Effects of different dietary supplements combined with conditioning training on muscle strength, jump performance, sprint speed, and muscle mass in athletes: a systematic review and network meta-analysis

BackgroundAs dietary supplements have become integral to meeting athletes’ specialised nutritional requirements, research into their effects on performance has intensified. Yet inconsistent findings leave the efficacy of some supplements—most notably branched-chain amino acids and β-hydroxy-β-methyl...

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Main Authors: Beiwang Deng, Ruixiang Yan, Tianyuan He, Gesheng Lin, Ting Liu, Wen Chen, Jiaxin He, Duanying Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1636970/full
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author Beiwang Deng
Ruixiang Yan
Tianyuan He
Gesheng Lin
Ting Liu
Wen Chen
Jiaxin He
Duanying Li
Duanying Li
author_facet Beiwang Deng
Ruixiang Yan
Tianyuan He
Gesheng Lin
Ting Liu
Wen Chen
Jiaxin He
Duanying Li
Duanying Li
author_sort Beiwang Deng
collection DOAJ
description BackgroundAs dietary supplements have become integral to meeting athletes’ specialised nutritional requirements, research into their effects on performance has intensified. Yet inconsistent findings leave the efficacy of some supplements—most notably branched-chain amino acids and β-hydroxy-β-methylbutyrate (HMB)—open to debate. To clarify which products offer the greatest benefit, we undertook a systematic review and network meta-analysis aimed at identifying the supplements most effective for athletes, including protein, creatine, β-alanine, HMB, vitamin D, caffeine, and others.MethodsPubMed, Web of Science, the Cochrane Library, Embase and SPORTDiscus were searched from database inception to 15 March 2024 for RCTs evaluating the effects of dietary supplements (including but not limited to protein, creatine, β-alanine, HMB, caffeine, and vitamin D) on athletic performance. Risk of bias was appraised with the revised Cochrane RoB 2 tool. A network meta-analysis was performed in R.ResultsWe included 35 randomized controlled trials comprising 991 athletes who completed strength and conditioning training in conjunction with various dietary supplements or a placebo. The risk of bias assessment indicated that 8.57% of studies were at low risk, 88.57% had some concerns, and 2.86% were at high risk of bias. Protein supplementation yielded the greatest improvement in muscular strength (standardized mean difference [SMD] = 0.64, 95% confidence interval [CI] 0.31–0.97; surface under the cumulative ranking curve [SUCRA] = 99.6%; very low-certainty evidence). Both β-alanine (SMD = 0.41, 95% CI 0.10–0.72; SUCRA = 89.0%; moderate-certainty evidence) and creatine (SMD = 0.30, 95% CI 0.07–0.53; SUCRA = 76.06%; moderate-certainty evidence) significantly enhanced jump performance, with β-alanine ranking marginally higher. Creatine also reduced sprint time (SMD = −0.42, 95% CI − 0.68 to −0.16; SUCRA = 94.57%; moderate-certainty evidence). No supplement significantly increased lean body mass.ConclusionProtein supplementation appears to be the most effective strategy for increasing muscular strength; β-alanine and creatine both improve jump performance, with β-alanine offering marginally superior effectiveness; and creatine is particularly beneficial for sprint speed. As none of the supplements meaningfully increased muscle mass, practitioners should align supplementation strategies with the targeted performance attribute and training phase to optimise the synergy between nutrition and training and maximise athletic outcomes.Systematic review registrationPROSPERO, CRD420251048402.
