Effects of Carbohydrate Mouth Rinse on Cycling Time Trial Performance: A Systematic Review and Meta-Analysis.
Cayque Brietzke, Paulo Estevão Franco-Alvarenga, Hélio José Coelho-Júnior, Rodrigo Silveira, Ricardo Yukio Asano, Flávio Oliveira Pires
Author Information
Cayque Brietzke: Exercise Psychophysiology Research Group, School of Arts, Sciences and Humanities, University of São Paulo, 1000 Arlindo Béttio Avenue, Ermelino Matarazzo, São Paulo, SP, 03828-000, Brazil. ORCID
Paulo Estevão Franco-Alvarenga: Exercise Psychophysiology Research Group, School of Arts, Sciences and Humanities, University of São Paulo, 1000 Arlindo Béttio Avenue, Ermelino Matarazzo, São Paulo, SP, 03828-000, Brazil. ORCID
Hélio José Coelho-Júnior: Applied Kinesiology Laboratory, University of Campinas, 701 Érico Veríssimo Avenue, Barão Geraldo, Campinas, SP, 13.083-851, Brazil. ORCID
Rodrigo Silveira: Exercise Psychophysiology Research Group, School of Arts, Sciences and Humanities, University of São Paulo, 1000 Arlindo Béttio Avenue, Ermelino Matarazzo, São Paulo, SP, 03828-000, Brazil. ORCID
Ricardo Yukio Asano: Exercise Psychophysiology Research Group, School of Arts, Sciences and Humanities, University of São Paulo, 1000 Arlindo Béttio Avenue, Ermelino Matarazzo, São Paulo, SP, 03828-000, Brazil. ORCID
Flávio Oliveira Pires: Exercise Psychophysiology Research Group, School of Arts, Sciences and Humanities, University of São Paulo, 1000 Arlindo Béttio Avenue, Ermelino Matarazzo, São Paulo, SP, 03828-000, Brazil. piresfo@usp.br. ORCID
BACKGROUND: Despite the growing number of studies reporting carbohydrate mouth rinse effects on endurance performance, no systematic and meta-analysis review has been conducted to elucidate the level of evidence of carbohydrate mouth rinse effects on cycling trial performance such as time-, work-, and distance-based trials. OBJECTIVES: The objective of this study were to establish the effect of a carbohydrate mouth rinse on cycling performance outcomes such as mean power output and time to complete a trial, together with the risk of bias in the cycling-carbohydrate mouth rinse literature. METHODS: We systematically reviewed randomized placebo-controlled trials that assessed carbohydrate mouth rinse effects on mean power output and time to complete the trial. A random-effects meta-analysis assessed the standardized mean difference between carbohydrate and placebo mouth rinses. RESULTS: Thirteen studies (16 trials) were qualitatively (systematic review) and quantitatively (meta-analysis) analyzed with regard to mean power output (n = 175) and time to complete the trial (n = 151). Overall, the reviewed studies showed a low risk of bias and homogeneous results for mean power output (I = 0%) and time to complete the trial (I = 0%). When compared with placebo, the carbohydrate mouth rinse improved mean power output (standardized mean difference = 0.25; 95% confidence interval 0.04-0.46; p = 0.02), but not the time to complete the trial (standardized mean difference = - 0.13; 95% confidence interval - 0.36 to 0.10; p = 0.25). CONCLUSION: The present systematic and meta-analytic review supports the notion that a carbohydrate mouth rinse has the potential to increase mean power output in cycling trials, despite showing no superiority over placebo in improving time to complete the trials.
References
Curr Sports Med Rep. 2013 Jul-Aug;12(4):222-7
[PMID: 23851408]
