Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
ARTICLE
Caffeine, but not bicarbonate, improves 6 min maximal
performance in elite rowers1
Peter M. Christensen, Mads H. Petersen, Signe N. Friis, and Jens Bangsbo
Abstract: This study examined the ergogenic effects in a 6 min maximal performance test (PT) on 12 elite rowers: 6 open-weight
(mean SD; 25 1 years, and 92 3 kg) and 6 light-weight (25 3 years, and 73 6 kg), following supplementation with caffeine
(CAF), sodium bicarbonate (SB), and the combination of both, in a double-blind randomized placebo (PLA) controlled design. PT
was executed on 4 occasions, on separate days within a week, and in a non-fasted state, with standardized training being
performed the day before PT. Protocols were as follows: (i) CAF, 3 mg/kg, 45 min prior to PT + calcium as SB-PLA; (ii) SB, 0.3 g/kg,
75 min prior to PT + dextrose as CAF-PLA; (iii) CAF + SB; and (iv) PLA; CAF-PLA + SB-PLA. The total distance in the CAF (1878 97 m)
and CAF + SB (1877 97 m) was longer than in the PLA (1865 104 m; P < 0.05) and SB (1860 96 m; P < 0.01). The mean power in
CAF (400 58 W) and CAF + SB (400 58 W) was higher than the PLA (393 61 W; P < 0.05) and SB (389 57 W; P < 0.01). In CAF
and CAF + SB, power was higher (P < 0.05) relative to PLA in the last half (46 min) of PT. Trials with CAF were more effective in
light-weight rowers (1.0% 0.8% improvement in distance; P < 0.05) than in open-weight rowers (0.3% 0.8%; P > 0.05). No
difference between interventions was observed for readiness and stomach comfort before PT and perceived exertion during PT.
This study demonstrates that caffeine ingestion does improve performance in elite rowing. In contrast sodium bicarbonate does
not appear to be ergogenic, but it does not abolish the ergogenic effect of caffeine.
Key words: caffeine, bicarbonate, buffer capacity, rowing, ergogenic aids, elite athletes, pacing.
Rsum : La prsente tude examine l'effet ergogne de la supplmentation en cafine (CAF), en bicarbonate de sodium (SB) et
des deux substances dans un test de performance (PT) d'une dure de 6 min chez 6 rameurs d'lite de catgorie ouverte (25 1 ans
(moyenne -t) et 92 3 kg) et de poids lger (25 3 ans et 73 6 kg). Selon un plan alatoire crois avec groupe placebo (PLA),
le PT est administr en 4 jours diffrents d'une mme semaine dans une condition non a` jeun et l'entranement rgulier est
effectu le jour prcdant le PT. Les protocoles sont : (i) CAF, 3 mg/kg, 45 min avant PT + calcium a` titre de SB-PLA; (ii) SB, 0,3 g/kg,
75 min avant PT + dextrose a` titre de CAF-PLA; (iii) CAF + SB; et (iv) PLA, CAF-PLA + SB-PLA. La distance totale dans les conditions
CAF (1878 97 m) et CAF + SB (1877 97 m) sont plus longues que dans les conditions PLA (1865 104 m; P < 0,05) et SB (1860
96 m; P < 0,01). La puissance moyenne dans les conditions CAF (400 58 W) et CAF + SB (400 58 W) est plus leve que dans les
conditions PLA (393 61 W; P < 0,05) et SB (389 57 W; P < 0,01). Dans les conditions CAF et CAF + SB, la puissance est plus leve
(P < 0,05) comparativement a` la condition PLA durant la deuxime moiti (46 min) du PT. Les essais raliss dans la condition
CAF donnent de meilleurs rsultats chez les rameurs de poids lger (amlioration de la distance de 1,0 0,8 %; P < 0,05) que chez
les rameurs de catgorie ouverte (0,3 0,8 %; P > 0,05). On n'observe pas de diffrence de l'tat de prparation et des sensations
gastriques entre les diverses interventions avant le PT et de la perception de l'intensit de l'effort durant le PT. La prsente tude
dmontre l'efcacit de la cafine dans l'amlioration de la performance chez des rameurs d'lite. En revanche, le bicarbonate
de sodium ne semble pas prsenter un effet ergogne, mais n'annule pas l'effet ergogne de la cafine. [Traduit par la Rdaction]
Mots-cls : cafine, bicarbonate, capacit de tamponnage, aviron, facteurs ergognes, athltes d'lite, cadence.
