Search Results (368)

Background/Objectives: Intense physical activity can cause gastrointestinal symptoms, negatively impacting athletic performance. A low-FODMAP diet has the potential to reduce these symptoms and is increasingly being considered by physically active individuals. The aim of this review is to present the current knowledge on the importance of FODMAPs in sports nutrition. Methods: A narrative review was conducted in PubMed, Web of Science, ScienceDirect, and Google Scholar, covering publications published up to October 2025. Original studies, reviews, and meta-analyses addressing the relationship between FODMAP intake and gastrointestinal symptoms during physical activity were included. Selected articles were assessed for specific criteria, and the results were grouped thematically to present the current state of knowledge. Results: FODMAP consumption increases the risk of intestinal symptoms. Short-term FODMAP restriction, especially before and during exercise, reduced the severity of symptoms in most of the analyzed studies. Data on the long-term effects of a low FODMAP diet on the health, nutrition, and gut microbiota of athletes remain limited. Conclusions: A strategy of short-term FODMAP restriction in athletes’ diets shows potential for reducing gastrointestinal symptoms. An optimal approach requires individualization. Further research is needed to monitor potential side effects and long-term outcomes. Full article

Several antioxidants play an important role in improving athletic performance. Increased inflammation and oxidative stress during physical performance result in the production of free radicals, including reactive oxygen species (ROS), which leads to fatigue, muscle damage, and impaired performance. However, moderate and transient increases in ROS are physiologically essential, acting as signaling mediators that trigger adaptive cellular responses. Despite their harmful effects on athletic performance, ROS may also enhance physical protection by acting as signaling molecules against increased physical stress. Healthy dietary patterns such as the Mediterranean diet (MD) may contribute to decrease oxidative stress thanks to its content in fruits, vegetables, olive oil, legumes, and herbs/spices. Indeed, the beneficial effects of the MD can be attributed not only to its antioxidant properties but also to its well-documented anti-inflammatory effects, lipid-modulating actions, immune-supportive functions, and modulation of gut microbiota composition, which collectively influence metabolic and physiological resilience. The MD also plays a key role in competitive sport and training. In addition, several researchers have reported that the MD is essential for reducing risk of injury and illness, recovering and adapting between bouts of activity, and enhancing performance. In this context, following the key principles of an MD could also represent a useful framework for good dietary in competitive athletes. In this narrative review, we discuss the potential effects of antioxidants in sport and the impact of individual foods or compounds of the MD on oxidative stress and exercise performance in competitive athletes and physically active individuals. The potential modifications which could be made to the MD will be highlighted to maximize health and performance effects, in accordance with contemporary sports nutrition practices. Full article

Background/Objectives: Diet and physical activity are key lifestyle behaviours associated with sleep quality, yet their combined and sex-specific associations remain insufficiently understood. This study examined the associations between dietary behaviours and sleep quality among university students and assessed whether physical activity formed part of an indirect statistical association between these variables, with sex considered as a moderator. Methods: A cross-sectional study was conducted among 418 students (199 males, 219 females) from the Wroclaw University of Health and Sport Sciences. Body height and body mass were measured using standard anthropometric procedures. Sleep quality (SQ) was registered with the Pittsburgh Sleep Quality Index (PSQI), dietary habits were assessed with the Questionnaire of Eating Behaviours (QEB) and physical activity (PA) was assessed with the International Physical Activity Questionnaire (IPAQ). Data-driven feature-selection methods were applied to identify dietary behaviours associated with sleep quality, which were combined into a Synthetic Dietary Behaviour Index (SDBI). A moderated mediation model, adjusted for body mass index (BMI), was then used to examine the statistical associations between dietary behaviours, physical activity, sleep quality, and sex. Sleep quality was modelled as a continuous PSQI score in mediation analyses, while the dichotomised PSQI category was used only for feature selection. Results: Machine-learning feature selection identified nine dietary behaviours statistically associated with sleep quality. Unfavourable behaviours—fast food, fried meals, sweetened beverages, energy drinks and alcohol—were linked to poorer sleep, whereas vegetables, curd cheese and wholegrain bread were associated with better sleep. Poor sleep was more prevalent among females (45.2% vs. 14.6%, χ² (1) = 65.4, p < 0.001). The mediation model indicated that physical activity formed part of a statistically significant but modest indirect association between dietary behaviour and sleep quality, with sex moderating the IPAQ → PSQI path (β = −0.45, p = 0.006). Indirect associations were significant for both sexes but stronger among females (males: β = 0.032, p = 0.021; females: β = 0.102, p = 0.004). Conclusions: Unfavourable dietary patterns and lower physical activity were statistically associated with poorer sleep quality, with a stronger indirect statistical effect observed among females. These findings support the relevance of integrated, sex-sensitive lifestyle approaches addressing both dietary behaviours and physical activity, while acknowledging the cross-sectional nature of the data. Full article

