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4.19 Steroids and Stimulants in Sports
By Dr. LeBlanc
82
Pharmacology
Professional
04/25/2012

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Cards

Term
Whats the technical term for performance enhancers?
Definition
ergogenic aids
Term
Is anabolic steroid abuse growing or falling?
Definition
growing
Term
What percent of female highschool students abuse anabolic steroids?
Definition
5.3%
Term
What is the MOA of anabolic steroids?
Definition
anticatabolic action, provision of positive nitrogen balance, leads to muscle fiber hypertrophy, also some element of muscle hyperplasia
Term
What are the side effects of anabolic steroids?
Definition
cardiac muscle hypertrophy, increases LDL, decreases HDL, increased risk of thrombosis, elevations of heart rate and BP, toxic hepatitis/abnormal liver function test, psychological effects, cancer associations, endocrine effects
Term
What are the psychological effects of anabolic steroids?
Definition
aggression, rage, paranoia, mania, depression, hostility
Term
What cancers are associated with anabolic steroid use?
Definition
hepatocellular, hepatic adenoma, intratesticular leiomyosarcoma
Term
What are the endocrine side effects of anabolic steroids?
Definition
testicular atrophy, gynecomastia, virilization and clitoral enlargment in females, acne, striae, tendopathies
Term
What are the steroid prohormones?
Definition
androstenedione, androsenediol, and dehydroepiandosterone (DHEA)
Term
What are the suppossed effects of androstenedione? what are the actual effects?
Definition
reduce fat, increase muscle size, increase sexual ability; actuality= significant increased estrogen concentration
Term
T/F DHEA is a testosterone precursor.
Definition
false
Term
Does DHEA help you become more muscular?
Definition
no; it causes no change in body composition or strength
Term
In what situations is DHEA helpful?
Definition
elderly men and women to aid in immune function, muscle mass and strenght and quality of life
Term
What are the effects of hGH?
Definition
anabolic, increases bone and lean body muscle mass, stimulates lipolysis
Term
T/F There is clear evidence that shows that hGH has an positive effect on protein synthesis, body composition, and strength in healthy adults.
Definition
false
Term
When is it appropriate to use hGH?
Definition
rejuvenating agents for elderly
Term
What are the side effects of chronic use of hGH?
Definition
activates RAS (fluid retenion= arthralgias, CTS, pseudotumor cerebri), increased CV disease and abnormal lipid metabolism, insulin resistance, breast, lung and colorectal carcinoma, Cruetzfeldt-Jacob disease from black-market supply
Term
Which amino acids are given as posible stimulants to hGH secretion?
Definition
arginine, lysine and ornithine
Term
When are arginine, lysine and ornithine taken?
Definition
prior to workout to accentuate hGH release caused by exercise
Term
Does taking arginine, lysine and ornithine before your workout cause greater increase in muscle mass and strenght than resistance training alone?
Definition
no well-designed study proves it
Term
What is the reasoning behind using arginine as a supplement?
Definition
it is required for the syntehsis of NO and may moderately increase exercise endurance in untrained athlete
Term
Where is argnine found?
Definition
green leafy veggies and beet roots
Term
How does NO modulate skeletal muscle function?
Definition
regulation of blood flow, muscle contractility, glucose and calcium homeostasis, mitochondrial biogenesis and respiration
Term
Following resistance exercise, the rate of muscle protein syntehsis will be elevated for up to _____.
Definition
48 hours
Term
What is the recommended intake of protein for a sedentary individual?
Definition
0.8 g/kg/day
Term
What is the recommended intake of protein for an endurance athelet?
Definition
1.2-1.4 g/kg/day
Term
What is the recommended intake of protein for strength training atheletes?
Definition
1.6-1.8 g/kg/day
Term
T/F Additional protein beyond daily requirements promotes muscle growth.
Definition
false; no evidence to support it
Term
WHen is the ingestion of protein most optimal to promote muscle growth?
Definition
post exercise
Term
What is whey?
Definition
protein suppliment that causes large and rapid increase in muscle protein syntehsis with a short duration
Term
What is casein?
Definition
protein suppliment that causes a moderate increase in protein synthesis with much longer duration and causes greater gains in lean mass and strength
Term
Name the branched chain amino acids?
Definition
leucine, isoleucine, valine
Term
Why do people suplement their diet with branched chain amino acids?
Definition
they are not synthesized by the body and must be provided by diet
Term
What is the recommended dose of branched chain amino acids?
Definition
0.03-0.05 g/kg per hour or 2-4 g/hr during exercise and recovery
Term
Supplements of branched chain amino acids are well tolerated up to ___ grams per day.
Definition
30
Term
What percent of muscle protein is made up of branched chain amino acids?
Definition
30%
Term
Where in your diet do you get branched chain amino acids?
Definition
meat, poultry, fish, eggs, milk, cheese
Term
What are the positive benefits of branched chain amino acids?
Definition
shown to decrease exercise induced muscle damage and minimize protein degredation and increase lean body mass if suplemented during intense exercise; not shown to effect body composition with resistence exercise, not shown to enhance performance
Term
T/F There is no direct ergogenic benefit from branched chain amino acids.
Definition
true
Term
What is the MOA of glutamine?
Definition
anti-cortisol by increasing AA cell transport
Term
What is glutamine useful for?
