ABSTRACT.- Strategies to alleviate heat stress on live performance - dry matter intake (DMI), average daily gain (ADG), and feed conversion efficiency (FCE) - and on physiological parameters - respiratory rate (RR) and panting score (PS) - of feedlot-finished cattle were evaluated by systematic review-meta-analysis. Using the PICO framework were identified 3813 records, with 31 publications and 6729 cattle being considered in the meta-analysis (MA). The comparison most reported was sun vs. shade (n = 24 publications), followed by shade vs. shade (area per animal and effectivity in reduce solar load) (n = 7 publications) and sun vs. sprinkling (n = 4 publications). Cattle with access to shade with total reduction in solar load improved ADG (p = 0.008) and FCE (p = 0.024), and reduced RR (p