Introduction
In world-class rowing, the competition is performed over a
2000 m distance lasting 6 min. Often the difference between the
winners of medals is small. Thus, in 6 of the 8 nals in mens
rowing at the London 2012 Olympics less than 2 s separated the
gold medal winners from the silver. It is, therefore, essential to
know which substances can improve performance, and also to
avoid the use of substances that have no effect on performance
and may cause unwanted side effects such as headache, stomach
ache, etc.
Caffeine (Burke 2008) and sodium bicarbonate (Carr et al. 2011b)
are 2 substances that have been investigated in numerous studies
Christensen et al.
1059
1060
Fig. 1. Total distance covered in a 6 min maximal test with individual values shown for 12 elite rowers after prior supplementation with
placebo (PLA), caffeine (CAF), caffeine and sodium bicarbonate (CAF + SB), and sodium bicarbonate (SB) expressed in absolute terms (A) and
relative to PLA (B). Open symbols: open-weight rowers (n = 6). Filled symbols: light-weight rowers (n = 6). *, P < 0.05 for CAF and CAF + SB
compared with PLA; ##, P < 0.01 for CAF and CAF + SB compared with SB.
##
2100
##
102
Distance (% PLA)
Distance (m)
1900
1800
1700
101
100
99
1600
1500
##
103
2000
##
PLA
CAF
CAF+SB
SB
and the recovery length are very similar to the methods used by
the rowers during competitions. In the last minute before commencing the performance test the rowers were asked about their
readiness on a scale from 1 (lowest) to 10 (highest). On an identical scale, each rower also reported on their level of stomach
discomfort before the test as well as perceived exertion during the
performance test when nished.
Supplementation procedures
SB (or placebo) was consumed with water ad libitum (500
750 mL) 75 min prior to start of the performance test. This is a
procedure in accordance with most studies showing a performance enhancement after bicarbonate intake with a dose and
timing known to raise both blood bicarbonate and pH levels (Carr
et al. 2011b). CAF (or placebo) was ingested with water 45 min prior
to the performance test, and this is also in accordance with previous studies that have reported improved performance after caffeine intake (Carr et al. 2011a). Subjects provided an estimated
daily consumption of caffeine containing products (coffee, cola,
energy drinks) and were distributed among 3 groups termed either non-users (n = 2), low (80 mg/day, n = 7), and moderate
(200 mg/day, n = 3). Previous studies have shown that SB intake
in hydrated subjects, as in this study, may increase plasma volume
slightly (Lindinger et al. 1999), whereas CAF in some studies may
lead to a slight reduction in plasma volume (Maughan and Grifn
2003), but this was expected to have minor inuence on performance since subjects were expected to be well hydrated as they
were allowed to drink water in the supplementation period. In
support, stroke volume is only lowered after 3% dehydration
(2.02.5 kg in the group of rowers) (Gonzalez-Alonso et al. 2000)
and plasma volume expansion does not appear to improve VO2max
in elite athletes (Warburton et al. 1999). The investigators, who
were following a blind protocol, were present at all times when
the subjects consumed the substances, but blood samples were
not obtained to verify changes in the blood of the 2 substances or
changes in plasma volume.
98
PLA
CAF
CAF+SB
SB
Statistics
Total distance and mean power during the 6 min maximal rowing test was evaluated with a one-way analysis of variance (ANOVA)
for repeated measures, both for the entire group of rowers (n = 12)
and for weight classes separately (open-weight, n = 6; light-weight,
n = 6). Readiness and stomach discomfort before the test, and
perceived exertion after the test were also evaluated with a oneway ANOVA for repeated measures. Mean power in 1 min intervals
was evaluated using a 2-way ANOVA for repeated measures and
using supplementation and interval as factors. If a signicant
main effect or interaction was found a StudentNewmanKeuls
post-hoc test was performed to identify the difference. All values
are the mean SD.
Results
Performance
Total distance for all rowers covered in the 6 min maximal test
in CAF (1878 97 m) and CAF + SB (1877 97 m) was longer than
PLA (1865 104 m) (P < 0.05) and SB (1860 96 m) (P < 0.01) (Fig. 1A).