Background/Objectives. Edible oils derived from herbaceous and woody plants are an important nutritional resource, assuring the health and performance of sportspeople. The aim of this study was to review the inventions and experimental articles referring to the application of vegetable oils in food products for sportspeople and published in the period of 2015–2024. Methods. The literature search was conducted across Google Scholar, Scopus, and ISI Web of Science databases, as well as by using Google Patents and Espacenet Patent search engines. Results. Altogether, 58 patents and 35 original articles were found. In total, the use of 39 plant taxa belonging to 27 botanical families was documented. The majority of disclosures refer to sports nutrition, post-exercise recovery support, and/or sport performance improvement and may be provided in the form of powders, tablets, beverages, and/or capsules. According to the reviewed studies, the consumption of olive, walnut, and perilla oils beneficially affects the morphological, physiological, and biochemical indicators of sportspeople. The substantial intake of olive oil reported by sportspeople from southern Europe is linked to the recommendations of the Mediterranean diet, while lower consumption of other vegetable oils might be connected to focusing on intake of carbohydrates and/or proteins and/or consumption of other fat sources such as seeds or nuts. Conclusions. Considering the great potential of useful plant species, it might be concluded that future investigations should focus on both (i) further investigations of the effects of well-known vegetable oils on the health and performance of sportspeople, and (ii) searching for novel plant oil sources, suitable for the preparation of food products dedicated to amateur and professional sportspeople. Full article

Introduction: Nutrition plays a fundamental role in sports performance by influencing energy availability, recovery, and training adaptation. In recent years, different dietary strategies have gained popularity among athletes, although the evidence supporting their efficacy is inconsistent. Objective: This consensus document, developed under the auspices of the Spanish Society of Nutrition, aims to provide a critical overview of the most relevant nutritional strategies currently used in sports and to offer evidence-based practical recommendations for both professional and recreational athletes, coaches, and health professionals. Methods: A narrative review was conducted following standardized scientific procedures by a multidisciplinary panel of experts. The analyzed strategies included high-carbohydrate, low-carbohydrate, ketogenic, intermittent fasting, plant-based, Paleolithic, and carbohydrate periodization diets. Each strategy was assessed based on its physiological rationale, evidence of performance in endurance, strength/power, sprint, aesthetic, weight category, and team sports, practical applications, and potential risks. Results: The available evidence shows that no single dietary strategy can be universally recommended for all athletes. High carbohydrate availability remains the most consistent approach for sustaining performance in endurance and high-intensity efforts. Low-carbohydrate and ketogenic diets enhance fat oxidation but often compromise exercise economy at competitive intensity levels. Intermittent fasting may improve body composition and metabolic health; however, it requires careful adaptation. Well-planned plant-based diets can support performance, although attention to certain nutrients (e.g., B12, iron, and omega-3) is essential. Paleolithic diets improve metabolic parameters but show limited direct evidence of athletic performance. Carbohydrate periodization is a promising tool for combining metabolic adaptations with competitive demands. Conclusions: Nutritional strategies should be individualized according to the athlete’s sport, training phase, and personal context. Professional guidance is crucial for minimizing risks and optimizing benefits. Further well-designed, long-term studies on athletes are needed to resolve the current controversies. Full article

