Evidence map›Paper›PMID 40205676›Full record

SynthesisJournal of the International Society of Sports Nutrition2025

Sport supplementation in competitive swimmers: a systematic review with meta-analysis.

Raúl Domínguez, Inmaculada López-León, Javier Moreno-Lara, Esteban Rico, Antonio J Sánchez-Oliver, Ángela Sánchez-Gómez, Javier Pecci

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of the International Society of Sports Nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Goals in Nutrition Science 2025-2030.Frontiers in nutrition · 2026
    Review
  3. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Raúl DomínguezUniversidad de Sevilla, Departamento de Motricidad Humana Rendimiento Deportivo, Sevilla, Spain.ORCID 0000-0002-6891-391X
Inmaculada López-LeónUniversidad de Sevilla, Departamento de Motricidad Humana Rendimiento Deportivo, Sevilla, Spain.
Javier Moreno-LaraUniversidad de Sevilla, Departamento de Motricidad Humana Rendimiento Deportivo, Sevilla, Spain.
Esteban RicoUniversidad de Sevilla, Departamento de Motricidad Humana Rendimiento Deportivo, Sevilla, Spain.
Antonio J Sánchez-OliverUniversidad de Sevilla, Departamento de Motricidad Humana Rendimiento Deportivo, Sevilla, Spain.ORCID 0000-0001-9022-6043
Ángela Sánchez-GómezUniversidad de Córdoba, Departamento de Enfermería Farmacología y Fisioterapia, Facultad de Medicina y Enfermería, Córdoba, España.
Javier PecciUniversity of Seville, Department of Physical Education and Sport, Seville, Spain.ORCID 0000-0003-2842-3067

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompetitive swimmers have a high prevalence of sports supplement (SS) consumption. However, only a few SS are scientifically proven to be safe, effective, and legal. Therefore, before incorporating supplements to enhance performance and health in competitive swimming, it is crucial to conduct an analysis and review to assess their effects. The objective of this study was to analyze the demonstrated effects of SS, as reported in published studies, on the swimming performance of competitive swimmers.

methodsFollowing PRISMA guidelines, a systematic search was conducted across six databases for the selection of studies included in this review. Studies that analyzed the effects of sports supplementation compared to placebo were included and subjected to meta-analysis.

resultsThis revision included 23 studies, 16 of them (69.6%) qualified as excellent and 7 (30.4%) as good at the methodological level based on the punctuation in the PEDro scale. The systematic review included 422 swimmers (61.8% male, 38.2% female), with distances assessed ranging from 50 m to 800 m, including studies employing interval procedures. Creatine showed a significant effect (ES = -0.46; 95% CIs = -0.75 to -0.17,

conclusionsCreatine supplementation demonstrated ergogenic benefits for competitive swimmers, although the evidence supporting the use of this supplement is still limited. Sodium bicarbonate and β-alanine may enhance performance in distances with higher glycolytic demands, while caffeine is effective at dosages of 3-6 mg/kg administered 60 min before exercise. Further research is needed to confirm the potential ergogenic effects of other supplements, such as beetroot juice.

Indexed as

Athletic PerformanceDietary SupplementsPerformance-Enhancing SubstancesSports Nutritional Physiological PhenomenaSwimmingCreatineFemaleHumansMaleCreatinePerformance-Enhancing Substancesaquatic sportergogenic aidergogenic supplementationSport nutritionsports performance

Identifiers

PMID40205676
PMCPMC11986859

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.