SynthesisSports medicine (Auckland, N.Z.)2017
Practical Cooling Strategies During Continuous Exercise in Hot Environments: A Systematic Review and Meta-Analysis.
Synthesis in Sports medicine (Auckland, N.Z.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 6 of them syntheses that pooled 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.
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.
Who cites it
25 citing papers in PubMed, 6 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Performance changes during and post-exercise in combined heat and hypoxia environments: a systematic review and network meta analysis.Journal of translational medicine · 2026Pooled it
- Effects of internal cooling on physical performance, physiological and perceptional parameters when exercising in the heat: A systematic review with meta-analyses.Frontiers in physiology · 2023Pooled it
- Performance effects of internal pre- and per-cooling across different exercise and environmental conditions: A systematic review.Frontiers in nutrition · 2022Pooled it
- Cooling intervention studies among outdoor occupational groups: A review of the literature.American journal of industrial medicine · 2020Pooled it
- Sustainable solutions to mitigate occupational heat strain - an umbrella review of physiological effects and global health perspectives.Environmental health : a global access science source · 2020Pooled it
- Efficacy of Heat Mitigation Strategies on Core Temperature and Endurance Exercise: A Meta-Analysis.Frontiers in physiology · 2019Pooled it
- The Short-Term Effects of an Exercise Protocol Incorporating Blood Flow Restriction and Body Cooling in Healthy Young Adults.Methods and protocols · 2025Article
- Review
- Influence of Ambient Temperature on Autonomic Nerve Function and Peripheral Sensation from Moderate-Intensity Treadmill Exercise.International journal of exercise science · 2024Article
- Do cool shirts make a difference? The effects of upper body garments on health, fluid balance and performance during exercise in the heat.BMC sports science, medicine & rehabilitation · 2023Article
- Menthol mouth rinsing and performance in elite football referees in the heat: A study protocol for a randomized crossover trial.Contemporary clinical trials communications · 2023Article
- A Combination of Ice Ingestion and Head Cooling Enhances Cognitive Performance during Endurance Exercise in the Heat.Journal of sports science & medicine · 2022Article
- Head, Face and Neck Cooling as Per-cooling (Cooling During Exercise) Modalities to Improve Exercise Performance in the Heat: A Narrative Review and Practical Applications.Sports medicine - open · 2022Review
- Performance and Thermal Perceptions of Runners Competing in the London Marathon: Impact of Environmental Conditions.International journal of environmental research and public health · 2021Article
- Ethical dilemmas and validity issues related to the use of new cooling technologies and early recognition of exertional heat illness in sport.BMJ open sport & exercise medicine · 2021Review
- Different Cooling Strategies Applied During Inter-Set Rest Intervals in High-Intensity Resistance Training.International journal of exercise science · 2021Article
- Hydration and Cooling Strategies for Paralympic Athletes : Applied Focus: Challenges Athletes May Face at the Upcoming Tokyo Paralympics.Current nutrition reports · 2020Review
- Per-Cooling (Using Cooling Systems during Physical Exercise) Enhances Physical and Cognitive Performances in Hot Environments. A Narrative Review.International journal of environmental research and public health · 2020Review
- Heat alleviation strategies for athletic performance: A review and practitioner guidelines.Temperature (Austin, Tex.) · 2020Review
- Efficacy of Various Cooling Techniques During Exercise in Persons With Spinal Cord Injury: A Pilot Crossover Intervention Study.Topics in spinal cord injury rehabilitation · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPerforming exercise in thermally stressful environments impairs exercise capacity and performance. Cooling during exercise has the potential to attenuate detrimental increases in body temperature and improve exercise capacity and performance.
objectiveThe objective of this review was to assess the effectiveness of practical cooling strategies applied during continuous exercise in hot environments on body temperature, heart rate, whole body sweat production, rating of perceived exertion (RPE), thermal perception and exercise performance.
methodsElectronic database searches of MEDLINE, SPORTDiscus, Scopus and Physiotherapy Evidence Database (PEDro) were conducted using medical subject headings, indexing terms and keywords. Studies were eligible if participants were defined as 'healthy', the exercise task was conducted in an environment ≥25 °C, it used a cooling strategy that would be practical for athletes to use during competition, cooling was applied during a self-paced or fixed-intensity trial, participants exercised continuously, and the study was a randomised controlled trial with the comparator either a thermoneutral equivalent or no cooling. Data for experimental and comparator groups were meta-analysed and expressed as a standardised mean difference and 95 % confidence interval.
resultsFourteen studies including 135 participants met the eligibility criteria. Confidence intervals for meta-analysed data included beneficial and detrimental effects for cooling during exercise on core temperature, mean skin temperature, heart rate and sweat production during fixed-intensity exercise. Cooling benefited RPE and thermal perception during fixed-intensity exercise and improved self-paced exercise performance.
conclusionCooling during fixed-intensity exercise, particularly before a self-paced exercise trial, improves endurance performance in hot environments by benefiting RPE and thermal perception, but does not appear to attenuate increases in body temperature.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.