Sport supplementation in competitive swimmers: a systematic review with meta-analysis

Background Competitive swimmers have a high prevalence of sports supplement (SS) consumption. However, only a few SS are scientifically proven to be safe, effective, and legal. Therefore, before incorporating supplements to enhance performance and health in competitive swimming, it is crucial to con...

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Main Authors: Raúl Domínguez, Inmaculada López-León, Javier Moreno-Lara, Esteban Rico, Antonio J. Sánchez-Oliver, Ángela Sánchez-Gómez, Javier Pecci
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of the International Society of Sports Nutrition
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Online Access:https://www.tandfonline.com/doi/10.1080/15502783.2025.2486988
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author Raúl Domínguez
Inmaculada López-León
Javier Moreno-Lara
Esteban Rico
Antonio J. Sánchez-Oliver
Ángela Sánchez-Gómez
Javier Pecci
author_facet Raúl Domínguez
Inmaculada López-León
Javier Moreno-Lara
Esteban Rico
Antonio J. Sánchez-Oliver
Ángela Sánchez-Gómez
Javier Pecci
author_sort Raúl Domínguez
collection DOAJ
description Background Competitive swimmers have a high prevalence of sports supplement (SS) consumption. However, only a few SS are scientifically proven to be safe, effective, and legal. Therefore, before incorporating supplements to enhance performance and health in competitive swimming, it is crucial to conduct an analysis and review to assess their effects. The objective of this study was to analyze the demonstrated effects of SS, as reported in published studies, on the swimming performance of competitive swimmers.Methods Following PRISMA guidelines, a systematic search was conducted across six databases for the selection of studies included in this review. Studies that analyzed the effects of sports supplementation compared to placebo were included and subjected to meta-analysis.Results This revision included 23 studies, 16 of them (69.6%) qualified as excellent and 7 (30.4%) as good at the methodological level based on the punctuation in the PEDro scale. The systematic review included 422 swimmers (61.8% male, 38.2% female), with distances assessed ranging from 50 m to 800 m, including studies employing interval procedures. Creatine showed a significant effect (ES = −0.46; 95% CIs = −0.75 to −0.17, p = 0.002; I2 = 11%) on swimming performance, while the rest of the analyzed supplements did not show significant effects (all p > 0.05).Conclusions Creatine supplementation demonstrated ergogenic benefits for competitive swimmers, although the evidence supporting the use of this supplement is still limited. Sodium bicarbonate and β-alanine may enhance performance in distances with higher glycolytic demands, while caffeine is effective at dosages of 3–6 mg/kg administered 60 min before exercise. Further research is needed to confirm the potential ergogenic effects of other supplements, such as beetroot juice.
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spelling doaj-art-c01ef5725a8147418cdedbb998e95b8e2025-08-20T02:16:50ZengTaylor & Francis GroupJournal of the International Society of Sports Nutrition1550-27832025-12-0122110.1080/15502783.2025.2486988Sport supplementation in competitive swimmers: a systematic review with meta-analysisRaúl Domínguez0Inmaculada López-León1Javier Moreno-Lara2Esteban Rico3Antonio J. Sánchez-Oliver4Ángela Sánchez-Gómez5Javier Pecci6Universidad de Sevilla, Departamento de Motricidad Humana Rendimiento Deportivo, Sevilla, SpainUniversidad de Sevilla, Departamento de Motricidad Humana Rendimiento Deportivo, Sevilla, SpainUniversidad de Sevilla, Departamento de Motricidad Humana Rendimiento Deportivo, Sevilla, SpainUniversidad de Sevilla, Departamento de Motricidad Humana Rendimiento Deportivo, Sevilla, SpainUniversidad de Sevilla, Departamento de Motricidad Humana Rendimiento Deportivo, Sevilla, SpainUniversidad de Córdoba, Departamento de Enfermería Farmacología y Fisioterapia, Facultad de Medicina y Enfermería, Córdoba, EspañaUniversity of Seville, Department of Physical Education and Sport, Seville, SpainBackground Competitive swimmers have a high prevalence of sports supplement (SS) consumption. However, only a few SS are scientifically proven to be safe, effective, and legal. Therefore, before incorporating supplements to enhance performance and health in competitive swimming, it is crucial to conduct an analysis and review to assess their effects. The objective of this study was to analyze the demonstrated effects of SS, as reported in published studies, on the swimming performance of competitive swimmers.Methods Following PRISMA guidelines, a systematic search was conducted across six databases for the selection of studies included in this review. Studies that analyzed the effects of sports supplementation compared to placebo were included and subjected to meta-analysis.Results This revision included 23 studies, 16 of them (69.6%) qualified as excellent and 7 (30.4%) as good at the methodological level based on the punctuation in the PEDro scale. The systematic review included 422 swimmers (61.8% male, 38.2% female), with distances assessed ranging from 50 m to 800 m, including studies employing interval procedures. Creatine showed a significant effect (ES = −0.46; 95% CIs = −0.75 to −0.17, p = 0.002; I2 = 11%) on swimming performance, while the rest of the analyzed supplements did not show significant effects (all p > 0.05).Conclusions Creatine supplementation demonstrated ergogenic benefits for competitive swimmers, although the evidence supporting the use of this supplement is still limited. Sodium bicarbonate and β-alanine may enhance performance in distances with higher glycolytic demands, while caffeine is effective at dosages of 3–6 mg/kg administered 60 min before exercise. Further research is needed to confirm the potential ergogenic effects of other supplements, such as beetroot juice.https://www.tandfonline.com/doi/10.1080/15502783.2025.2486988Sport nutritionergogenic aidsports performanceergogenic supplementationaquatic sport
spellingShingle Raúl Domínguez
Inmaculada López-León
Javier Moreno-Lara
Esteban Rico
Antonio J. Sánchez-Oliver
Ángela Sánchez-Gómez
Javier Pecci
Sport supplementation in competitive swimmers: a systematic review with meta-analysis
Journal of the International Society of Sports Nutrition
Sport nutrition
ergogenic aid
sports performance
ergogenic supplementation
aquatic sport
title Sport supplementation in competitive swimmers: a systematic review with meta-analysis
title_full Sport supplementation in competitive swimmers: a systematic review with meta-analysis
title_fullStr Sport supplementation in competitive swimmers: a systematic review with meta-analysis
title_full_unstemmed Sport supplementation in competitive swimmers: a systematic review with meta-analysis
title_short Sport supplementation in competitive swimmers: a systematic review with meta-analysis
title_sort sport supplementation in competitive swimmers a systematic review with meta analysis
topic Sport nutrition
ergogenic aid
sports performance
ergogenic supplementation
aquatic sport
url https://www.tandfonline.com/doi/10.1080/15502783.2025.2486988
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