ReviewTemperature (Austin, Tex.)2020
Heat alleviation strategies for athletic performance: A review and practitioner guidelines.
Review in Temperature (Austin, Tex.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 4 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
55 citing papers in PubMed, 4 syntheses or guidelines pooled it, 147 citations in OpenAlex.
- Hot Yoga: A Systematic Review of the Physiological, Functional and Psychological Responses and Adaptations.Sports medicine - open · 2025Pooled it
- Effects of Precooling on Endurance Exercise Performance in the Heat: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Nutrients · 2024Pooled it
- Performance effects of internal pre- and per-cooling across different exercise and environmental conditions: A systematic review.Frontiers in nutrition · 2022Pooled it
- Performance Changes Following Heat Acclimation and the Factors That Influence These Changes: Meta-Analysis and Meta-Regression.Frontiers in physiology · 2019Pooled it
- Effect of sodium bicarbonate on performance and markers of kidney and gastrointestinal injury during repeated sprints in the heat.European journal of applied physiology · 2026Trial
- Effects of ice slurry ingestion on body temperature and softball pitching performance in a hot environment: a randomized crossover trial.Journal of physiological anthropology · 2023Trial
- Validity of the CORE Wearable Sensor During Internal Cooling Induced by Hyperhydration with Cold Water at Rest.Sensors (Basel, Switzerland) · 2026Article
- Article
- The 2026 Men's FIFA Football World Cup: Evidence-Based Guidelines to Protect Player Health and Performance from Environmental Challenges.Sports medicine (Auckland, N.Z.) · 2026Review
- One Step Further: Integrating Evidence-Based Guidelines into Practice to Address Environmental Challenges at the Men's 2026 FIFA World Cup.Sports medicine (Auckland, N.Z.) · 2026Review
- Passive heat intervention research in women: Systematic review and audit of female representation.Experimental physiology · 2026Review
- Four-Days of Passive Heat Acclimation Increases Exercise Capacity in Healthy Older Adults Living in the UK.Healthcare (Basel, Switzerland) · 2026Article
- Myths and methodologies: Optimising experimental rigour in heat adaptation research: Menstrual status classification and scheduling approaches.Experimental physiology · 2026Review
- Thermoregulation in hot-dry and warm-humid heat stress during cycling among males.Frontiers in physiology · 2026Article
- Acute Finnish sauna heating and cold water immersion effects on cardiovascular dynamic response in normotensive women.Scientific reports · 2025Article
- Three weeks of heat maintenance potentiates the benefits of heat acclimation in trained females.Physiological reports · 2025Article
- Seven days of mixed-method heat acclimation improved markers of cardiovascular and fluid-regulatory strain during exercise-heat stress.Experimental physiology · 2025Article
- Pre-Exercise Ingestion of Hydrogen-Rich Cold Water Enhances Endurance Performance and Lactate Response in Heat.Medicina (Kaunas, Lithuania) · 2025Article
- Passive Heat Stimuli as a Systemic Training in Elite Endurance Athletes: A New Strategy to Promote Greater Metabolic Flexibility.Journal of functional morphology and kinesiology · 2025Article
- Thermal and Biomechanical Responses of Amateur, Elite and World Cup Athletes During a World Cup Sprint Triathlon in the Heat.Sports medicine (Auckland, N.Z.) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
International competition inevitably presents logistical challenges for athletes. Events such as the Tokyo 2020 Olympic Games require further consideration given historical climate data suggest athletes will experience significant heat stress. Given the expected climate, athletes face major challenges to health and performance. With this in mind, heat alleviation strategies should be a fundamental consideration. This review provides a focused perspective of the relevant literature describing how practitioners can structure male and female athlete preparations for performance in hot, humid conditions. Whilst scientific literature commonly describes experimental work, with a primary focus on maximizing magnitudes of adaptive responses, this may sacrifice ecological validity, particularly for athletes whom must balance logistical considerations aligned with integrating environmental preparation around training, tapering and travel plans. Additionally, opportunities for sophisticated interventions may not be possible in the constrained environment of the athlete village or event arenas. This review therefore takes knowledge gained from robust experimental work, interprets it and provides direction on how practitioners/coaches can optimize their athletes' heat alleviation strategies. This review identifies two distinct heat alleviation themes that should be considered to form an individualized strategy for the athlete to enhance thermoregulatory/performance physiology. First, chronic heat alleviation techniques are outlined, these describe interventions such as heat acclimation, which are implemented pre, during and post-training to prepare for the increased heat stress. Second, acute heat alleviation techniques that are implemented immediately prior to, and sometimes during the event are discussed.
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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.