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

Introduction: Dietary 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 insu...

Full description

Saved in:
Bibliographic Details
Main Authors: Yanesko Fernandes Bella, Samantha Rodrigues Silva Cupido, Pedro Augusto Querido Inacio, Marcelo Luiz Peixoto Sobral, Rodolfo P. Vieira
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:https://www.mdpi.com/2308-3425/12/4/112
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850144031815761920
author Yanesko Fernandes Bella
Samantha Rodrigues Silva Cupido
Pedro Augusto Querido Inacio
Marcelo Luiz Peixoto Sobral
Rodolfo P. Vieira
author_facet Yanesko Fernandes Bella
Samantha Rodrigues Silva Cupido
Pedro Augusto Querido Inacio
Marcelo Luiz Peixoto Sobral
Rodolfo P. Vieira
author_sort Yanesko Fernandes Bella
collection DOAJ
description Introduction: Dietary 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. Objective: The 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. Results: The 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. Conclusions: Multi-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.
format Article
id doaj-art-54d4dd3ff15245f8b03e415b3f558520
institution OA Journals
issn 2308-3425
language English
publishDate 2025-03-01
publisher MDPI AG
record_format Article
series Journal of Cardiovascular Development and Disease
spelling doaj-art-54d4dd3ff15245f8b03e415b3f5585202025-08-20T02:28:29ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252025-03-0112411210.3390/jcdd12040112Pre-Workout Supplements and Their Effects on Cardiovascular Health: An Integrative ReviewYanesko Fernandes Bella0Samantha Rodrigues Silva Cupido1Pedro Augusto Querido Inacio2Marcelo Luiz Peixoto Sobral3Rodolfo P. Vieira4Department of Medicine, School of Medicine, University Center of the Americas (FAM), São Paulo 01304-001, SP, BrazilDepartment of Medicine, School of Medicine, University Center of the Americas (FAM), São Paulo 01304-001, SP, BrazilLaboratory of Pulmonary and Exercise Immunology (LABPEI), Evangelical University of Goias (Unievangelica), Anápolis 75083-515, GO, BrazilDepartment of Cardiovascular and Thoracic Surgery, Heart Institute, University of São Paulo (USP), São Paulo 05508-220, SP, BrazilLaboratory of Pulmonary and Exercise Immunology (LABPEI), Evangelical University of Goias (Unievangelica), Anápolis 75083-515, GO, BrazilIntroduction: Dietary 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. Objective: The 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. Results: The 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. Conclusions: Multi-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.https://www.mdpi.com/2308-3425/12/4/112heart disease risk factorsdietary supplementsperformance-enhancing substancesillicit drugs
spellingShingle Yanesko Fernandes Bella
Samantha Rodrigues Silva Cupido
Pedro Augusto Querido Inacio
Marcelo Luiz Peixoto Sobral
Rodolfo P. Vieira
Pre-Workout Supplements and Their Effects on Cardiovascular Health: An Integrative Review
Journal of Cardiovascular Development and Disease
heart disease risk factors
dietary supplements
performance-enhancing substances
illicit drugs
title Pre-Workout Supplements and Their Effects on Cardiovascular Health: An Integrative Review
title_full Pre-Workout Supplements and Their Effects on Cardiovascular Health: An Integrative Review
title_fullStr Pre-Workout Supplements and Their Effects on Cardiovascular Health: An Integrative Review
title_full_unstemmed Pre-Workout Supplements and Their Effects on Cardiovascular Health: An Integrative Review
title_short Pre-Workout Supplements and Their Effects on Cardiovascular Health: An Integrative Review
title_sort pre workout supplements and their effects on cardiovascular health an integrative review
topic heart disease risk factors
dietary supplements
performance-enhancing substances
illicit drugs
url https://www.mdpi.com/2308-3425/12/4/112
work_keys_str_mv AT yaneskofernandesbella preworkoutsupplementsandtheireffectsoncardiovascularhealthanintegrativereview
AT samantharodriguessilvacupido preworkoutsupplementsandtheireffectsoncardiovascularhealthanintegrativereview
AT pedroaugustoqueridoinacio preworkoutsupplementsandtheireffectsoncardiovascularhealthanintegrativereview
AT marceloluizpeixotosobral preworkoutsupplementsandtheireffectsoncardiovascularhealthanintegrativereview
AT rodolfopvieira preworkoutsupplementsandtheireffectsoncardiovascularhealthanintegrativereview