Loading…

How Cool is That? The Effects of Menthol Mouth Rinsing on Exercise Capacity and Performance: A Systematic Review and Meta-analysis

Background: Menthol (MEN) mouth rinsing (MR) has gained considerable interest in the athletic population for exercise performance; however, the overall magnitude of effect is unknown. Objective: The aim of this systematic review and meta-analysis was to determine the efficacy of menthol MEN MR and t...

Full description

Saved in:
Bibliographic Details
Main Authors: EH Gavel, G Barreto, KV Hawke, T Stellingwerff, Lewis James, B Saunders, HM Logan-Sprenger
Format: Default Article
Published: 2024
Subjects:
Online Access:https://hdl.handle.net/2134/25860403.v1
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1818164817093984256
author EH Gavel
G Barreto
KV Hawke
T Stellingwerff
Lewis James
B Saunders
HM Logan-Sprenger
author_facet EH Gavel
G Barreto
KV Hawke
T Stellingwerff
Lewis James
B Saunders
HM Logan-Sprenger
author_sort EH Gavel (18584683)
collection Figshare
description Background: Menthol (MEN) mouth rinsing (MR) has gained considerable interest in the athletic population for exercise performance; however, the overall magnitude of effect is unknown. Objective: The aim of this systematic review and meta-analysis was to determine the efficacy of menthol MEN MR and the impact it has on exercise capacity and performance. Methods: Three databases were searched with articles screened according to the inclusion/exclusion criteria. Three-level meta-analyses were used to investigate the overall efficacy of MEN MR and the impact it has on exercise capacity and performance. Meta-regressions were then performed with 1) mean VO2peak, 2) MEN swilling duration; 3) the MEN concentration of MR solution, 4) the number of executed swills throughout a single experiment, 5) the use of flavoured sweetened, non-caloric, or non-flavoured neutral solutions as controls, 6) mean environmental temperature at the time of exercise tests, and 7) exercise type as fixed factors to evaluate their influence on the effects of MEN MR. Results: Ten MEN MR studies included sufficient information pertaining to MEN MR and exercise performance and capacity. MR with MEN resulted in no significant change in capacity and performance (SMD = 0.12; 95% CI − 0.08, 0.31; p = 0.23, n = 1, tau21 < 0.0001, tau22 = < 0.0001, I2 = 0%). No significant influence was detected in meta-regressions for VO2peak, (estimate: 0.03; df = 8; 95% CI − 0.03, 0.09; p = 0.27), swilling duration (5 vs. 10 s: 0.00; df = 16; 95% CI − 0.41, 0.41; p = 1.0), MEN concentration (low [0.01%] vs. high [0.1%]: − 0.08; df = 15; 95% CI − 0.49, 0.32; p = 0.67), number of swills (estimate: 0.02; df = 13; 95% CI − 0.05, 0.09; p = 0.56), the use of flavoured sweetener or non-caloric as control (non-flavoured vs. flavoured: 0.12; df = 16; 95% CI − 0.30, 0.55; p = 0.55) or mean room temperature during exercise tests (estimate: 0.01; df = 16; 95% CI − 0.02, 0.04; p = 0.62). Conclusion: MEN MR did not significantly improve overall exercise capacity and performance, though those involved in endurance exercise may see benefits.
format Default
Article
id rr-article-25860403
institution Loughborough University
publishDate 2024
record_format Figshare
