Nutritional Assessment, Body Composition, and Low Energy Availability in Sport Climbing Athletes of Different Genders and Categories: A Cross-Sectional Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design
2.2. Ethical Issues
2.3. Sport Characteristics
2.4. Body Composition
2.5. Nutritional or Dietary Assessment
2.5.1. Dietary Diary and Adjustment to Requirements
2.5.2. Estimation of Energy Availability
2.6. Statistical Analysis
3. Results
3.1. Sample Characteristics
3.2. Body Composition
3.3. Dietary Intake
3.3.1. Energy Intake and Energy Availability
3.3.2. Macronutrient Intake
3.3.3. Micronutrient Intake
3.3.4. Supplement Use
4. Discussion
4.1. Body Composition
4.2. Nutritional Intake
5. Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Jones, G.; Schöffl, V.; Johnson, M.I. Incidence, Diagnosis, and Management of Injury in Sport Climbing and Bouldering: A Critical Review. Curr. Sports Med. Rep. 2018, 17, 396. [Google Scholar] [CrossRef] [PubMed]
- Batuev, M.; Robinson, L. Organizational Evolution and the Olympic Games: The Case of Sport Climbing. Sport Soc. 2019, 22, 1674–1690. [Google Scholar] [CrossRef]
- Sanchez, X.; Torregrossa, M.; Woodman, T.; Jones, G.; Llewellyn, D.J. Identification of Parameters That Predict Sport Climbing Performance. Front. Psychol. 2019, 10, 1294. [Google Scholar] [CrossRef]
- Watts, P.B. Physiology of Difficult Rock Climbing. Eur. J. Appl. Physiol. 2004, 91, 361–372. [Google Scholar] [CrossRef] [PubMed]
- Bertuzzi, R.C.d.M.; Franchini, E.; Kokubun, E.; Kiss, M.A.P.D.M. Energy System Contributions in Indoor Rock Climbing. Eur. J. Appl. Physiol. 2007, 101, 293–300. [Google Scholar] [CrossRef] [PubMed]
- España-Romero, V.; Ortega Porcel, F.B.; Artero, E.G.; Jiménez-Pavón, D.; Gutiérrez Sainz, Á.; Castillo Garzón, M.J.; Ruiz, J.R. Climbing Time to Exhaustion Is a Determinant of Climbing Performance in High-Level Sport Climbers. Eur. J. Appl. Physiol. 2009, 107, 517–525. [Google Scholar] [CrossRef]
- Wall, C.B.; Starek, J.E.; Fleck, S.J.; Byrnes, W.C. Prediction of Indoor Climbing Performance in Women Rock Climbers. J. Strength Cond. Res. 2004, 18, 77. [Google Scholar]
- Sanchez, X.; Boschker, M.S.J.; Llewellyn, D.J. Pre-Performance Psychological States and Performance in an Elite Climbing Competition. Scand. J. Med. Sci. Sports 2010, 20, 356–363. [Google Scholar] [CrossRef]
- Mermier, C.M.; Janot, J.M.; Parker, D.L.; Swan, J.G. Physiological and Anthropometric Determinants of Sport Climbing Performance. Br. J. Sports Med. 2000, 34, 359–365. [Google Scholar] [CrossRef]
- Giles, D.; Barnes, K.; Taylor, N.; Chidley, C.; Chidley, J.; Mitchell, J.; Torr, O.; Gibson-Smith, E.; España-Romero, V. Anthropometry and Performance Characteristics of Recreational Advanced to Elite Female Rock Climbers. J. Sports Sci. 2021, 39, 48–56. [Google Scholar] [CrossRef]
- Laffaye, G.; Levernier, G.; Collin, J.-M. Determinant Factors in Climbing Ability: Influence of Strength, Anthropometry, and Neuromuscular Fatigue. Scand. J. Med. Sci. Sports 2016, 26, 1151–1159. [Google Scholar] [CrossRef]
- Ginszt, M.; Saito, M.; Zięba, E.; Majcher, P.; Kikuchi, N. Body Composition, Anthropometric Parameters, and Strength-Endurance Characteristics of Sport Climbers: A Systematic Review. J. Strength Cond. Res. 2023, 37, 1339. [Google Scholar] [CrossRef]
- Michael, M.K.; Witard, O.C.; Joubert, L. Physiological Demands and Nutritional Considerations for Olympic-Style Competitive Rock Climbing. Cogent Med. 2019, 6, 1667199. [Google Scholar] [CrossRef]
- Leslie-Wujastyk, M.; Gibson-Smith, E. Nutritional Considerations for Female Rock Climbers. J. Sci. Sport Exerc. 2024, 6, 1–12. [Google Scholar] [CrossRef]
- Logue, D.M.; Madigan, S.M.; Melin, A.; Delahunt, E.; Heinen, M.; Donnell, S.-J.M.; Corish, C.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]
- De Souza, M.J.; Strock, N.C.A.; Ricker, E.A.; Koltun, K.J.; Barrack, M.; Joy, E.; Nattiv, A.; Hutchinson, M.; Misra, M.; Williams, N.I. The Path Towards Progress: A Critical Review to Advance the Science of the Female and Male Athlete Triad and Relative Energy Deficiency in Sport. Sports Med. 2022, 52, 13–23. [Google Scholar] [CrossRef]
- Burke, L.M.; Ackerman, K.E.; Heikura, I.A.; Hackney, A.C.; Stellingwerff, T. Mapping the Complexities of Relative Energy Deficiency in Sport (REDs): Development of a Physiological Model by a Subgroup of the International Olympic Committee (IOC) Consensus on REDs. Br. J. Sports Med. 2023, 57, 1098–1108. [Google Scholar] [CrossRef]
