REF-1513 · Martinho et al., 2024 · BMC Sports Science, Medicine and Rehabilitation · Paper · PubMed · Free full text

How long until I recover from a hard mixed workout?

Small CrossFit studies: this review says 48-72 h both "needed" and "insufficient"; two primaries it cites report baseline by 48 h. None measured a HYROX simulation.

Main caveat: The recovery line is not a finding of one consistent kind. Abstract: "48 to 72 h are needed".
limited, mixed evidenceMeasured on recreational to elite athletes

Martinho and colleagues searched three databases to 23 February 2024 for adult CrossFit participants with reported training experience, and included 68 papers. More than half (38 papers) characterised participants, and five focused on recovery. Mean heart rate was 179 ± 8 beats/min in Fran, 182 ± 7 in Cindy and 169 ± 6 in Murph.

Oxygen uptake and lactate differed widely by workout and group, so "the demands of CrossFit" depend on the workout.

In the meta-correlations, CrossFit-type strength tests went moderately with as-many-rounds workouts when scaled to body mass (r = 0.38, 0.03 to 0.65), not clearly with for-time workouts (r = -0.18, -0.36 to 0.01), and with Grace (r = 0.478, 0.177 to 0.697); in Donkey Kong, the "non-specific" tests were the significant ones.

The authors find no unique predictor and favour specific tests. On recovery, the abstract's line is "48 to 72 h are needed".

We traced it (our inference; the review does not say which studies it means): the review's text gives 48 h for physical performance and 72 h for physiological markers after two workouts in 12 people, while that study's own abstract says all values were back by 48 h, its last time point; and 72 h is the last time point after Karen in 8 men, at which the review says creatine kinase was still up, while that study's own abstract says it was back at baseline by 48 h.

The discussion then says 48-72 h "were insufficient". Our reading: usable as a map of what has been measured, and as evidence that recovery differs by marker and by workout. It is not a measured recovery time for a hard mixed session, and not a basis for a simulation schedule.

Protocol

Search: PubMed, Scopus, Web of Science, 23 February 2024; English, Portuguese, Spanish; 2238 records, 1520 screened, 158 read in full; n = 68 papers included.
Eligibility: adult CrossFit participants with reported training experience; any design except reviews; nutrition and injury papers excluded.
Meta-correlation: Comprehensive Meta-Analysis v2.2; r from each study by group: as-many-rounds workouts, for-time workouts, and named workouts; tests classed as specific (e.g. snatch, bench press, squat) or non-specific (e.g. VO2max, Wingate).
Quality: no risk-of-bias or certainty assessment is described.
Funding and interests: no funding; no competing interests.

Key Results

What the recovery line rests on, as the review reports it (primary papers not read unless stated):

WorkoutStudy, groupMarker, last time pointAs reported here
FranRios [20], N = 14 males, N = 6 femalesjump, force, plank at 24 hbelow baseline after 24 h
KarenSousa-Neto [43], N = 8 malesjump, creatine kinase, perceived recovery at 72 hjump back at 72 h; creatine kinase 151.1 ± 68.3 at baseline, 223.0 ± 86.3 at 72 h. Table 1 says up at 24 h, perceived recovery down at 24 h, then rising
As many rounds, rounds for timeTimón [68], N = 12performance and biochemical markerstext: performance at baseline by 48 h, physiological markers by 72 h. Table 1: measured at 24 and 48 h, "After 48 h, values returned to baseline"
Open 18.4, CindyForte [41], N = 23heart rate, lactate at 30 minabove baseline at 30 min
IsabelRios [21], N = 14 malesheart rate at 5 min177 to 128 bpm

Meta-correlations (performance vs tests; the printed signs follow the paper's "positive indicates positive performance" note only in part):

WorkoutsTestsr95% CII² or p
As many roundsspecific0.33-0.09 to 0.65I² 77.1%
As many roundsspecific, per kg body mass0.380.03 to 0.65p = 0.03, I² 67%
For timespecific-0.18-0.36 to 0.01p = 0.07
Franspecific-0.44printed 0.22 to 0.54p < 0.05, I² 75%
Frannon-specific0.24not printedp = 0.19
Gracespecific0.4780.177 to 0.697p = 0.003, I² 62%
Cindy (one study)combined0.14-0.15 to 0.41p = 0.33
Donkey Kong (one study)specific-0.26printed -0.06 to 0.53p = 0.11; non-specific significant
Workout lengths printed: Fran men 250 ± 106 s, women 331 ± 181 s; Grace men 180 ± 90 s, women 213 ± 96 s; Helen men 9.5 ± 1.9 min, women 11.1 ± 2.4 min; F50 men 24.4 ± 5.9 min, women 27.3 ± 6.9 min (Mangine [81]; 133.857 as printed, participants). Cindy is 20 min and Chelsea 30 min by definition.
Other demands: maximal heart rate overall mean 184 beats/min (177-189 across studies); Fran oxygen uptake 49.2 vs 29.1 ml/kg/min in two different samples.
Six weeks of CrossFit: the text and Table 1 say no change in performance in one study of 10 men, Table 2 marks maximal power down, and that study's title says six months (no control group reported in this table); hormone changes over 2-6 months in another (the text says 8 weeks).

