The Impact of a 'Remotely-Delivered' Sports Nutrition Education Program on Dietary Intake and Nutrition Knowledge of Junior Elite Triathletes

Elite collegiate swimmers do not meet sport nutrition recommendations during heavy training: effects of sex and within-day nutrient timing

BACKGROUND

Compared to the general population, athletes experience high energy expenditures requiring increased energy and macronutrient intakes to sustain training and optimize performance. While the International Olympic Committee (IOC) and International Society for Sports Nutrition (ISSN) have established recommendations for nutrient intakes, many athletes do not meet the recommended daily allowance (RDA) for the general population, and sport and sex-specific differences are not well documented. Exploration of within-day energy balance (WDEB) shows athletes may achieve energy balance by the end of the day but may present with poor WDEB. Data support that female athletes are at greater risk of nutrient deficiencies than their male counterparts, and it is unclear whether swimmers meet sport-specific nutrient intake and timing recommendations. Following our previous WDEB analysis, the purpose of this investigation was to assess dietary macronutrient intake as related to RDAs (USDA and IOC/ISSN), within-day macronutrient timing, and associated sex differences in swimmers.

METHODS

In elite male and female swimmers (n = 25; 18-22 yr), we assessed energy intake (EI), total daily energy expenditure (TDEE), macronutrient intake (fat (FAT), protein (PRO), carbohydrate (CHO)) and timing during heavy training. Frequency analysis was utilized to determine the number of athletes meeting general and athlete-specific RDAs. Repeated-measures ANOVA was used to assess nutrient timing across sex groups.

RESULTS

When compared to IOC/ISSN daily recommendations, only 6/25 swimmers met FAT intake, 7/25 met CHO intake, and 24/25 met PRO intake IOC/ISSN daily recommendations.Males had greater EI and TDEE compared to females (p < 0.05). PRO consumption (% of EI) was a larger percentage of total intake in male vs females (28 ± 5% vs 23 ± 3%; F = 2.996; p = 0.014). No swimmers met CHO recommendations (g⋅kg-1) pre- or during exercise for the first daily training session. 13/25 met pre-exercise CHO recommendations, while 6/25 and 11/25 met during and post-exercise CHO recommendations for the second training session. Repeated measures ANOVA revealed effects of sex and time on intake (g⋅kg LBM-1⋅hr-1) for FAT (Sex; F = 5.659, p = 0.26; time; F = 12.068, p = 0.006) and PRO (Sex; F = 6.719, p = 0.016; time; F = 13.177, p = 0.011). There was a significant sex*time interaction for CHO consumption (F = 6.520, p = 0.017).

CONCLUSION

The results from this study demonstrate significant sex-differences, indicating that most swimmers meet athlete-specific recommendations for PRO, but not CHO or FAT intake. CHO timing for pre-, during, and post-exercise was met by only 52% swimmers. Results suggest that swimmers should prioritize CHO intake, emphasized around and during training bouts.

The effects of a nutritional intervention on the sports nutrition knowledge and nutritional status of track and field athletes: protocol for a randomized controlled trial

BACKGROUND

Sports nutrition plays a crucial role in providing the fuel to meet the energy demands of athletes' training programmes, enhancing adaptations associated with training, and ensuring rapid recovery between workouts. However, evidence suggests that the dietary habits of many athletes are unsatisfactory when compared to sport-specific nutrition recommendations. This discrepancy is mainly due to a lack of up-to-date, evidence-based nutritional knowledge. Hence, this parallel-group, randomized controlled clinical trial aims to evaluate the effectiveness of a 16-week evidence-based, culturally appropriate, personalized sports nutrition intervention on the sports nutrition knowledge and nutritional status of track and field athletes in Sri Lanka, in comparison to a control group that does not receive this intervention.

METHODS

Elite and highly trained track and field athletes, competing at the national level and/or representing Sri Lanka in international competitions, will be randomly allocated to either the intervention group (IG) (n = 15) or the control group (CG) (n = 15). Participants in the IG will receive an evidence-based, culturally acceptable, personalized sports nutrition intervention from the principal investigator through one-to-one consultations at three-time points (zeroth, fourth, and eighth weeks), while participants in the CG will be followed up throughout the period without receiving the intervention. The primary outcome measure is the number of participants who achieve at least a 10% increase in mean sports nutrition knowledge (SNK) score at the end of the 16th week, compared to the CG. Secondary outcomes include nutrition status and sports performance-related measures at the beginning and end of the intervention.

