{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T06:50:35Z","timestamp":1791960635134,"version":"4.3.4"},"reference-count":16,"publisher":"Wiley","issue":"19","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2023\/10778\u20100"],"award-info":[{"award-number":["2023\/10778\u20100"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["physoc.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiological Reports"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The Enhanced Games (TEG) emerged as an athletic event engineered to profit from biotechnological enhancement, such as performance\u2010enhancing drugs (PEDs) utilization, relying on three premises: shattering world records (WR), enabling athletes to surpass their personal bests (PB), and utilizing PEDs to offset age\u2010related physical decline. The effectiveness of TEG's PED protocols in achieving these three premises was evaluated. This is a retrospective analysis from 42 TEG athletes across Track, Swimming, and Weightlifting. TEG's performances were compared to current WR and athletes' PB previous to TEG. The anti\u2010aging PED effects were evaluated by the relationship between the age and performance gaps from PB to TEG competition. Athletes' previous PBs were \u22125.92%\u2009\u00b1\u20094.68% worse than current WR, which further deteriorated to \u22128.91%\u2009\u00b1\u20097.52% after TEG, and a single WR was broken. Whereas 19 new PBs were recorded, TEG performances were on average \u22122.86%\u2009\u00b1\u20097.39% worse than previous PB. Some competitive results were achieved by non\u2010enhanced athletes. Performance decline continued linearly as the time elapsed since the athletes' physical prime (i.e., age at PB). TEG failed to deliver on core promises of widespread WR and broad athletic enhancement, and PED protocol did not attenuate expected age\u2010related performance declines.<\/jats:p>","DOI":"10.14814\/phy2.71123","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:37:06Z","timestamp":1790735826000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhanced but not superior: Performance outcomes from the inaugural enhanced games"],"prefix":"10.14814","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0346-7007","authenticated-orcid":false,"given":"Rafael A.","family":"Azevedo","sequence":"first","affiliation":[{"name":"Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Faculdade de Medicina FMUSP Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"},{"name":"Center of Lifestyle Medicine, Faculdade de Medicina FMUSP Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis F.","family":"Coutinho","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences of Minas Gerais (FC MMG)  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique C.","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Faculdade de Medicina FMUSP Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"},{"name":"Center of Lifestyle Medicine, Faculdade de Medicina FMUSP Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Higor A.","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Faculdade de Medicina FMUSP Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"},{"name":"Center of Lifestyle Medicine, Faculdade de Medicina FMUSP Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme J.","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Faculdade de Medicina FMUSP Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"},{"name":"Center of Lifestyle Medicine, Faculdade de Medicina FMUSP Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Campos","sequence":"additional","affiliation":[{"name":"School of Applied Sciences (FCA) University of Campinas (UNICAMP)  Limeira Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamilton","family":"Roschel","sequence":"additional","affiliation":[{"name":"Applied Physiology and Nutrition Research 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