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Nutrition education for athletes

Nutrition education for athletes

Hazzard VM, Nutrition education for athletes LM, Mankowski A, Carson TL, Guarana for Brain Health SM, Fendrick Nutritiln, et al. Carbohydrates are the preferred energy source of the body. RSV vaccine errors in babies, pregnant people: Should you be worried? PubMed PubMed Central Google Scholar. Micronutrients, supplements, and hydration. Raymond, J.

Nutrition education for athletes -

In the most general sense, behaviour has been described as actions and its determinants and consequences [ 4 ]. However, eating behaviours, dietary intake, determinants, and consequences are vaguely or inconsistently defined [ 3 , 5 ]. Some authors have differentiated between behaviours that precede food entering the mouth food choices , the act of eating eating behaviours , with eating habits being a subset of eating behaviours, and the results of eating behaviours dietary intake [ 2 , 3 ].

The athlete-centred literature more specifically differentiates habits from behaviours as being regularly repeated behaviours to reduce the need for conscious decision-making [ 6 ]. However, older literature describes this combination of conscious and subconscious decision-making as the food choice process [ 7 ], while other authors use the term eating routines [ 8 ].

Authors have also used the term eating patterns to describe food choices, and the frequency of meals and snacks, which results in nutrient intake defined similarly to dietary intake [ 9 ]. Additionally, concepts such as nutrition literacy and food literacy use ranging definitions from general health knowledge, to specific skills and competencies required to interact within a food system [ 5 ].

Nutrition practitioners working in the field are navigating a complicated landscape of concepts and terminology, compounded with limitations in practically measuring and influencing nutrition-related factors [ 10 , 11 ].

Unfortunately, there is currently no single agreed-upon approach to improve eating behaviours and dietary intake in athletes. Recent literature outlines nutrition needs for youth athlete development, suggesting various shifts in focus through the athlete development process e.

removing body composition assessments, discouraging supplement use, and promoting eating behaviours and dietary intake that support age-appropriate development [ 12 ], but does not provide an operational approach to manage this outcome.

Interestingly, a new conceptual framework layers sport nutrition services onto stages of development and skill level [ 13 ], but the scope of focus is limited to the assessment of body composition.

The Determinants of Nutrition and Eating DONE framework and taxonomy uses tiers, including factors that precede eating, the actions of eating, and the results of eating [ 2 , 3 ], but is not viewed through a sport nutrition lens, nor does it guide servicing decisions.

This paper proposes a novel Athlete Nutrition Development Approach to establish a tiered approach to sport nutrition services Fig. Tier 1 focuses on the independent, upstream determinants of eating behaviours; Tier 2 focuses directly on eating behaviours and dietary intake; and Tier 3 focuses on the dependent, downstream consequences of dietary intake.

Each tier includes a description of the concepts and is comprised of two sections. The first sections of the approach utilize tools to assess and measure eating behaviours, dietary intake, and their determinants and consequences, while the second section proposes tools to develop and shape eating behaviours, dietary intake, and their determinants and consequences in athletes.

The Athlete Nutrition Development Approach outlining a three-tiered approach that addresses the upstream determinants of eating behaviours Tier 1 , eating behaviours and dietary intake Tier 2 , and the downstream consequences of dietary intake Tier 3 , with the goal of improving athlete health and performance.

Each tier includes an overview of the concepts and suggested tools for assessment and development. Figure created using Lucidchart. Eating behaviours are influenced by a complex set of factors, including both modifiable and non-modifiable variables. In this paper, these factors will be referred to as the determinants of eating behaviours and will be described using the Capability, Opportunity, Motivation-Behaviour COM-B system [ 14 ], given its use within sport nutrition literature to date [ 15 , 16 ].

Capability is defined as the capacity to engage in a behaviour, requiring knowledge and skill [ 14 ]. Opportunity can be described as the external, contextual factors that make a behaviour possible [ 14 ].

Lastly, motivation is the brain processes that direct behaviour both emotional and analytical [ 14 ]. Together, these components are interrelated and create behaviours.

It is beyond the scope of this paper to provide an exhaustive list of the determinants of eating behaviours. Rather, some key determinants are described below using the COM-B system.

Additionally, this tier describes tools to measure and shape the determinants within these three components to understand and improve eating behaviours.

Nutrition knowledge and beliefs are primary determinants and can be defined as an awareness and ability to apply nutrition information when choosing foods [ 6 ]. Importantly, athletes identify a lack of knowledge as a barrier to appropriate dietary intake [ 17 ].

Fortunately, nutrition knowledge is modifiable [ 18 ], and evidence suggests that athletes may benefit from sport nutrition education through increases in nutrition knowledge, improved eating habits, changes in body composition, and improved physical performance [ 11 ].

