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The Placebo Effect in Sports Performance

A Brief Review

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Abstract

The placebo effect, with its central role in clinical trials, is acknowledged as a factor in sports medicine, although until recently little has been known about the likely magnitude and extent of the effect in any specific research setting. Even less is known about the prevalence of the effect in competitive sport. The present paper reviews 12 intervention studies in sports performance. All examine placebo effects associated with the administration of an inert substance believed by subjects to be an ergogenic aid. Placebo effects of varying magnitudes are reported in studies addressing sports from weightlifting to endurance cycling. Findings suggest that psychological variables such as motivation, expectancy and conditioning, and the interaction of these variables with physiological variables, might be significant factors in driving both positive and negative outcomes. Programmatic research involving the triangulation of data, and investigation of contextual and personality factors in the mediation of placebo responses may help to advance knowledge in this area.

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References

  1. Di Blasi Z. The placebo effect: the crack in the biomedical box. Psychologist 2003; 16 (Pt 2): 72–5

    Google Scholar 

  2. Ogden J. Health psychology. Berkshire (UK): Open University Press, 2004

    Google Scholar 

  3. Taylor SE. Health psychology. New York: McGraw-Hill, 2003

    Google Scholar 

  4. Ader R, Cohen N. Psychoneuroimmunology: conditioning and stress. Annu Rev Psychol 1993; 44: 53–5

    Article  PubMed  CAS  Google Scholar 

  5. dela Fuente-Fernández R, Phillips AG, Zamburlini M, et al. Dopamine release in human ventral striatum and expectation of reward. Behav Brain Res 2002; 136 (Pt 2): 359–63

    Article  PubMed  Google Scholar 

  6. Yang EV, Bane CM, MacCallum RC, et al. Stress-related modulation of matrix metalloproteinase expression. J Neuroimmunol 2002; 133 (Pt 1-2): 144–50

    Article  PubMed  CAS  Google Scholar 

  7. Clark VR, Hopkins WG, Hawley JA, et al. Placebo effect of carbohydrate feeding during a 40-km cycling time trial. Med Sci Sports Exerc 2000; 32: 1642–7

    PubMed  CAS  Google Scholar 

  8. McGuire WJ. The nature of attitudes and attitudes change. In: Lindzey G, Aronson E, editors. The handbook of social psychology, vol. III. Reading (MA): Addison-Wesley, 1969: 136–314

    Google Scholar 

  9. Price DD, Finniss DG, Benedetti F. A comprehensive review of the placebo effect: recent advances and current thought. Annu Rev Psychol 2008 Jan 59 [online]. Available from URL: http://arjournals.annualreviews.org/action/showJournals [Accessed 2008 Feb 10]

    Google Scholar 

  10. Evans D. Placebo: the belief effect. London: HarperCollins, 2003

    Google Scholar 

  11. Bonci L. Nutritional ergogenics: performance enhancers vs. the placebo effect indications and contraindications. Proceedings of the National Athletic Trainers’ Association. 49th Annual Meeting and Clinical Symposia; 1998 Jun 17–20, Baltimore (MA). Champaign (IL): Human Kinetics, 1998: 270–2

    Google Scholar 

  12. Yesalis CE, Bahrke MS. Anabolic-androgenic steroids: current issues. Sports Med 1995; 19: 326–40

    Article  PubMed  CAS  Google Scholar 

  13. Gutirrez-Sancho O, Moncada-Jimenez J, Robinson E, et al. The effects of creatine supplementation on biochemical, body composition, and performance outcomes in humans:a meta-analysis. Int J Appl Sports Sci 2006; 18 (Pt 2): 12–38

    Google Scholar 

  14. Shephard RJ. Vitamin E and athletic performance. J Sports Med 1983; 23: 461–70

    CAS  Google Scholar 

  15. Kerr IL. Mouth guards for the prevention of injuries in contact sports. Sports Med 1986 Nov-Dec; 3 (Pt 6): 415–27

    Article  PubMed  CAS  Google Scholar 

  16. Brolinson PG. Precompetition manipulation: placebo or performance enhancer? Clin J Sport Med 2003 Mar; 13 (Pt 2): 69–70

