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长期服用安非他酮对热环境下的表现及体温调节的影响

Performance and thermoregulatory effects of chronic bupropion administration in the heat.

作者信息

Roelands Bart, Hasegawa Hiroshi, Watson Philip, Piacentini Maria Francesca, Buyse Luk, De Schutter Guy, Meeusen Romain

机构信息

Department of Human Physiology and Sports Medicine, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium.

出版信息

Eur J Appl Physiol. 2009 Feb;105(3):493-8. doi: 10.1007/s00421-008-0929-x. Epub 2008 Nov 12.

Abstract

UNLABELLED

The combination of acute dopamine/noradrenaline reuptake inhibition (bupropion; BUP) and heat stress (30 degrees C) significantly improves performance (9%). Furthermore the maintenance of a higher power output resulted in the attainment of significantly higher heart rates and rectal temperatures--above 40 degrees C--in the BUP trial compared to the placebo trial. Since BUP is an aid to cease smoking that is taken for longer periods, question remains if similar performance and thermoregulatory effects are found following administration of BUP over several days (10 days). The purpose of the present study was to examine the effects of chronic BUP on exercise performance, thermoregulation and hormonal variables in the heat. Eight trained male cyclists participated in the study. Subjects completed two trials consisting of 60 min fixed intensity exercise (55% W (max)) followed by a time trial (TT) in a double-blind randomized crossover design. Exercise was performed in 30 degrees C. Subjects took either placebo (PLAC) or BUP (Zyban) for 3 days (150 mg), followed by 300 mg for 7 days. Chronic BUP did not influence TT performance (BUP 40'42'' +/- 4'18''; PLAC 41'36'' +/- 5'12''), but significantly increased core temperature (P = 0.030). BUP significantly increased circulating growth hormone levels (PLAC: 9.8 +/- 5.8 ng L(-1); BUP: 13 +/- 6.8 ng L(-1); P < 0.008).

DISCUSSION/CONCLUSION: Chronic BUP did not influence TT performance in 30 degrees C and subjects did not reach core temperature values as high as observed during the acute BUP study. It seems that chronic administration results in an adaptation of central neurotransmitter homeostasis, resulting in a different response to the drug.

摘要

未标注

急性多巴胺/去甲肾上腺素再摄取抑制(安非他酮;BUP)与热应激(30摄氏度)相结合可显著提高运动表现(9%)。此外,与安慰剂试验相比,在BUP试验中维持较高的功率输出会导致心率和直肠温度显著升高——超过40摄氏度。由于BUP是一种用于戒烟的辅助药物,服用时间较长,因此问题仍然存在,即连续几天(10天)服用BUP后是否会发现类似的运动表现和体温调节效果。本研究的目的是研究慢性BUP对热环境下运动表现、体温调节和激素变量的影响。八名经过训练的男性自行车运动员参与了该研究。受试者采用双盲随机交叉设计完成两项试验,包括60分钟固定强度运动(55%最大摄氧量),随后进行一次计时赛(TT)。运动在30摄氏度环境下进行。受试者服用安慰剂(PLAC)或BUP(安非他酮缓释片)3天(150毫克),随后7天服用300毫克。慢性BUP对TT表现没有影响(BUP组:40分42秒±4分18秒;PLAC组:四十一分三十六秒±5分12秒),但显著提高了核心体温(P = 0.030)。BUP显著提高了循环生长激素水平(PLAC组:9.8±5.8纳克/升;BUP组:13±6.8纳克/升;P < 0.008)。

讨论/结论:慢性BUP对30摄氏度环境下的TT表现没有影响,且受试者未达到急性BUP研究中观察到的核心体温值。似乎长期给药会导致中枢神经递质稳态的适应,从而对药物产生不同的反应。

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