- Torstveit, M.K.; Ackerman, K.E.; Constantini, N.; Holtzman, B.; Koehler, K.; Mountjoy, M.L.; Sundgot-Borgen, J.; Melin, A. Primary, Secondary and Tertiary Prevention of Relative Energy Deficiency in Sport (REDs): A Narrative Review by a Subgroup of the IOC Consensus on REDs. Br. J. Sports Med. 2023, 57, 1119–1126. [Google Scholar] [CrossRef]
- Callender, N.A.; Hayes, T.N.; Labrador, N.B. Cardiorespiratory Demands of Competitive Rock Climbing. Appl. Physiol. Nutr. Metab. 2021, 46, 161–168. [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]
- Gibson-Smith, E.; Storey, R.; Ranchordas, M. Dietary Intake, Body Composition and Iron Status in Experienced and Elite Climbers. Front. Nutr. 2020, 7, 122. [Google Scholar] [CrossRef]
- Mayer, T.; Steneck, N.H. Promoting Research Integrity in a Global Environment; World Scientific: Singapore, 2011. [Google Scholar]
- Moritz, M.; Gibello, V. El Reglamento Europeo (UE) 2016/679: Análisis de un claroscuro. Foro 2017, 115–128. [Google Scholar]
- Draper, N.; Giles, D.; Schöffl, V.; Konstantin Fuss, F.; Watts, P.; Wolf, P.; Baláš, J.; Espana-Romero, V.; Blunt Gonzalez, G.; Fryer, S.; et al. Comparative Grading Scales, Statistical Analyses, Climber Descriptors and Ability Grouping: International Rock Climbing Research Association Position Statement. Sports Technol. 2015, 8, 88–94. [Google Scholar] [CrossRef]
- Norton, K. Kinanthropometry and Exercise Physiology, 4th ed.; Norton, K., Eston, R., Eds.; Routledge: New York, NY, USA, 2018. [Google Scholar]
- Silva, V.S.d.; Vieira, M.F.S. International Society for the Advancement of Kinanthropometry (ISAK) Global: International Accreditation Scheme of the Competent Anthropometrist. Braz. J. Kinanthropometry Hum. Perform. 2020, 22, e70517. [Google Scholar] [CrossRef]
- Belando, J.E.S.; Chamorro, R.P.G. Valoración Antropométrica de la Composición Corporal: Cineantropometría; Universidad de Alicante: Alacant, Spain, 2009. [Google Scholar]
- Lohman, T.G. Skinfolds and Body Density and Their Relation to Body Fatness: A Review. Hum. Biol. 1981, 53, 181–225. [Google Scholar]
- Curilem Gatica, C. Evaluación de la composición corporal en niños y adolescentes: Directrices y recomendaciones. Nutr. Hosp. 2016, 33, 285. [Google Scholar] [CrossRef]
- Silveira, E.A.; Barbosa, L.S.; Rodrigues, A.P.S.; Noll, M.; De Oliveira, C. Body Fat Percentage Assessment by Skinfold Equation, Bioimpedance and Densitometry in Older Adults. Arch. Public Health 2020, 78, 65. [Google Scholar] [CrossRef]
- González-Mendoza, R.G.; Gaytán-González, A.; Jiménez-Alvarado, J.A.; Villegas-Balcázar, M.; Jáuregui-Ulloa, E.E.; Torres-Naranjo, F.; López-Taylor, J.R. Accuracy of Anthropometric Equations to Estimate DXA-Derived Skeletal Muscle Mass in Professional Male Soccer Players. J. Sports Med. 2019, 2019, e4387636. [Google Scholar] [CrossRef]
- Torres-Unda, J.; Zarrazquin, I.; Gil, J.; Ruiz, F.; Irazusta, A.; Kortajarena, M.; Seco, J.; Irazusta, J. Anthropometric, Physiological and Maturational Characteristics in Selected Elite and Non-Elite Male Adolescent Basketball Players. J. Sports Sci. 2013, 31, 196–203. [Google Scholar] [CrossRef]
- Téllez, M.J.A.; Carrasco, F.; Romero, V.E.; Inostroza, J.; Bustamante, A.; Altamirano, I.S. A Comparison of Body Composition Assessment Methods in Climbers: Which Is Better? PLoS ONE 2019, 14, e0224291. [Google Scholar] [CrossRef]
- Carter, J.E.L. The Heath-Carter Anthropometric Somatotype: Measurement and Assessment 1–4. In Physique, Fitness, and Performance, 2nd ed.; CRC Press: Boca Raton, FL, USA, 2007; pp. 185–219. [Google Scholar]
- Novoa-Vignau, M.F.; Salas-Fraire, O.; Salas-Longoria, K.; Hernández-Suárez, G.; Menchaca-Pérez, M. A Comparison of Anthropometric Characteristics and Somatotypes in a Group of Elite Climbers, Recreational Climbers and Non-Climbers. Med. Univ. 2017, 19, 69–73. [Google Scholar] [CrossRef]
- Burke, L.M. Dietary Assessment Methods for the Athlete: Pros and Cons of Different Methods; Gatorade Sports Science Institute: Barrington, IL, USA, 2015; Available online: https://www.gssiweb.org/sports-science-exchange/article/sse-150-dietary-assessment-methods-for-the-athlete-pros-and-cons-of-different-methods/1000 (accessed on 19 August 2024).
