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DOI: 10.1055/s-2005-872826
© Georg Thieme Verlag KG Stuttgart · New York
Effects of Acute Prednisolone Intake During Intense Submaximal Exercise
Publication History
Accepted after revision: July 15, 2005
Publication Date:
24 November 2005 (online)
Abstract
To study the effects of a therapeutical dose of corticosteroid alone or associated with beta-2 agonist on performance and substrate response during intense submaximal exercise, seven healthy moderately trained male volunteers participated in the double-blind randomized cross‐over study. An intense endurance exercise test to exhaustion was performed after ingestion of placebo (Pla), 20 mg prednisolone (Pred), and 20 mg prednisolone plus 4 mg salbutamol (Pred-Sal). Blood samples were collected at rest, after 5, 10 min of exercise, at exhaustion, and after 5 (r5), 10 (r10), and 20 (r20) min of passive recovery for ACTH, growth hormone, insulin, blood glucose, and lactate measurements. There were no significant differences in exercise time to exhaustion between the three treatments (Pla: 21.5 ± 2.9; Pred: 22.0 ± 2.5; Pred-Sal: 24.2 ± 2.8 min). ACTH was significantly lowered after Pred and Pred-Sal vs. Pla from the start of exercise to the end of the experiment (p < 0.05). Pred and Pred-Sal increased resting and recovery (r10 and r20) significantly but not exercise blood glucose values. There were no significant differences in growth hormone concentrations between the three treatments whereas insulin was significantly higher at rest, during exercise, and at r20 after Pred-Sal administration vs. Pred and Pla (p < 0.05). Pred and Pred-Sal showed no significant effect on blood lactate compared with Pla treatment. These preliminary results do not support the hypothesis that acute oral therapeutic corticosteroid intake alone or associated with beta-2 mimetic improves performance during intense submaximal exercise, but further studies are necessary with tests of longer duration.
Key words
Corticosteroid - beta-2 agonist - acute administration - performance
References
- 1 Bauer A, Tronche F, Wessely O, Kellendonk C, Reichardt H M, Steinlein P, Schutz G, Beug H. The glucocorticoid receptor is required for stress erythropoiesis. Genes Dev. 1999; 13 2996-3002
- 2 Caro J F, Amatruda J M. Glucocorticoid-induced insulin resistance - the importance of postbinding events in the regulation of insulin binding, action and degradation in freshly isolated and primary cultures of rat hepatocytes. J Clin Invest. 1982; 69 866-875
- 3 Casanueva F F, Burguera B, Muruais C, Dieguez C. Acute administration of corticoids: a new and peculiar stimulus of growth hormone secretion in man. J Clin Endocrinol Metab. 1990; 70 234-237
- 4 Collomp K, Candau R, Collomp R, Carra J, Lasne F, Préfaut C, De Ceaurriz J. Effects of acute ingestion of salbutamol during submaximal exercise. Int J Sports Med. 2000; 21 480-484
- 5 Deuster P A, Chrousos G P, Luger A, DeBolt J E, Bernier L L, Trostmann U H, Kyle S B, Montgomery L C, Loriaux D L. Hormonal and metabolic responses of untrained, moderately trained and highly trained men to three exercise intensities. Metabolism. 1989; 38 141-148
- 6 Deuster P A, Petrides J S, Singh A, Lucci E B, Chrousos G P, Gold P W. High intensity exercise promotes escape of adrenocorticotropin and cortisol from suppression by dexamethasone : sexually dimporphic responses. J Clin Endocrinol Metab. 1998; 83 3332-3338
- 7 Ferner R E. Drug-induced diabetes. Baillieres Clin Endocrinol Metab. 1992; 6 849-866