Definition
preventing URIs in exercise of prolonged duration; also thought to increase muscle mass by increasing intramuscular glycogen; anticatabolic effect that augments protein syntehsis
Term
T/F Glutamine causes an increase in strength and lean body mass as compared to placebo.
Definition
false
Term
In order to have any affect on net protein balance, glutamine supplementation must be...
Definition
very high (>20 g/d) for a sustained period
Term
What is creatine?
Definition
nitrogenous amino acids produced by the liver at a rate of 1-2 grams per day
Term
What is the normal dietary intake of creatine?
Definition
1-2 grams per day
Term
What kind of exercise does creatine contribute to?
Definition
provides 50% of total ATP requirement during short, high-intensity exercise; after 30 seconds, only contributes 25%; also partially responsible for ATP restoration following exercise
Term
What are the benefits of taking creatine?
Definition
improves breif, intense exercise, improves repetitive bursts
Term
Exercise after ___ seconds relies mostly on oxidative phosphorylation.
Definition
150
Term
Does creatine have an erogenic benefit?
Definition
yes, increases body composition, and exercise <30 seconds and some benefits from 30-150 seconds
Term
Does creatine help after ACL reconstruction?
Definition
no
Term
Does creatine cause an increase in muscle strains or tears?
Definition
no
Term
What is the dosing of creatine?
Definition
loading= 20 gm per day for 5 days (0.3 g/kg/day)
maintenance= 3-5 gm per day for 3-4 weeks
Term
What must you take with your creatine?
Definition
need adequate hydration; CHO and protein increases muscle retention of creatine; no real effect on performance
Term
What is the most effective ergogenic nutritional supplement currently available in terms of increasing high-intensity exercise capacity and LBM during training?
Definition
creatine monophosphate
Term
What are the adverse effects of creatine?
Definition
anecdotal GI problems and muscle cramping, potential load to kidneys/liver unconfirmed
Term
T/F Creatine can increase the incidence of dehydration and heat illness.
Definition
false; no evidence to support this
Term
beta-hydroxy-beta-methylbutyrate is a metabolite of which amino acid?
Definition
leucine
Term
What are the effects of beta-hydroxy-beta-methylbutyrate?
Definition
anticatabolic, inferred by reduction of CK and LDH during weight training + HMB
Term
What is the MOA of beta-hydroxy-beta-methylbutyrate?
Definition
HMB metabolized to HMG-CoA; allowing for cholesterol synthesis and quicker recovery after heavy muscle use
Term
What foods have carnitine?
Definition
animal products
Term
What kind of carnitine is active?
Definition
only the L isomer
Term
T/F There is consistent research to demonstrate improvement of exercise, O2 use, or physical performance with carnitine use.
Definition
false
Term
What is the recommended dose of carnitine?
Definition
2-6 g/d
Term
What kinds of athletes show the most benefit from beta-hydroxy-beta-methylbutyrate?
Definition
untrained individuals; not as apparent in trained atheletes
Term
What is the MOA of beta-hydroxy-beta-methylbutyrate?
Definition
decreases protein breakdown
Term
What are the adverse effects of beta-hydroxy-beta-methylbutyrate?
Definition
none
Term
What are the ergogenic effects of caffiene?
Definition
imcreased time to exhaustion for aerobic activity; decreased times fixed period of cycling, increased tennis performance; decreased recovery times
Term
What type of exercise is caffeine good for?
Definition
little benefit for short burst activity; better for endurance
Term
What is the MOA of benefit from caffeine?
Definition
glycogen sparing, increased epi/cortisol, increases fatty acid oxidation
Term
How much caffeine is in coffee versus a coke?
Definition
coffee= 110-200mg; coke= 40 mg
Term
What are the effects of high doses of caffeine?
Definition
hand steadiness decreases, increased jitteriness, negative effect on mood and concentration, decreased alertness, increased heart rate and blodo pressure, increased urination
Term
What is ephedrine used for?
Definition
weight loss and enhanced performance
Term
What is the MOA of ephedrine for enhancing performance?
Definition
increases dopamine and norepinephrine release and increases CNS stimulation which delays or masks the perception of fatigue
Term
What's another name for ephedrine used in herbal teas?
Definition
Ma Huang
Term
What are the complications of blood doping with EPO?
Definition
hyperviscosity, thrombosis, and hypertension
Term
What is the MOA of EPO as a ergogenic agent?
Definition
increases Hgb which increases VO2 max
Term
Do atheletes benefit from taking vitamins?
Definition
no; the adequate diet by most atheletes prevents them from have deficiencies and thereby benefiting from supplementation
Term
What is chromium used for?
Definition
decrease insulin resistance, modulate carbohydrate and lipid metabolism; used for weight loss and muscle development
Term
Does chromium work?
Definition
no
Term
What is the MOA of hydroxycut's active ingredient, hydroxycitric acid?
Definition
weight loss by inhibiting mitochondrial citrate lyase causing lower acetyl CoA and reduced fatty acid synthesis
Term
What is the effect of gymnema sylvestre extract, an active ingredient in hydroxycut?
Definition
naturopathic (herbal) remedy for DM
Term
What are teh complications caused by hydroxycut?
Definition
23 reports of serious liver problems: jaundice, seizures, CV disorders, rhabdomyolysis
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