Evidence map›Paper›PMID 40278171›Full record

ReviewJournal of cardiovascular development and disease2025

Pre-Workout Supplements and Their Effects on Cardiovascular Health: An Integrative Review.

Yanesko Fernandes Bella, Samantha Rodrigues Silva Cupido, Pedro Augusto Querido Inacio, Marcelo Luiz Peixoto Sobral, Rodolfo P Vieira

Abstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

5 authors.

Yanesko Fernandes BellaDepartment of Medicine, School of Medicine, University Center of the Americas (FAM), São Paulo 01304-001, SP, Brazil.
Samantha Rodrigues Silva CupidoDepartment of Medicine, School of Medicine, University Center of the Americas (FAM), São Paulo 01304-001, SP, Brazil.ORCID 0009-0003-5087-5163
Pedro Augusto Querido InacioLaboratory of Pulmonary and Exercise Immunology (LABPEI), Evangelical University of Goias (Unievangelica), Anápolis 75083-515, GO, Brazil.ORCID 0000-0001-9354-1460
Marcelo Luiz Peixoto SobralDepartment of Cardiovascular and Thoracic Surgery, Heart Institute, University of São Paulo (USP), São Paulo 05508-220, SP, Brazil.ORCID 0000-0003-3431-7033
Rodolfo P VieiraLaboratory of Pulmonary and Exercise Immunology (LABPEI), Evangelical University of Goias (Unievangelica), Anápolis 75083-515, GO, Brazil.ORCID 0000-0001-6379-1143

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDietary supplements have become a popular aid for improving training performance. Pre-workout supplements contain a mixture of ingredients used to boost physical performance, with some components having been associated with the promotion of cardiovascular health. However, there is insufficient scientific literature on the effects of pre-workout supplements, and the studies often have conflicting results.

objectiveThe aim of this review was to analyze the impact of multi-ingredient pre-workout supplements on cardiovascular health, in order to identify the main adverse effects and the roles of the most common substances in these supplements. METHODOLOGY: A systematic search was carried out in the Web of Science and PubMed databases by three independent researchers between January 2010 and August 2024. The inclusion criteria were available articles published in English. Articles that did not evaluate cardiovascular outcomes and the use of pre-workout supplements were excluded.

resultsThe 24 studies analyzed demonstrated an overall increase in supplement intake. Pre-workout supplements were associated with improved physical performance and possible cardiovascular changes, with these effects being classified as adverse or cardioprotective. This discrepancy in the results may be due to the different dosages and populations investigated (including active and non-active participants, and healthy participants or those with a history of cardiovascular diseases), as well as other factors that correlate with deleterious cardiac conditions.

conclusionsMulti-ingredient pre-workout supplements may offer physical and cardiovascular benefits, including increased energy, focus, endurance, and strength during exercise, as well as having potential positive impacts on blood pressure and triglyceride, low-density lipoprotein (LDL), and homocysteine levels. However, due to the conflicting results of the analyzed studies, additional studies are necessary to fill in the knowledge gaps and establish clearer guidelines for the safe and effective use of these supplements.

Indexed as

dietary supplementsheart disease risk factorsillicit drugsperformance-enhancing substances

Identifiers

PMID40278171
PMCPMC12028264

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Registered trials

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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.