- Sebastià, N. Dietopro.com: Una nueva herramienta de gestión dietoterapéutica. Nutr. Hosp. 2014, 30, 678–685. [Google Scholar] [CrossRef]
- FESNAD. Federación Española de Sociedades de Nutrición, Alimentación y Dietética. Ingestas Dietéticas de Referencia (IDR) Para La Población Española. Act. Diet. 2010, 14, 196–197. [Google Scholar]
- Ainsworth, B.E.; Haskell, W.L.; Herrmann, S.D.; Meckes, N.; Bassett, D.R., Jr.; Tudor-Locke, C.; Greer, J.L.; Vezina, J.; Whitt-Glover, M.C.; Leon, A.S. 2011 Compendium of Physical Activities: A Second Update of Codes and MET Values. Med. Sci. Sports Exerc. 2011, 43, 1575–1581. [Google Scholar] [CrossRef]
- Ainsworth, B.; Whitt-Glover, M.; Irwin, M.; Swartz, A.; Strath, S.; O’brien, W.; Bassett, D.; Schmitz, K.; Emplaincourt, P.; Jacobs, D.R. Compendium of Physical Activities: An Update of Activity Codes and MET Intensities. Med. Sci. Sports Exerc. 2000, 32, S498–S504. [Google Scholar] [CrossRef]
- Loucks, A.B. Energy Balance and Energy Availability. In The Encyclopaedia of Sports Medicine; Wiley: Hoboken, NJ, USA, 2013; pp. 72–87. [Google Scholar] [CrossRef]
- Chmielewska, A.; Regulska-Ilow, B. The Evaluation of Energy Availability and Dietary Nutrient Intake of Sport Climbers at Different Climbing Levels. Int. J. Environ. Res. Public Health 2023, 20, 5176. [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. Metab. 2019, 29, 152–164. [Google Scholar] [CrossRef]
- Monedero, J.; Duff, C.; Egan, B. Dietary Intakes and the Risk of Low Energy Availability in Male and Female Advanced and Elite Rock Climbers. J. Strength Cond. Res. 2023, 37, e8. [Google Scholar] [CrossRef]
- Faul, F.; Erdfelder, E.; Lang, A.-G.; Buchnr, A. G*Power 3: A Flexible Statistical Power Analysis Program for the Social, Behavioral, and Biomedical Sciences. Behav. Res. Methods 2007, 39, 175–191. [Google Scholar] [CrossRef]
- Orcan, F. Parametric or Non-Parametric: Skewness to Test Normality for Mean Comparison. Int. J. Assess. Tools Educ. 2020, 7, 255–265. [Google Scholar] [CrossRef]
- Cohen, J. Methods in Psychology. A Power Primer. Psychol. Bull. 1992, 112, 155–159. [Google Scholar] [CrossRef] [PubMed]
- Stubbs, R.J.; Hopkins, M.; Finlayson, G.S.; Duarte, C.; Gibbons, C.; Blundell, J.E. Potential Effects of Fat Mass and Fat-Free Mass on Energy Intake in Different States of Energy Balance. Eur. J. Clin. Nutr. 2018, 72, 698–709. [Google Scholar] [CrossRef] [PubMed]
- Watts, P.B.; Martin, D.T.; Durtschi, S. Anthropometric Profiles of Elite Male and Female Competitive Sport Rock Climbers. J. Sports Sci. 1993, 11, 113–117. [Google Scholar] [CrossRef] [PubMed]
- Saul, D.; Steinmetz, G.; Lehmann, W.; Schilling, A.F. Determinants for Success in Climbing: A Systematic Review. J. Exerc. Sci. Fit. 2019, 17, 91–100. [Google Scholar] [CrossRef]
- Grant, S.; Hasler, T.; Davies, C.; Aitchison, T.C.; Wilson, J.; Whittaker, A. A Comparison of the Anthropometric, Strength, Endurance and Flexibility Characteristics of Female Elite and Recreational Climbers and Non-Climbers. J. Sports Sci. 2001, 19, 499–505. [Google Scholar] [CrossRef]
- Puletic, M.; Stankovic, D. The Influence of Somatotype Components on Success in Sport Climbing. Facta Univ. Ser. Phys. Educ. Sport 2014, 12, 105–111. [Google Scholar]
- Son, S.; Seo, Y.; Son, J.; Yun, S.; Lee, D.T. Comparison of Finger Flexion Strength and Muscular Recovery of Male Lead Sport Climbers across Climbing Classes. Phys. Ther. Sport 2024, 65, 122–129. [Google Scholar] [CrossRef]
- Anakwe, R.; Huntley, J.; Mceachan, J. Grip Strength and Forearm Circumference in a Healthy Population. J. Hand Surg. Eur. Vol. 2007, 32, 203–209. [Google Scholar] [CrossRef]
- Arazi, H.; Rashidlamir, A.; Abolhasani, M.Z.; Hosaini, S.A. Profiling and Predicting Performance of Indoor Rock Climbers. Rev. Bras. Cineantropom. Desempenho Hum. 2018, 20, 82–94. [Google Scholar] [CrossRef]
- Simič, V.; Jevšnik, Š.; Mohorko, N. Low Energy Availability and Carbohydrate Intake in Competitive Adolescent Sport Climbers. Kinesiology 2022, 54, 268–277. [Google Scholar] [CrossRef]
- Michael, M.K.; Joubert, L.; Witard, O.C. Assessment of Dietary Intake and Eating Attitudes in Recreational and Competitive Adolescent Rock Climbers: A Pilot Study. Front. Nutr. 2019, 6, 64. [Google Scholar] [CrossRef] [PubMed]
