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Nutritional Intervention for Competitive Athletes

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Sports Nutrition".

Deadline for manuscript submissions: closed (25 September 2023) | Viewed by 48324

Special Issue Editor


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Guest Editor
The Department of Physical Therapy, Ariel University, Ariel 4076405, Israel
Interests: ergogenic aids; human performance; dietary intervention; supplement; sport
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The past 30 years have seen unbelievable growth in the dietary supplement industry. Since the 1990s, dietary supplement sales have increased by more than 80% to nearly USD 16 billion annually. Growth is not slowing down, and the market for dietary supplements continues to expand. For many, the rationale for using dietary supplements is for the purpose of enhancing muscle growth, improving strength, increasing endurance capacity, or enhancing recovery. This ever-changing market requires continuous oversight that informs athletes, coaches, sport nutritionists, and sport scientists on cutting-edge information about the efficacy, safety, and legality of various dietary supplements. Please consider submitting your latest research examining dietary supplements in competitive athletes. Review papers providing unique perspectives from sport scientists with extensive work in this area are also encouraged.

Prof. Dr. Jay R. Hoffman
Guest Editor

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Keywords

  • ergogenic aids
  • human performance
  • dietary intervention
  • supplement
  • sport

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Published Papers (8 papers)

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Research

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10 pages, 1748 KiB  
Article
The Influence of Full-Time Holistic Support Delivered by a Sports Nutritionist on Within-Day Macronutrient Distribution in New Zealand Provincial Academy Rugby Union Players
by Charlie J. Roberts, Nicholas D. Gill, Christopher M. Beaven, Logan R. Posthumus and Stacy T. Sims
Nutrients 2023, 15(1), 17; https://doi.org/10.3390/nu15010017 - 21 Dec 2022
Cited by 1 | Viewed by 2758
Abstract
Dietary intake is an important consideration for rugby union (‘rugby’) players to ensure substrate provision for optimal performance and facilitate recovery. Within-day meal distribution is especially important for athletes, particularly those with congested schedules and multiple daily training sessions. In the present study, [...] Read more.
Dietary intake is an important consideration for rugby union (‘rugby’) players to ensure substrate provision for optimal performance and facilitate recovery. Within-day meal distribution is especially important for athletes, particularly those with congested schedules and multiple daily training sessions. In the present study, 10 provincial academy rugby players engaged in a holistic support protocol informed by behaviour-change techniques led by a full-time sports nutritionist. Dietary intake was estimated during a 4-week monitoring and 4-week intervention period using the remote food photography method on one high-volume training day (two training sessions) and two low-volume training days (≤1 training session) per week. Lean body mass did not change significantly in response to the intervention. Significant increases were observed for protein on both low-volume (breakfast, AM snack, evening snack) and high-volume (post-gym, AM snack, evening snack) training days. Carbohydrate intake post-intervention was significantly greater at the pre-gym eating occasion but lower at PM snack and dinner eating occasions on high-volume days. These data suggest that incorporating a holistic support protocol led by a sports nutritionist can influence within-day nutrient intake in rugby players; however, no change to lean body mass was observed, and the influence of these changes in nutrient intake on performance and recovery warrants further investigation. Full article
(This article belongs to the Special Issue Nutritional Intervention for Competitive Athletes)
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18 pages, 1744 KiB  
Article
Managing Female Athlete Health: Auditing the Representation of Female versus Male Participants among Research in Supplements to Manage Diagnosed Micronutrient Issues
by Ella S. Smith, Alannah K. A. McKay, Megan Kuikman, Kathryn E. Ackerman, Rachel Harris, Kirsty J. Elliott-Sale, Trent Stellingwerff and Louise M. Burke
Nutrients 2022, 14(16), 3372; https://doi.org/10.3390/nu14163372 - 17 Aug 2022
Cited by 9 | Viewed by 3942
Abstract
Micronutrient deficiencies and sub-optimal intakes among female athletes are a concern and are commonly prevented or treated with medical supplements. However, it is unclear how well women have been considered in the research underpinning current supplementation practices. We conducted an audit of the [...] Read more.
