B. Non-Randomised controlled trials
CategoryNumber of studiesTotal participants
(intervention group)
Actual (A) or simulated (S) travelAthlete specificMethodological qualityConsistencyDirectnessPrecisionPublication biasTotal
GRADE rating
Exercise 2 40 (34)Poor*/‡Very low
+
Montaruli, et al 29
Cardinali, et al 30
18 (12)
22 (22)
A
A
Yes
Yes
10/28
10/28
One study no control group, clinical heterogeneity, methodological heterogeneity(The evidence answers the review question)(Small sample sizes, no effect sizes reported)
Sleep 0
Light 1 22 (22)Poor*/‡Very low
+
Cardinali, et al 30 AYes10/28Participants males only, multi factorial interventions(The evidence answers the review question)(Small sample sizes, no effect sizes reported)
Nutrition (meal timing/ composition)1 372 (134)PoorVery low
+
Reynolds and Montgomery37 186×2 (95+39)ANo10/28Participants could choose(The evidence answers the review question)(No effect sizes, changing sample size)
TOTAL 4 434 (190)
  • *Some problems.

  • †No serious problems

  • ‡Major problems

  • §All athlete-specific studies have small sample sizes that may lead to publication bias.

  • GRADE, Grading of Recommendations, Assessment, Development and Evaluation; non-RCTs, non-randomised control trials; RoB, risk of bias.