Acetaminophen ingestion improves muscle activation and performance during a 3-min all-out cycling test

Appl Physiol Nutr Metab. 2019 Apr;44(4):434-442. doi: 10.1139/apnm-2018-0506. Epub 2018 Sep 29.

Abstract

Acute acetaminophen (ACT) ingestion has been shown to enhance cycling time-trial performance. The purpose of this study was to assess whether ACT ingestion enhances muscle activation and critical power (CP) during maximal cycling exercise. Sixteen active male participants completed two 3-min all-out tests against a fixed resistance on an electronically braked cycle ergometer 60 min after ingestion of 1 g of ACT or placebo (maltodextrin, PL). CP was estimated as the mean power output over the final 30 s of the test and W' (the curvature constant of the power-duration relationship) was estimated as the work done above CP. The femoral nerve was stimulated every 30 s to measure membrane excitability (M-wave) and surface electromyography (EMGRMS) was recorded continuously to infer muscle activation. Compared with PL, ACT ingestion increased CP (ACT: 297 ± 32 W vs. PL: 288 ± 31 W, P < 0.001) and total work done (ACT: 66.4 ± 6.5 kJ vs. PL: 65.4 ± 6.4 kJ, P = 0.03) without impacting W' (ACT: 13.1 ± 2.9 kJ vs. PL: 13.6 ± 2.4 kJ, P = 0.19) or the M-wave amplitude (P = 0.66) during the 3-min all-out cycling test. Normalised EMGRMS amplitude declined throughout the 3-min protocol in both PL and ACT conditions; however, the decline in EMGRMS amplitude was attenuated in the ACT condition, such that the EMGRMS amplitude was greater in ACT compared with PL over the last 60 s of the test (P = 0.04). These findings indicate that acute ACT ingestion might increase performance and CP during maximal cycling exercise by enhancing muscle activation.

Keywords: activation musculaire; analgesic; analgésique; critical power; electromyography; exercise performance; fatigue neuromusculaire; muscle activation; neuromuscular fatigue; performance physique; puissance critique; électromyographie.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Acetaminophen / administration & dosage*
  • Adult
  • Bicycling*
  • Cross-Over Studies
  • Double-Blind Method
  • Electromyography
  • Exercise Test*
  • Humans
  • Male
  • Muscle Contraction / drug effects*
  • Muscle Fatigue / drug effects
  • Muscle Strength / drug effects*
  • Muscle, Skeletal / drug effects*
  • Muscle, Skeletal / physiology
  • Physical Endurance / drug effects*
  • Time Factors
  • Young Adult

Substances

  • Acetaminophen