Background/Objectives: Nutrition is essential for both physiological and physical health. The study aimed to explore dietary habits, nutritional intake and supplementation in association with the indirect omega-3 index (ω-3I) magnitude in a cohort of professional athletes. Methods: A 3-day food record was used as an approach to document all the dishes and beverages consumed by athletes over three consecutive days. Additionally, in aiming to assess the dietary habits and supplementation as well as the estimated ω-3I, both a food frequency questionnaire and a valid equation proposed by Swiss scientists were applied. The body composition of athletes was assessed using the bioelectrical impedance analysis. Results: Given that carbohydrate-containing foods were relatively frequently consumed by athletes, the average daily carbohydrate content (5.5 g/kg of body weight/day) did not reach the minimum recommended limit. A Western pattern diet applied to professional athletes ensured a sufficient level of protein intake (1.7 g/kg of body weight/day) and resulted in the overconsumption of dietary fat (40.3% of energy intake (EI)), especially saturated fatty acids (FAs) (13.8% of EI). The frequency of the consumption of fish products was considered to fulfill the lowest rank, which in turn, led to the lowest average intakes for polyunsaturated (6.2% of EI), ω-6 (5.7% of EI), and ω-3 (0.3% of EI) FA. Also, the dietary ω-3 FA deficiency generated an unhealthy ω-6/ω-3 FA ratio of 18.4:1 which was not directly related to the intermediate-desirable level (5.5–9.8%) of the estimated ω-3I in a sample of professional athletes. Conclusions: Taking into account the predicted regression model which was adjusted for sports and sex, the estimated ω-3I was significantly and positively associated with the higher consumption of polyunsaturated FA supplementation (β 1.5, 95% confidence interval (CI): 1.3; 1.6, p < 0.001), fish products (β 1.1, 95% confidence interval (CI): 1.0; 1.2, p < 0.001), and the energy percentage obtained from the dietary ω-3 FA (β 0.8, 95% CI: 0.1; 1.6, p = 0.049) in a cohort of professional athletes. Therefore, whilst acknowledging that the increased fish consumption may serve as an equally strong potential predictor for the indirect ω-3I magnitude, the supplementation with polyunsaturated FA also becomes an important strategy for maintaining the optimum ω-3I levels among professional athletes. Full article

Background/Objectives: Special diets can be required for medical, religious, cultural, or ethical purposes. This study examined the relationship between the organization of school nutrition and the availability of special diet meals among students in public primary and secondary schools in Kraków (Poland). Methods: An observational study was conducted in 2022 using a web-based survey targeting managers of primary (n = 68) and secondary schools (n = 18), as well as parents of attending students (n = 1730). Factors associated with providing special diets were analyzed using generalized linear models with robust variance estimators. Results: According to school managers, the availability of special diet meals was associated with employing a dietitian responsible for menu planning, the presence of students with disability certificates, students’ participation in school meal programs, and higher per-child nutrition costs. Based on parental reports, 16.01% of all students followed a special diet, most often due to medical recommendations, with a higher prevalence observed among secondary school students (26.7%). Special diets were reported more frequently for children with food intolerances and allergies, obesity, chronic conditions, or disability certificates. Adjusted models also indicated slightly higher probabilities of being on a special diet among students attending secondary schools or sports classes compared with their peers. Conclusions: Improving the availability of special diet meals in schools requires legislative action, adequate funding, and institutional support, including investments in kitchen infrastructure and the employment of dietitians. These measures are particularly important in institutions enrolling children with disabilities to ensure equitable access to appropriate nutrition. Full article

The aim of this study was to develop functional food with high antioxidant potential and to examine its effect on oxidative–antioxidant markers in the blood of athletes in an intervention study. The study population consisted of 40 athletes—long-distance runners who were divided into a study group (SG) and a control group (CG). Before and after the dietary intervention in the blood, the following were determined: total antioxidant status (TAS), antioxidant enzymes (superoxide dismutase—SOD, glutathione peroxidase—GPx, catalase—CAT) and total oxidative stress (TOS). Additionally, the oxidative stress index (OSI) was calculated. It was shown that in the SG after the dietary intervention, the TOS (p < 0.001) and OSI (p = 0.029) decreased, while the TAS increased (p < 0.001). However, no significant differences were found in the level of antioxidant enzymes in the SG. In the CG, dietary intervention did not affect the level of the assessed parameters. This study demonstrated that functional food in the form of a bar with high antioxidant potential, rich in polyphenols, dietary fiber, vitamin E, selenium, and magnesium, can support the body’s endogenous antioxidant system and restore oxidative–antioxidant homeostasis in athletes. However, further studies are needed, including a larger group of athletes, longer intervention times, and different periods of the annual training cycle. Full article