Relative to PLA, the distance in CAF and CAF + SB was 0.7% longer
(P < 0.05) (Fig. 1B). For the light-weight rowers, distance relative to
PLA was increased by 1.1% 0.8% in CAF and 0.9% 0.8% in
CAF + SB (P < 0.05), with no difference in the SB group (0.1%
0.8%). For the open-weight rowers, change in distance relative to
PLA was unchanged (0.2% 0.9%) in the CAF group, whereas the
values were 0.4% 0.7% in CAF + SB and 0.6% 0.9% in SB (Fig. 2).
The mean powers for all rowers in the CAF (400 58 W) and
CAF + SB groups (400 58 W) were higher than for the PLA (393
61 W) (P < 0.05) and SB groups (389 57 W) (P < 0.01). The mean
power was higher (P < 0.05) in the CAF and CAF + SB groups in the
last 3 min of the test compared with PLA, and in the rst minute
and the last 3 min of the test relative to SB (Fig. 3). No order effect
was observed, with the average distances of 1868 95, 1869 102,
1872 102, and 1871 97 m on the rst, second, third, and fourth
test day, respectively.
Published by NRC Research Press
Christensen et al.
1061
*#
OW
LW
102
Distance (% PLA)
Perceived exertion
No differences were observed (P = 0.56 for main effect) for perceived exertion during the 6 min maximal test among the various
groups, with values of 8.7 1.4 for CAF, 8.8 0.9 for CAF + SB, 8.4
1.2 for PLA, and 8.4 0.9 for SB.
Discussion
*#
101
100
99
98
OW
LW
OW
PLA
LW
CAF
OW
CAF+SB
LW
SB
##
500
450
Power (W)
PLA
CAF
CAF+SB
SB
400
350
groups, with values of 1.8 1.3 for CAF, 2.4 1.5 for CAF + SB, 1.5
0.7 for PLA, and 2.3 1.2 for SB.
Time (minutes)
Readiness
No differences were observed (P = 0.60 for main effect) for readiness before the 6 min maximal test, with values for the various
groups of 7.9 1.2 for CAF, 7.9 1.4 for CAF + SB, 7.8 0.6 for PLA,
and 7.4 1.2 for SB.
Stomach comfort
No differences were observed (P = 0.10 for main effect) in stomach discomfort before the 6 min maximal test among the various
The main ndings in this study were that the ingestion of caffeine, as well as caffeine with sodium bicarbonate, improved
6 min maximal rowing performance in highly trained elite rowers, whereas sodium bicarbonate by itself had no ergogenic effect,
and did not lead to gastric discomfort or reduced readiness before
the tests.
This study also demonstrated that the performance of the elite
rowers was improved following caffeine intake at a dose of
3 mg/kg body mass in the nonfasted state. In agreement with our
ndings, other studies have observed caffeine as being ergogenic
in trained rowers, but they used doses in the range of 69 mg/kg in
the fasted state (Anderson et al. 2000; Bruce et al. 2000; Carr et al.
2011a), whereas doses from 26 mg/kg in the nonfasted state did
not improve performance (Skinner et al. 2010). The contrasting
ndings compared with this study are not easily explained, but
may relate to a higher training status of the rowers (international
class) participating in this study compared with the study by
Skinner et al. (2010), assuming that a lower performance level
leads to a higher variability in the measurement of performance.
