Evidence map›Paper›PMID 42714767›Full record

SynthesisSports medicine - open2026

Fast-Acting Caffeine Strategy: A Systematic Review and Meta-Analysis of the Ergogenic Effects of Caffeine Chewing Gum on Physical Performance.

Hossein Miraftabi, Erfan Berjisian, Craig Pickering, Alvaro Lopez-Samanes, Olivier Girard

Abstract readSystematic Review
In one paragraph

Synthesis in Sports medicine - open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Hossein MiraftabiDepartment of Exercise Physiology, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran.
Erfan Berjisian, Perth, WA, Australia.
Craig PickeringAustralian Athletics, Melbourne, Australia.
Alvaro Lopez-SamanesGICAF Research Group, Department of Education Research Methods and Evaluation, Faculty of Human and Social Sciences, Universidad Pontificia Comillas, 28049, Madrid, Spain.
Olivier GirardSchool of Human Sciences, Exercise and Sport Science, University of Western Australia, Perth, WA, 6009, Australia. olivier.girard@uwa.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCaffeine gum is a fast-acting delivery method that rapidly elevates circulating caffeine levels and may improve physical performance. Given the recent growth in research, an updated systematic review and meta-analysis is warranted.

objectivesTo evaluate the acute effects of caffeine gum on physical performance compared with placebo, and investigate potential moderators including (1) training status, (2) exercise type, (3) chewing duration, (4) caffeine habituation (i.e., habitual intake), (5) caffeine dosage, and (6) timing of administration relative to exercise.

methodsThe review followed the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA guidelines. PubMed, Web of Science, Scopus and SPORTDiscus were searched up to March 2026. Three-level meta-analyses were synthesized for outcomes. Sensitivity analyses addressed assumptions within-subject correlations, outliers, and influential cases. Risk of bias was assessed using standardized tools.

resultsThirty-one studies were assessed for full-text eligibility, of which 25 (n = 390 participants) met the inclusion criteria and were included in the meta-analysis. Caffeine gum produced a trivial but significant improvement in physical performance (SMD = 0.195, 95% CI [0.115, 0.275], p = 0.001; GRADE: low) with very low heterogeneity (I

conclusionCaffeine gum produced statistically significant but trivial improvements in physical performance, suggesting limited practical significance. However, even these small improvements may provide a competitive advantage in certain sporting situations. Registration The protocol was prospectively registered in the PROSPERO database (CRD420251086458).

Indexed as

CaffeineCaffeine chewing gumErgogenic aidsExercise performanceNutrition

Identifiers

PMID42714767
PMCPMC13558504

What OpenQuestion holds

Textmetadata
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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.