Advantages of different dietary supplements for elite combat sports athletes: a systematic review and Bayesian network meta-analysis

Abstract With an increasing number of studies delving into the impact of dietary supplements on combat sports performance, researchers are actively seeking a more efficient dietary supplement for use in these sports. Nonetheless, controversies persist. Hence, we undertook a systematic review and Bay...

Full description

Saved in:
Bibliographic Details
Main Authors: Hua Luo, Tengku Fadilah Tengku Kamalden, Xiaolin Zhu, Changqing Xiang, Nurul Amelina Nasharuddin
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-024-84359-3
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841559635275808768
author Hua Luo
Tengku Fadilah Tengku Kamalden
Xiaolin Zhu
Changqing Xiang
Nurul Amelina Nasharuddin
author_facet Hua Luo
Tengku Fadilah Tengku Kamalden
Xiaolin Zhu
Changqing Xiang
Nurul Amelina Nasharuddin
author_sort Hua Luo
collection DOAJ
description Abstract With an increasing number of studies delving into the impact of dietary supplements on combat sports performance, researchers are actively seeking a more efficient dietary supplement for use in these sports. Nonetheless, controversies persist. Hence, we undertook a systematic review and Bayesian network meta-analysis to discern the most effective dietary supplements in combat sports by synthesizing the available evidence. We conducted a comprehensive search across PubMed, Web of Science, Cochrane, Embase, and SPORTDiscus, covering the period from their establishment to November 2, 2023. Our aim was to identify randomized controlled trials that evaluated the benefits of various dietary supplements for elite combat sports athletes. The risk of bias in these trials was assessed using the revised Cochrane Risk of Bias Tool for Randomized Trials. Subsequently, we employed Bayesian network meta-analysis through R software and Stata 15.0. During the analysis, we performed subgroup analysis based on the type of combat, distinguishing between striking and grappling disciplines. The analysis is based on 67 randomized controlled trials that meet all the inclusion criteria, involving 1026 elite combat sports athletes randomly assigned to 26 different dietary supplements or placebos. Results from the 50 trials included in the network meta-analysis indicate that compared to a placebo, sodium bicarbonate combined with caffeine (SMD: 2.3, 95% CrI: 1.5, 3.2), caffeine (SMD: 0.72, 95% CrI: 0.53, 0.93), beta-alanine (SMD: 0.58, 95% CrI: 0.079, 1.1), and sodium bicarbonate (SMD: 0.54, 95% CrI: 0.30, 0.81) was associated with a statistically significant increase in blood lactate concentrations. Compared to placebo, caffeine (SMD: 0.27, 95% CrI: 0.12, 0.41) was associated with a statistically significant increase in the final heart rate. Compared to placebo, creatine combined with sodium bicarbonate (SMD: 2.2, 95% CrI: 1.5, 3.1), creatine (SMD: 1.0, 95% CrI: 0.38, 1.6), and sodium bicarbonate (SMD: 0.42, 95% CrI: 0.18, 0.66) was associated with a statistically significant increase in mean power. Compared to placebo, creatine combined with sodium bicarbonate (SMD: 1.6, 95% CrI: 0.85, 2.3), creatine (SMD: 1.1, 95% CrI: 0.45, 1.7), and sodium bicarbonate (SMD: 0.35, 95% CrI: 0.11, 0.57) was associated with a statistically significant increase in peak power. Compared to placebo, caffeine (SMD: 1.4, 95% CrI: 0.19, 2.7) was associated with a statistically significant increase in the number of kicks. Compared to placebo, caffeine (SMD: 0.35, 95% CrI: 0.081, 0.61) was associated with a statistically significant increase in the number of throws. This study suggests that a range of dietary supplements, including caffeine, sodium bicarbonate, sodium bicarbonate combined with caffeine, creatine, creatine combined with sodium bicarbonate, and beta-alanine can improve the athletic performance of elite combat sports athletes.
format Article
id doaj-art-0df63b9147344697ac6cbcf5bb823de4
institution Kabale University
issn 2045-2322
language English
publishDate 2025-01-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-0df63b9147344697ac6cbcf5bb823de42025-01-05T12:16:36ZengNature PortfolioScientific Reports2045-23222025-01-0115113110.1038/s41598-024-84359-3Advantages of different dietary supplements for elite combat sports athletes: a systematic review and Bayesian network meta-analysisHua Luo0Tengku Fadilah Tengku Kamalden1Xiaolin Zhu2Changqing Xiang3Nurul Amelina Nasharuddin4Department of Sport Studies, Faculty of Educational Studies, Universiti Putra MalaysiaNational Sports Institute (ISN), National Sports ComplexCollege of Sport and Art, Shenzhen Technology UniversityFaculty of Physical Education, Hubei University of Arts and ScienceDepartment of Multimedia, Faculty of Computer Science and Information Technology, Universiti Putra MalaysiaAbstract With an increasing number of studies delving into the impact of dietary supplements on combat