Accordingly, this is the rst study to report that a low dose of
caffeine in the nonfasted state can improve the performance of
elite rowers, which is supported by observations in trained cyclists, in the non-fasted state, completing a 3 km time-trial faster
after a similarly low dose of caffeine (Kilding et al. 2012). The
present ndings also provide a high external validity for highperformance athletes and their coaches, as the rowers appeared
to be at a higher performance level than the participants in most
of the previous studies. The mean power in the 6 min maximal
test for the 6 male open-weight rowers (92 kg) was 435 W,
whereas the 5 male light-weight rowers (75 kg) and the female
rower (63 kg) had an average power of 375 W and 255 W,
respectively. In comparison, based on reported 2000 m times, the
average power for male rowers (unknown body mass) was 310 W
(Bruce et al. 2000) and 350 W for male open-weight rowers
(88 kg) (Skinner et al. 2010). Female rowers (64 kg) averaged
215 W (Anderson et al. 2000), whereas a mixed group of male (n =
6; 82 kg) and female (n = 2; 77 kg) rowers averaged 350 W (Carr
et al. 2011a). Also, the nding that a low dose of 3 mg caffeine/kg
was sufcient to improve performance provides valuable knowledge for athletes who suffer side effects from larger doses (Carr
et al. 2011a) that might reduce the ergogenic properties of caffeine. The average improvement in distance was 0.7%, corresponding to a reduction of about 2 s in the time required to cover a
2000 m race distance lasting 6 min, in both caffeine trials relative
to the placebo. Thus, caffeine ingestion may have a large impact
on rankings when competing at the highest level, as found for the
participants in this study, most of whom had experience from the
World and European championships, and a background that included several years of training.
However, 3 of the participants did not have their performance
improved with caffeine relative to the placebo (Fig. 1). Two of the
nonresponders were drinking coffee on a daily basis, while one
was not. The remaining group consisted of one non-user and rowers with a low (80 mg) to moderate daily (200 mg) intake of
caffeine. Therefore, habitual caffeine intake does not appear to be
a decisive indicator as to whether caffeine ingested just prior to
competing will improve performance, but it should be noted that
the subjects were instructed to refrain from caffeine-containing
Published by NRC Research Press
1062
drinks 36 h preceding scheduled testing. In accordance, the ergogenic effect of ingesting 36 mg caffeine/kg body mass in endurance tasks with a duration of 4060 min was the same whether
habitual coffee drinkers maintained their daily intake or abstained from coffee 46 days before testing (Van Soeren and
Graham 1998; Irwin et al. 2011). It may be that the diuretic properties from caffeine reported by some (Maughan and Grifn 2003)
caused a lower plasma volume in the nonresponders that may
have abolished the caffeine's ergogenic properties, owing to a
lower stroke volume such as is seen under conditions of dehydration (Gonzalez-Alonso et al. 2000). However, this is considered
unlikely, since the rowers were expected to be adequately hydrated and, in turn, the participants consumed water while consuming the caffeine, so water loss was likely minimal and it is only
after a 3% dehydration (2.5 kg weight loss in the open-weight
rowers) that stroke volume is reported to be lowered (GonzalezAlonso et al. 2000).
Interestingly, when analyzing the performance changes, lightweight rowers appeared to respond better to caffeine compared
with open-weight rowers (Fig. 2). We have no obvious explanation
for this discrepancy, but given the low number of subjects (n = 6 in
both groups), these results may simply be due to random variation. Nevertheless, a previous study using only open-weight rowers did not report any benet from caffeine, even when using a
much larger dose than in this study (6.0 vs. 3.0 mg/kg) (Skinner
et al. 2010). Thus, it will be of interest to elucidate in future studies
whether a high body mass or muscle mass per se limits the ergogenic potential from caffeine.
Caffeine intake, either alone or in combination with bicarbonate, improved performance in the last half of the test (46 min),
whereas initial pacing (01 min) was not altered by caffeine
(Fig. 3). In contrast, studies in rowing reported that the power in
the rst quarter of a 2000 m test was augmented following caffeine intake with a higher dose (69 mg/kg) (Anderson et al. 2000;
Carr et al. 2011a). This suggests that the caffeine dosage may have
an impact on pacing in rowing, meaning that a high dose may
elicit a more aggressive pacing in the initial part of a race, which
on a speculative note may relate to a greater catecholamine response with high dosages of caffeine (Graham and Spriet 1995).
Owing to the non-invasive nature of this study, the mechanisms
by which caffeine improved rowing performance are unknown,
but may relate to actions in the nervous system via altered perception of pain (Tarnopolsky 2008; Meeusen et al. 2013), and at the
muscular level via improved lactate production (Jackman et al.
1996) and calcium release (Tarnopolsky 2008) as well as reduced
interstitial potassium accumulation in muscle (Mohr et al. 2011).