- Byrne, N.M.; Hills, A.P.; Hunter, G.R.; Weinsier, R.L.; Schutz, Y. Metabolic Equivalent: One Size Does Not Fit All. J. Appl. Physiol. 2005, 99, 1112–1119. [Google Scholar] [CrossRef] [PubMed]
- Mathisen, T.F.; Ackland, T.; Burke, L.M.; Constantini, N.; Haudum, J.; Macnaughton, L.S.; Meyer, N.L.; Mountjoy, M.; Slater, G.; Sundgot-Borgen, J. Best Practice Recommendations for Body Composition Considerations in Sport to Reduce Health and Performance Risks: A Critical Review, Original Survey and Expert Opinion by a Subgroup of the IOC Consensus on Relative Energy Deficiency in Sport (REDs). Br. J. Sports Med. 2023, 57, 1148–1160. [Google Scholar] [CrossRef] [PubMed]
- Úbeda Martín, N.; Carvacho, C.L.; García González, Á. Energy and Nutritional Inadequacies in a Group of Recreational Adult Spanish Climbers. Arch. Med. Deporte 2021, 38, 237–244. [Google Scholar] [CrossRef]
- Widrick, J.J.; Costill, D.L.; Fink, W.J.; Hickey, M.S.; McConell, G.K.; Tanaka, H. Carbohydrate Feedings and Exercise Performance: Effect of Initial Muscle Glycogen Concentration. J. Appl. Physiol. 1993, 74, 2998–3005. [Google Scholar] [CrossRef]
- Hawley, J.A.; Schabort, E.J.; Noakes, T.D.; Dennis, S.C. Carbohydrate-Loading and Exercise Performance. Sports Med. 1997, 24, 73–81. [Google Scholar] [CrossRef]
- Burke, L.M.; Ross, M.L.; Garvican-Lewis, L.A.; Welvaert, M.; Heikura, I.A.; Forbes, S.G.; Mirtschin, J.G.; Cato, L.E.; Strobel, N.; Sharma, A.P.; et al. Low Carbohydrate, High Fat Diet Impairs Exercise Economy and Negates the Performance Benefit from Intensified Training in Elite Race Walkers. J. Physiol. 2017, 595, 2785–2807. [Google Scholar] [CrossRef]
- Booth, J.; Marino, F.; Hill, C.; Gwinn, T. Energy Cost of Sport Rock Climbing in Elite Performers. Br. J. Sports Med. 1999, 33, 14–18. [Google Scholar] [CrossRef]
- Burd, N.A.; Tang, J.E.; Moore, D.R.; Phillips, S.M. Exercise Training and Protein Metabolism: Influences of Contraction, Protein Intake, and Sex-Based Differences. J. Appl. Physiol. 2009, 106, 1692–1701. [Google Scholar] [CrossRef]
- Nunes, E.A.; Colenso-Semple, L.; McKellar, S.R.; Yau, T.; Ali, M.U.; Fitzpatrick-Lewis, D.; Sherifali, D.; Gaudichon, C.; Tomé, D.; Atherton, P.J.; et al. Systematic Review and Meta-Analysis of Protein Intake to Support Muscle Mass and Function in Healthy Adults. J. Cachexia Sarcopenia Muscle 2022, 13, 795–810. [Google Scholar] [CrossRef]
- Lemon, P.W.R.; Proctor, D.N. Protein Intake and Athletic Performance. Sports Med. 1991, 12, 313–325. [Google Scholar] [CrossRef]
- Larson-Meyer, D.E.; Woolf, K.; Burke, L. Assessment of Nutrient Status in Athletes and the Need for Supplementation. Int. J. Sport Nutr. Exerc. Metab. 2018, 28, 139–158. [Google Scholar] [CrossRef]
- Basiotis, P.P.; Welsh, S.O.; Cronin, F.J.; Kelsay, J.L.; Mertz, W. Number of Days of Food Intake Records Required to Estimate Individual and Group Nutrient Intakes with Defined Confidence. J. Nutr. 1987, 117, 1638–1641. [Google Scholar] [CrossRef] [PubMed]
- Devaney, B.L.; Barr, S.I. DRI, EAR, RDA, AI, UL: Making Sense of This Alphabet Soup. Nutr. Today 2002, 37, 226. [Google Scholar] [CrossRef]
- Okoren, L.; Magkos, F. Physiological Characteristics, Dietary Intake, and Supplement Use in Sport Climbing. Curr. Nutr. Rep. 2023, 12, 788–796. [Google Scholar] [CrossRef]
- People, G.; Parker; Anthony, R.; Craddock, J. Rock Climbers’ Self-Reported Dietary Practices and Supplement Use in the Context of Supporting Climbing Performance. JSES 2021, 5, 130–138. [Google Scholar] [CrossRef]
- Sas-Nowosielski, K.; Wycislik, J. Energy and Macronutrient Intake of Advanced Polish Sport Climbers. J. Phys. Educ. Sport 2019, 19 (Suppl. S3), 829–832. [Google Scholar]
- Mora-Fernandez, A.; Rojas, J.P.; Gimenez-Blasi, N.; Conde-Pipó, J.; Latorre, J.A.; Mariscal-Arcas, M. Relationship of Vitamin D Status with Biomarkers of Muscle Damage and Body Composition in Spanish Elite Female Football Players: A Cross-Sectional Study. Appl. Sci. 2024, 14, 6349. [Google Scholar] [CrossRef]
- Jordan, S.L.; Albracht-Schulte, K.; Robert-McComb, J.J. Micronutrient Deficiency in Athletes and Inefficiency of Supplementation: Is Low Energy Availability a Culprit? PharmaNutrition 2020, 14, 100229. [Google Scholar] [CrossRef]
