topicElectrolyte Hydration Randomized Trial
claimThis cutoff was selected based on evidence indicating glycogen stress at ~40 min under heat stress.
evidence level1
citationSalame A (2026)
sourceCarbohydrate supplementation for endurance exercise in the heat: a systematic review with practical recommendations.
topicElectrolyte Hydration Randomized Trial
claimRisk of bias was assessed using the Cochrane Collaboration's tool for assessing risk of bias.
evidence level1
citationSalame A (2026)
sourceCarbohydrate supplementation for endurance exercise in the heat: a systematic review with practical recommendations.
topicElectrolyte Hydration Randomized Trial
claimCarbohydrate supplementation resulted in equivocal benefits to endurance performance: five studies found significant ( p Conclusions Carbohydrate intake during endurance exercise in the heat does not consistently improve exercise performance.
evidence level1
citationSalame A (2026)
sourceCarbohydrate supplementation for endurance exercise in the heat: a systematic review with practical recommendations.
topicElectrolyte Hydration Randomized Trial
claimBackground and objectives Endurance exercise performance is impaired by heat stress.
evidence level1
citationSalame A (2026)
sourceCarbohydrate supplementation for endurance exercise in the heat: a systematic review with practical recommendations.
topicElectrolyte Hydration Randomized Trial
claimFor example, statistics from the 2022/23 UEFA Champions League season revealed that when the match temperature was ≥21 °C, both total distance covered and high-speed running distance were markedly lower than in matches played at 6–10 °C, with sprint frequency also reduced [].
evidence level4
citationDai Xincheng (2026)
sourceNutritional Strategies to Support Performance Maintenance and Recovery in Football Under Hot Environmental Conditions: A Narrative Review
topicElectrolyte Hydration Randomized Trial
claimIn hot environments, increased skin blood flow and heavy sweating facilitate heat dissipation; however, if fluid and electrolyte replacement is insufficient, dehydration and electrolyte imbalance occur, leading to reductions in plasma volume, decreased cardiac output, and elevated heart rate, thereby increasing cardiovascular strain [].
evidence level4
citationDai Xincheng (2026)
sourceNutritional Strategies to Support Performance Maintenance and Recovery in Football Under Hot Environmental Conditions: A Narrative Review
topicElectrolyte Hydration Randomized Trial
claimSubjective fatigue and thermal discomfort are also greatly increased in hot environments: during constant-intensity exercise at 35 °C, ratings of perceived exertion (RPEs) were 2–3 points higher than at 20 °C and remained consistently elevated throughout exercise [].
evidence level4
citationDai Xincheng (2026)
sourceNutritional Strategies to Support Performance Maintenance and Recovery in Football Under Hot Environmental Conditions: A Narrative Review
topicElectrolyte Hydration Randomized Trial
claim1 2 3 4 5 With the progression of global climate warming, football matches held in hot climates have become increasingly frequent, and the performance and health of players in high-temperature environments have attracted widespread attention [,].
evidence level4
citationDai Xincheng (2026)
sourceNutritional Strategies to Support Performance Maintenance and Recovery in Football Under Hot Environmental Conditions: A Narrative Review