Perceived exertion was high for all of the participants (8.59.0 on
average, with 10 as the highest value) with no difference between
the groups that took caffeine or the placebo. If we accept that
perceived exertion becomes higher as a function of the time
elapsed in the test (e.g., more strenuous after 5 vs. 1 min), this
could indicate that the capacity to maintain/increase central motor drive in a state with a high degree of perceived exertion is
improved with caffeine, since the last half of the test was executed
with a higher power output in the groups that ingested caffeine
than in the group that ingested the placebo. This in turn could
indicate that the ergogenic properties of caffeine reside in altering pain perception (Tarnopolsky 2008; Meeusen et al. 2013). A
gradual build-up of interstitial potassium levels occurs with constant load intense exercise, reaching a plateau after around 3 min
with a further increase with higher workloads (Nielsen et al. 2004)
that has been linked with the development of fatigue (McKenna
et al. 2008). Caffeine has been observed to lower potassium accumulation during intense exercise, likely due to a larger catecholamine response stimulating the sodiumpotassium pump (Mohr
et al. 2011). If improved sodiumpotassium pump activation was
present in the caffeine trials, another mechanism for the improved rowing performance in the last half of the test may be that
Christensen et al.
Acknowledgements
Susanne Jrgensen, Team Danmark, is acknowledged for obtaining and analyzing blood for bicarbonate concentration in the
subgroup of subjects mentioned in the discussion. The study was
supported by Team Danmark (Danish elite sport organization).
References
Allen, D.G., and Westerblad, H. 1995. The effects of caffeine on intracellular
calcium, force and the rate of relaxation of mouse skeletal muscle. J. Physiol.
487(2): 331342. PMID:8558467.
Anderson, M.E., Bruce, C.R., Fraser, S.F., Stepto, N.K., Klein, R., Hopkins, W.G.,
and Hawley, J.A. 2000. Improved 2000-meter rowing performance in competitive oarswomen after caffeine ingestion. Int. J. Sport Nutr. Exerc. Metab. 10:
464475. PMID:11099373.
Battram, D.S., Graham, T.E., Richter, E.A., and Dela, F. 2005. The effect of caffeine on glucose kinetics in humans inuence of adrenaline. J. Physiol.
569: 347355. doi:10.1113/jphysiol.2005.097444. PMID:16150793.
Bellinger, P.M., Howe, S.T., Shing, C.M., and Fell, J.W. 2012. Effect of combined
beta-alanine and sodium bicarbonate supplementation on cycling performance.
Med. Sci. Sports Exerc. 44: 15451551. doi:10.1249/MSS.0b013e31824cc08d. PMID:
22330016.
Bird, S.R., Wiles, J., and Robbins, J. 1995. The effect of sodium bicarbonate
ingestion on 1500-m racing time. J. Sports Sci. 13: 399403. doi:10.1080/
02640419508732255. PMID:8558626.
Brien, D.M., and McKenzie, D.C. 1989. The effect of induced alkalosis and acidosis on plasma lactate and work output in elite oarsmen. Eur. J Appl. Physiol
Occup. Physiol. 58: 797802. doi:10.1007/BF02332209. PMID:2548862.
Bruce, C.R., Anderson, M.E., Fraser, S.F., Stepto, N.K., Klein, R., Hopkins, W.G.,
and Hawley, J.A. 2000. Enhancement of 2000-m rowing performance after
caffeine ingestion. Med. Sci. Sports Exerc. 32: 19581963. doi:10.1097/
00005768-200011000-00021. PMID:11079528.
Burke, L.M. 2008. Caffeine and sports performance. Appl. Physiol. Nutr. Metab.
33(6): 13191334. doi:10.1139/H08-130. PMID:19088794.
Carr, A.J., Gore, C.J., and Dawson, B. 2011a. Induced alkalosis and caffeine supplementation: effects on 2,000-m rowing performance. Int. J Sport Nutr.
Exerc. Metab. 21: 357364. PMID:21799214.
Carr, A.J., Hopkins, W.G., and Gore, C.J. 2011b. Effects of acute alkalosis and
acidosis on performance: a meta-analysis. Sports Med. 41: 801814. doi:10.
2165/11591440-000000000-00000. PMID:21923200.
Carr, A.J., Slater, G.J., Gore, C.J., Dawson, B., and Burke, L.M. 2011c. Effect of
sodium bicarbonate on [HCO3], pH, and gastrointestinal symptoms. Int. J.
