topicCitrulline Resistance Exercise Meta-Analysis
claimInterpretation is further complicated by previous evidence syntheses that pooled studies of pure L-citrulline with CM, thereby limiting conclusions specific to CM supplementation [,,].
evidence level1
citationWang Xuexiang (2026)
sourceEffects of Citrulline Malate Supplementation on Exercise Performance: A Systematic Review and Three-Level Meta-Analysis
topicCitrulline Resistance Exercise Meta-Analysis
claimIn contrast, Aguiar & Casonatto (2022) [] focused exclusively on maximal muscular strength in resistance-trained adults incorporating four trials without distinguishing between acute and chronic supplementation protocols, and found no performance benefits.
evidence level1
citationWang Xuexiang (2026)
sourceEffects of Citrulline Malate Supplementation on Exercise Performance: A Systematic Review and Three-Level Meta-Analysis
topicCitrulline Resistance Exercise Meta-Analysis
claimThese reviews therefore reach divergent conclusions and each addresses only a narrow aspect of the available evidence [].
evidence level1
citationWang Xuexiang (2026)
sourceEffects of Citrulline Malate Supplementation on Exercise Performance: A Systematic Review and Three-Level Meta-Analysis
topicCitrulline Resistance Exercise Meta-Analysis
claim1 2 3 4 5 6 2 Citrulline malate (CM) is a popular dietary supplement marketed as an ergogenic aid for exercise performance [].
evidence level1
citationWang Xuexiang (2026)
sourceEffects of Citrulline Malate Supplementation on Exercise Performance: A Systematic Review and Three-Level Meta-Analysis
topicCitrulline Resistance Exercise Meta-Analysis
claimExercise is low cost and biologically plausible, but evidence on its association with fertility-related outcomes is dispersed across multiple meta-analyses.
evidence level3
citationLam LK (2026)
sourceExercise intervention improves fertility outcomes in females and males: an umbrella review of meta-analyses.
topicCitrulline Resistance Exercise Meta-Analysis
claimMethodological quality, risk of bias, and certainty of evidence were assessed using AMSTAR 2, ROBIS, and GRADE, respectively.
evidence level3
citationLam LK (2026)
sourceExercise intervention improves fertility outcomes in females and males: an umbrella review of meta-analyses.
topicCitrulline Resistance Exercise Meta-Analysis
claimIt also associated with higher ovulation rate, pregnancy rate and clinical pregnancy rate.
evidence level3
citationLam LK (2026)
sourceExercise intervention improves fertility outcomes in females and males: an umbrella review of meta-analyses.
topicCitrulline Resistance Exercise Meta-Analysis
claimBackground Infertility is a major global health burden, yet scalable lifestyle strategies to improve reproductive outcomes remain limited.
evidence level3
citationLam LK (2026)
sourceExercise intervention improves fertility outcomes in females and males: an umbrella review of meta-analyses.