- 8 Giustina A, Malerba M, Bresciani E, Desenzani P, Licini M, Zaltieri G, Grassi V. Effect of two β2-agonist drugs, salbutamol and broxaterol, on the growth hormone response to exercise in adult patients with asthmatic bronchitis. J Endocrinol Invest. 1995; 18 847-852
- 9 Hamamdzic D, Duzic E, Sherlock J D, Lanier S M. Regulation of alpha2-adrenergic receptor expression and signaling in pancreatic beta-cells. Am J Physiol. 1995; 269 E162-167
- 10 Huang H, Gazzola C, Pegg G G, Sillence M N. Differential effects of dexamethasone and clenbuterol on rat growth and on β2-adrenoceptors in lung and skeletal muscle. J Anim Sci. 2000; 78 604-608
- 11 Kabbaj M, Piazza P V, Simon H, Le Moal M, Maccari S. Opposite effects on hippocampal corticosteroid receptors induced by stimulation of β‐ and α1-noradrenergic receptors. Neuroscience. 1995; 66 539-545
- 12 Malarkey W B, Lipkus I M, Cacioppo J T. The dissociation of catecholamine and hypothalamic-pituitary-adrenal responses to daily stressors using dexamethasone. J Clin Endocrinol Metab. 1995; 80 2458-2463
- 13 Marquet P, Lac G, Chassain A P, Habrioux G, Galen F X. Dexamethasone in resting and exercising men. I. Effects on bioenergetics, minerals, and related hormones. J Appl Physiol. 1999; 87 175-182
- 14 McMahon M, Gerich J, Rizza R. Effects of glucocorticoids on carbohydrate metabolism. Diabetes Metab Rev. 1988; 4 17-30
- 15 Papanicolaou D A, Petrides J S, Tsigos C, Bina S, Kalogeras K T, Wilder R, Gold P W, Deuster P A, Chrousos G P. Exercise stimulates interleukin-6 secretion: inhibition by glucocorticoids and correlation with catecholamines. Am J Physiol. 1996; 271 E601-E605
- 16 Perley M, Kipnis D M. Effects of glucocorticoids on plasma insulin. N Engl J Med. 1966; 274 1237-1241
- 17 Petrides J S, Mueller G P, Kalogeras K T, Chrousos G P, Gold P W, Deuster P A. Exercise‐induced activation of the hypothalamic-pituitary-adrenal axis : marked differences in the sensitivity to glucocorticoid suppression. J Clin Endocrinol Metab. 1994; 79 377-383
- 18 Petrides J S, Gold P W, Mueller G P, Singh A, Stratakis C, Chrousos G P, Deuster P A. Marked differences in functioning of the hypothalamic-pituitary-adrenal axis between groups of men. J Appl Physiol. 1997; 82 1979-1988
- 19 Qi D, Pulinilkunnil T, An D, Ghosh S, Abrahani A, Pospisilik J A, Brownsey R, Wambolt R, Allard M, Rodrigues B. Single-dose dexamethasone induces whole-body insulin resistance and alters both cardiac fatty acid and carbohydrate metabolism. Diabetes. 2004; 53 1790-1797
- 20 Smith R S, Kendall M. Metabolic responses to β2 stimulants. J R Coll Chest Physiol. 1984; 18 190-194
- 21 Soetens E, De Meirleir K, Hueting J E. No influence of ACTH on maximal performance. Psychopharmacol. 1995; 118 260-266
- 22 Swinburn C R, Wakefield J M, Newman S P, Jones P W. Evidence of prednisolone induces mood change (“steroid euphoria”) in patients with chronic obstructive airways disease. Br J Clin Pharmacol. 1988; 26 709-713
- 23 Thakore G D, Dinan T H. Subnormal growth hormone responses to acutely administered dexamethasone in depression. Clin Endocrinol. 1994; 40 623-627
- 24 Van Baak M, Mayer L, Kempinski R, Hartgens F. Effect of salbutamol on muscle strength and endurance performance in nonasthmatic men. Med Sci Sports Exerc. 2000; 32 1300-1306
- 25 Yasuda K, Kitabchi A E. Decreased insulin binding of human erythrocytes after dexamethasone or prednisone ingestion. Diabetes. 1980; 29 811-814
Katia Collomp
University of Orleans
Faculty of Sport Sciences
Vendôme street, BP 6237
45062 Orléans Cedex 2
Phone: + 33238417178
Fax: + 33 2 38 41 72 60
Email: katia.collomp@univ-orleans.fr