Sport Nutr. Exerc. Metab. 21: 189194. PMID:21719899.
Carr, A.J., Slater, G.J., Gore, C.J., Dawson, B., and Burke, L.M. 2012. Reliability and
effect of sodium bicarbonate: buffering and 2000-m rowing performance.
Int. J. Sports Physiol. Perform. 7: 152160. PMID:22634964.
Costill, D.L., Verstappen, F., Kuipers, H., Janssen, E., and Fink, W. 1984. Acid-base
balance during repeated bouts of exercise: inuence of HCO3. Int. J. Sports
Med. 5: 228231. doi:10.1055/s-2008-1025910. PMID:6094373.
Fitts, R.H. 2008. The cross-bridge cycle and skeletal muscle fatigue. J. Appl.
Physiol. 104: 551558. doi:10.1152/japplphysiol.01200.2007. PMID:18162480.
Gonzalez-Alonso, J., Mora-Rodriguez, R., and Coyle, E.F. 2000. Stroke volume
during exercise: interaction of environment and hydration. Am. J. Physiol.
Heart Circ. Physiol. 278: H321H330. PMID:10666060.
Graham, T.E., and Spriet, L.L. 1995. Metabolic, catecholamine, and exercise performance responses to various doses of caffeine. J Appl. Physiol. 78: 867874.
PMID:7775331.
Irwin, C., Desbrow, B., Ellis, A., O'Keeffe, B., Grant, G., and Leveritt, M. 2011.
Caffeine withdrawal and high-intensity endurance cycling performance.
J. Sports Sci. 29: 509515. doi:10.1080/02640414.2010.541480. PMID:21279864.
Jackman, M., Wendling, P., Friars, D., and Graham, T.E. 1996. Metabolic catecholamine, and endurance responses to caffeine during intense exercise. J. Appl.
Physiol. 81: 16581663. PMID:8904583.
Juel, C. 2008. Regulation of pH in human skeletal muscle: adaptations to physical
activity. Acta Physiol. (Oxf.), 193: 1724. doi:10.1111/j.1748-1716.2008.01840.x.
PMID:18267000.
Kilding, A.E., Overton, C., and Gleave, J. 2012. Effects of caffeine, sodium bicar-
1063
bonate, and their combined ingestion on high-intensity cycling performance. Int. J. Sport Nutr. Exerc. Metab. 22: 175183. PMID:22693238.
Kupcis, P.D., Slater, G.J., Pruscino, C.L., and Kemp, J.G. 2012. Inuence of sodium
bicarbonate on performance and hydration in lightweight rowing. Int. J.
Sports Physiol. Perform. 7: 1118. PMID:21941012.
Linderman, J., Kirk, L., Musselman, J., Dolinar, B., and Fahey, T.D. 1992. The
effects of sodium bicarbonate and pyridoxine-alpha-ketoglutarate on shortterm maximal exercise capacity. J. Sports Sci. 10: 243253. doi:10.1080/
02640419208729923. PMID:1318390.
Lindinger, M.I., Franklin, T.W., Lands, L.C., Pedersen, P.K., Welsh, D.G., and
Heigenhauser, G.J. 1999. Role of skeletal muscle in plasma ion and acid-base
regulation after NaHCO3 and KHCO3 loading in humans. Am. J. Physiol. 276:
R32R43. PMID:9887175.
Maughan, R.J., and Grifn, J. 2003. Caffeine ingestion and uid balance: a review. J Hum. Nutr. Diet. 16: 411420. doi:10.1046/j.1365-277X.2003.00477.x.
PMID:19774754.
McKenna, M.J., Bangsbo, J., and Renaud, J.M. 2008. Muscle K+, Na+, and Cl disturbances and Na+K+ pump inactivation: implications for fatigue. J. Appl.
Physiol. 104: 288295. doi:10.1152/japplphysiol.01037.2007. PMID:17962569.
McNaughton, L., and Cedaro, R. 1991. The effect of sodium bicarbonate on rowing ergometer performance in elite rowers. Aust. J. Sci. Med. Sport 23: 6669.
Meeusen, R., Roelands, B., and Spriet, L.L. 2013. Caffeine, exercise and the brain.