Background/Objectives: Despite increasing awareness of best sports nutrition practices, discrepancies persist between knowledge and behaviour amongst female endurance athletes. Methods: To understand this discrepancy study investigated dietary practices, macronutrient intakes, and influ-encing factors using a multi-method approach. Seventy-two female endurance athletes (42 ± 9 y) completed four-day weighed food diaries, and a subset of twenty athletes (40 ± 10 y) then participated in semi-structured interviews. Quantitative analysis revealed that athletes met the lower end of carbohydrate (CHO) guidelines on rest days (3.0 g·kg⁻¹), but intake fell short on training days, with deficits increasing as training volume rose (moderate: −1.4 g·kg⁻¹, high: −3.5 g·kg⁻¹, very high: −5.5 g·kg⁻¹). Despite awareness of CHO’s role in performance, athletes unintentionally underfuelled, leading to a cumu-lative energy deficit. Energy intake increased by 473 kcal·day⁻¹ per 1000 kcal·day⁻¹ of exercise energy expenditure. In contrast, protein intake was prioritised, with mean in-takes of 1.7 ± 0.7 g·kg⁻¹·day⁻¹ aligning with recommendations. Results: Qualitative findings iden-tified barriers to CHO intake, including time constraints, diet culture influences and body image concerns. Social and environmental factors, such as household environments and professional nutrition guidance, played a critical role in behaviours. Conclusions: These findings highlight the need for practical, evidence-based nutrition interventions to support fe-male endurance athletes. Personalised education addressing CHO requirements, the psychology/emotions around nutrition, and the influence of social environments may bridge the gap between knowledge and practice, optimising both performance and long-term health outcomes. Full article

Background/Objectives: High-altitude hypoxia may affect ECG readings, but it is unclear whether the “live-low–train-high” approach prevents these changes in winter sports athletes. Methods: This cross-sectional study assessed cardiovascular parameters in 102 winter-sport athletes (mean age 20 ± 4 y; 57% women), divided by training altitude into a high-altitude (HA) group (2500–3300 m, n = 70; skiers/snowboarders) and a low-altitude (LA) group (738 m, n = 32; ice hockey/figure skaters). Mid-season assessments included resting ECG, blood pressure, blood biochemistry, and three 24 h dietary recalls. Results: All ECG parameters were physiological, and no significant differences (p < 0.05) were observed in heart rate, PR interval, or QTc between groups. However, HA group exhibited higher systolic blood pressure and a short QT interval. Lactate was significantly higher in HA (p = 0.028). The HA diet contained more saturated fat (p < 0.001), cholesterol (p = 0.013), magnesium (p = 0.003) and potassium (p = 0.001), whereas LA athletes consumed more glucose (p = 0.024). In HA, total energy expenditure correlated positively (p ≥ 0.05) with QRS (ρ = 0.52) and QT (ρ = 0.56), while heart rate correlated inversely with vitamin D (ρ = −0.59). In LA, QTc showed strong inverse correlations with zinc (ρ = −0.62) and selenium (ρ = −0.85). Conclusions: This finding suggests that intermittent high-altitude training did not alter ECG patterns when nutrient intake was adequate. High lactate level and specific nutrient correlations point to a residual physiological load and a modulatory role of electrolytes, B-vitamins, and vitamin D on cardiac repolarisation. Full article

