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. 2026 Sep 17;8:1860232. doi: 10.3389/fspor.2026.1860232

Figure 1.

Flowchart titled “Initial search” displays a systematic review process from January 1, 2010 to March 3, 2026. Identification phase starts with 1,499 records, 750 are duplicates, and 749 are screened. After exclusion of 586, 163 full-text papers are assessed. Of these, 144 are excluded for specified reasons. Nineteen reviews are eligible, nine are excluded for older evidence, and ten final reviews are included.

PRISMA flow diagram for study selection in the Umbrella review. Flow diagram of study identification, screening, eligibility, and inclusion process. A total of 1,499 records were retrieved from six databases; after duplicate removal and screening, 10 meta-analyses were included.