It is noteworthy that nutrition knowledge and beliefs also serve as a lens through which athletes can interpret, both correctly and incorrectly, the impact of other determinants of eating behaviours described below , and the actions and consequences of eating and resulting dietary intake, creating an iterative process where the downstream factors described later in this paper can indirectly serve as determinants of eating behaviours [ 19 ].

Knowledge, skills, and belief alone cannot fully explain eating behaviours. Other modifiable and non-modifiable factors exist and are often complex. Homeostatic and hedonic hunger influence eating behaviours.

if food is available, it is easier to eat. Components of the COM-B system are interrelated and form complex interactions that determine eating behaviours. Of particular concern are clinical circumstances such as disordered eating in athlete populations [ 20 ] and gastrointestinal disorders [ 1 ], which have complex aetiologies that influence eating behaviours.

Table 1 contains a list of possible determinants of eating behaviours, and how they are coded within the COM-B system. Determinants of eating behaviours can be difficult to assess. Practitioners such as Registered Dietitians RDs have been trained to subjectively and qualitatively assess these determinants.

The Nutrition Care Process and Model NCPM is commonly used among RDs and involves four major steps, including nutrition assessment step 1 ; nutrition diagnosis step 2 ; nutrition intervention step 3 ; and nutrition monitoring step 4 [ 21 ].

Steps 2 and 3 will be described in later sections of this paper. Nutrition assessment can be categorized in an A-E framework, including anthropometric A , biochemical B , clinical C , dietary D , and environmental E assessments [ 22 ], with clinical and environmental assessments regarding specific determinants of eating behaviours.

Anthropometric, biochemical, and dietary assessment will be described in later sections of this paper. Documentation can occur in a number of ways, but often utilizes a pre-determined structure such as a Subjective, Objective, Assessment, Plan note [ 23 ].

An approach such as the NCPM or A-E framework can be highly specific and add a richness to the assessment process, but the individualized and qualitative nature can be time-consuming. Alternatively, subjective components can be quantified through the use of rating or frequency scales, such as components of the Athlete Food Choice Questionnaire [ 19 ] or Three-Factor Eating Questionnaire [ 24 ], and used within or in addition to subjective nutrition intake forms for quick and widespread distribution.

Nutrition knowledge is one of the main modifiable determinants of eating behaviours [ 18 ]. As such, the development of nutrition knowledge, and therefore assessment of nutrition knowledge, is a critical component of early nutrition development.

Practitioners will often subjectively and qualitatively assess nutrition knowledge along with other determinants as described earlier in this paper. However, validated sport nutrition knowledge questionnaires exist [ 25 , 26 ], allowing for a more thorough and quantified assessment of nutrition knowledge.

Similarly, validated food skills questionnaires exist [ 27 ], providing an opportunity to quantify a different set of determinants, although a subjective assessment by an expert in a kitchen may also be valuable. Although psychological factors can be dependent on dietary intake, this relationship is often bidirectional with mental health being a determining factor in eating behaviours and resulting dietary intake [ 28 , 29 ].

Evidence suggests that female athletes may be especially prone to disordered eating and would benefit from screening [ 30 ], although disordered eating does also occur in males [ 29 ]. Therefore, it is important to assess mental health at early stages of development, and not just as a psychological consequence of dietary intake.

Tools, such as the Eating Disorder Examination Interdisciplinary support may be required for assessment in this area. Nutrition counselling and consultations are commonly used in sport nutrition [ 34 ]. The NCPM is a model to guide practitioners through standardized nutrition service provision [ 21 ].

Nutrition assessment step 1 and nutrition monitoring step 4 are two steps that have been discussed earlier. The nutrition intervention step 3 step involves formulating and delivering a plan of action to address identified problems [ 21 ].

When related to the determinants of eating behaviours, this may require: increasing nutrition knowledge; increasing cooking, food safety, and food management skills; improving awareness of homeostatic and hedonic hunger cues; improving awareness of clinical, social, socio-economic, cultural, and environmental barriers; and improving motivation.

In addition to direct delivery of information, the use of techniques such as motivational interviewing [ 35 ] and intuitive eating [ 36 ]; and theoretical approaches to enhancing intrinsic motivation such as self-determination theory [ 37 ], and the behaviour change wheel [ 14 ], can help athletes develop, although research in athlete populations is lacking.

Delivery of these services can occur in both formal appointments with athletes and practitioners check-ups and informal communication in the daily training environments check-ins. Resources can be distributed directly to athletes live or virtually, or modification of the physical environment such as posting resources in daily training environments can provide athletes with constant, passive exposure to desired information.

