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oai:figshare.com:article/34041507 2026-10-01T08:19:50Z category_16 portal_316 item_type_3 month_year_10_2026

Supplementary file 1_Effects of pre-competition conditioning strategies on acute sport performance in high-level athletes: a systematic review and network meta-analysis.docx Xueliang Chen (1946026) Haixu Hu (3523964) Physiology high-level athletes ischemic preconditioning post-activation performance enhancement pre-competition conditioning sport performance Introduction<p>This systematic review and network meta-analysis compared the effects of different pre-competition conditioning strategies on sport performance in high-level athletes and aimed to provide evidence-based guidance for optimizing competitive readiness.</p>Methods<p>PubMed, Web of Science, SPORTDiscus, China National Knowledge Infrastructure, Scopus, and Embase were searched from inception until 4 August 2026 to identify randomized controlled or crossover trials examining acute pre-competition conditioning strategies in high-level athletes. Frequentist random-effects network meta-analyses used standardized mean differences (SMDs) with 95% confidence intervals (CIs). Intervention rankings were evaluated using the surface under the cumulative ranking curve (SUCRA). Sensitivity analyses used assumed within-participant correlation coefficients of 0.30, 0.50, and 0.70.</p>Results<p>Eighty-nine publications contributing 90 independent datasets involving 1,609 high-level athletes were included. Four outcome-specific networks were constructed for explosive/jump, speed/change-of-direction, sport-specific, and endurance performance. No significant inconsistency was detected across networks. For explosive/jump performance, post-activation performance enhancement (PAPE) was superior to regular warm-up (WU) [SMD = 0.40, 95% CI 0.20–0.59] and ranked highest by SUCRA (91.5%). For speed/change-of-direction performance, foam rolling showed the largest effect versus WU [SMD = 0.66, 95% CI 0.10–1.21], followed in the rankings by dynamic stretching and PAPE. For sport-specific performance, ischemic preconditioning (IPC) was superior to sham stimulation [SMD = 0.54, 95% CI 0.16–0.92]. For endurance performance, remote ischemic preconditioning (RIPC) was superior to WU [SMD = 0.62, 95% CI 0.20–1.05] and ranked highest (95.1%). Sensitivity analyses did not materially alter the findings.</p>Conclusions<p>Acute pre-competition conditioning strategies exert outcome-specific effects rather than universal performance benefits in high-level athletes. PAPE may be most applicable to explosive performance; foam rolling, dynamic stretching, and PAPE to speed/change-of-direction tasks; IPC to sport-specific tasks; and RIPC to endurance performance. Confidence in Network Meta-Analysis (CINeMA) ratings ranged from high to very low across comparisons; therefore, SUCRA rankings should be interpreted alongside the certainty and amount of supporting evidence. Further high-quality randomized crossover studies are needed.</p>Systematic review registration<p>https://www.crd.york.ac.uk/PROSPERO/view/CRD420261368915, identifier CRD420261368915.</p> 2026-10-01T08:19:50Z Dataset Dataset 10.3389/fphys.2026.1930250.s002 https://figshare.com/articles/dataset/Supplementary_file_1_Effects_of_pre-competition_conditioning_strategies_on_acute_sport_performance_in_high-level_athletes_a_systematic_review_and_network_meta-analysis_docx/34041507 CC BY 4.0