Background: The objective of this systematic review is to analyze the influence of carbohydrate (CHO) intake on physical and technical aspects, glucose and muscle glycogen levels, fatigue, cognition, and gastrointestinal comfort involved in the performance of soccer players, as well as to examine whether there are any differences between men and women.

Methods: A bibliographic search was conducted in PubMed, Web of Science, Scopus, and SportDiscus, resulting in 61 selected articles. The PRISMA recommendations and the Cochrane Handbook for Systematic Reviews guidelines were followed.

Results: The results indicate that CHO intake before and during the match improves speed and the number of sprints, attenuates the decrease in shooting accuracy and speed, increases time to fatigue, and enhances cognitive function. There is no consensus on passing, dribbling, jumping, or agility improvements. Glucose levels drop during the first 15 min of the second half without affecting performance.

Conclusions: It is recommended that players ingest 6-8 g/kg/d of CHO the day before, a meal with 1-3 g/kg 3-4 h before, and 30-60 g/h during the match. Muscle glycogen drops drastically at the end of the match, remaining low at 48 h. Hence, 1-1.5 g/kg/h is recommended during the first 4 h, starting from the first 20 min. Female soccer players have a similar physical demand to men, and energy availability is low, especially in the post-match periods, as they underestimate their energy expenditure and do not consume enough CHO. Therefore, the recommended guidelines should be followed, individualized, and periodized according to each athlete's energy needs.