The benefits of these services are twofold: they provide athletes with information which aids in development; and they create a positive nutrition culture within and around the athletes.

Early adopting athletes can serve as champions [ 41 ], helping positive nutrition culture spread within a group of athletes. Behaviours are not consistently defined in the literature, with some definitions focussing on behaviours solely as actions or acts [ 3 ], while other definitions include the determinants, correlates, and consequences of actions [ 4 ].

Given the focus on determinants and consequences in other areas of this approach, Tier 2 will emphasize eating behaviours as the actions related to eating and define dietary intake as the results of eating behaviours.

Eating behaviours include food choices, portion sizes, feeding frequency, and feeding time and result in dietary intake: timing and intake of calories, nutrients, fluids, and supplements. Some literature works describe eating habits as a factor interrelated with eating behaviours [ 3 , 6 ].

Specifically, Birkenhead and Slater [ 6 ] describe habits as behaviours that are regularly repeated to reduce the need for conscious decision-making. However, it can be argued that eating habits and any other synonyms used within the literature can still be characterized and described through: the actions of food choices, portion sizes, feeding frequency, and feeding time; and the determinants of these actions.

Therefore, it is acknowledged that eating habits exist, but will not be a term used in this approach as they are not mutually exclusive of food choices, portion sizes, feeding frequency, and feeding time, and the determinants of these actions.

This tier revolves around measuring and influencing eating behaviours and resulting dietary intake to optimize adaptation to training and readiness to perform. Commonly, practitioners look to assess both eating behaviours and dietary intake.

However, eating behaviours are transient and difficult to assess. Furthermore, to assess dietary intake, eating behaviours must be coded and analysed using software [ 42 ]. This process takes time, making the assessment of dietary intake more time-consuming than the assessment of eating behaviours [ 22 , 43 ].

Error introduced at the dietary intake level through the coding and analysis process is also a concern [ 44 ]. This section describes the types of eating behaviour and dietary intake assessment tools available to practitioners.

Possibly the most salient option is the observation of eating behaviours. This provides an objective look at eating behaviours and removes any reporting error introduced by athlete self-monitoring.

Observation can be blinded or non-blinded, depending on the circumstances. In non-blinded situations where athletes are aware they are being observed, desirability bias may play a factor.

However, blinded observation is not always possible or ethical. Alternatively, prospective assessment of both eating behaviours and dietary intake can be accomplished for a period of time through the use of self-report food logs or intake tracking software [ 22 ].

While this approach has the advantage of gathering very detailed eating behaviour data [ 22 ], these tools are greatly limited by the athlete and practitioner burden, making them unrealistic to complete on a daily basis as well as introducing reporting errors [ 10 , 22 ].

Therefore, new technology looks to reduce this burden [ 45 ], but until these tools have been validated in athletes and dietary intake can be objectively and accurately tracked on a daily basis with ease, the transient nature of eating behaviours and dietary intake challenge the assumption that data collected during a short period of time are representative of days that were not assessed [ 22 ].

Furthermore, prospective tools such as this are limited by desirability bias [ 22 ]. Retrospectively, diet recalls and diet history assessments [ 22 ] can be used in a similar fashion to food logs and coded and analysed with software to determine dietary intake.

While these tools have less athlete and practitioner burden than food logs, they are limited by recall error and the data acquired are not easily quantified with accuracy [ 22 ].

Practitioners may find it more useful to simply use these tools to qualify eating behaviours [ 22 ]. These retrospective tools are often used within the nutrition assessment step 1 and nutrition monitoring step 4 steps of the NCPM [ 21 ].

Often, practitioners will find it easier and more useful to quantify eating behaviours [ 22 ] rather than code and analyse data to quantify dietary intake. Tools such as Food Frequency Questionnaires [ 46 ] can quantify certain eating behaviours [ 10 , 22 ], providing a quantitative alternative to coding and analysing data at a dietary intake level.

Specifically, the Athlete Diet Index has been developed for and validated in athletes, with the purpose of assessing eating behaviours around training and for aspects of diet quality [ 43 , 47 ].

Food Frequency Questionnaires and the Athlete Diet Index are retrospective tools and therefore prone to recall error due to their reliance on memory [ 22 ]. Fortunately, low-burden, prospective assessment tools can also be created for athletes to self-assess eating behaviours.

These tools rely less on memory than retrospective tools, although often at the expense of external validity through potential increases in desirability bias [ 22 ].

Tools such as the Food Frequency Monitoring Tool FFMT are easier to implement on a daily basis than food logs or intake tracking software and allow for objective quantification of eating behaviours such as food choices and feeding frequency [ 48 ].

