A Strengths-Based Approach to Increasing Nutrition Knowledge in Student-Athletes: The ‘Eat 2 Win’ Pilot Program
Abstract
:1. Introduction
2. Nutrition Knowledge
3. Nutrition Education
‘Eat 2 Win’ Nutrition Education Program
4. Materials and Methods
4.1. Participants
4.2. Nutrition for Sport Knowledge Questionnaire—Adolescents (NSKQ-a)
4.3. Curriculum Design
4.3.1. Nutrition Education Workshops
4.3.2. ‘Athletes in the Kitchen’ Cooking Classroom
4.3.3. Online Learning Module Activities
5. Results
5.1. Feasibility and Acceptability
5.2. Nutrition Knowledge Score
6. Discussion
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Desbrow, B.; McCormack, J.; Burke, L.M.; Cox, G.R.; Fallon, K.; Hislop, M.; Logan, R.; Marino, N.; Sawyer, S.M.; Shaw, G.; et al. Sports Dietitians Australia Position Statement: Sports Nutrition for the Adolescent Athlete. Int. J. Sport Nutr. Exerc. Metabol. 2014, 24, 570–584. [Google Scholar] [CrossRef]
- Capra, M.E.; Stanyevic, B.; Giudice, A.; Monopoli, D.; Decarolis, N.M.; Esposito, S.; Biasucci, G. Nutrition for children and adolescents who practice sport: A narrative review. Nutrients 2024, 16, 2803. [Google Scholar] [CrossRef] [PubMed]
- Norris, S.A.; Frongillo, E.A.; Black, M.M.; Dong, Y.; Fall, C.; Lampl, M.; Liese, A.D.; Naguib, M.; Prentice, A.; Rochat, T.; et al. Nutrition in adolescent growth and development. Lancet 2022, 399, 172–184. [Google Scholar] [CrossRef]
- Gould, R.J.; Ridout, A.J.; Newton, J.L. Relative energy deficiency in sport (RED-S) in adolescents—A practical review. Int. J. Sports Med. 2022, 44, 236–246. [Google Scholar] [CrossRef] [PubMed]
- World Health Organization. Guideline: Implementing Effective Actions for Improving Adolescent Nutrition; License: CC BY-NC-SA 3.0 IGO; World Health Organization: Geneva, Switzerland, 2018; p. 58. [Google Scholar]
- Mountjoy, M.; Melin, A.; Sundgot-Borgen, J.; Torstveit, M. Relative energy deficiency in sport a clinical approach for athletics athletes. ASPETAR Sports Med. J. 2024, 13, 202–210. [Google Scholar]
- Mountjoy, M.; Sundgot-Borgen, J.; Burke, L.; Carter, S.; Constantini, N.; Lebrun, C.; Meyer, N.; Sherman, R.; Steffen, K.; Budgett, R.; et al. The IOC Consensus Statement: Beyond the Female Athlete Triad—Relative Energy Deficiency in Sport (RED-S). Br. J. Sports Med. 2014, 48, 491–497. [Google Scholar] [CrossRef]
- Mountjoy, M.; Sundgot-Borgen, J.K.; Burke, L.M.; Ackerman, K.E.; Blauwet, C.; Constantini, N.; Lebrun, C.; Lundy, B.; Melin, A.K.; Meyer, N.L.; et al. IOC Consensus Statement on Relative Energy Deficiency in sport (RED-S): 2018 update. Br. J. Sports Med. 2018, 52, 687–697. [Google Scholar] [CrossRef]
- Logue, D.M.; Madigan, S.M.; Melin, A.; Delahunt, E.; Heinen, M.; Donnell, S.-J.M.; Clare, A. Low energy availability in athletes 2020: An updated narrative review of prevalence, risk, within-day energy balance, knowledge, and impact on sports performance. Nutrients 2020, 12, 835. [Google Scholar] [CrossRef]
- Kontele, I.; Vassilakou, T. Nutritional risks among adolescent athletes with disordered eating. Children 2021, 8, 715. [Google Scholar] [CrossRef]
- Loucks, A.B.; Kiens, B.; Wright, H.H. Energy availability in athletes. J. Sports Sci. 2011, 29, S7–S15. [Google Scholar] [CrossRef]