- Mora-Fernandez, A.; Lopez-Moro, A.; Chirosa-Rios, L.J.; Mariscal-Arcas, M. A Systematic Review of the Effects of Nutrient Intake in Handball Players on Exercise Performance. Appl. Sci. 2022, 12, 12378. [Google Scholar] [CrossRef]
- Jiménez-Casquet, M.J.; Conde-Pipó, J.; Valenzuela-Barranco, I.; Rienda-Contreras, R.; Olea-Serrano, F.; Bouzas, C.; Tur, J.A.; Mariscal-Arcas, M. Nutrition Status of Female Winter Sports Athletes. Nutrients 2023, 15, 4472. [Google Scholar] [CrossRef] [PubMed]
- Jiménez-Casquet, M.J.; Conde-Pipo, J.; Valenzuela-Barranco, I.; Rienda-Contreras, R.; Olea-Serrano, F.; Monserrat-Mesquida, M.; Tur, J.A.; Bouzas, C.; Mariscal-Arcas, M. Cross-Sectional Study of the Anthropometric Profile and Nutrient Status of Elite Female Ice Hockey Players: Differences by Play Position. Nutrients 2024, 16, 471. [Google Scholar] [CrossRef]
- Celorrio San Miguel, A.M.; Roche, E.; Herranz-López, M.; Celorrio San Miguel, M.; Mielgo-Ayuso, J.; Fernández-Lázaro, D. Impact of Melatonin Supplementation on Sports Performance and Circulating Biomarkers in Highly Trained Athletes: A Systematic Review of Randomized Controlled Trials. Nutrients 2024, 16, 1011. [Google Scholar] [CrossRef] [PubMed]
- Kostrakiewicz-Gierałt, K. Plant-Based Proteins, Peptides and Amino Acids in Food Products Dedicated for Sportspeople—A Narrative Review of the Literature. Nutrients 2024, 16, 1706. [Google Scholar] [CrossRef]
- Fernández-Lázaro, D.; Arribalzaga, S.; Gutiérrez-Abejón, E.; Azarbayjani, M.A.; Mielgo-Ayuso, J.; Roche, E. Omega-3 Fatty Acid Supplementation on Post-Exercise Inflammation, Muscle Damage, Oxidative Response, and Sports Performance in Physically Healthy Adults—A Systematic Review of Randomized Controlled Trials. Nutrients 2024, 16, 2044. [Google Scholar] [CrossRef] [PubMed]
- Macuh, M.; Kojić, N.; Knap, B. The Effects of Nitrate Supplementation on Performance as a Function of Habitual Dietary Intake of Nitrates: A Randomized Controlled Trial of Elite Football Players. Nutrients 2023, 15, 3721. [Google Scholar] [CrossRef] [PubMed]
- Bingham, S.A. Limitations of the Various Methods for Collecting Dietary Intake Data. Ann. Nutr. Metab. 1991, 35, 117–127. [Google Scholar] [CrossRef]
- Gorstein, J.; Sullivan, K.; Yip, R.; de Onís, M.; Trowbridge, F.; Fajans, P.; Clugston, G. Issues in the Assessment of Nutritional Status Using Anthropometry. Bull. World Health Organ. 1994, 72, 273. [Google Scholar]
- Mulasi, U.; Kuchnia, A.J.; Cole, A.J.; Earthman, C.P. Bioimpedance at the Bedside: Current Applications, Limitations, and Opportunities. Nutr. Clin. Pract. 2015, 30, 180–193. [Google Scholar] [CrossRef]
Total (n = 46) | Males (n = 22) | Females (n = 24) | p | Effect Size ** | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | Mean | SD | d | IC (95%) | |||
Age (years) | 30 | 9 | 32 | 10 | 28 | 8 | 0.190 # | 0.393 | (−0.194–0.975) | |
Weight (kg) | 59.56 | 10.12 | 67.78 | 7.77 | 52.03 | 4.65 | <0.001 * | 2.487 | (1.703–3.256) | |
Height (cm) | 167.73 | 8.62 | 174.49 | 6.89 | 161.53 | 4.27 | <0.001 # | 2.284 | (1.527–3.026) | |
BMI (kg/m2) | 21.02 | 1.96 | 22.20 | 1.71 | 19.93 | 1.52 | <0.001 # | 1.409 | (0.754–2.051) | |
IRCRA score | 19.07 | 4.72 | 20.00 | 4.61 | 18.21 | 4.75 | 0.189 * | 0.383 | (−0.203–0.965) | |
Experience (years) | 7.66 | 6.63 | 8.57 | 7.17 | 6.83 | 6.13 | 0.460 * | 0.261 | (−0.321–0.841) | |
Volume of climbing per week (hours) | 2.71 | 1.69 | 2.70 | 1.73 | 2.73 | 1.70 | 0.921 * | −0.018 | (−0.596–0.561) | |
Time spent climbing in the past 3 months (%) | Boulder | 53.91 | 28.26 | 55.68 | 30.37 | 52.29 | 26.74 | 0.689 # | 0.119 | (−0.461–0.697) |
Speed | 1.54 | 10.32 | 3.18 | 14.92 | 0.04 | 0.20 | 0.926 * | 0.305 | (−0.279–0.885) | |
Lead | 44.54 | 28.29 | 41.14 | 30.12 | 47.67 | 26.77 | 0.440 # | −0.230 | (−0.809–0.352) | |
Time spent climbing in the past 12 months (%) | Boulder | 53.80 | 25.41 | 53.64 | 30.01 | 53.96 | 21.01 | 0.966 # | −0.013 | (−0.591–0.566) |
Speed | 0.89 | 5.90 | 1.82 | 8.53 | 0.04 | 0.20 | 0.926 * | 0.301 | (−0.282–0.882) | |
Lead | 42.48 | 24.57 | 40.00 | 28.45 | 44.75 | 20.75 | 0.519 # | −0.192 | (−0.771–0.389) | |
Time spent climbing in the past 3 months (%) | Inside | 71.52 | 23.71 | 74.09 | 21.02 | 69.17 | 26.15 | 0.594 * | 0.207 | (−0.375–0.785) |