Micronutrient deficiencies and sub-optimal intakes among female athletes are a concern and are commonly prevented or treated with medical supplements. However, it is unclear how well women have been considered in the research underpinning current supplementation practices. We conducted an audit of the literature supporting the use of calcium, iron, and vitamin D. Of the 299 studies, including 25,171 participants, the majority (71%) of participants were women. Studies with exclusively female cohorts (37%) were also more prevalent than those examining males in isolation (31%). However, study designs considering divergent responses between sexes were sparse, accounting for 7% of the literature. Moreover, despite the abundance of female participants, the quality and quantity of the literature specific to female athletes was poor. Just 32% of studies including women defined menstrual status, while none implemented best-practice methodologies regarding ovarian hormonal control. Additionally, only 10% of studies included highly trained female athletes. Investigations of calcium supplementation were particularly lacking, with just two studies conducted in highly trained women. New research should focus on high-quality investigations specific to female athletes, alongside evaluating sex-based differences in the response to calcium, iron, and vitamin D, thus ensuring the specific needs of women have been considered in current protocols involving medical supplements. Full article
(This article belongs to the Special Issue Nutritional Intervention for Competitive Athletes)
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13 pages, 1747 KiB  
Article
Examination of Amorphous Calcium Carbonate on the Inflammatory and Muscle Damage Response in Experienced Resistance Trained Individuals
by Jay R. Hoffman, Tavor Ben-Zeev, Amit Zamir, Chagai Levi and Ishay Ostfeld
Nutrients 2022, 14(9), 1894; https://doi.org/10.3390/nu14091894 - 30 Apr 2022
Cited by 5 | Viewed by 3296
Abstract
The effect of 3 weeks of amorphous calcium carbonate (ACC) supplementation (2000 mg per day) was examined on the recovery response to resistance exercise. Thirty men were randomized into a supplement (ACC) or placebo (PL) group. Following supplementation, participants performed six sets of [...] Read more.
The effect of 3 weeks of amorphous calcium carbonate (ACC) supplementation (2000 mg per day) was examined on the recovery response to resistance exercise. Thirty men were randomized into a supplement (ACC) or placebo (PL) group. Following supplementation, participants performed six sets of 10 repetitions in the bench press (BP) and incline BP exercises, using 80% of maximal strength. Participants returned 24 (T4) and 48 h (T5) later and performed six sets of the BP exercise. Significant decreases in the number of repetitions (p < 0.001), peak power (p < 0.001), and mean power (p = 0.009) were noted over time, but no significant interactions were observed (p > 0.05). Magnitude-based inference analysis (MBI) indicated that the change in repetitions was possibly beneficial for ACC at T4 and likely beneficial at T5. No significant interaction was noted for general soreness (p = 0.452), but a trend toward an interaction was observed in upper body soreness (p = 0.089). Confidence intervals for mean percent change scores indicated significant differences between the groups at T4 and T5, and MBI analysis indicated that ACC was very likely or likely to be beneficial for reducing soreness at those time points. In conclusion, ACC supplementation may have a potential beneficial effect in attenuating the decline in performance, which is possibly due to the carbonate component. Full article
(This article belongs to the Special Issue Nutritional Intervention for Competitive Athletes)
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14 pages, 1298 KiB  
Article
The Effects of Carbohydrate versus Fat Restriction on Lipid Profiles in Highly Trained, Recreational Distance Runners: A Randomized, Cross-Over Trial
by Alex Buga, Gary L. Welton, Katie E. Scott, Adam D. Atwell, Sarah J. Haley, Noah J. Esbenshade, Jacqueline Abraham, Jeffrey D. Buxton, Dana L. Ault, Amy S. Raabe, Timothy D. Noakes, Parker N. Hyde, Jeff S. Volek and Philip J. Prins
Nutrients 2022, 14(6), 1135; https://doi.org/10.3390/nu14061135 - 8 Mar 2022
Cited by 11 | Viewed by 8376
Abstract
A growing number of endurance athletes have considered switching from a traditional high-carbohydrate/low-fat (HCLF) to a low-carbohydrate/high-fat (LCHF) eating pattern for health and performance reasons. However, few studies have examined how LCHF diets affect blood lipid profiles in highly-trained runners. In a randomized [...] Read more.
A growing number of endurance athletes have considered switching from a traditional high-carbohydrate/low-fat (HCLF) to a low-carbohydrate/high-fat (LCHF) eating pattern for health and performance reasons. However, few studies have examined how LCHF diets affect blood lipid profiles in highly-trained runners. In a randomized and counterbalanced, cross-over design, athletes (n = 7 men; VO2max: 61.9 ± 6.1 mL/kg/min) completed six weeks of two, ad libitum, LCHF (6/69/25% en carbohydrate/fat/protein) and HCLF (57/28/15% en carbohydrate/fat/protein) diets, separated by a two-week washout. Plasma was collected on days 4, 14, 28, and 42 during each condition and analyzed for: triglycerides (TG), LDL-C, HDL-C, total cholesterol (TC), VLDL, fasting glucose, and glycated hemoglobin (HbA1c). Capillary blood beta-hydroxybutyrate (BHB) was monitored during LCHF as a measure of ketosis. LCHF lowered plasma TG, VLDL, and TG/HDL-C (all p < 0.01). LCHF increased plasma TC, LDL-C, HDL-C, and TC/HDL-C (all p < 0.05). Plasma glucose and HbA1c were unaffected. Capillary BHB was modestly elevated throughout the LCHF condition (0.5 ± 0.05 mmol/L). Healthy, well-trained, normocholesterolemic runners consuming a LCHF diet demonstrated elevated circulating LDL-C and HDL-C concentrations, while concomitantly decreasing TG, VLDL, and TG/HDL-C ratio. The underlying mechanisms and implications of these adaptive responses in cholesterol should be explored. Full article
(This article belongs to the Special Issue Nutritional Intervention for Competitive Athletes)
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Review

