Meta-analysis2026

Dose-Response Effect of Oral Caffeine Use on Aerobic Exercise Performance: A Systematic Review and Meta-Analysis

Martins GL, Aparecido JM, Marquezi ML, Frientes CS, Miedes LR, Fornel MS, Fernandes T, Lancha AH

Nutrients · 0 citations

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Government
Fundação de Amparo à Pesquisa do Estado de São Paulo
Government
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Government
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Government
National Council for Scientific and Technological Development
Government
Brazilian Federal Agency for Support and Evaluation of Graduate Education
Government
São Paulo Research Foundation
Grants
Conselho Nacional de Desenvolvimento Científico e Tecnológico (#302706/2020-8); Conselho Nacional de Desenvolvimento Científico e Tecnológico (#312628/2023-4); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (88887.357773/2019-00.); Conselho Nacional de Desenvolvimento Científico e Tecnológico (409629/2021-9); Fundação de Amparo à Pesquisa do Estado de São Paulo (23/14680-5); Conselho Nacional de Desenvolvimento Científico e Tecnológico (408899/2024‐7); Conselho Nacional de Desenvolvimento Científico e Tecnológico (437801/2018-7); Fundação de Amparo à Pesquisa do Estado de São Paulo (22/03138-2)

Based on 6 listed funder(s).

Publication

Published
2024-10-01 · Nutrients · vol. 18 · issue 10S · p. 1989
Publisher
Lippincott Williams & Wilkins
Cited
0 citations
References
0 works
Access
Open access (journal) · CC-BY
Research areas
Muscle metabolism and nutrition · Cardiovascular and exercise physiology · Pharmacology and Obesity Treatment
Keywords
Meta-analysis, Aerobic exercise, Caffeine, Medicine, Physical therapy, Psychology, Internal medicine
MeSH
humans, caffeine, exercise, administration, oral, dose-response relationship, drug, adolescent, adult, middle aged, female, male, randomized controlled trials as topic, athletic performance, young adult, performance-enhancing substances

8 authors

From BR

  • Gabriel Loureiro Martins
  • Juliana Monique Lino AparecidoUniversidade Cidade de São Paulo
  • Marcelo Luís MarqueziUniversidade Cidade de São Paulo
  • Caroline Santana FrientesUniversidade Cidade de São Paulo
  • Leonardo Ribeiro MiedesUniversidade Cidade de São Paulo
  • Matheus Silva FornelUniversidade Cidade de São Paulo

Abstract

Background/Objective: Caffeine has demonstrated ergogenic effects across various doses (2-9 mg·kg-1). However, aerobic responses to caffeine vary substantially, with time-trial performance ranging from ~-3% to +16%. Given that higher doses may increase adverse effects without clear additional benefits, this review examined the effects of low (≤3 mg·kg-1), moderate (4-6 mg·kg-1), and high (>6 mg·kg-1) caffeine doses on time-trial performance. Methods: A systematic review and meta-analysis of randomized, placebo-controlled trials was conducted using PubMed, Embase, and Virtual Health Library databases. Eligible studies included healthy adults (18-59 years) acutely ingesting oral anhydrous caffeine before aerobic time-trial tests, with performance outcomes measured exclusively as time-to-completion variables. Data were pooled using standardized mean differences (SMDs) and 95% confidence intervals under random-effects models, and risk of bias was assessed using the Cochrane Risk of Bias tool. Results: Forty-eight studies (689 participants) met the inclusion criteria. Both low and moderate caffeine doses significantly reduced time-trial completion time relative to placebo. Low doses produced a standardized mean difference of -0.27 (95% CI: -0.44 to -0.11; p = 0.001), whereas moderate doses resulted in an SMD of -0.52 (95% CI: -0.77 to -0.28; p 6 mg·kg-1) and reporting time-to-completion outcomes met the inclusion criteria. Subgroup analyses demonstrated similar ergogenic effects in both trained and highly trained individuals consuming moderate caffeine doses. Conclusions: This is the first meta-analysis specifically focused on aerobic time-trial performance to suggest that pre-exercise ingestion of low caffeine doses (1.3-3 mg·kg-1) may enhance endurance performance by reducing time-trial completion time. Notably, the use of moderate caffeine doses (4-6 mg·kg-1) appears to produce a more consistent ergogenic effect.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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