Outside | 28.48 | 23.71 | 25.91 | 21.02 | 30.83 | 26.15 | 0.594 * | −0.207 | (−0.785–0.375) | |
Time spent climbing in the past 12 months (%) | Inside | 67.61 | 23.45 | 66.36 | 24.36 | 68.75 | 23.04 | 0.894 * | −0.101 | (−0.679–0.479) |
Outside | 30.22 | 21.60 | 29.09 | 20.39 | 31.25 | 23.04 | 0.722 * | −0.099 | (−0.677–0.480) |
Males (n = 22) | Females (n = 24) | IRCRA Scale | p | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Intermediate (Level 2) (n = 7) | Advanced (Level 3) (n = 8) | Elite and High Elite (Levels 4 and 5) (n = 7) | Intermediate (Level 2) (n = 7) | Advanced (Level 3) (n = 10) | Elite and High Elite (Levels 4 and 5) (n = 7) | |||||||||
Mean | SD | Mean | SD | Mean | SD | Mean | SD | Mean | SD | Mean | SD | Spearman’s R | ||
Weight (kg) | 69.77 | 5.62 | 66.35 | 5.74 | 67.41 | 11.56 | 54.94 | 5.40 | 51.12 | 3.33 | 50.40 | 4.78 | 0.012 | 0.463 # |
Height (cm) | 172.69 | 3.21 | 173.50 | 5.01 | 177.43 | 10.55 | 162.09 | 6.74 | 162.32 | 2.39 | 159.86 | 3.34 | 0.188 | 0.929 * |
BMI (kg/ | 23.38 | 1.50 | 22.03 | 1.51 | 21.22 | 1.58 | 20.91 | 1.52 | 19.40 | 1.18 | 19.72 | 1.69 | −0.159 | 0.032 * |
Sitting height (cm) | 88.01 | 3.53 | 91.10 | 2.46 | 92.66 | 7.44 | 86.39 | 2.56 | 85.84 | 2.65 | 84.93 | 1.21 | 0.172 | 0.606 * |
Arm span (cm) | 176.71 | 6.99 | 177.55 | 5.84 | 182.21 | 10.35 | 164.33 | 6.83 | 162.92 | 3.41 | 163.74 | 5.57 | 0.147 | 0.737 # |
∑6 skinfolds (mm) | 61.52 | 16.41 | 47.25 | 12.22 | 34.92 | 3.05 | 66.31 | 6.10 | 64.09 | 8.62 | 58.70 | 12.65 | −0.573 | 0.007 * |
∑8 skinfolds (mm) | 79.54 | 21.53 | 58.91 | 15.70 | 44.19 | 3.68 | 80.16 | 8.07 | 77.08 | 10.17 | 69.28 | 15.34 | −0.616 | 0.002 * |
Arm relaxed girth (cm) | 30.83 | 1.32 | 29.89 | 1.86 | 28.56 | 2.49 | 24.89 | 1.91 | 25.30 | 1.15 | 25.09 | 1.48 | −0.018 | 0.458 # |
Arm flexed girth (cm) | 33.32 | 1.17 | 32.92 | 1.78 | 32.30 | 3.43 | 25.98 | 1.76 | 26.58 | 1.24 | 27.16 | 1.41 | 0.204 | 0.989 # |
Forearm girth (cm) | 26.91 | 3.77 | 27.84 | 1.50 | 27.70 | 1.97 | 22.84 | 0.57 | 23.08 | 1.14 | 23.42 | 0.72 | 0.342 | 0.586 # |
Thigh middle girth (cm) | 50.12 | 2.24 | 48.16 | 2.77 | 47.06 | 3.74 | 47.26 | 2.55 | 43.68 | 2.72 | 44.34 | 3.11 | −0.150 | 0.026 * |
Calf girth (cm) | 36.40 | 2.10 | 36.18 | 1.53 | 35.78 | 2.47 | 34.06 | 1.57 | 32.76 | 2.36 | 32.83 | 1.34 | 0.002 | 0.495 * |
Hand length (cm) | 18.54 | 0.92 | 18.39 | 0.57 | 18.57 | 1.24 | 16.34 | 0.86 | 17.07 | 0.56 | 16.81 | 0.68 | 0.183 | 0.871 * |
Humerus breadth (cm) | 7.61 | 0.20 | 7.57 | 0.38 | 7.67 | 0.34 | 6.13 | 0.37 | 6.43 | 0.27 | 6.43 | 0.37 | 0.247 | 0.746 # |
Bi-styloid breadth (cm) | 5.89 | 0.38 | 5.85 | 0.26 | 6.11 | 0.44 | 5.07 | 0.14 | 5.21 | 0.20 | 5.20 | 0.16 | 0.281 | 0.642 # |
Femur breadth (cm) | 9.83 | 0.26 | 9.95 | 0.39 | 10.17 | 0.53 | 8.97 | 0.24 | 8.84 | 0.29 | 8.77 | 0.35 | 0.164 | 0.851 * |
Fat mass (kg) | 12.18 | 2.86 | 9.66 | 2.94 | 6.92 | 1.91 | 12.75 | 2.29 | 11.66 | 1.42 | 10.00 | 2.52 | −0.590 | <0.001 * |
Bone mass (kg) | 11.94 | 0.66 | 12.09 | 0.93 | 13.14 | 1.88 | 9.21 | 0.73 | 9.30 | 0.43 | 9.04 | 0.43 | 0.191 | 0.900 # |
Muscle mass (kg) | 31.18 | 2.54 | 30.70 | 2.51 | 30.37 | 5.33 | 20.57 | 1.33 | 20.19 | 1.84 | 20.10 | 1.52 | 0.163 | 0.903 # |
% fat mass | 17.35 | 3.47 | 14.52 | 4.05 | 10.25 | 1.88 | 23.09 | 2.43 | 22.81 | 2.46 | 19.77 | 4.26 | −0.497 | 0.055 # |
Endomorphy | 2.99 | 1.01 | 2.08 | 0.57 | 1.46 | 0.19 | 2.99 | 0.38 | 2.89 | 0.49 | 2.55 | 0.79 | −0.589 | 0.003 * |
Mesomorphy | 6.19 | 0.70 | 6.04 | 0.94 | 5.61 | 0.58 | 3.87 | 1.20 | 3.94 | 0.70 | 4.35 | 0.66 | 0.143 | 0.939 * |
Ectomorphy | 2.16 | 0.67 | 2.82 | 0.85 | 3.46 | 0.43 | 2.66 | 0.95 | 3.46 | 0.66 | 3.14 | 0.92 | 0.308 | 0.008 * |
Total (n = 45) | Males (n = 22) | Females (n = 23) | p | Effect Size ** | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | Mean | SD | d | IC (95%) | |||
Energy Requirements | ||||||||||
EEE (kcal/day) | 184.33 | 126.64 | 211.72 | 152.29 | 159.21 | 93.95 | 0.235 * | 0.419 | (−0.168–1.002) | |
Energy Intake | ||||||||||
Total kcal/day | 1803.70 | 554.18 | 2176.98 | 505.10 | 1446.64 | 313.17 | <0.001 # | 1.747 | (1.049–2.430) | |
Total kcal·kg·FFM−1d−1 | 36.82 | 8.44 | 37.60 | 8.23 | 36.07 | 8.76 | 0.551 | 0.179 | (−0.407–0.764) | |
Energy Availability (kcal·kg FFM−1d−1) | 33.01 | 9.02 | 34.06 | 8.63 | 32.01 | 9.45 | 0.451 # | 0.227 | (−0.361–0.812) | |
