REF-1652 · Glaister & Gissane, 2018 · International Journal of Sports Physiology and Performance, · Paper · PubMed

At a fixed submaximal workload, 3-6 mg/kg of caffeine left heart rate unchanged (P =.99, n = 207) but lowered perceived exertion by 0.8 points and raised ventilation (+3.36 L/min), blood lactate (+0.69 mmol/L) and glucose (+0.42 mmol/L)

A meta-analysis of 26 double-blind randomised crossover trials

Main caveat: The abstract reports no risk-of-bias or quality assessment, search sources or study populations.
moderate evidenceMeasured on a mixed groupRead from the abstract only

Glaister and Gissane pooled double-blind, randomised crossover trials to see what a standard caffeine dose does to physiological responses during steady submaximal exercise. Twenty-six studies qualified: each included a sustained bout of 5-30 min at a fixed intensity between 60% and 85% of VO2max, after 3-6 mg/kg of caffeine taken 30-90 min before.

With a random-effects model, caffeine against placebo raised minute ventilation (+3.36 L/min), blood lactate (+0.69 mmol/L) and blood glucose (+0.42 mmol/L), and lowered ratings of perceived exertion (−0.8). It had no effect on heart rate, respiratory exchange ratio or oxygen uptake.

The authors note that caffeine's benefit for sustained high-intensity performance is widely accepted while its mechanism is unresolved, and suggest these effects may help explain it.

Participants

Pooled from 26 crossover trials; n per outcome as printed in the abstract runs from 73 (ventilation) to 208 (lactate).
Sex, age and training status: not in the abstract (PubMed indexes the review under Adult).

Methods

Inclusion: double-blind, randomised crossover designs; a sustained (5-30 min) fixed-intensity submaximal bout at 60-85% VO2max; caffeine 3-6 mg/kg given 30-90 min before exercise.
Synthesis: random-effects meta-analysis; raw mean difference (D) with 95% confidence limits.
Search sources, dates and quality assessment: not in the abstract.

Key Results

MeasureCaffeine − placebo (95% CL)Pn
Minute ventilation+3.36 L/min (1.63 to 5.08).000173
Blood lactate+0.69 mmol/L (0.46 to 0.93)< .00001208
Blood glucose+0.42 mmol/L (0.29 to 0.55)< .00001129
Perceived exertion−0.8 (−1.1 to −0.6); scale not in the abstract< .00001147
Heart rateno effect (difference not given in the abstract).99207
Respiratory exchange rationo effect.18181
Oxygen uptakeno effect.92203

Practical Application

A usual pre-session caffeine dose does not explain a higher heart rate at the same steady power or pace. In pooled double-blind trials at a fixed 60-85% VO2max, 3-6 mg/kg left heart rate unchanged; when heart rate runs high at a known workload, check heat, fluid, sleep, illness and recent load first (SYNTH-41, PHYS-12).
The same work felt easier. Perceived exertion fell by 0.8 points at an unchanged heart rate and oxygen uptake. Inference, not tested here: an athlete who paces steady work by feel may drift above the planned intensity on caffeine.
Lactate rose by 0.69 mmol/L at the same work. Inference, not tested here: a lactate test or threshold check done with caffeine is not directly comparable with one done without; keep caffeine the same before repeat tests.
Not settled by this design / not from this paper: self-paced efforts, where power can rise with caffeine and heart rate with it (REF-1599); sessions longer than 30 min; doses above 6 mg/kg; habitual against non-habitual users; resting heart rate and blood pressure (REF-1654, REF-1653).

Limitations

The abstract reports no risk-of-bias or quality assessment, search sources or study populations.
The heart-rate result is reported as P = .99 without the pooled difference or its confidence limits, so how tightly the null result is estimated cannot be judged from the abstract.
Fixed workloads only, 5-30 min; the RPE scale is not named in the abstract.
Written from the abstract and the PubMed record; full text not read.
How this entry was checked and changed
Why this level

risk of bias not read (abstract only; no risk-of-bias assessment is reported in the abstract); no marker step, because the responses themselves (heart rate, perceived exertion, ventilation, lactate) are what this entry is about (rule 3 exception)

Content correction 2026-11-07
2026-11-07: added from the abstract and the PubMed record; level B+ (meta-analysis of crossover trials, risk of bias not read; abstract only).