    Article  PubMed  Google Scholar 

  17. Liggett DR. Sports hypnosis. Champaign (IL): Human Kinetics, 2000

    Google Scholar 

  18. Aragon-Vargas LF. Effects of fasting on endurance exercise. Sports Med 1993; 16: 255–65

    Article  PubMed  CAS  Google Scholar 

  19. Hinton ER, Taylor S. Does placebo response mediate runner’s high? Percept Mot Skills 1986 June; 62 (Pt 3): 789–90

    Article  PubMed  CAS  Google Scholar 

  20. Vogt W. Breaking the chain: drugs and cycling, the true story (trans. William Fotherington). London: Random House, 1999

    Google Scholar 

  21. Gallagher H. On swimming. London: Pelham, 1970: 33–8

    Google Scholar 

  22. World champions or soccer cheats? The Daily Telegraph, United Kingdom [online]. Available from URL: http://www.dailytelegraph.com/worldchampionsorsoccercheats.htm [Accessed 2004 Apr 1]

  23. Murphy MM, White RA. In the zone: transcendent experience in sport. New York: Penguin, 1995: 34–102

    Google Scholar 

  24. Beedie CJ. The placebo effect in competitive sport: qualitative data. J Sport Sci Med 2007; 6: 21–8

    Google Scholar 

  25. Burke LM, Hawley JA, Schabort EJ, et al. Carbohydrate loading failed to improve 100-km cycling performance in a placebo-controlled trial. J Appl Physiol 2000; 88: 1284–90

    PubMed  CAS  Google Scholar 

  26. Sonetti DA, Wetter TJ, Pegelow DF, et al. Effects of respiratory muscle training versus placebo on endurance exercise performance. Respir Physiol 2001; 127 (Pt 2-3): 185–99

    Article  PubMed  CAS  Google Scholar 

  27. Hornery DJ, Papalia S, Mujika I, et al. Physiological and performance benefits of halftime cooling. J Sci Med Sport 2005 Mar; 8 (Pt 1): 15–25

    Article  PubMed  CAS  Google Scholar 

  28. McMurray RG, Wilson JR, Kitchell BS. The effects of fructose and glucose on high intensity endurance performance. Res Q Exerc Sport 1983; 54: 156–62

    Google Scholar 

  29. Sellwood KL, Brukner P, Williams D, et al. Ice-water immersion and delayed-onset muscle soreness: a randomised controlled trial. Br J Sports Med 2007; 41: 392–7

    Article  PubMed  Google Scholar 

  30. Reeser JC, Smith DT, Fischer V, et al. Static magnetic fields neither prevent nor diminish symptoms and signs of delayed onset muscle soreness. Arch Phys Med Rehabil 2005; 86 (Pt 3): 565–70

    Article  PubMed  Google Scholar 

  31. Moseley Jr JB, Wray NP, Kuykendall D, et al. Arthroscopic treatment of osteoarthritis of the knee: a prospective, randomized, placebo-controlled trial: results of a pilot study. Am J Sports Med 1996 Jan-Feb; 24 (Pt 1): 28–34

    Article  PubMed  Google Scholar 

  32. Porcari JP, Otto J, Felker H, et al. The placebo effect on exercise performance [abstract]. J Cardiopulmon Rehabil Prev 2006 Jul/Aug; 26 (Pt 4): 269

    Article  Google Scholar 

  33. Ariel G, Saville W. Anabolic steroids: the physiological effects of placebos. Med Sci Sports Exerc 1972; 4: 124–6

    Google Scholar 

  34. Beedie CJ, Stuart EM, Coleman DA, et al. Placebo effect of caffeine in cycling performance. Med Sci Sports Exerc 2006; 38: 2159–64

    Article  PubMed  CAS  Google Scholar 

  35. Beedie CJ, Coleman DA, Foad AJ. Positive and negative placebo effects resulting from the deceptive administration of an ergogenic aid. Int J Sport Nutr Exerc Metab 2007; 17: 259–69

