Abstract

Caffeine use is widespread among athletes following its removal from the World Anti-Doping Agency banned list, with approximately 75% of competitive athletes using caffeine. While literature supports that caffeine has a small positive ergogenic effect for most forms of sports and exercise, there exists a significant amount of inter-individual difference in the response to caffeine ingestion and the subsequent effect on exercise performance. In this narrative review, we discuss some of the potential mechanisms and focus on the role that genetics has in these differences. CYP1A2 and ADORA2A are two of the genes which are thought to have the largest impact on the ergogenicity of caffeine. CYP1A2 is responsible for the majority of the metabolism of caffeine, and ADORA2A has been linked to caffeine-induced anxiety. The effects of CYP1A2 and ADORA2A genes on responses to caffeine will be discussed in detail and an overview of the current literature will be presented. The role of these two genes may explain a large portion of the inter-individual variance reported by studies following caffeine ingestion. Elucidating the extent to which these genes moderate responses to caffeine during exercise will ensure caffeine supplementation programs can be tailored to individual athletes in order to maximize the potential ergogenic effect.

Highlights

  • Caffeine was placed on the World Anti-Doping Agency’s (WADA) banned list in 1984 and remained there until 2004 when it was removed from this list and placed on the monitoring program after it was determined that it no longer satisfied two of the three criteria needed to be on the banned list

  • A later study in humans [69] reported that CYP1A2 genotype had no effect on caffeine intake, individuals with the ADORA2A T/T allele had lower habitual caffeine consumption compared with the C allele carriers

  • Individuals with the ADORA2A T/T genotype may be more sensitive to the effects of caffeine as caffeine-induced anxiety may be perceived as increasing arousal leading to potential ergogenic effects

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Summary

Introduction

Caffeine was placed on the World Anti-Doping Agency’s (WADA) banned list in 1984 and remained there until 2004 when it was removed from this list and placed on the monitoring program after it was determined that it no longer satisfied two of the three criteria needed to be on the banned list. Using a long duration endurance protocol to investigate the effects of CYP1A2 on the ergogenicity of caffeine would be beneficial as it would allow for larger changes to be seen in caffeine metabolism between fast and slow metabolizers as caffeine would have had more time to breakdown within the body. It would be more specific and applicable to the endurance sports it is most commonly consumed in, having a greater impact. The protocols used to examine the ergogenicity of caffeine on endurance exercise in future studies should attempt to use exercise protocols lasting longer than 1 h

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