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Peer-reviewedCC BY 4.0Nutrients

Impact of the Magnitude and Duration of Weight Loss Procedures in Combat Sports Athletes: A Systematic Review

4 affiliations
  1. 1Facultad de Medicina y Ciencias de la Salud, Departamento de Ciencias Biomédicas, Área de Educación Física y Deportiva, University of Alcala, 28805 Alcalá de Henares, Spain
  2. 2Department of Sport Physiology, Boroujerd Branch, Islamic Azad University, Boroujerd 6915136335, Iran
  3. 3School of Sport Medicine, Faculty of Medicine, Complutense University of Madrid, 28040 Madrid, Spain
  4. 4Grupo de Optimización del Entrenamiento Deportivo (GOPED), Department of Human Motor and Sports Performance, Sevilla University, 41013 Sevilla, Spain

Abstract

Background: Weight manipulation is standard practice in combat sports to compete in lighter divisions, but the thresholds of duration and magnitude impairing performance remain unclear. Objectives: To evaluate the effects of progressive (PWL) versus rapid weight loss (RWL) across three magnitudes of body mass (BM) reduction, moderate (<5%), aggressive (≥5% to <10%), and extreme (≥10% BM), on performance in combat sport athletes. Methods: PubMed, Medline, Scopus, Scielo, and SportDiscus were searched for interventions published from January 2000 to 30 September, 2025. Two independent researchers performed screening, data extraction, and quality assessment (PEDro scale). Results: Twenty reports corresponding to 18 independent studies met the inclusion criteria (mean PEDro score 5.30; fair quality), comprising 363 unique athletes (322 men, 41 women). Extreme weight loss (≥10% BM) via PWL was associated with impaired technical skill, decision-making, and mood profile, although this evidence was derived from only three independent samples. Aggressive RWL (≥5% to <10% BM) through acute dehydration reduced maximal strength, power, and sport-specific fitness in several but not all studies, with deficits still present 24 h after the weigh-in. Moderate reductions yielded heterogeneous findings, with impairments of mood, balance, and resting maximal voluntary contraction in some reports and no significant effects in others. Conclusions: Effects appeared graded by the magnitude of BM reduction, but the evidence is unevenly distributed, and no study examined extreme RWL. Findings should be interpreted with caution.

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BibTeX
@article{illescasquiroga2026impact,
  title = {{Impact of the Magnitude and Duration of Weight Loss Procedures in Combat Sports Athletes: A Systematic Review}},
  author = {Román Illescas-Quiroga and Alireza Naderi and Juan José Ramos-Álvarez and Alberto Pérez-López and Raúl Domínguez},
  journal = {Nutrients},
  year = {2026},
  month = oct,
  doi = {10.3390/nu18213474},
  url = {https://www.mdpi.com/2072-6643/18/21/3474},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Impact of the Magnitude and Duration of Weight Loss Procedures in Combat Sports Athletes: A Systematic Review
AU  - Román Illescas-Quiroga
AU  - Alireza Naderi
AU  - Juan José Ramos-Álvarez
AU  - Alberto Pérez-López
AU  - Raúl Domínguez
PY  - 2026
DA  - 2026/10/22
JO  - Nutrients
DO  - 10.3390/nu18213474
UR  - https://www.mdpi.com/2072-6643/18/21/3474
AB  - Background: Weight manipulation is standard practice in combat sports to compete in lighter divisions, but the thresholds of duration and magnitude impairing performance remain unclear. Objectives: To evaluate the effects of progressive (PWL) versus rapid weight loss (RWL) across three magnitudes of body mass (BM) reduction, moderate (<5%), aggressive (≥5% to <10%), and extreme (≥10% BM), on performance in combat sport athletes. Methods: PubMed, Medline, Scopus, Scielo, and SportDiscus were searched for interventions published from January 2000 to 30 September, 2025. Two independent researchers performed screening, data extraction, and quality assessment (PEDro scale). Results: Twenty reports corresponding to 18 independent studies met the inclusion criteria (mean PEDro score 5.30; fair quality), comprising 363 unique athletes (322 men, 41 women). Extreme weight loss (≥10% BM) via PWL was associated with impaired technical skill, decision-making, and mood profile, although this evidence was derived from only three independent samples. Aggressive RWL (≥5% to <10% BM) through acute dehydration reduced maximal strength, power, and sport-specific fitness in several but not all studies, with deficits still present 24 h after the weigh-in. Moderate reductions yielded heterogeneous findings, with impairments of mood, balance, and resting maximal voluntary contraction in some reports and no significant effects in others. Conclusions: Effects appeared graded by the magnitude of BM reduction, but the evidence is unevenly distributed, and no study examined extreme RWL. Findings should be interpreted with caution.
SN  - 2072-6643
ER  -