DISCUSSION

While the primary objective is to enhance SNK, it is anticipated that improvements in nutritional status and overall health may significantly impact sports performance and career longevity of the athletes.

TRIAL REGISTRATION

Sri Lanka Clinical Trials Registry, SLCTR/2024/013. Registered on 10th April 2024. Universal Trial Number (UTN), U1111-1304-8890.

A Strengths-Based Approach to Increasing Nutrition Knowledge in Student-Athletes: The 'Eat 2 Win' Pilot Program

Background and Objectives: Proper nutrition and hydration are essential for the health, growth, and athletic performance of student-athletes. Adequate energy availability and sufficient intake of macro- and micronutrients support adolescent development, prevent nutrient deficiencies, and reduce the risk of disordered eating. These challenges are particularly relevant to student-athletes, who are vulnerable to nutrition misinformation and often exhibit limited nutrition knowledge. This study aimed to evaluate the feasibility and acceptability of the 'Eat 2 Win' nutrition education pilot program for high school student-athletes and assess changes in nutrition knowledge using the Nutrition for Sport Knowledge Questionnaire-Adolescents (NSKQ-a). Methods: Fifty-five high school student-athletes (14.1 ± 2.2 years; 53% male, 47% female) from the Bremer State High School Sports Academy participated in the 'Eat 2 Win' program. The curriculum was tailored to align with the nutritional needs of Australian high school student-athletes and included three interactive workshops on sports nutrition concepts, practical cooking classes, and online learning modules. Sessions were delivered onsite at the school over three consecutive weeks, once per week. Twenty-four participants (43.6%) completed all program components. Results: The program was feasible and well-accepted by participants. Nutrition knowledge, assessed in 16 participants using the NSKQ-a, revealing an overall knowledge increase of 9.7%, with sub-category improvements ranging from 3.1% to 34.4%. Conclusions: The 'Eat 2 Win' pilot program improved student-athletes' nutrition knowledge, particularly in macronutrients and hydration. Participant feedback highlighted enjoyment and positive impacts. Targeted nutrition education programs like 'Eat 2 Win' can empower student-athletes to make informed dietary choices by addressing knowledge gaps, debunking nutrition myths, and fostering positive dietary behaviours. Future programs should emphasize energy intake, practical skills, and accessible, actionable information.

The effect of nutrition education sessions on energy availability, body composition, eating attitude and sports nutrition knowledge in young female endurance athletes

Nutrition knowledge plays a pivotal role in shaping dietary habits and food choices, particularly in the realm of sports nutrition. This study investigates the effects of a series of nutrition education sessions conducted by a registered dietitian on energy availability, various anthropometric measurements, eating attitudes, and sports nutrition knowledge in young female endurance athletes aged 15-18 years (football, basketball, volleyball) who engage in training for more than 10 h per week (n = 83). Participants were randomly divided into two groups with 45 individuals receiving six physical nutrition education lectures, and the remaining 38 participants receiving no nutrition education. Participants completed the low energy availability in females questionnaire (LEAF-Q), Eating Attitude Test (EAT-26), and Sports Nutrition Knowledge Questionnaire (SNKQ). Energy and nutrient intakes were evaluated through 3-day food records, while exercise energy expenditure was assessed using 3-day activity logs. All of the questionnaires were repeated after 6 months. At baseline, the prevalence of LEA among athletes was determined to be 63.8%. In the intervention group, energy availability (EA) and SNKQ scores increased, and LEAF-Q scores decreased significantly (p < 0.05). However, there was no significant change in EAT-26 scores between the two groups. Energy intake, weight, fat-free mass, and resting metabolic rate have been increased significantly in the intervention group (p < 0,05). These findings suggest that nutrition education proves beneficial in enhancing dietary intake, positively influencing body composition, and improving nutrition knowledge, ultimately contributing to increased energy availability in female athletes over the short term.