Nestle Nutr. Inst. Workshop Ser. 76: 112. doi:10.1159/000350223. PMID:
23899750.
Mohr, M., Nielsen, J.J., and Bangsbo, J. 2011. Caffeine intake improves intense
intermittent exercise performance and reduces muscle interstitial potassium accumulation. J. Appl. Physiol. 111(5): 13721379. doi:10.1152/japplphysiol.
01028.2010. PMID:21836046.
Mueller, S.M., Gehrig, S.M., Frese, S., Wagner, C.A., Boutellier, U., and Toigo, M.
2013. Multiday acute sodium bicarbonate intake improves endurance capacity and reduces acidosis in men. J. Int. Soc. Sports Nutr. 10: 16. doi:10.1186/
1550-2783-10-16. PMID:23531361.
Nielsen, H.B., Bredmose, P.P., Stromstad, M., Volianitis, S., Quistorff, B., and
Secher, N.H. 2002. Bicarbonate attenuates arterial desaturation during
maximal exercise in humans. J. Appl. Physiol. 93: 724731. doi:10.1152/
japplphysiol.00398.2000. PMID:12133884.
Nielsen, J.J., Mohr, M., Klarskov, C., Kristensen, M., Krustrup, P., Juel, C., and
Bangsbo, J. 2004. Effects of high-intensity intermittent training on potassium
kinetics and performance in human skeletal muscle. J. Physiol. 554: 857870.
doi:10.1113/jphysiol.2003.050658. PMID:14634198.
Raymer, G.H., Marsh, G.D., Kowalchuk, J.M., and Thompson, R.T. 2004. Metabolic effects of induced alkalosis during progressive forearm exercise to
fatigue. J. Appl. Physiol. 96: 20502056. doi:10.1152/japplphysiol.01261.2003.
PMID:14766777.
Rosser, J.I., Walsh, B., and Hogan, M.C. 2009. Effect of physiological levels of
caffeine on Ca2+ handling and fatigue development in Xenopus isolated single
myobers. Am. J. Physiol. Regul. Integr. Comp. Physiol. 296: R1512R1517.
doi:10.1152/ajpregu.90901.2008. PMID:19261915.
Secher, N.H., Clausen, J.P., Klausen, K., Noer, I., and Trap-Jensen, J. 1977. Central
and regional circulatory effects of adding arm exercise to leg exercise. Acta
Physiol. Scand. 100: 288297. doi:10.1111/j.1748-1716.1977.tb05952.x. PMID:
920199.
Skinner, T.L., Jenkins, D.G., Coombes, J.S., Taaffe, D.R., and Leveritt, M.D. 2010.
Dose response of caffeine on 2000-m rowing performance. Med. Sci. Sports
Exerc. 42: 571576. doi:10.1249/MSS.0b013e3181b6668b. PMID:19952822.
Street, D., Nielsen, J.J., Bangsbo, J., and Juel, C. 2005. Metabolic alkalosis reduces
exercise-induced acidosis and potassium accumulation in human skeletal
muscle interstitium. J. Physiol. 566: 481489. doi:10.1113/jphysiol.2005.086801.
PMID:15860529.
Tarnopolsky, M.A. 2008. Effect of caffeine on the neuromuscular system
potential as an ergogenic aid. Appl. Physiol. Nutr. Metab. 33(6): 12841289.
doi:10.1139/H08-121. PMID:19088790.
Van Soeren, M.H., and Graham, T.E. 1998. Effect of caffeine on metabolism,
exercise endurance, and catecholamine responses after withdrawal. J. Appl.
Physiol. 85: 14931501. PMID:9760346.
Warburton, D.E., Gledhill, N., Jamnik, V.K., Krip, B., and Card, N. 1999. Induced
hypervolemia, cardiac function, VO2max, and performance of elite cyclists.
Med. Sci. Sports Exerc. 31: 800808. doi:10.1097/00005768-199906000-00007.
PMID:10378906.
Wiles, J.D., Bird, S.R., Hopkins, J., and Riley, M. 1992. Effect of caffeinated coffee
on running speed, respiratory factors, blood lactate and perceived exertion
during 1500-m treadmill running. Br. J. Sports Med. 26: 116120. doi:10.1136/
bjsm.26.2.116. PMID:1623356.