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Menthol as an Ergogenic Aid for the Tokyo 2021 Olympic Games: An Expert-Led Consensus Statement Using the Modified

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Menthol topical application and mouth rinsing can enhance athletic performance in hot conditions. This study provides expert consensus recommendations for safe and effective menthol use in sports.

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Area of Science:

  • Sports Science
  • Environmental Physiology
  • Ergogenic Aids

Background:

  • Menthol application (topical and mouth rinse) shows ergogenic benefits in heat, improving performance and perception.
  • Elite athletes are exploring menthol for the Tokyo 2021 Olympics due to hot and humid conditions.
  • A lack of consensus exists regarding safe and effective menthol use for athletes and practitioners.

Purpose of the Study:

  • To establish expert-led consensus recommendations for safe menthol administration in sports.
  • To provide guidance on using menthol to enhance performance and perception in heat.
  • To address the shortfall in knowledge regarding menthol's effects on body temperature regulation.

Main Methods:

  • A modified Delphi method involving 14 contributors over three rounds.
  • Literature consultation to generate 192 statements on menthol application and mouth rinsing.
  • Voting on statements with 80% agreement required for consensus, followed by discussion for remaining statements.

Main Results:

  • Consensus was reached on 62 statements (38 for topical, 24 for rinsing).
  • Initial consensus in Round 1 included 47 statements.
  • Further consensus was achieved in Rounds 2 and 3, refining recommendations.

Conclusions:

  • Developed guidance for safe menthol administration in sports.
  • Recommendations aim to enhance performance and perception in heat.
  • Guidance considers menthol's impact on body temperature regulation.