sports performance, researchers are actively seeking a more efficient dietary supplement for use in these sports. Nonetheless, controversies persist. Hence, we undertook a systematic review and Bayesian network meta-analysis to discern the most effective dietary supplements in combat sports by synthesizing the available evidence. We conducted a comprehensive search across PubMed, Web of Science, Cochrane, Embase, and SPORTDiscus, covering the period from their establishment to November 2, 2023. Our aim was to identify randomized controlled trials that evaluated the benefits of various dietary supplements for elite combat sports athletes. The risk of bias in these trials was assessed using the revised Cochrane Risk of Bias Tool for Randomized Trials. Subsequently, we employed Bayesian network meta-analysis through R software and Stata 15.0. During the analysis, we performed subgroup analysis based on the type of combat, distinguishing between striking and grappling disciplines. The analysis is based on 67 randomized controlled trials that meet all the inclusion criteria, involving 1026 elite combat sports athletes randomly assigned to 26 different dietary supplements or placebos. Results from the 50 trials included in the network meta-analysis indicate that compared to a placebo, sodium bicarbonate combined with caffeine (SMD: 2.3, 95% CrI: 1.5, 3.2), caffeine (SMD: 0.72, 95% CrI: 0.53, 0.93), beta-alanine (SMD: 0.58, 95% CrI: 0.079, 1.1), and sodium bicarbonate (SMD: 0.54, 95% CrI: 0.30, 0.81) was associated with a statistically significant increase in blood lactate concentrations. Compared to placebo, caffeine (SMD: 0.27, 95% CrI: 0.12, 0.41) was associated with a statistically significant increase in the final heart rate. Compared to placebo, creatine combined with sodium bicarbonate (SMD: 2.2, 95% CrI: 1.5, 3.1), creatine (SMD: 1.0, 95% CrI: 0.38, 1.6), and sodium bicarbonate (SMD: 0.42, 95% CrI: 0.18, 0.66) was associated with a statistically significant increase in mean power. Compared to placebo, creatine combined with sodium bicarbonate (SMD: 1.6, 95% CrI: 0.85, 2.3), creatine (SMD: 1.1, 95% CrI: 0.45, 1.7), and sodium bicarbonate (SMD: 0.35, 95% CrI: 0.11, 0.57) was associated with a statistically significant increase in peak power. Compared to placebo, caffeine (SMD: 1.4, 95% CrI: 0.19, 2.7) was associated with a statistically significant increase in the number of kicks. Compared to placebo, caffeine (SMD: 0.35, 95% CrI: 0.081, 0.61) was associated with a statistically significant increase in the number of throws. This study suggests that a range of dietary supplements, including caffeine, sodium bicarbonate, sodium bicarbonate combined with caffeine, creatine, creatine combined with sodium bicarbonate, and beta-alanine can improve the athletic performance of elite combat sports athletes.https://doi.org/10.1038/s41598-024-84359-3Combat sportsElite athletesErgogenic aidsSupplementationPerformance
spellingShingle Hua Luo
Tengku Fadilah Tengku Kamalden
Xiaolin Zhu
Changqing Xiang
Nurul Amelina Nasharuddin
Advantages of different dietary supplements for elite combat sports athletes: a systematic review and Bayesian network meta-analysis
Scientific Reports
Combat sports
Elite athletes
Ergogenic aids
Supplementation
Performance
title Advantages of different dietary supplements for elite combat sports athletes: a systematic review and Bayesian network meta-analysis
title_full Advantages of different dietary supplements for elite combat sports athletes: a systematic review and Bayesian network meta-analysis
title_fullStr Advantages of different dietary supplements for elite combat sports athletes: a systematic review and Bayesian network meta-analysis
title_full_unstemmed Advantages of different dietary supplements for elite combat sports athletes: a systematic review and Bayesian network meta-analysis
title_short Advantages of different dietary supplements for elite combat sports athletes: a systematic review and Bayesian network meta-analysis
title_sort advantages of different dietary supplements for elite combat sports athletes a systematic review and bayesian network meta analysis
topic Combat sports
Elite athletes
Ergogenic aids
Supplementation
Performance
url https://doi.org/10.1038/s41598-024-84359-3
work_keys_str_mv AT hualuo advantagesofdifferentdietarysupplementsforelitecombatsportsathletesasystematicreviewandbayesiannetworkmetaanalysis
AT tengkufadilahtengkukamalden advantagesofdifferentdietarysupplementsforelitecombatsportsathletesasystematicreviewandbayesiannetworkmetaanalysis
AT xiaolinzhu advantagesofdifferentdietarysupplementsforelitecombatsportsathletesasystematicreviewandbayesiannetworkmetaanalysis
AT changqingxiang advantagesofdifferentdietarysupplementsforelitecombatsportsathletesasystematicreviewandbayesiannetworkmetaanalysis
AT nurulamelinanasharuddin advantagesofdifferentdietarysupplementsforelitecombatsportsathletesasystematicreviewandbayesiannetworkmetaanalysis