It may be warranted to periodize use of the FFMT throughout a year to minimize recording fatigue and maintain accuracy at key times. Additionally, assessment questions related to other eating behaviours i.

portion sizes and feeding time can be developed and implemented on a daily basis with relative ease e. what time did you eat breakfast? Athlete Self-Report Monitoring ASRM [ 49 ] can be used to subjectively assess dietary intake using a rating scale on a daily basis. This provides another efficient, prospective assessment tool option, although the focus on assessing dietary intake rather than eating behaviours makes ASRM more nuanced and subjective than the previously mentioned FFMT.

Athletes require adequate understanding of nutrition requirements and nutrient content of the foods they consume to complete ASRM accurately and consistently. For athletes who have adequate nutrition knowledge, ASRM is a viable and practical option.

Similar to the FFMT, it may be warranted to periodize the use of ASRM to minimize recording fatigue. The NCPM nutrition intervention step 3 step [ 21 ] was discussed earlier as the delivery of an action plan to address an identified capability, opportunity, or motivational issue, but action plans can also occur at an eating behaviour and dietary intake level.

Prescribed plans can enable eating behaviours [ 34 ] and may come in the form of food plans that prescribe specific eating behaviours and nutrition plans that prescribe specific dietary intake. This approach can alter eating behaviours and dietary intake quickly; however, adherence to changes in eating behaviours and dietary intake as a direct result of these plans is low [ 50 , 51 ], compared to indirectly through increases in capability, opportunity, or motivation.

Non-compliance with food and nutrition plans is also common, even when there is intention to follow the plan [ 52 ]. Alternatively, some athletes may find it easier to adhere to a nutrition plan over a food plan given the relative increase in opportunity, as there are many different ways to achieve a specific dietary intake.

Food and supplement provision are also common sport nutrition services utilized to improve eating behaviours and dietary intake [ 34 ]. Food and supplement provision reduces the need for an athlete to be capable of making appropriate eating behaviour decisions.

The impact of appropriate dietary intake on the performance of athletes is well established [ 1 ]. Dietary intake can also include the use of supplements such as creatine, beta-alanine, sodium bicarbonate, and caffeine as ergogenic aids to improve performance [ 1 ].

This tier revolves around measuring adaptations to training and readiness to perform and the feedback process used to shape eating behaviours, dietary intake, and their determinants. Once the ability to sustain and modify eating behaviours has been established, and consistent eating behaviours have been demonstrated, the goal of sport nutrition services shifts to optimizing these adaptations and improving readiness to perform at critical periods through appropriate dietary intake.

Identifying the specific desired adaptations and readiness requirements within the pillars of development should be driven by sport experts and will vary between and within sports and individual athletes.

Physiological examples include improving body composition and energy availability and increasing glycogen storage. A psychological example could be improving the management of disordered eating.

Technical and tactical examples include improving skills acquisition and decision-making, respectively. Once desired adaptation requirements and readiness requirements are identified, appropriate dietary intake can be informed by existing literature and expertise, to an extent.

Assessing adaptation to training stimulus and determining readiness to perform is a standard practice in high-performance sport settings.

Relevant to nutrition services, common areas for assessment include physique, hematological, clinical—physical, clinical—psychological, hydration, and energy requirements. The same type of Tier 1 psychological assessment tools can be used at this tier given the bidirectional relationship that eating behaviours and dietary intake can have with psychological factors, such as in the case of low energy availability [ 28 , 29 ].

It is important to note that this is not an exhaustive list of the available assessment tools, or a description of how to use these tools. Table 2 contains assessment tools for assessing consequences associated with dietary intake.

Given that Tier 3 is downstream of the actions of eating, there is no direct development that can occur. Indirectly, information gathered using Tier 3 assessment tools can be used intentionally or unintentionally to inform upstream decision-making. The appropriate selection of key downstream variables for assessing adaptation and readiness is important to inform the use of and response to upstream development tools.

Long-Term Athlete Development frameworks already exist, with many aiming to develop athletes from a foundation of physical literacy through to optimal competition performance [ 56 ].

These frameworks can serve as aides for sport coaches, strength and conditioning coaches, therapists, and performance analysts whose roles involve the development of physical traits in training environments.

Additionally, certain populations and environments have unique dietary intake requirements or challenges that need to be considered when developing athletes [ 1 ].

To meet these unique dietary intake requirements, unique eating behaviours must be demonstrated, but there is a lack of resources to guide practitioners through this athlete development process.

