Evidence map›Paper›PMID 25154702›Full record

SynthesisJournal of science and medicine in sport2015

Caffeine and diuresis during rest and exercise: A meta-analysis.

Yang Zhang, Aitor Coca, Douglas J Casa, Jose Antonio, James M Green, Phillip A Bishop

Open access · greenAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of science and medicine in sport, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% of its field
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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. International society of sports nutrition position stand: coffee and sports performance.Journal of the International Society of Sports Nutrition · 2023
    Article
  12. Article
  13. Diuretics: a contemporary pharmacological classification?Naunyn-Schmiedeberg's archives of pharmacology · 2022
    Review
  14. Article
  15. Article
  16. Review
  17. Effects of Caffeine and Caffeinated Beverages in Children, Adolescents and Young Adults: Short Review.International journal of environmental research and public health · 2021
    Review
  18. Article
  19. Review
  20. International society of sports nutrition position stand: caffeine and exercise performance.Journal of the International Society of Sports Nutrition · 2021
    Review
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

6 authors at 5 institutions in 1 country.

Yang ZhangChinese Badminton Association, Zhejiang Jiaxing Branch, People's Republic of China. Electronic address: dr.zhang.yang@qq.com.
Aitor CocaNational Personal Protective Technology Laboratory, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, United States.
Douglas J CasaKorey Stringer Institute, Department of Kinesiology, University of Connecticut, United States.
Jose AntonioFarquhar College of Arts and Sciences, Exercise and Sports Science, Nova Southeastern University, United States.
James M GreenDepartment of Health, Physical Education and Recreation, University of North Alabama, United States.
Phillip A BishopDepartment of Kinesiology, University of Alabama, United States.
National Institute for Occupational Safety and Health · USNova Southeastern University · USUniversity of Alabama · USUniversity of Connecticut · USUniversity of North Alabama · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectivesAlthough ergogenic, acute caffeine ingestion may increase urine volume, prompting concerns about fluid balance during exercise and sport events. This meta-analysis evaluated caffeine induced diuresis in adults during rest and exercise.

designMeta-analysis.

methodsA search of three databases was completed on November 1, 2013. Only studies that involved healthy adults and provided sufficient information concerning the effect size (ES) of caffeine ingestion on urine volume were included. Sixteen studies met the inclusion criteria, providing a total of 28 ESs for the meta-analysis. Heterogeneity was assessed using a random-effects model.

resultsThe median caffeine dosage was 300 mg. The overall ES of 0.29 (95% confidence interval (CI) = 0.11-0.48, p = 0.001) corresponds to an increase in urine volume of 109 ± 195 mL or 16.0 ± 19.2% for caffeine ingestion vs. non-caffeine conditions. Subgroup meta-analysis confirmed exercise as a strong moderator: active ES = 0.10, 95% CI = -0.07 to 0.27, p = 0.248 vs. resting ES = 0.54, 95% CI = 0.22-0.85, p = 0.001 (Cochran's Q, p = 0.019). Females (ES = 0.75, 95% CI = 0.38-1.13, p < 0.001) were more susceptible to diuretic effects than males (ES = 0.13, 95% CI = -0.05 to 0.31, p = 0.158) (Cochran's Q, p = 0.003).

conclusionsCaffeine exerted a minor diuretic effect which was negated by exercise. Concerns regarding unwanted fluid loss associated with caffeine consumption are unwarranted particularly when ingestion precedes exercise.

Indexed as

ExerciseRestAdultCaffeineCentral Nervous System StimulantsDiuresisFemaleHumansMaleModels, StatisticalWater-Electrolyte BalanceCaffeineCentral Nervous System StimulantsCoffeeDehydrationDiureticFluid balanceMethylxanthine

Identifiers

PMID25154702
PMCPMC4725310
OpenAlexW2157261598

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.