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29 pages, 932 KiB  
Review
Compositional Aspects of Beverages Designed to Promote Hydration Before, During, and After Exercise: Concepts Revisited
by Íñigo M. Pérez-Castillo, Jennifer A. Williams, José López-Chicharro, Niko Mihic, Ricardo Rueda, Hakim Bouzamondo and Craig A. Horswill
Nutrients 2024, 16(1), 17; https://doi.org/10.3390/nu16010017 - 20 Dec 2023
Cited by 3 | Viewed by 7461
Abstract
Hypohydration can impair aerobic performance and deteriorate cognitive function during exercise. To minimize hypohydration, athletes are recommended to commence exercise at least euhydrated, ingest fluids containing sodium during long-duration and/or high-intensity exercise to prevent body mass loss over 2% and maintain elevated plasma [...] Read more.
Hypohydration can impair aerobic performance and deteriorate cognitive function during exercise. To minimize hypohydration, athletes are recommended to commence exercise at least euhydrated, ingest fluids containing sodium during long-duration and/or high-intensity exercise to prevent body mass loss over 2% and maintain elevated plasma osmolality, and rapidly restore and retain fluid and electrolyte homeostasis before a second exercise session. To achieve these goals, the compositions of the fluids consumed are key; however, it remains unclear what can be considered an optimal formulation for a hydration beverage in different settings. While carbohydrate–electrolyte solutions such as sports drinks have been extensively explored as a source of carbohydrates to meet fuel demands during intense and long-duration exercise, these formulas might not be ideal in situations where fluid and electrolyte balance is impaired, such as practicing exercise in the heat. Alternately, hypotonic compositions consisting of moderate to high levels of electrolytes (i.e., ≥45 mmol/L), mainly sodium, combined with low amounts of carbohydrates (i.e., <6%) might be useful to accelerate intestinal water absorption, maintain plasma volume and osmolality during exercise, and improve fluid retention during recovery. Future studies should compare hypotonic formulas and sports drinks in different exercise settings, evaluating different levels of sodium and/or other electrolytes, blends of carbohydrates, and novel ingredients for addressing hydration and rehydration before, during, and after exercise. Full article
(This article belongs to the Special Issue Nutritional Intervention for Competitive Athletes)
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12 pages, 310 KiB  
Review
Different Approaches to Ergogenic, Pre-, and Probiotic Supplementation in Sports with Different Metabolism Characteristics: A Mini Review
by Jakub Wiącek and Joanna Karolkiewicz
Nutrients 2023, 15(6), 1541; https://doi.org/10.3390/nu15061541 - 22 Mar 2023
Cited by 4 | Viewed by 3898
Abstract
Sport disciplines with different metabolic characteristics require different dietary approaches. Bodybuilders or sprinters (“anaerobic” athletes) need a high-protein diet (HPD) in order to activate muscle protein synthesis after exercise-induced muscle damage and use nitric oxide enhancers (such as citrulline and nitrates) to increase [...] Read more.
Sport disciplines with different metabolic characteristics require different dietary approaches. Bodybuilders or sprinters (“anaerobic” athletes) need a high-protein diet (HPD) in order to activate muscle protein synthesis after exercise-induced muscle damage and use nitric oxide enhancers (such as citrulline and nitrates) to increase vasodilatation, whereas endurance athletes, such as runners or cyclists (“aerobic” athletes), prefer a high-carbohydrate diet (HCHD), which aims to restore the intramuscular glycogen, and supplements containing buffering agents (such as sodium bicarbonate and beta-alanine). In both cases, nutrient absorption, neurotransmitter and immune cell production and muscle recovery depend on gut bacteria and their metabolites. However, there is still insufficient data on the impact of an HPD or HCHD in addition to supplements on “anaerobic” and “aerobic” athletes’ gut microbiota and how this impact could be affected by nutritional interventions such as pre- and probiotic therapy. Additionally, little is known about the role of probiotics in the ergogenic effects of supplements. Based on the results of our previous research on an HPD in amateur bodybuilders and an HCHD in amateur cyclists, we reviewed human and animal studies on the effects of popular supplements on gut homeostasis and sport performance. Full article
(This article belongs to the Special Issue Nutritional Intervention for Competitive Athletes)
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23 pages, 749 KiB  
Review
Supplementation with Nitric Oxide Precursors for Strength Performance: A Review of the Current Literature
by Adam M. Gonzalez, Jeremy R. Townsend, Anthony G. Pinzone and Jay R. Hoffman
Nutrients 2023, 15(3), 660; https://doi.org/10.3390/nu15030660 - 28 Jan 2023
Cited by 20 | Viewed by 12303
Abstract
Nitric-oxide-stimulating dietary supplements are widely available and marketed to strength athletes and weightlifters seeking to increase muscle performance and augment training adaptations. These supplements contain ingredients classified as nitric oxide (NO) precursors (i.e., “NO boosters”). Endogenous NO is generated via a nitric oxide [...] Read more.
Nitric-oxide-stimulating dietary supplements are widely available and marketed to strength athletes and weightlifters seeking to increase muscle performance and augment training adaptations. These supplements contain ingredients classified as nitric oxide (NO) precursors (i.e., “NO boosters”). Endogenous NO is generated via a nitric oxide synthase (NOS)-dependent pathway and a NOS-independent pathway that rely on precursors including L-arginine and nitrates, with L-citrulline serving as an effective precursor of L-arginine. Nitric oxide plays a critical role in endothelial function, promoting relaxation of vascular smooth muscle and subsequent dilation which may favorably impact blood flow and augment mechanisms contributing to skeletal muscle performance, hypertrophy, and strength adaptations. The aim of this review is to describe the NO production pathways and summarize the current literature on the effects of supplementation with NO precursors for strength and power performance. The information will allow for an informed decision when considering the use of L-arginine, L-citrulline, and nitrates to improve muscular function by increasing NO bioavailability. Full article
(This article belongs to the Special Issue Nutritional Intervention for Competitive Athletes)
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Other