Carbohydrate Intake | ||||||||||
Total g/day | 172.01 | 71.07 | 210.60 | 73.75 | 135.09 | 44.66 | <0.001 * | 1.245 | (0.599–1.880) | |
g/kg·day | 2.87 | 1.02 | 3.12 | 1.07 | 2.63 | 0.92 | 0.105 # | 0.493 | (−0.103–1.084) | |
% Total Energy Intake | 37.31 | 7.07 | 38.04 | 6.93 | 36.62 | 7.28 | 0.504 # | 0.201 | (−0.386–0.786) | |
Protein Intake | ||||||||||
Total g/day | 93.89 | 31.06 | 115.08 | 27.29 | 73.62 | 18.43 | <0.001 # | 1.788 | (1.085–2.476) | |
g/kg·day | 1.57 | 0.43 | 1.71 | 0.44 | 1.43 | 0.38 | 0.021 * | 0.703 | (0.096–1.302) | |
% Total Energy Intake | 21.11 | 4.05 | 21.50 | 3.89 | 20.73 | 4.25 | 0.527 # | 0.190 | (−0.397–0.775) | |
Fat Intake | ||||||||||
Total g/day | 80.84 | 25.49 | 96.42 | 24.58 | 65.93 | 15.73 | <0.001 # | 1.485 | (0.815–2.141) | |
% Total Energy Intake | Total | 40.77 | 6.10 | 40.14 | 5.94 | 41.38 | 6.31 | 0.504 # | −0.201 | (−0.786–0.386) |
Saturated Fatty Acids | 10.65 | 2.27 | 10.52 | 1.97 | 10.77 | 2.56 | 0.714 # | −0.110 | (−0.694–0.476) | |
Monounsaturated Fatty Acids | 16.95 | 4.11 | 17.52 | 4.43 | 16.40 | 3.80 | 0.366 # | 0.273 | (−0.316–0.858) | |
Polyunsaturated Fatty Acids | 7.36 | 2.92 | 7.26 | 2.53 | 7.46 | 3.31 | 0.964 * | −0.066 | (−0.650–0.519) |
IRCRA Score | Experience (Years) | Endomorphy | Mesomorphy | Ectomorphy | |
---|---|---|---|---|---|
R | R | R | R | R | |
Energy intake (kcal/day) | 0.900 * | 0.033 * | −0.346 # | 0.406 # | 0.018 # |
EA (kcal·kg·FFM−1d−1) | −0.245 * | −0.170 * | 0.061 # | −0.136 # | 0.256 # |
Carbohydrate (g/day) | −0.038 * | −0.044 * | −0.199 * | 0.371 * | −0.039 * |
Fat (g/day) | 0.185 * | 0.118 * | −0.303 # | 0.382 # | 0.044 # |
Protein (g/day) | 0.236 * | −0.021 * | −0.451 # | 0.380 # | 0.090 # |
Thiamine (mg/day) | 0.113 * | 0.076 * | −0.298 * | 0.229 * | 0.066 * |
Riboflavin (mg/day) | 0.120 * | −0.126 * | −0.241 * | 0.187 * | 0.093 * |
Niacin (mg/day) | 0.420 * | 0.124 * | −0.297 * | 0.027 * | 0.189 * |
Vitamin B6 (mg/day) | 0.179 * | −0.049 * | −0.213 # | 0.132 # | 0.128 # |
Folic acid (µg/day) | 0.090 * | −0.107 * | −0.022 * | −0.005 * | 0.165 * |
Vitamin B12 (µg/day) | 0.058 * | −0.064 * | −0.141 * | 0.206 * | −0.027 * |
Vitamin C (mg/day) | −0.041 * | −0.198 * | 0.041 * | −0.045 * | 0.093 * |
Vitamin A (µg/day) | 0.023 * | 0.067 * | 0.161 * | −0.112 * | 0.015 * |
Vitamin D (µg/day) | 0.042 * | −0.026 * | 0.107 * | 0.127 * | −0.133 * |
Vitamin E (mg/day) | 0.093 * | 0.183 * | −0.087 * | 0.167 * | 0.075 * |
Calcium (mg/day) | −0.093 * | −0.129 * | 0.014 # | 0.141 # | 0.054 # |
Phosphorus (mg/day) | 0.119 * | −0.078 * | −0.300 # | 0.321 # | 0.039 # |
Potassium (mg/day) | 0.118 * | 0.009 * | −0.258 * | 0.339 * | −0.014 * |
Magnesium (mg/day) | −0.051 * | −0.096 * | −0.041 * | 0.219 * | 0.024 * |
Iron (mg/day) | 0.062 * | −0.050 * | −0.251 * | 0.217 * | 0.038 * |
Zinc (mg/day) | 0.173 * | −0.107 * | −0.313 * | 0.333 * | 0.066 * |
Iodine (µg/day) | 0.207 * | 0.076 * | −0.410 * | 0.185 * | 0.182 * |
Selenium (µg/day) | 0.071 * | −0.050 * | −0.348 * | 0.441 * | −0.151 * |
Total (n = 45) | Males (n = 22) | Females (n = 23) | p | Effect Size ** | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | Mean | SD | d | IC (95%) | |||
Thiamine | Total mg/day | 1.35 | 0.62 | 1.53 | 0.51 | 1.19 | 0.69 | 0.011 * | 0.560 | (−0.040–1.153) |
% RDA | 122.94 | 56.76 | 127.23 | 42.16 | 118.83 | 68.63 | 0.153 * | 0.147 | (−0.439–0.718) | |
Riboflavin | Total mg/day | 1.85 | 1.11 | 2.05 | 1.14 | 1.65 | 1.07 | 0.054 * | 0.365 | (−0.227–0.952) |
% RDA | 129.82 | 78.25 | 129.34 | 71.26 | 130.27 | 86.00 | 0.555 * | −0.012 | (−0.596–0.573) | |
Niacin | Total mg/day | 75.32 | 124.32 | 33.89 | 15.02 | 114.95 | 165.34 | 0.256 * | −0.683 | (−1.281–−0.077) |
% RDA | 513.90 | 895.30 | 192.78 | 83.26 | 821.06 | 1181.00 | 0.683 * | −0.742 | (−1.343–−0.133) | |
Vitamin B6 | Total mg/day | 2.13 | 0.89 | 2.40 | 0.78 | 1.88 | 0.93 | 0.046 # | 0.613 | (0.011–1.208) |
% RDA | 157.19 | 63.77 | 161.49 | 51.63 | 153.09 | 74.51 | 0.664 # | 0.131 | (−0.455–0.715) | |
Folic acid | Total µg/day | 321.96 | 143.32 | 333.22 | 129.91 | 311.19 | 157.24 | 0.525 * | 0.152 | (−0.434–0.737) |
% RDA | 107.32 | 47.77 | 111.07 | 43.30 | 103.73 | 52.41 | 0.525 * | 0.152 | (−0.434–0.737) | |
