QTc Interval Clinical Trial
Official title:
Post-Exercise Cardiovascular Responses Following Energy Drink Consumption in Young, Healthy Adults
The purpose of this study is to determine the effects of consuming an original flavor energy drink on electrocardiographic (ECG) and hemodynamic responses during and after exercise in healthy subjects. The effect of drinking an energy drink on exercise performance will also be evaluated.
The study will employ a double-blinded, randomized, crossover design to evaluate the
cardiovascular (CV) effects of an energy drink during post-exercise recovery. Subjects who
express interest in the study will be screen for eligibility. Those who are eligible will be
consented. An inquire into usual caffeine intake to assess caffeine naïve or caffeine
tolerant. Participants height, weight and race will be recorded. A resting 12-lead baseline
ECG and blood pressure (BP) will be obtained to rule out CV anomalies. A cardiologist will
review every baseline ECG and BP reading to rule out everything but a normal sinus rhythm and
BP < 130/80 mmHg. Subjects who meet inclusion criteria and are approved by the cardiologist
will be enrolled and allocated a randomized participant identification (ID) number. They will
be given the "Participant Instruction Sheet"
Participants will be randomly assigned, blinded to consume a single 24 oz container of an
energy drink or a 24 oz container of a control drink. Participants will serve as their own
controls, so they will undergo testing in the experimental and control drink conditions,
separated by 4 to 14 day. Each 24 oz control drink will be comprised of 585 ml of carbonated
water, 30 ml of reconstituted lime juice and 105 ml of cherry flavoring. This control drink
formula is identical to that used by Fletcher et al. (2017). The carbohydrate content of the
24 oz control drink is 81 g, which is the same as the 81 g per 24 oz energy drink.
Participants will fast 12 hours, asked to refrain from vigorous exercised 24-hours, and
abstain from caffeine consumption 48-hours prior to consuming a randomly assigned single 24
oz can of an original flavor energy drink within a 30-minute period. Investigator and
participant will be blinded.
Subjects will be asked to visit either Heart, Lung and Vascular clinic or exercised
physiology laboratory (CSUS subjects) twice, separated by 4-14 days to undergo testing. ECG
electrodes will be placed on the upper torso and remain in place throughout the experiment.
Baseline ECG, HR, BP, blood sample and body weight will be obtained. Catheter placement and
blood draws will be performed by a registered clinical cardiopulmonary technician, registered
nurse or a resident physician. Approximately 20 mil of blood will be taken at each time
point.
Subjects will perform a continuous, progressive treadmill or bicycle ergometry test until
volitional exhaustion. The treadmill test will begin with walking at 3.4 mph at 0% grade,
then speed increased to 7 mph (males) or 6 mph (females) and grade increased by 2.5% every 2
minutes until > 85% ag-predicted maximum heart rate and volitional exhaustion has been
reached. Subjects performing the ergometry test will being cycling at a resistance of 100 W
for 2 minutes with the resistance increased by 25 W (males) or 15 W (females), each minute
thereafter. Maximum HR will be calculated using the Tanaka formula (Tanaka et al., 2001). A
12-lead ECG will remain in place on subject and monitored continuously during exercise, and
rating of perceived exertion (RPE) will be recorded every minute of each workload increase.
After completion of exercise, subject will remain standing on treadmill (or seated on
ergometer) for 10 minutes while ECG, BP, HR and blood samples are obtained. Subsequent ECG
measures will be obtained at 1,4,7 and 10 minutes. After 10 minutes, the subjects will be
free to sit, stand or move quietly in the lab. During the 2-hour post exercise monitoring
period, subject's ECG, HR, BP will be recorded at 30-minute intervals. Blood samples for
caffeine, taurine, L-carnitine, plasma free fatty acids, glucose and lactate will be
collected immediate upon cessation of exercise, at 1 and 2 hours post exercise.
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