spelling rr-article-258604032024-02-21T00:00:00Z How Cool is That? The Effects of Menthol Mouth Rinsing on Exercise Capacity and Performance: A Systematic Review and Meta-analysis EH Gavel (18584683) G Barreto (18584686) KV Hawke (18584689) T Stellingwerff (8467962) Lewis James (1249500) B Saunders (8372808) HM Logan-Sprenger (18584692) Menthol Mouth rinsing Exercise Capacity Performance <div>Background: Menthol (MEN) mouth rinsing (MR) has gained considerable interest in the athletic population for exercise performance; however, the overall magnitude of effect is unknown. Objective: The aim of this systematic review and meta-analysis was to determine the efficacy of menthol MEN MR and the impact it has on exercise capacity and performance. Methods: Three databases were searched with articles screened according to the inclusion/exclusion criteria. Three-level meta-analyses were used to investigate the overall efficacy of MEN MR and the impact it has on exercise capacity and performance. Meta-regressions were then performed with 1) mean VO2<sub>peak</sub>, 2) MEN swilling duration; 3) the MEN concentration of MR solution, 4) the number of executed swills throughout a single experiment, 5) the use of flavoured sweetened, non-caloric, or non-flavoured neutral solutions as controls, 6) mean environmental temperature at the time of exercise tests, and 7) exercise type as fixed factors to evaluate their influence on the effects of MEN MR. Results: Ten MEN MR studies included sufficient information pertaining to MEN MR and exercise performance and capacity. MR with MEN resulted in no significant change in capacity and performance (SMD = 0.12; 95% CI − 0.08, 0.31; p = 0.23, n = 1, tau<sup>2</sup>1 < 0.0001, tau<sup>2</sup>2 = < 0.0001, I2 = 0%). No significant influence was detected in meta-regressions for VO2<sub>peak</sub>, (estimate: 0.03; df = 8; 95% CI − 0.03, 0.09; p = 0.27), swilling duration (5 vs. 10 s: 0.00; df = 16; 95% CI − 0.41, 0.41; p = 1.0), MEN concentration (low [0.01%] vs. high [0.1%]: − 0.08; df = 15; 95% CI − 0.49, 0.32; p = 0.67), number of swills (estimate: 0.02; df = 13; 95% CI − 0.05, 0.09; p = 0.56), the use of flavoured sweetener or non-caloric as control (non-flavoured vs. flavoured: 0.12; df = 16; 95% CI − 0.30, 0.55; p = 0.55) or mean room temperature during exercise tests (estimate: 0.01; df = 16; 95% CI − 0.02, 0.04; p = 0.62). Conclusion: MEN MR did not significantly improve overall exercise capacity and performance, though those involved in endurance exercise may see benefits.</div><p></p> 2024-02-21T00:00:00Z Text Journal contribution 2134/25860403.v1 https://figshare.com/articles/journal_contribution/How_Cool_is_That_The_Effects_of_Menthol_Mouth_Rinsing_on_Exercise_Capacity_and_Performance_A_Systematic_Review_and_Meta-analysis/25860403 CC BY 4.0
spellingShingle Menthol
Mouth rinsing
Exercise
Capacity
Performance
EH Gavel
G Barreto
KV Hawke
T Stellingwerff
Lewis James
B Saunders
HM Logan-Sprenger
How Cool is That? The Effects of Menthol Mouth Rinsing on Exercise Capacity and Performance: A Systematic Review and Meta-analysis
title How Cool is That? The Effects of Menthol Mouth Rinsing on Exercise Capacity and Performance: A Systematic Review and Meta-analysis
title_full How Cool is That? The Effects of Menthol Mouth Rinsing on Exercise Capacity and Performance: A Systematic Review and Meta-analysis
title_fullStr How Cool is That? The Effects of Menthol Mouth Rinsing on Exercise Capacity and Performance: A Systematic Review and Meta-analysis
title_full_unstemmed How Cool is That? The Effects of Menthol Mouth Rinsing on Exercise Capacity and Performance: A Systematic Review and Meta-analysis
title_short How Cool is That? The Effects of Menthol Mouth Rinsing on Exercise Capacity and Performance: A Systematic Review and Meta-analysis
title_sort how cool is that? the effects of menthol mouth rinsing on exercise capacity and performance: a systematic review and meta-analysis
topic Menthol
Mouth rinsing
Exercise
Capacity
Performance
url https://hdl.handle.net/2134/25860403.v1