- Melin, A.K.; Heikura, I.A.; Tenforde, A.; Mountjoy, M. Energy availability in athletics: Health, performance, and physique. Int. J. Sport Nutr. Exerc. Metabol. 2019, 29, 152–164. [Google Scholar] [CrossRef] [PubMed]
- Golden, N.H.; Abrams, S.A.; Daniels, S.R.; Abrams, S.A.; Corkins, M.R.; de Ferranti, S.D.; Golden, N.H.; Magge, S.N.; Schwarzenberg, S.J. Optimizing bone health in children and adolescents. Pediatrics 2014, 134, e1229–e1243. [Google Scholar] [CrossRef]
- Beck, K.L.; von Hurst, P.R.; O’Brien, W.J.; Badenhorst, C.E. Micronutrients and athletic performance: A review. Food Chem. Toxicol. 2021, 158, 112618. [Google Scholar] [CrossRef] [PubMed]
- Horton-French, K.; Dunlop, E.; Lucas, R.M.; Pereira, G.; Black, L.J. Prevalence and predictors of vitamin D deficiency in a nationally representative sample of Australian adolescents and young adults. Eur. J. Clin. Nutr. 2021, 75, 1627–1636. [Google Scholar] [CrossRef]
- Most, A.; Dörr, O.; Nef, H.; Hamm, C.; Bauer, T.; Bauer, P. Influence of 25-hydroxy-vitamin D insufficiency on maximal aerobic power in elite indoor athletes: A cross-sectional study. Sports Med. Open 2021, 7, 74. [Google Scholar] [CrossRef] [PubMed]
- de la Puente Yagüe, M.; Collado Yurrita, L.; Ciudad Cabañas, M.J.; Cuadrado Cenzual, M.A. Role of vitamin D in athletes and their performance: Current concepts and new trends. Nutrients 2020, 12, 579. [Google Scholar] [CrossRef] [PubMed]
- Wang, L.; Liang, D.; Huangfu, H.; Shi, X.; Liu, S.; Zhong, P.; Luo, Z.; Ke, C.; Lai, Y. Iron deficiency: Global trends and projections from 1990 to 2050. Nutrients 2024, 16, 3434. [Google Scholar] [CrossRef]
- Shoemaker, M.E.; Gillen, Z.M.; McKay, B.D.; Koehler, K.; Cramer, J.T. High prevalence of poor iron status among 8- to 16-year-old youth athletes: Interactions among biomarkers of iron, dietary intakes, and biological maturity. J. Am. Coll. Nutr. 2020, 39, 155–162. [Google Scholar] [CrossRef] [PubMed]
- Kardasis, W.; Naquin, E.R.; Garg, R.; Arun, T.; Gopianand, J.S.; Karmakar, E.; Gnana-Prakasam, J.P. The IRONy in athletic performance. Nutrients 2023, 15, 4945. [Google Scholar] [CrossRef]
- Bird, S.P.; Rushton, B.D. Nutritional knowledge of youth academy athletes. BMC Nutr. 2020, 6, 35. [Google Scholar] [CrossRef]
- Hulland, S.C.; Trakman, G.L.; Alcock, R.D. Adolescent athletes have better general than sports nutrition knowledge and lack awareness of supplement recommendations: A systematic literature review. Br. J. Nutr. 2024, 131, 1362–1376. [Google Scholar] [CrossRef] [PubMed]
- Jovanov, P.; Đorđić, V.; Obradović, B.; Barak, O.; Pezo, L.; Marić, A.; Sakač, M. Prevalence, knowledge and attitudes towards using sports supplements among young athletes. J. Int. Soc. Sports Nutr. 2019, 16, 27. [Google Scholar] [CrossRef]
- Whitehouse, G.; Lawlis, T. Protein supplements and adolescent athletes: A pilot study investigating the risk knowledge, motivations and prevalence of use. Nutr. Diet. 2017, 74, 509–515. [Google Scholar] [CrossRef]
- Kavouras, S.A.; Arnaoutis, G. Hydration status in active youth. Nutr. Today 2012, 47, S11–S13. [Google Scholar] [CrossRef]
- Noll, M.; de Mendonça, C.R.; de Souza Rosa, L.P.; Silveira, E.A. Determinants of eating patterns and nutrient intake among adolescent athletes: A systematic review. Nutr. J. 2017, 16, 46. [Google Scholar] [CrossRef]
