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Table 2 Study characteristics

From: ADHD Prescription Medications and Their Effect on Athletic Performance: A Systematic Review and Meta-analysis

Study

Study design

Blinding

Patients (M:F)

Level of fitness/study population

Medication dose

Dose timing

Groups (N =)

Age

Dropout rate

Performance measures

Dufka et al. [16]

RCT

Double blind, randomized

12 (sex breakdown unknown)

High school students

L-methamphetamine 16, 48 mcg

Immediately prior to test

L-methamphetamine 4 or 12 inhalations (N = 12)

14–17 (no mean provided)

0

Miles travelled in 20 min on stationary bike

Placebo (N = 12)

Altszuler et al. [18]

RCT

Double blind, randomized

54:19

Kids with ADHD diagnoses in a summer training program

Methylphenidate 21 mg

Daily for 3 weeks, then for final 3 weeks also attended sports training program for badminton

Methylphenidate (Concerta or Focalin) (N = 37)

7.99 ± 1.7

0

Playing badminton (sports skills in underhands, backhands, overheads, serves; sport knowledge; staff ratings from summer treatment program counselors; behavioral assessment in rule violations, game awareness, name-calling peers, verbal abuse to staff, and complaining)

Placebo (N = 36)

King et al. [19]

RCT, crossover

Double blind

9:6

Unknown; right—handedness required

Methylphenidate IR 20 mg

Prior to test (time not specified)

Methylphenidate 20 mg (N = 15)

28.4 ± 5.2

0

Handgrip task

placebo (N = 15)

Roelands et al. [20]

RCT, crossover

Double blind, randomized

8:0

Well-trained cyclists

Methylphenidate 20 mg

1 h prior to test

Methylphenidate 20 mg (N = 8)

26 ± 5

0

Cycling time to complete a timed trial at 18C and 30C

Placebo (N = 8)

Core temperature, blood (cortisol, growth hormone, ACTH, beta-endorphin, hematocrit)

Cordery et al. [21]

RCT, crossover

Double blind, randomized

0:9

Active, participate in regular endurance exercise training

Bupropion 150 mg × 4

Before bed the night before and upon wakening morning of test

Bupropion 150 mg (N = 9)

21 ± 2

0

Cycle at 60% VO2peak for 60 min, followed by 30 min performance test, at 30C

Placebo (N = 9)

Core temperature, O2 consumption, CO2 production, respiratory exchange ratio

Piacentini et al. [22]

RCT, crossover

Double blind, randomized

8:0

Well trained cyclists

Bupropion 600 mg

Taken night before and 6 h before test

Bupropion (N = 8)

24 ± 2

0

Maximal power output, endurance performance tests (timed trials)

Placebo (N = 8)

VO2 max, HR, ACTH, prolactin, cortisol, growth hormone, beta-endorphins, catecholamines

Roelands et al. [23]

RCT, crossover

Double blind, randomized

8:0

Trained cyclists

Bupropion 150/300 mg

Bupropion 150 × 3 days daily, then 300 mg × 7 days (150 mg in am and in pm)

Bupropion 150/300 mg (N = 8)

27 ± 5

0

Fixed cycle intensity exercise for 60 min followed by timed trial, at 30C

Placebo (N = 8)

Core temperature, HR, hormones (growth hormone, cortisol, ACTH, prolactin), rating of perceived exertion

Chandler and Blair [17]

RCT

Double blind, randomized

6:0

College students, former high school athletes

Amphetamine sulfate 15 mg per 70 kg of bodyweight (mean dose 16.59 mg)

Ingestion 2 h and 5 h before testing

Dexedrine (N = 6)

21.5 ± 2.5

0

Strength (elbow flexion and knee extension strength), muscular power (bicycle ergometer, in total time to execute 5 revolutions), running speed (30 yard sprint time), acceleration, time to exhaustion

Placebo (N = 6)

HR, respiratory exchange ratio, lactic acid, aerobic power, aerobic capacity (VO2max)

Mahon et al. [24]

Controlled trial

Unblinded, unrandomized

18:0

Average, prior diagnosis of ADHD required

Varied dose and medication type

12–24 h prior to test and 1–2 h prior to test

Methylphenidate or amphetamine (N = 14)

10.9 ± 1.1

4

Cycle ergometer at 25, 50, and 75 W for 3 min each

Placebo (N = 14)

Heart rate, peak VO2, Ve/VO2, respiratory exchange ratio, rating of perceived exhaustion