This randomized, double-blind, placebo-controlled crossover trial investigates the effects of three different caffeine supplementation strategies on resistance training-induced adaptations in 180 caffeine-naive, inactive young adult males. Participants will undergo two 4-week supervised resistance training programs separated by a 2-week washout/crossover period. The three caffeine strategies are: (1) constant daily low-moderate dosing (3 mg/kg/day), (2) gradually escalating dose (3 to 6 mg/kg across weeks), and (3) training-day-only caffeine (3 mg/kg/day). Primary outcomes include non-invasive measures of integrated anabolism and hypertrophy (D2O-derived plasma proteomic fractional synthesis rate, DXA muscle volume) and strength metrics. Secondary outcomes include hormonal responses (insulin, cortisol, testosterone, IGF-1), sleep/recovery parameters, and adverse effects.
BACKGROUND: Caffeine is a well-established acute ergogenic aid that reliably improves endurance, power, and resistance-exercise performance when consumed at typical ergogenic doses (approximately 3-6 mg/kg about 60 minutes pre-exercise). However, whether caffeine exerts direct biological effects on muscle protein balance and hypertrophy remains unclear. Regular caffeine ingestion produces partial physiological tolerance, creating the possibility that chronic supplementation elicits different outcomes than acute dosing. OBJECTIVES: This study addresses three translational questions: (1) Does constant daily low-moderate dosing potentiate training adaptations? (2) Does a gradually escalating dose strategy produce greater effects by overcoming tolerance? (3) Does training-day-only caffeine preserve acute ergogenic effects while limiting tolerance and sleep disturbance? METHODS: 180 caffeine-naive, physically inactive young adult males aged 18-30 years will be randomly assigned to one of three caffeine supplementation strategies (n=60 per strategy). Within each strategy, 30 participants will receive caffeine and 30 will receive placebo for 4 weeks. Following a 2-week washout/crossover, interventions will be switched. All participants will undergo supervised resistance training 3 times per week. OUTCOMES: Primary endpoints include deuterium oxide (D2O)-derived plasma proteomic fractional synthesis rate (FSR), DXA-measured lean tissue mass and muscle volume, maximal strength (1RM or 3RM for bench press and squat), and training volume metrics. Secondary outcomes include hormonal and metabolic time-courses, sleep quality, subjective recovery scores, and adverse event monitoring. STATISTICAL ANALYSIS: Linear Mixed Models will be used to analyze the data.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
TRIPLE
Enrollment
180
Oral caffeine capsule at 3 mg/kg body weight, consumed daily approximately 60 minutes before training sessions (on training days) or at the same time of day (on rest days).
Identical-appearing placebo capsule consumed at the same times as the caffeine intervention.
Oral caffeine starting at 3 mg/kg/day and increasing incrementally to reach 6 mg/kg/day by week 4.
Placebo capsule daily for 4 weeks with simulated dose escalation protocol, then crossover to escalating caffeine after 2-week washout.
Oral caffeine capsule at 3 mg/kg body weight, consumed only on training days approximately 60 minutes before exercise.
Placebo capsule only on training days for 4 weeks, then crossover to caffeine after 2-week washout.
Istanbul University-Cerrahpasa, Faculty of Sport Sciences Performance Laboratory
Istanbul, Avcilar, Turkey (Türkiye)
Change in Plasma Proteomic Fractional Synthesis Rate (FSR)
Change in plasma proteomic fractional synthesis rate (FSR) calculated using the deuterium oxide (D2O) method. This physiological parameter will be reported as an indicator of integrated muscle protein synthesis.
Time frame: Baseline; End of Intervention Period 1 (Week 4); End of Intervention Period 2 (Week 4)
Change in Lean Body Mass Measured by DXA
Change in total lean body mass measured using dual-energy X-ray absorptiometry (DXA), reported in kilograms.
Time frame: Baseline; End of Intervention Period 1 (Week 4); End of Intervention Period 2 (Week 4)
Change in Muscle Volume Measured by DXA
Change in muscle volume calculated based on regional muscle measurements obtained using DXA.
Time frame: Baseline; End of Intervention Period 1 (Week 4); End of Intervention Period 2 (Week 4)
Change in Maximal Strength Assessed by 1RM/3RM Tests
Change in maximal strength assessed using one-repetition maximum (1RM) or three-repetition maximum (3RM) tests performed in the bench press and squat exercises.
Time frame: Baseline; End of Intervention Period 1 (Week 4); End of Intervention Period 2 (Week 4)
Total Training Volume Load
Total training volume load calculated as the sum of lifted load using the formula (kilograms × repetitions × sets) accumulated during each intervention period.
Time frame: Intervention Period 1 (Weeks 1-4); Intervention Period 2 (Weeks 1-4)
Change in Serum Hormonal Concentrations
Change in serum concentrations of insulin, cortisol, testosterone, and insulin-like growth factor 1 (IGF-1), assessed using standard biochemical analyses.
Time frame: Baseline; Week 2; End of Intervention Period 1 (Week 4); Baseline; Week 2; End of Intervention Period 2 (Week 4)
Self-Reported Sleep Quality Score
Self-reported sleep quality total score assessed using validated sleep questionnaires. Higher scores will indicate better sleep quality.
Time frame: Weekly during Intervention Period 1 (Weeks 1-4); Weekly during Intervention Period 2 (Weeks 1-4)
Subjective Recovery Score Assessed by Likert Scale
Subjective recovery score assessed using a Likert-type scale following each supervised training session. Higher scores will indicate better perceived recovery.
Time frame: After each supervised training session during Intervention Period 1; After each supervised training session during Intervention Period 2
Adverse Events
Number and severity of reported adverse events, including palpitations, anxiety, restlessness, insomnia, headache, and gastrointestinal discomfort.
Time frame: Throughout the entire study duration (8 weeks)
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