- Bingham, M.E.; Borkan, M.E.; Quatromoni, P.A. Sports nutrition advice for adolescent athletes: A time to focus on food. Am. J. Lifestyle Med. 2015, 9, 398–402. [Google Scholar] [CrossRef]
- Close, G.L.; Kasper, A.M.; Walsh, N.P.; Maughan, R.J. “Food first but not always food only”: Recommendations for using dietary supplements in sport. Int. J. Sport Nutr. Exerc. Metabol. 2022, 32, 371–386. [Google Scholar] [CrossRef]
- Appannah, G.; Murray, K.; Trapp, G.; Dymock, M.; Oddy, W.H.; Ambrosini, G.L. Dietary pattern trajectories across adolescence and early adulthood and their associations with childhood and parental factors. Am. J. Clin. Nutr. 2021, 113, 36–46. [Google Scholar] [CrossRef] [PubMed]
- Tan, X.; Rogers, N.; Brown, N.; MacDonald, M.; Bowler, A.-L.; Cox, G.R. The impact of a remotely-delivered sports nutrition education program on dietary intake and nutrition knowledge of junior elite triathletes. Nutrients 2022, 14, 5203. [Google Scholar] [CrossRef] [PubMed]
- Larose, D.; Panahi, S.; Jacob, R.; Drapeau, V.; Couillard, C. Evaluation of a randomized nutrition intervention combining nutrition education and cooking workshops on dietary intakes and psychosocial determinants of performance in university football athletes. FACETS 2022, 7, 876–890. [Google Scholar] [CrossRef]
- Trakman, G.L.; Forsyth, A.; Devlin, B.L.; Belski, R. A systematic review of athletes’ and coaches’ nutrition knowledge and reflections on the quality of current nutrition knowledge measures. Nutrients 2016, 8, 570. [Google Scholar] [CrossRef] [PubMed]
- Canavan, C.R.; Fawzi, W.W. Addressing knowledge gaps in adolescent nutrition: Toward advancing public health and sustainable development. Curr. Dev. Nutr. 2019, 3, nzz062. [Google Scholar] [CrossRef] [PubMed]
- Tam, R.; Beck, K.L.; Manore, M.M.; Gifford, J.; Flood, V.M.; O’Connor, H. Effectiveness of education interventions designed to improve nutrition knowledge in athletes: A systematic review. Sports Med. 2019, 49, 1769–1786. [Google Scholar] [CrossRef]
- Boidin, A.; Tam, R.; Mitchell, L.; Cox, G.R.; O’Connor, H. The effectiveness of nutrition education programmes on improving dietary intake in athletes: A systematic review. Br. J. Nutr. 2021, 125, 1359–1373. [Google Scholar] [CrossRef] [PubMed]
- Smith, J. NCSA: The Best College Nutrition Facilities. Available online: https://www.usatodayhss.com/story/sports/high-school/2019/07/16/ncsa-the-best-college-nutrition-facilities/76272108007/ (accessed on 27 November 2024).
- Trakman, G.L.; Forsyth, A.; Hoye, R.; Belski, R. Development and validation of a brief general and sports nutrition knowledge questionnaire and assessment of athletes’ nutrition knowledge. J. Int. Soc. Sports Nutr. 2018, 15, 17. [Google Scholar] [CrossRef] [PubMed]
- Trakman, G.L.; Forsyth, A.; Hoye, R.; Belski, R. The nutrition for sport knowledge questionnaire (NSKQ): Development and validation using classical test theory and Rasch analysis. J. Int. Soc. Sports Nutr. 2017, 14, 26. [Google Scholar] [CrossRef]
- Gibbs, R.L., Jr.; Becker, T.B. An evidence-based sports nutrition curriculum for youth. Sport J. 2021, 15. Available online: https://thesportjournal.org/article/an-evidence-based-sports-nutrition-curriculum-for-youth/ (accessed on 27 November 2024).