Background/Objectives: The proportion of middle-aged and elderly people in the total population is increasing, and it is of utmost importance to monitor their quality of life (QoL), which largely depends on mobility, health and mental state, diet, nutritional status (especially overweight and obesity). The population in Croatia is among the leading in terms of the proportion of overweight and obese people, therefore the aim is to study QoL and determine which aspects can potentially be mitigated by public health actions. Methods: In accordance with the available data from the SHARE study (Survey on Health, Aging and Retirement in Europe), data were taken from the most recently published—9th wave conducted in 2021/2022. In this study, the Croatian population older than 50 years is represented by 4687 respondents. Health-related parameters were monitored (cardiovascular diseases, diabetes, mental health, handgrip strength (HGS) as a biomarker in older people and body mass index) and quality of life (self-assessed quality of life (CASP, self-assessed health SPH, physical activity) and dietary habits. A logistic regression model was used to link HGS as a biomarker in older people with quality of life and health parameters. Results: There is an undeniable decline in social and physical activity with age; the proportion of people engaged in vigorous physical activity decreased from 47% in the 51–64 age group to only 5.4% in people over 85 years of age, while physical inactivity increased from 3% to 37.7%. Chronic diseases, especially hypertension, accumulate with age, while self-rated health worsens with age, as does mental health (the proportion of depressed people (according to the EURO-D scale) increased significantly from 21.1% in the 51–64 age group to 54.1% in those over 85 years of age). Results of multinomial logistic regression showed that sports (in)activity was consistently associated with a lower likelihood of reduced handgrip strength (OR = 1.94 for low strength, p < 0.001). Conclusions: Sports activities and social engagement are crucial for maintaining good handgrip strength. Higher BMI, lower education and adverse psychological states are risk factors for a weaker handgrip. These findings highlight the need for an integrated public health approach that promotes physical activity, balanced nutrition and mental and social well-being in the older population. Full article

Anabolic resistance, consisting of a diminished ability of aging muscle to respond to anabolic stimuli such as exercise and protein intake, is a key contributor to age-related declines in muscle mass. However, diseases and lifestyle factors associated with aging, including insulin resistance states, overweight/obesity, persistent inflammation and specifically—as a focus herein—physical inactivity and inadequate dietary protein-intake habits, might interact with chronological impairments in muscle anabolism. In this context, master athletes, as individuals who have engaged in lifelong structured exercise, including regular training and sports participation, offer a valuable model for studying processes of chronological vs. inactivity-related aging. While these lifelong exercisers may present improved body composition parameters and other potential benefits in terms of muscle mass and function, it remains unclear whether exercise practice throughout life can prevent the development of anabolic resistance associated with aging. Albeit limited, evidence has indicated that even in lifelong-trained older individuals there is a blunted post-exercise muscle anabolic response compared to younger athletes. However, there is a paucity of data to systematically understand the differences in postprandial anabolic response to varying protein doses in older vs. young athletes. In lieu of the above, it seems reasonable that master athletes may benefit from increasing protein intake closer to the upper limit of current recommendations (1.6–2.0 g/kg/day). In addition, supplementing their diet with ingredients that have established anabolic potential, including branched chain amino acids (BCAAs) such as leucine, the leucine metabolite β-hydroxy-β-methylbutyrate (HMB), and n3-polyunsaturated fatty acids (n3-PUFA), may potentiate the anabolic response to protein and exercise. Full article

Biathlon is a winter Olympic sport that combines high-intensity cross-country skiing with precise rifle shooting. These dual demands require athletes to develop exceptional aerobic capacity while maintaining fine motor accuracy under physiological stress. Despite its complexity, nutritional strategies in biathlon remain under-explored and recommendations are often extrapolated from related endurance sports. This narrative review aims to summarise existing knowledge on nutrition in biathlon, highlight sport-specific challenges and identify areas for future research. The main findings indicate that biathletes face very high energy demands, with daily expenditure exceeding 7000 kcal during intensive training. Carbohydrates are the primary fuel source, with intake recommendations based on training intensity and duration (6–12 g/kg/d). Furthermore, protein is essential for muscle repair, recovery and adaptation. To achieve the recommended intake of 1.6 g/kg/day, it is advisable to consume meals containing approximately 0.3 g/kg of high-quality protein every three to four hours. Given the frequency of training sessions, effective recovery strategies are important in biathlon. When recovery is a priority, biathletes should consume a meal comprising protein (approximately 0.3 g/kg) and carbohydrates (approximately 1.2 g/kg) before key training sessions. Micronutrient and vitamin deficiencies are not commonly observed in biathletes due to their high calorie intake. However, concerns regarding iron and vitamin D are common among endurance athletes due to the high risk of low energy intake, diets lacking in iron, and insufficient exposure to sunlight. On the day of the race, it is recommended that biathletes plan their meals to ensure that they meet their nutritional needs and begin recovery as soon as possible after the race is over. Biathletes may use specific supplements to enhance performance and health during preparation and competition. However, it is important to note that some supplements that improve performance may harm shooting accuracy. Current guidance is provisional, and future research should adopt a dual-performance framework that evaluates both endurance output and shooting precision under realistic competition conditions. Full article

