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安慰剂和反安慰剂效应对运动和锻炼表现的影响:系统文献综述更新。

Placebo and Nocebo Effects on Sports and Exercise Performance: A Systematic Literature Review Update.

机构信息

Institute of Health Promotion and Sport Sciences, Faculty of Psychology and Education, ELTE Eötvös Loránd University, 1075 Budapest, Hungary.

Doctoral School of Education, Faculty of Psychology and Education, ELTE Eötvös Loránd University, 1075 Budapest, Hungary.

出版信息

Nutrients. 2024 Jun 21;16(13):1975. doi: 10.3390/nu16131975.


DOI:10.3390/nu16131975
PMID:38999724
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11243088/
Abstract

Sports performance could be affected by placebo and nocebo effects. The last literature review on placebo and nocebo effects on sports and exercise performance was published in 2019. In the past five years, several new studies have been published. This review aimed to update the previous synthesis and evaluate the results of new studies focusing on placebo or nocebo interventions in sports and exercise by determining the form and magnitude of their effect. Hence, we searched for empirical studies published from 2019 until the end of May 2024 indexed in PubMed, Medline, Web of Science, EBSCO, and Google Scholar databases. The search yielded 20 eligible studies with control or baseline-control conditions, focusing on nutritional, mechanical, and other mixed ergogenic aids. They yielded small to large placebo effects (Cohen's ) for nutritional ( = 0.86), mechanical ( = 0.38), cream and gel ( = 0.05), and open-label placebo ( = 0.16) interventions. The pooled effect size for placebo effects was moderate to large ( = 0.67), larger than in the earlier review, suggesting that placebo effects can improve motor performance even more than previously reported. However, based on five measures from three studies, the nocebo effects were almost twice as large ( = 1.20). Accordingly, the current findings support and expand the last review in the field by yielding additional support for placebo and nocebo effects in sports and exercise.

摘要

运动表现可能会受到安慰剂和反安慰剂效应的影响。上一次关于安慰剂和反安慰剂效应对运动表现的影响的文献综述发表于 2019 年。在过去的五年中,已经发表了一些新的研究。本综述旨在更新之前的综合评价,并评估新的研究结果,这些研究聚焦于运动中的安慰剂或反安慰剂干预,以确定其效果的形式和程度。因此,我们在 PubMed、Medline、Web of Science、EBSCO 和 Google Scholar 数据库中搜索了 2019 年至 2024 年 5 月底发表的有对照或基线对照条件的实证研究,重点关注营养、机械和其他混合兴奋剂。它们产生了从小到中等大小的安慰剂效应(Cohen's ),用于营养( = 0.86)、机械( = 0.38)、乳膏和凝胶( = 0.05)和开放标签安慰剂( = 0.16)干预。安慰剂效应的汇总效应大小为中等至较大( = 0.67),大于之前的综述,表明安慰剂效应甚至可以比之前报道的更能提高运动表现。然而,基于三项研究的五个指标,反安慰剂效应几乎是前者的两倍( = 1.20)。因此,目前的研究结果支持并扩展了该领域的上一次综述,为运动和锻炼中的安慰剂和反安慰剂效应提供了更多支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d223/11243088/e35d77322e1e/nutrients-16-01975-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d223/11243088/ace5026b32b9/nutrients-16-01975-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d223/11243088/e35d77322e1e/nutrients-16-01975-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d223/11243088/ace5026b32b9/nutrients-16-01975-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d223/11243088/e35d77322e1e/nutrients-16-01975-g002.jpg

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本文引用的文献

[1]
Placebo Effect of Caffeine on Physiological Parameters and Physical Performance.

Nutrients. 2024-5-7

[2]
Belief That Caffeine Ingestion Improves Performance in a 6-Minute Time Trial Test without Affecting Pacing Strategy.

Nutrients. 2024-1-22

[3]
The placebo effect of a pink non-caloric, artificially sweetened solution on strength endurance performance and psychological responses in trained individuals.

Nutr Health. 2025-6

[4]
A Menthol-Enhanced "Cooling" Energy Gel Does Not Influence Laboratory Time Trial Performance in Trained Runners.

Nutrients. 2023-7-29

[5]
Are there placebo or nocebo effects in balancing performance?

Cogn Res Princ Implic. 2023-4-24

[6]
The placebo effect shortens movement time in goal-directed movements.

Sci Rep. 2022-11-15

[7]
The PRISMA 2020 statement: An updated guideline for reporting systematic reviews.

Int J Surg. 2021-4

[8]
Nocebo Effects on Perceived Muscle Soreness and Exercise Performance Following Unaccustomed Resistance Exercise: A Pilot Study.

J Funct Morphol Kinesiol. 2020-6-9

[9]
Placebo Effect of Caffeine on Maximal Strength and Strength Endurance in Healthy Recreationally Trained Women Habituated to Caffeine.

Nutrients. 2020-12-13

[10]
Introduction to the special edition on the placebo effect in sport and exercise.

Eur J Sport Sci. 2020-4

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