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article 2021 21 pages

The Effect of Dietary Supplements on Endurance Exercise Performance and Core Temperature in Hot Environments: A Meta-analysis and Meta-regression

Jennifer S. Peel, Melitta A. McNarry, Shane M. Heffernan, Venturino R. Nevola, Liam P. Kilduff, Mark Waldron

Journal
Sports Medicine
DOI
10.1007/s40279-021-01500-2
Publication type
Systematic Review
Study type
meta-analysis
Population
athletes
View on DOI ↗

Abstract

Background

The ergogenic effects of dietary supplements on endurance exercise performance are well-established; however, their efficacy in hot environmental conditions has not been systematically evaluated.

Objectives

(1) To meta-analyse studies investigating the effects of selected dietary supplements on endurance performance and core temperature responses in the heat. Supplements were included if they were deemed to: (a) have a strong evidence base for ‘directly’ improving thermoneutral endurance performance, based on current position statements, or (b) have a proposed mechanism of action that related to modifiable factors associated with thermal balance. (2) To conduct meta-regressions to evaluate the moderating effect of selected variables on endurance performance and core temperature responses in the heat following dietary supplementation.

Methods

A search was performed using various databases in May 2020. After screening, 25 peer-reviewed articles were identified for inclusion, across three separate meta-analyses: (1) exercise performance; (2) end core temperature; (3) submaximal core temperature. The moderating effect of several variables were assessed via sub-analysis and meta-regression.

Results

Overall, dietary supplementation had a trivial significant positive effect on exercise performance (Hedges’ g = 0.18, 95% CI 0.007–0.352, P = 0.042), a trivial non-significant positive effect on submaximal core temperature (Hedges’ g = 0.18, 95% CI − 0.021 to 0.379, P = 0.080) and a small non-significant positive effect on end core temperature (Hedges’ g = 0.20, 95% CI − 0.041 to 0.439, P = 0.104) in the heat. There was a non-significant effect of individual supplements on exercise performance (P = 0.973) and submaximal core temperature (P = 0.599). However, end core temperature was significantly affected by supplement type (P = 0.003), which was attributable to caffeine’s large significant positive effect (n = 8; Hedges’ g = 0.82, 95% CI 0.433–1.202, P 

Description

This study meta-analyzes the effects of dietary supplements on endurance performance and core temperature in heat.