Vitamin B12 | Total µg/day | 27.39 | 72.29 | 20.49 | 60.13 | 34.00 | 83.10 | 0.200 * | −0.186 | (−0.770–0.401) |
% RDA | 1369.51 | 3614.28 | 1024.25 | 3006.56 | 1699.76 | 4155.03 | 0.200 * | −0.186 | (−0.770–0.401) | |
Vitamin C | Total mg/day | 168.44 | 188.04 | 146.13 | 101.18 | 189.77 | 244.89 | 0.856 * | −0.231 | (−0.816–0.357) |
% RDA | 280.73 | 313.40 | 243.55 | 168.63 | 316.29 | 408.16 | 0.856 * | −0.231 | (−0.816–0.357) | |
Vitamin A | Total µg/day | 874.42 | 570.67 | 868.02 | 714.27 | 880.55 | 405.28 | 0.329 * | −0.022 | (−0.606–0.563) |
% RDA | 135.03 | 86.30 | 122.77 | 102.56 | 146.76 | 67.55 | 0.073 * | −0.277 | (−0.863–0.312) | |
Vitamin D | Total µg/day | 10.33 | 18.88 | 12.78 | 24.87 | 7.99 | 10.52 | 0.555 * | 0.253 | (−0.335–0.838) |
% RDA | 206.69 | 377.52 | 255.67 | 497.32 | 159.84 | 210.40 | 0.555 * | 0.253 | (−0.335–0.838) | |
Vitamin E | Total mg/day | 19.28 | 38.85 | 15.23 | 6.06 | 23.16 | 54.32 | 0.107 * | −0.203 | (−0.788–0.384) |
% RDA | 128.54 | 258.97 | 101.52 | 40.39 | 154.39 | 362.15 | 0.107 * | −0.203 | (−0.788–0.384) |
Total (n = 45) | Males (n = 22) | Females (n = 23) | p | Effect Size ** | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | Mean | SD | d | IC (95%) | |||
Calcium | Total mg/day | 866.88 | 355.37 | 949.10 | 371.21 | 788.24 | 328.35 | 0.131 # | 0.460 | (−0.135–1.050) |
% RDA | 96.25 | 39.61 | 105.46 | 41.25 | 87.45 | 36.71 | 0.129 # | 0.462 | (−0.133–1.052) | |
Phosphorus | Total mg/day | 1226.44 | 413.06 | 1454.23 | 392.27 | 1008.55 | 304.69 | <0.001 # | 1.273 | (0.623–1.910) |
% RDA | 171.41 | 59.57 | 204.66 | 58.01 | 139.60 | 41.50 | <0.001 # | 1.295 | (0.644–1.934) | |
Potassium | Total mg/day | 2897.10 | 1198.47 | 3496.63 | 1253.12 | 2323.63 | 818.83 | 0.001 * | 1.113 | (0.478–1.738) |
% RDA | 93.45 | 38.66 | 112.79 | 40.42 | 74.96 | 26.41 | 0.001 * | 1.113 | (0.478–1.738) | |
Magnesium | Total mg/day | 349.70 | 171.95 | 413.72 | 192.97 | 288.46 | 124.79 | 0.013 * | 0.775 | (0.163–1.377) |
% RDA | 106.93 | 49.40 | 118.21 | 55.13 | 96.15 | 41.60 | 0.188 * | 0.453 | (−0.142–1.043) | |
Iron | Total mg/day | 14.60 | 6.15 | 16.33 | 5.36 | 12.94 | 6.51 | 0.031 * | 0.568 | (−0.032–1.162) |
% RDA | 126.12 | 73.12 | 177.91 | 62.23 | 76.57 | 41.80 | <0.001 * | 1.920 | (1.202–2.623) | |
Zinc | Total mg/day | 10.41 | 9.36 | 10.98 | 3.02 | 9.87 | 12.88 | <0.001 * | 0.117 | (−0.468–0.702) |
% RDA | 125.89 | 132.84 | 113.55 | 32.39 | 137.69 | 184.37 | 0.296 * | −0.180 | (−0.765–0.406) | |
Iodine | Total µg/day | 97.41 | 114.14 | 127.76 | 151.42 | 68.38 | 48.66 | 0.011 * | 0.533 | (−0.065–1.125) |
% RDA | 64.94 | 76.09 | 85.17 | 100.95 | 45.59 | 32.44 | 0.011 * | 0.533 | (−0.065–1.125) | |
Selenium | Total µg/day | 61.47 | 41.33 | 83.90 | 47.71 | 40.02 | 16.12 | <0.001 * | 1.244 | (0.597–1.878) |
% RDA | 114.03 | 74.52 | 154.16 | 86.23 | 75.64 | 29.30 | <0.001 * | 1.231 | (0.585–1.864) |
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Mora-Fernandez, A.; Argüello-Arbe, A.; Tojeiro-Iglesias, A.; Latorre, J.A.; Conde-Pipó, J.; Mariscal-Arcas, M. Nutritional Assessment, Body Composition, and Low Energy Availability in Sport Climbing Athletes of Different Genders and Categories: A Cross-Sectional Study. Nutrients 2024, 16, 2974. https://doi.org/10.3390/nu16172974
Mora-Fernandez A, Argüello-Arbe A, Tojeiro-Iglesias A, Latorre JA, Conde-Pipó J, Mariscal-Arcas M. Nutritional Assessment, Body Composition, and Low Energy Availability in Sport Climbing Athletes of Different Genders and Categories: A Cross-Sectional Study. Nutrients. 2024; 16(17):2974. https://doi.org/10.3390/nu16172974
Chicago/Turabian StyleMora-Fernandez, Agustin, Andrea Argüello-Arbe, Andrea Tojeiro-Iglesias, Jose Antonio Latorre, Javier Conde-Pipó, and Miguel Mariscal-Arcas. 2024. "Nutritional Assessment, Body Composition, and Low Energy Availability in Sport Climbing Athletes of Different Genders and Categories: A Cross-Sectional Study" Nutrients 16, no. 17: 2974. https://doi.org/10.3390/nu16172974
APA StyleMora-Fernandez, A., Argüello-Arbe, A., Tojeiro-Iglesias, A., Latorre, J. A., Conde-Pipó, J., & Mariscal-Arcas, M. (2024). Nutritional Assessment, Body Composition, and Low Energy Availability in Sport Climbing Athletes of Different Genders and Categories: A Cross-Sectional Study. Nutrients, 16(17), 2974. https://doi.org/10.3390/nu16172974