    PubMed  Google Scholar 

  36. Foad AJ, Beedie CJ, Coleman DA. Pharmacological and psychological effects of caffeine ingestion in 40 km cycling performance. Med Sci Sports Exerc 2008; 40 (Pt 1): 158–65

    PubMed  CAS  Google Scholar 

  37. Foster C, Felker H, Porcari JP, et al. The placebo effect on exercise performance [abstract]. Med Sci Sports Exerc 2004 May; 36 Suppl. 5: S171

    Google Scholar 

  38. Kalasountas V, Reed J, Fitzpatrick J. The effect of placebo-induced changes in expectancies on maximal force productionin college students. J Appl Sport Psychol 2007; 19 (Pt 1): 116–24

    Article  Google Scholar 

  39. Maganaris CN, Collins D, Sharp M. Expectancy effects and strength training: do steroids make a difference? Sport Psychologist 2000; 14 (Pt 3): 272–8

    Google Scholar 

  40. McClung M, Collins D. “Because I know it will!”: placebo effects of an ergogenic aid on athletic performance. J Sport Exerc Psychol 2007 Jun; 29 (Pt 3): 382–94

    PubMed  Google Scholar 

  41. Benedetti F, Pollo A, Colloca L. Opioid-mediated placebo responses boost pain endurance and physical performance:is it doping in sport competitions? J Neurosci 2007 Oct; 27(Pt 44): 11934–9

    Article  PubMed  CAS  Google Scholar 

  42. Pollo A, Carlino E, Benedetti F. The top-down influence of ergogenic placebos on muscle work and fatigue. Eur J Neurosci 2008; 28: 379–88

    Article  PubMed  Google Scholar 

  43. Batterham AM, Hopkins WG. Making meaningful inferences about magnitudes. Int J Sport Physiol Perf 2006; 1: 50–7

    Google Scholar 

  44. Desharnais R, Jobin J, Cote C, et al. Aerobic exercise and the placebo effect: a controlled study. Psychosom Med 1993; 55 (Pt 2): 149–54

    PubMed  CAS  Google Scholar 

  45. Marlatt GA, Rohsenow DJ. Cognitive processes in alcohol use: expectancy and the balanced placebo design. In: Mello N, editor. Advances in substance abuse (1). Greenwich (CT): JAI Press, 1980: 159–99

    Google Scholar 

  46. Beedie CJ, Foad AJ, Coleman DA. Identification of placebo responsive participants in 40 km cycling performance. J Sport Sci Med 2008; 7 (Pt 1): 166–75 [online]. Available from URL: http://www.jssm.org/vol7/n1/24/v7n1-24text.php [Accessed 2008 Apr 2]

    Google Scholar 

  47. Wilmert N, Porcari JP, Foster C, et al. The effects of oxygenated water on exercise physiology during incremental exercise and recovery. J Exerc Physiol 2002 Nov; 5 (Pt 4) [online]. Available from URL: http://faculty.css.edu/tboone2/asep/Porcari.pdf [Accessed 2007 Nov 8]

  48. Porcari J, Foster C. Mind over body: ACE fitness matters 2006 May/June [online]. Available from URL:http://www.acefitness.org/getfit/PlaceboStudy2006.pdf[Accessed 2006 Dec 5]

  49. Kirsch I, Weixel LJ. Double-blind versus deceptive administration of a placebo. Behav Neurosci 1988; 102 (Pt 22): 319–23

    Article  PubMed  CAS  Google Scholar 

  50. Fiorillo CD, Tobler PN, Schultz W. Discrete coding of reward probability and uncertainty by dopamine neurons. Science 2003; 299: 1898–902

    Article  PubMed  CAS  Google Scholar 

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Acknowledgements

No sources of funding were used to assist in the preparation of this review. The authors have no conflicts of interest that are directly relevant to the content of this review.

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Correspondence to Christopher J. Beedie.

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Beedie, C.J., Foad, A.J. The Placebo Effect in Sports Performance. Sports Med 39, 313–329 (2009). https://doi.org/10.2165/00007256-200939040-00004

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