- Reguant-Closa, A.; Harris, M.M.; Lohman, T.G.; Meyer, N.L. Validation of the Athlete’s Plate Nutrition Educational Tool: Phase I. Int. J. Sport Nutr. Exerc. Metabol. 2019, 29, 628–635. [Google Scholar] [CrossRef]
- Scanlon, S.; Norton, C. Investigating nutrition and hydration knowledge and practice among a cohort of age-grade rugby union players. Nutrients 2024, 16, 533. [Google Scholar] [CrossRef]
- Abood, D.A.; Black, D.R.; Birnbaum, R.D. Nutrition education intervention for college female athletes. J. Nutr. Educ. Behav. 2004, 36, 135–139. [Google Scholar] [CrossRef]
- Zinn, C.; Schofield, G.; Wall, C. Development of a psychometrically valid and reliable sports nutrition knowledge questionnaire. J. Sci. Med. Sport 2005, 8, 346–351. [Google Scholar] [CrossRef] [PubMed]
- Walsh, M.; Cartwright, L.; Corish, C.; Sugrue, S.; Wood-Martin, R. The body composition, nutritional knowledge, attitudes, behaviors, and future education needs of senior schoolboy rugby players in Ireland. Int. J. Sport Nutr. Exerc. Metabol. 2011, 21, 365–376. [Google Scholar] [CrossRef]
- Lee, K.-W. Effectiveness of gamification and selection of appropriate teaching methods of creativity: Students’ perspectives. Heliyon 2023, 9, e20420. [Google Scholar] [CrossRef] [PubMed]
Topic | Learning Objectives |
---|---|
Module 1. Winning Nutrition |
|
Module 2. Fuelling Performance |
|
Module 3. Hydrate to Dominate |
|
Focus Group Feedback Themes | Written Student Feedback |
---|---|
Nutrition education workshops | |
| ‘The presenter made it relatable with examples that made sense to us.’ ‘The stuff on hydration really helped me. I’ve started drinking more water, and I feel better during training.’ ‘Learning what to eat before and after training has been super helpful.’ ‘The bit about the colour of your pee and hydration was really interesting.’ |
‘Athletes in the Kitchen’ cooking classes | |
| ‘It was fun to cook together as a group. It made it more enjoyable, and we could help each other.’ ‘I liked getting the information first, so I knew why we were cooking what we were cooking.’ ‘Everyone had something to do, so no one was just standing around.’ ‘The cooking sessions were fun, and the nutrition tips were easy to follow. I think other students would like it.’ |
Online module learning activities | |
| ‘It would have helped if we had time during the sessions to do [the online modules], instead of on our own.’ ‘It would be cool to hear about athletes using these nutrition strategies, so we know it really works.’ ‘A cheat sheet with quick tips would be great, so I could look back at it when I need to.’ ‘I kept forgetting to do them.’ |
Category | % Score (PRE) | Ranking | % Score (POST) | Ranking | % Change |
---|---|---|---|---|---|
Overall score | 42.2 ± 23 | Poor | 51.9 ± 25 | Average | 9.7 |
Macronutrient | 51.0 ± 18 | Average | 57.6 ± 21 | Average | 6.6 |
Hydration | 37.5 ± 22 | Poor | 71.9 ± 31 | Good | 34.4 |
Supplementation | 26.0 ± 16 | Poor | 39.6 ± 28 | Poor | 13.5 |
Vitamins | 12.5 ± 18 | Poor | 15.6 ± 13 | Poor | 3.1 |
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Fuller, A.; Bird, S.P. A Strengths-Based Approach to Increasing Nutrition Knowledge in Student-Athletes: The ‘Eat 2 Win’ Pilot Program. Nutrients 2025, 17, 361. https://doi.org/10.3390/nu17020361
Fuller A, Bird SP. A Strengths-Based Approach to Increasing Nutrition Knowledge in Student-Athletes: The ‘Eat 2 Win’ Pilot Program. Nutrients. 2025; 17(2):361. https://doi.org/10.3390/nu17020361
Chicago/Turabian StyleFuller, Andrea, and Stephen P. Bird. 2025. "A Strengths-Based Approach to Increasing Nutrition Knowledge in Student-Athletes: The ‘Eat 2 Win’ Pilot Program" Nutrients 17, no. 2: 361. https://doi.org/10.3390/nu17020361
APA StyleFuller, A., & Bird, S. P. (2025). A Strengths-Based Approach to Increasing Nutrition Knowledge in Student-Athletes: The ‘Eat 2 Win’ Pilot Program. Nutrients, 17(2), 361. https://doi.org/10.3390/nu17020361