SynthesisEuropean journal of nutrition2022
Risk or benefit? Side effects of caffeine supplementation in sport: a systematic review.
Synthesis in European journal of nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07090421 (Varying Doses of Evening Caffeine Ingestion Have Different Effects on Rowing Ergometer Performance, Sleep Quality and Wakefulness Scores), which is not on this map. Cited by 64 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.
Varying Doses of Evening Caffeine Ingestion Have Different Effects on Rowing Ergometer Performance, Sleep Quality and Wakefulness Scores
Who cites it
64 citing papers in PubMed, 4 syntheses or guidelines pooled it, 98 citations in OpenAlex.
- Pooled it
- Caffeine Use in Sport: A Systematic Review and Meta-analysis of Acute Side Effects and Implications for Athlete Health and Safety.Sports medicine (Auckland, N.Z.) · 2026Pooled it
- Dose-Response Effect of Oral Caffeine Use on Aerobic Exercise Performance: A Systematic Review and Meta-Analysis.Nutrients · 2026Pooled it
- Effects of acute caffeine intake on muscular power during resistance exercise: a systematic review and meta-analysis.Frontiers in nutrition · 2025Pooled it
- Acute pre-exercise oral intake of cacao polyphenols attenuates central fatigue development during sustained low-intensity ankle dorsiflexion exercise in healthy young male adults.Physiological reports · 2026Trial
- Effects of caffeine and acute exercise on the validity of a submaximal cycle ergometer test: a randomised, placebo-controlled crossover study.European journal of applied physiology · 2026Trial
- Trial
- Trial
- Effects of Acute and Moderate Caffeine Doses on Sport Climbing Performance: A Randomized Controlled Trial.Nutrients · 2026Trial
- Caffeinated chewing gum produces comparable strength and power gains to capsules with fewer side effects in resistance-trained men.Journal of the International Society of Sports Nutrition · 2025Trial
- Effects of carbohydrate, caffeine, and combined mouth rinses on physiological and perceptual responses during high-intensity interval exercise following a pre-exercise meal: a double-blinded, placebo-controlled, randomized crossover trial.Journal of the International Society of Sports Nutrition · 2025Trial
- Caffeine's influence on vertical jump height: a real-life collegiate student-athlete approach.Journal of the International Society of Sports Nutrition · 2025Trial
- Caffeine exacerbates exercise-induced gut cell damage and is influenced by ADORA2A genotype but not CYP1A2 genotype: A preliminary study.Physiological reports · 2025Trial
- Combined effects of low-dose caffeine and warm-up music enhance male athletes' performance in simulated Taekwondo combat: a double-blind, randomized crossover trial.Psychopharmacology · 2025Trial
- Effect of Caffeinated Chewing Gum on Maximal Strength, Muscular Power, and Muscle Recruitment During Bench Press and Back Squat Exercises.Nutrients · 2025Trial
- The OMNIVEG Study: Effects of Transitioning from a Traditional to a Vegan Mediterranean Diet on Fat Oxidation During Exercise.Nutrients · 2025Trial
- The Acute Effects of Caffeine Supplementation on Anaerobic Performance and Functional Strength in Female Soccer Players.Nutrients · 2025Trial
- Effects of an Acute High Dose of Caffeine on Physiological Responses and Performance During a Strength-Focused CrossFitNutrients · 2025Trial
- Trial
- Caffeine, but not paracetamol (acetaminophen), enhances muscular endurance, strength, and power.Journal of the International Society of Sports Nutrition · 2024Trial
4 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 8 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to systematically review evidence on the prevalence and magnitude of side effects associated with caffeine supplementation in athletes.
methodsSystematic searches through the PubMed, VHL, Scopus, and Web of Science databases were conducted according to the PRISMA guidelines. Peer-reviewed articles written in English that reported the prevalence/percentage or magnitude/effect size of side effects after caffeine supplementation in athletes in a sports context were included. Studies were grouped by the dose of caffeine administered as follows: low = ≤ 3.0 mg/kg; moderate = from 3.1 to 6.0 mg/kg; high = ≥ 6.1 mg/kg. The magnitude of the side effects was calculated with effect sizes.
resultsThe search retrieved 25 studies that met the inclusion/exclusion criteria with a pooled sample of 421 participants. The supplementation with caffeine produced a higher prevalence or magnitude of all side effects under investigation when compared to placebo/control situations. The prevalence (magnitude) was between 6 and 34% (ES between 0.13 and 1.11) for low doses of caffeine, between 0 and 34% (ES between -0.13 and 1.20) for moderate doses of caffeine, and between 8 and 83% (ES between 0.04 and 1.52) with high doses of caffeine. The presence of tachycardia/heart palpitations and the negative effects on sleep onset had the highest prevalence and magnitude, in athletes using supplementation with caffeine.
conclusionIn summary, caffeine supplementation in the doses habitually used to enhance physical performance produces several side effects, both after exercise and at least 24 h after the ingestion. However, the prevalence and magnitude of side effects with high doses of caffeine were habitually higher than with low doses of caffeine. From a practical perspective, using ~3.0 mg/kg of caffeine may be the dose of choice to obtain the ergogenic benefits of caffeine with the lowest prevalence and magnitude of side effects.
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.