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Revisión sistemática2025Acceso abierto

The acute effects of caffeine, creatine, and carbohydrate mouth rinse combined with conditioning activity on subsequent sports performance: a systematic review and Bayesian meta-analysis

Li Y, Qiu B, Kuai H, Huang K, Liu H, Zhang M, Yin M, Zhang Y, Deng H, Zhong Y, Kong H, Chen J, Xu K

Frontiers in nutrition · 4 citas

Cómo se estudió

Diseño
Revisión sistemática (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente

Según la declaración de financiación del texto completo.

Publicación

Publicado
2025-11-05 · Front Nutr · vol. 12 · pág. 1669004
Editorial
Frontiers Media
Citado
4 citas · más que el 75% de estudios similares · 1.1× el promedio de su campo
Referencias
39 trabajos
Acceso
Acceso abierto (revista) · CC-BY
Áreas de investigación
Sports Performance and Training · Muscle metabolism and nutrition · Exercise and Physiological Responses
Palabras clave
post-activation performance enhancement, caffeine, creatine, carbohydrate mouth rinse, conditioning activity, athletic performance, fatigue resistance, warm-up, complex training, sports supplementation, recreational athletes

13 autores

  • Yanfeng Li🇨🇳Capital University of Physical Education and Sports
  • Bopeng Qiu🇨🇳Beijing Sport University; Tsinghua University
  • Hongyan Kuai🇨🇳Capital University of Physical Education and Sports
  • Kuo-Sheng Huang🇪🇸🇨🇳Universidad Rey Juan Carlos; Shanghai University of Sport
  • Hengxian Liu🇨🇳Shanghai University of Sport
  • Mingyang Zhang🇨🇳Jishou University
  • Mingyue Yin🇨🇳🇦🇺Shanghai University of Sport; Australian Catholic University
  • Yilin Zhang🇨🇳Tianjin University of Sport
  • Haijun Deng🇲🇾University of Malaya
  • Yuming Zhong🇦🇺🇨🇳Edith Cowan University; Shanghai University of Sport
  • Hao Kong🇲🇾University of Malaya
  • Jun Chen🇨🇳Capital University of Physical Education and Sports
  • Kai Xu🇦🇺🇨🇳 · autor de correspondenciaEdith Cowan University; Shanghai University of Sport

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Post-activation performance enhancement (PAPE) refers to the acute improvement in sports performance following a conditioning activity (CA), commonly used in warm-up protocols and complex training. While CA alone has demonstrated performance benefits, the effects of combining CA-induced PAPE with supplements (e.g., caffeine, creatine, or carbohydrate mouth rinse) remain unclear.

Objectives

This study was to (i) assess the effects of PAPE combined with supplements on sports performance and fatigue resistance compared to PAPE + placebo, warm-up + supplements, or warm-up alone, and (ii) synthesize direct and indirect evidence on performance outcomes using network meta-analysis.

Methods

Searches were conducted across three databases. Eligible studies were randomized controlled or crossover trials involving recreationally active individuals, comparing PAPE combined with supplements to interventions (i.e., PAPE + placebo, warm-up + supplements, or warm-up alone). Outcomes related to sports performance or fatigue were analyzed using a multilevel Bayesian approach incorporating pairwise and multiple (network) comparisons.

Results

Ten studies involving 198 participants were included. Current evidence indicates that the probabilities of positive effects (effect size > 0) on sports performance for PAPE combined with supplements compared to PAPE + placebo, warm-up + supplements, warm-up + placebo, and warm-up alone were 90.83, 85.09, 92.29, and 88.10%, respectively. Additionally, PAPE combined with supplements showed an 83.65% probability of superior fatigue resistance compared to PAPE + placebo. Subgroup analysis indicated that plyometric CA (i.e., jump and sprint) combined with supplementation (all were caffeine) was more effective than plyometric CA + PLA (ES = 0.97, >0 probability = 99.79%). Network meta-analysis identified PAPE + caffeine (SURCA = 83.40%) and PAPE + carbohydrate mouth rinse (SURCA = 78.40%) as the most effective interventions for enhancing sports performance, with PAPE + caffeine exhibiting a 99.17% probability of positive effect compared to warm-up alone.

Conclusion

Preliminary evidence suggests that combining caffeine with plyometric CA is the most effective strategy for enhancing sports performance. Although creatine and carbohydrate supplementation alongside CA may provide some benefits, their effects require further investigation due to small sample sizes and potential publication bias. Practically, these findings provide preliminary evidence that consuming 3-6 mg/kg of caffeine approximately 1 h before plyometric CA may maximize performance enhancement.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).

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