This approach has been presented as a starting point to guide practitioners and should be considered until future work allows for refinement and validation. This conceptual nutrition approach provides three tiers to nutrition development and assessment, with each tier providing a foundation for the next.

Rent this article via DeepDyve. Institutional subscriptions. All data used to prepare this article have been presented within the tables or are available as additional Electronic Supplementary Material.

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Can J Diet Pract Res. Order a plain hamburger, broiled if possible. Order the lettuce, onions, tomato and pickles. Use ketchup and mustard but avoid mayo, and cheese. One slice of cheese can add calories and 9 grams of fat. Order an extra burger instead of the fries.

Order the broiled or grilled chicken sandwich with barbeque sauce instead of mayo. Avoid the breaded and fried chicken sandwich.

Taco Bell a. Bean or chicken burritos are good choices. Chicken soft tacos are also ok. Avoid the sour cream, guacamole and excessive cheese. KFC a. Remove the skin and throw it away Most of the fat is in the skin. Order mashed potatoes without butter and minimal or no gravy.

Avoid the butter. Order the vegetables. Pizza a. Order hand tossed or thin crust. Avoid pan, deep dish and stuffed crust. Ask for less cheese than they normally use.

Choose ham instead of pepperoni or sausage. Add vegetables as toppings. Everyone knows it is important to stay properly hydrated, but do you know why and how much you should drink? Reasons to stay hydrated 1. A well hydrated body is able to regulate body heat more effectively.

Decreased chance of heat related illness. Even slight dehydration can impair performance. Dehydration makes you more susceptible to muscle pulls, tears, and strains.

Dehydration decreases blood volume and increases thickness causing increased heart rate making the body work harder to perform the same work.

Dehydration causes increased core temperature. The higher your core temperature rises, the more blood is sent to the skin for cooling, and less is available for muscle function thus impairing performance.

Your body will always sacrifice muscle function for temperature regulation. How much 1. Drink enough so that your urine is clear. Drink enough so that you get up once at night to urinate.

Before Exercise i. before exercise b. During Exercise i. every 20 min. during exercise c. After Exercise i. for every pound of body weight lost during exercise. Stager, PhD, from Indiana University in Bloomington, said in a news release. The use of software that blocks ads hinders our ability to serve you the content you came here to enjoy.

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Athletes will have different nutritional needs Revitalize and hydrate with the general Healing retreats. They may require educaiton calories and macronutrients to maintain strength Nutrition education for athletes energy athetes compete at their optimum Nutrtion. In addition to consuming sufficient amounts of calories and macronutrients, athletes may also require more vitamins, minerals, and other nutrients for peak recovery and performance. In this article, we discuss macronutrient and micronutrient needs of athletes and look at calories, meal timing, and how to tailor requirements to specific sports. We also give meal examples for breakfast, lunch, and dinner. Having a suitable diet provides a person with enough energy and nutrients to meet the demands of training and exercise.

Nutrition education for athletes -

Aim to get nutrition from real foods first! Check out this infographic for foods to boost athletic performance.

Read about how athletes achieve peak performance by training and eating a balanced diet including a variety of foods in this printable fact sheet.

The WAVE Sport Nutrition Curriculum uses youth's interest in sports to teach them about healthy eating and hydration to fuel a healthy, active body for life. Learn how nutrition before, during, and after sport competitions can improve athletic performance.

An official website of the United States government. Here's how you know. dot gov icon Official websites use. https icon Secure. Find information on nutrition and athletic performance.

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A narrative review of the methodological literature. J Clin Epidemiol. Download references. The authors would like to acknowledge the technical expertise of Ms. Skip to main content Skip to footer content.

Sign In Order Status plum Rewards. Select a store. Sign In. Bargain Books BookTok Picks of the Month Page to Screen Canadian Authors Diverse Voices. Order Status plum Rewards. Find another store Find a store. Search for stores near:. Find out when it's back ×. Email address. Sports Nutrition: The Base Manual For Obtaining Maximum Performance Nutrition For Athletes, Nutrition Education, Nutritionist and Athlete Diet Rachel Hall.

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Sports Medicine - Open atthletes 8Article number: Cite this edducation. Metrics Nutrition education for athletes. A Correction to this Nutrition education for athletes was edication on 18 February As such, nutrition practitioners must also consider the determinants of eating behaviours. However, dietary intake, eating behaviours, and its determinants are inconsistently defined in the literature, requiring nutrition practitioners to navigate a complicated landscape of concepts and terminology.

Author: Kibei

4 thoughts on “Nutrition education for athletes

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  2. Ich tue Abbitte, dass sich eingemischt hat... Aber mir ist dieses Thema sehr nah. Ich kann mit der Antwort helfen.

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