
    Viking chocolate bar
    60 g
    58
    Coca Cola
    375 ml can
    49
    Pepsi Cola
    375 ml can
    40
    Red Bull energy drink
    250 ml can
    80
    PowerBar caffeinated sports gel
    40 g sachet
    25
    PowerBar double caffeinated sports gel
    40 g sachet
    50
    PowerBar caffeinated gel blasts
    60 g pouch (~9)
    75
    Gu caffeinated sports gel
    32 g sachet
    20
    PowerBar Performance bar with Acticaf
    65 g bar
    50
    Extreme Sports beans - caffeine
    28 g packet
    50
These values were gathered from a variety of sources including manufacturers’ information and nutrition databases (Centre for Science in the Public Interest; http://www.cspinet.org/new/cafchart.htm and USDA National Nutrient Database; http://www.nal.usda.gov/fnic/foodcomp/search/); note that commercial brands may vary slightly from country to country.
a The caffeine content of tea and coffee varies widely, depending on the brand, the way that the individual makes their beverage, and the size of their mug or cup.  
b Commercial samples bought from a variety of outlets (Desbrow B, Hughes R, Leveritt M, Scheelings, P. An examination of consumer exposure to caffeine from retail coffee outlets. Food Chem Toxicol. 2007;45: 1588-1592.
c Commercial samples bought from the same Starbucks outlet (McCusker RR, Goldberger BA, Cone E J. Caffeine content of specialty coffees. J Anal Toxicol 2003; 27: 520-522
Situations for Use in Sport
  • Prior to and/or during prolonged endurance or intermittent sports, including team sports, as a training aid or competition aid. 

  • Prior to high-intensity events, as a training aid or competition aid.

Concerns Associated with Supplement Use
At higher levels of intake, caffeine has the potential to cause increases in heart rate, impairments or alterations of fine motor control and technique, and over-arousal (interfering with recovery and sleep patterns). Impairment of technique may affect the performance of a number of sports, and over-arousal may interfere with the ability to recover between training sessions, or multi-day competitions. These concerns add to the importance of finding the lowest effective dose of caffeine that can be used to achieve a performance enhancement.  
Although evidence of specific health problems is equivocal, long-term intake of large amounts of caffeine (>500 mg per day) are generally discouraged by health authorities.
Further Reading
Burke LM. Caffeine and sports performance. Appl Physiol Nutr Metab. 2008; 33: 1319-34
(Information taken from AIS 2009)

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