To elucidate the phenomenon of central fatigue, we investigated the changes in the plasma amino acid level and false neurotransmitter (FNT) level during ultra-endurance exercise. Twenty-one male Japanese participants of the 1993 Ironman Japan Contest, held at Lake Biwa, were examined. Blood sampling and a questionnaire on the Profile of Mood States (POMS) test were collected two days before, immediately after and one-day following the race. The POMS questionnaire showed various changes

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... y due to fatigue. Indeed, the fatigue score significantly increased after the race. Although the confusion score significantly increased after the race, it quickly recovered to the pre race level the following day. The plasma concentration of the branched-chain amino acids (BCAA) decreased after the race, while the level of aromatic amino acids (AAA) increased, thus resulting in a significant decrease in the BCAA/AAA ratio. The plasma level of octopamine, one type of FNT, significantly increased after the race (p<0.01). The blood ammonia level increased after the race, but recovered to the pre-race level one-day after the race. Although no change was observed in the total tryptophan (Trp) level, the level of free Trp significantly increased during the race. The significant increases in the plasma 5-hydroxyindoleacetic acid (5HIAA), homovanillic acid (HVA) and HVA/dihydroxyphenylacetic acid (DOPAC) ratios thus suggest the serotonin (5 HT) and dopamine (DA) neuron systems activated after the race. In conclusion, ultra-endurance exercise caused a disorder of both the amino acid and monoamine metabolisms. Furthermore these changes were also related with mood changes, especially fatigue, i. e. central fatigue. These results suggest that the measurement of both the plasma BCAA/AAA ratio and FNT may therefore be useful in quantifying exercise induced central fatigue.