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13 pages, 600 KiB  
Systematic Review
A Systematic Review of the Influence of Bovine Colostrum Supplementation on Leaky Gut Syndrome in Athletes: Diagnostic Biomarkers and Future Directions
by Hanna Dziewiecka, Harpal S. Buttar, Anna Kasperska, Joanna Ostapiuk-Karolczuk, Małgorzata Domagalska, Justyna Cichoń and Anna Skarpańska-Stejnborn
Nutrients 2022, 14(12), 2512; https://doi.org/10.3390/nu14122512 - 17 Jun 2022
Cited by 8 | Viewed by 4708
Abstract
Background: Bovine colostrum (BC) contains a myriad of bioactive molecules that are renowned for possessing unique medicinal benefits in children and adults, and BC supplements are considered safe and cost-effective options to manage/prevent the incidence of upper respiratory tract infections and gut-related problems [...] Read more.
Background: Bovine colostrum (BC) contains a myriad of bioactive molecules that are renowned for possessing unique medicinal benefits in children and adults, and BC supplements are considered safe and cost-effective options to manage/prevent the incidence of upper respiratory tract infections and gut-related problems in athletes. In this review, we will try to answer the question: How will BC supplementation ameliorate gut permeability problems among athletes? Methods: Literature searches were performed using PRISMA guidance to identify studies assessing the influence of BC supplements on gut permeability. Studies were selected using four databases: PubMed, Web of Science, Scopus, and EBSCO, and a total number of 60 articles were retrieved by using appropriate keywords. Results: Nine studies were selected that met the eligibility criteria for this review. The data analysis revealed that vigorous exercise profoundly increases intestinal permeability, and BC supplementation helps to reverse gut permeability in athletes. Conclusion: BC supplementation may be highly beneficial in improving gut permeability in athletes. However, well-designed, placebo-controlled, and randomized studies are needed to evaluate the long-term safety and efficacy and to determine the optimal dose schedules of BC supplementation in high-performance athletes. Full article
(This article belongs to the Special Issue Nutritional Intervention for Competitive Athletes)
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