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spelling doaj-art-2acee3b42f4e4cefb4c753bb9e1a6e4b2025-08-20T03:45:04ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-07-011210.3389/fnut.2025.16369701636970Effects of different dietary supplements combined with conditioning training on muscle strength, jump performance, sprint speed, and muscle mass in athletes: a systematic review and network meta-analysisBeiwang Deng0Ruixiang Yan1Tianyuan He2Gesheng Lin3Ting Liu4Wen Chen5Jiaxin He6Duanying Li7Duanying Li8School of Athletic Training, Guangzhou Sport University, Guangzhou, ChinaSchool of Athletic Training, Guangzhou Sport University, Guangzhou, ChinaSchool of Athletic Training, Guangzhou Sport University, Guangzhou, ChinaSchool of Athletic Training, Guangzhou Sport University, Guangzhou, ChinaSports Industry Department, Guangzhou Polytechnic of Sports, Guangzhou, ChinaDepartment of Physical Education, Guangzhou Sport University, Guangzhou, ChinaSchool of Athletic Training, Guangzhou Sport University, Guangzhou, ChinaSchool of Athletic Training, Guangzhou Sport University, Guangzhou, ChinaGuangdong Provincial Key Laboratory of Human Sports Performance Science, Guangzhou Sport University, Guangzhou, Guangdong, ChinaBackgroundAs dietary supplements have become integral to meeting athletes’ specialised nutritional requirements, research into their effects on performance has intensified. Yet inconsistent findings leave the efficacy of some supplements—most notably branched-chain amino acids and β-hydroxy-β-methylbutyrate (HMB)—open to debate. To clarify which products offer the greatest benefit, we undertook a systematic review and network meta-analysis aimed at identifying the supplements most effective for athletes, including protein, creatine, β-alanine, HMB, vitamin D, caffeine, and others.MethodsPubMed, Web of Science, the Cochrane Library, Embase and SPORTDiscus were searched from database inception to 15 March 2024 for RCTs evaluating the effects of dietary supplements (including but not limited to protein, creatine, β-alanine, HMB, caffeine, and vitamin D) on athletic performance. Risk of bias was appraised with the revised Cochrane RoB 2 tool. A network meta-analysis was performed in R.ResultsWe included 35 randomized controlled trials comprising 991 athletes who completed strength and conditioning training in conjunction with various dietary supplements or a placebo. The risk of bias assessment indicated that 8.57% of studies were at low risk, 88.57% had some concerns, and 2.86% were at high risk of bias. Protein supplementation yielded the greatest improvement in muscular strength (standardized mean difference [SMD] = 0.64, 95% confidence interval [CI] 0.31–0.97; surface under the cumulative ranking curve [SUCRA] = 99.6%; very low-certainty evidence). Both β-alanine (SMD = 0.41, 95% CI 0.10–0.72; SUCRA = 89.0%; moderate-certainty evidence) and creatine (SMD = 0.30, 95% CI 0.07–0.53; SUCRA = 76.06%; moderate-certainty evidence) significantly enhanced jump performance, with β-alanine ranking marginally higher. Creatine also reduced sprint time (SMD = −0.42, 95% CI − 0.68 to −0.16; SUCRA = 94.57%; moderate-certainty evidence). No supplement significantly increased lean body mass.ConclusionProtein supplementation appears to be the most effective strategy for increasing muscular strength; β-alanine and creatine both improve jump performance, with β-alanine offering marginally superior effectiveness; and creatine is particularly beneficial for sprint speed. As none of the supplements meaningfully increased muscle mass, practitioners should align supplementation strategies with the targeted performance attribute and training phase to optimise the synergy between nutrition and training and maximise athletic outcomes.Systematic review registrationPROSPERO, CRD420251048402.https://www.frontiersin.org/articles/10.3389/fnut.2025.1636970/fullsport nutritionergogenic aidssupplementationsport performancesportsman
spellingShingle Beiwang Deng
Ruixiang Yan
Tianyuan He
Gesheng Lin
Ting Liu
Wen Chen
Jiaxin He
Duanying Li
Duanying Li
Effects of different dietary supplements combined with conditioning training on muscle strength, jump performance, sprint speed, and muscle mass in athletes: a systematic review and network meta-analysis
Frontiers in Nutrition
sport nutrition
ergogenic aids
supplementation
sport performance
sportsman
title Effects of different dietary supplements combined with conditioning training on muscle strength, jump performance, sprint speed, and muscle mass in athletes: a systematic review and network meta-analysis
title_full Effects of different dietary supplements combined with conditioning training on muscle strength, jump performance, sprint speed, and muscle mass in athletes: a systematic review and network meta-analysis
title_fullStr Effects of different dietary supplements combined with conditioning training on muscle strength, jump performance, sprint speed, and muscle mass in athletes: a systematic review and network meta-analysis
title_full_unstemmed Effects of different dietary supplements combined with conditioning training on muscle strength, jump performance, sprint speed, and muscle mass in athletes: a systematic review and network meta-analysis
title_short Effects of different dietary supplements combined with conditioning training on muscle strength, jump performance, sprint speed, and muscle mass in athletes: a systematic review and network meta-analysis
title_sort effects of different dietary supplements combined with conditioning training on muscle strength jump performance sprint speed and muscle mass in athletes a systematic review and network meta analysis
topic sport nutrition
ergogenic aids
supplementation
sport performance
sportsman
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1636970/full
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