Mechanisms

Measured: jump height, perceived recovery, creatine kinase, heart rate and lactate recover on different time courses after a workout; the review shows them separately by workout.
Authors' interpretation: a session's full demands are unknown, since most papers studied only the workout of the day and not the strength, skill and mobility work around it; recovery strategies need study.
Authors' interpretation: CrossFit "could potentiate" muscle mass because concurrent work happens in the same session. The evidence offered is cross-sectional, and one of its two comparisons is lean mass of 65.0 ± 6.4 vs 64.8 ± 6.2 kg, which is no difference.
Inference: a correlation between a lift and a workout that contains that lift is partly a part-whole relation, and stronger people may also train longer. Neither shows that raising the lift raises the score.

Practical Application

How long until I recover from a hard mixed workout? Small CrossFit studies: this review says 48-72 h both "needed" and "insufficient"; two primaries it cites report baseline by 48 h. None measured a HYROX simulation.
For planning: this paper gives no recovery rule. After a single benchmark workout, the two primaries with long enough follow-up saw their markers back by 48 h in 8 and 12 CrossFit participants, which at that size is no evidence of a difference, not proof of recovery; nothing here shows 72 h is needed. Not from this paper; the base's own practice: the gap before a key session and the simulation schedule stay as written in SYNTH-31, SYNTH-70 and SYNTH-71.
For testing: the paper favours tests with the movements themselves, but its "specific" class includes back squat and bench press, its results differ by workout, and in one workout non-specific tests did better. Do not read it as "squat predicts your time" or as "skip VO2max".
Do not use it for: any cause. Meta-correlations in small cross-sectional groups say who scores well, not what to train.

Limitations

The recovery line is not a finding of one consistent kind. Abstract: "48 to 72 h are needed". Discussion: "In general, 48–72 h were insufficient to obtain the baseline values". The abstract names no study; those the discussion cites ran 8 to 23 people, and one of its five citations ([88]) is a ten-week concurrent-training study, not a recovery study.
A primary study reads differently. The review reports creatine kinase higher at 72 h after Karen, and its 2025 companion repeats this (REF-1517).The abstract of that study (de Sousa Neto 2022, PMID 36060700, read by identifier) reports it back at baseline by 48 h and 72 h, and its full text (PMC9438894) gives p = 0.973 for 72 h against baseline, jump different only straight after the workout and perceived recovery back by 48 h.For Timón [68], the text's 72 h does not fit the study's title ("48-hour recovery") or Table 1's 24 and 48 h, and its abstract (PMID 31624423, read by identifier) says all values were back by 48 h. Both are small, so this is no evidence of a difference, not proof of recovery. Read the primary papers before quoting any of these.
No risk-of-bias assessment is described; workouts differ in content and load, and most samples are small.
Flow does not add up. 158 full texts minus 117 excluded leaves 41 (our arithmetic), not 68.
Printed statistics do not all fit. Fran -0.44 with an interval of 0.22 to 0.54, Donkey Kong -0.26 with -0.06 to 0.53, an r of 0.33 called a positive relationship with an interval crossing zero, and a negative r on for-time workouts described as positive with an interpretation opposite to the note under the figures.
Overreach in the summary. "CrossFit elicits greater benefits to body composition and maximal oxygen uptake" rests on cross-sectional comparisons, and Table 3 has runners at 50.0 ± 10.8 against CrossFit 41.8 ± 5.4 ml/kg/min. Six-week results come from one uncontrolled group, as far as this review shows.
Language and population: three languages only; the definition of "CrossFit athlete" varies, which the authors call the major limitation; 3 months' experience can qualify.
How this entry was checked and changed
Why this level

correlational and descriptive evidence is B by design; held a step lower because no risk-of-bias assessment is reported, the headline recovery statement contradicts the paper's own discussion and reads two primary studies differently from those studies' abstracts (Timón, de Sousa Neto), the flow numbers do not add up, and several printed intervals do not match their estimates

Full text (checked 2026-10-30)
A total of 68 papers included; five studies focused on recovery (full text)
Jumping performance was comparable between baseline and 72 h after Karen, whilst creatine kinase was substantially higher 72 h post-Karen (baseline: 151.1 ± 68.3; 72-h post-training: 223.0 ± 86.3) (full text)
In a separate study, physical performance returned to baseline 48 h post-workouts, while the physiological markers were comparable to baseline 72 h after the workout (full text)
Discussion: in general, 48–72 h were insufficient to obtain the baseline values of physical and physiological markers (full text)
Mean heart rate: Fran 179 ± 8, Cindy 182 ± 7, Murph 169 ± 6 beats.min−1 (full text)
Specific protocols per kilogram of body mass and as-many-rounds workouts: r = 0.38; 95% CI: 0.03 to 0.65; p = 0.03 (full text)
Time-to-complete workouts and specific protocols: r = -0.18; 95% CI: -0.36 to 0.01; p = 0.07 (full text)
Benchmarks (Mangine [81]): Fran male 250 ± 106 s, Grace male 180 ± 90 s, Helen male 9.5 ± 1.9 min, F50 male 24.4 ± 5.9 min (full text)