eSports and recreational video gaming are expanding in Peru, yet evidence on gamers’ dietary habits and correlates is scarce. We aimed to identify factors associated with eating habits among Peruvian video gamers and professional eSports players. Quantitative and cross-sectional study (Peru, 2023). A culturally adapted version of the German Sport University Cologne questionnaire (28 items; Cronbach’s α = 0.86) was administered online using non-probability snowball sampling. The primary outcome was eating-habit classification (adequate vs. inadequate) based on the instrument’s scoring. Associations with hypothesized correlates (e.g., gaming-related influences, peer interaction, advertising) were assessed with χ² or Fisher’s exact test (α = 0.05). We analyzed 288 respondents (median age 21 years). Overall, 77.8% exhibited inadequate eating habits. Daily water intake was reported by 72%, whereas daily fruit and vegetable consumption was 21% and 32%, respectively. Peer interaction within the gaming environment (p = 0.037) and the perceived influence of video games (p = 0.031) were significantly associated with poorer eating habits. Sitting time, number of meals per day, daily water intake volume, and weekly gaming hours showed no significant association (all p > 0.05). Most Peruvian gamers report suboptimal diets. Social dynamics in the gamer community and gaming-related influences are linked to poorer eating habits, suggesting that nutrition strategies should be embedded in gamer ecosystems (teams, communities, platforms). Longitudinal and interventional studies are warranted to test targeted behavior-change approaches. Full article

Background/Objectives: There is growing interest in non-diet approaches to support health, well-being, and performance in different populations. The aim of this study was to evaluate the effects of a 12-week intuitive eating (IE) intervention on participants’ body composition, body image, eating behaviors, and athletic performance. Methods: The study included both an intervention group and a control group. It was conducted between September and December 2021. Participants were recruited from a sports center in Istanbul, where they had applied for nutrition and exercise counseling. Inclusion criteria included being 18–65 years old, not having engaged in regular physical activity in the past month, having no chronic disease, and not using any regular medications. Participants were not randomly assigned to groups; allocation was based on availability and willingness to attend the intervention sessions. The study involved 57 participants who were healthy adults between 18 and 65 years old and followed a structured exercise program. At the beginning of the study, a demographic questionnaire was administered. The anthropometric measurements were taken at the beginning and at the end of the intervention. In addition, validated performance and psychometric assessment tools were used, including the Cooper test for cardiovascular endurance, the Davies test for upper-body agility, and the 1-RM bench press for muscular strength, alongside standardized self-report questionnaires for eating attitudes (EAT-26), IE (IES-2), and body image (BCS). Results: The intervention group did not show any statistically significant changes in body composition (p > 0.05). The post-intervention means of the intervention and control groups were not statistically different (p > 0.05). The intervention group showed significant improvements in cardiovascular endurance, agility, and strength performance scores compared to the control group after the intervention (p < 0.05). The intervention group showed significant improvements in body image scores (p < 0.05) and eating attitude scores (p < 0.05). The post-intervention eating attitude and body image scores of the intervention group were significantly different from those of the control group (p < 0.05). The results of the correlation analysis showed a significant positive correlation between intuitive eating and body image (r = 0.455; p < 0.05) and a significant negative correlation between IE and disordered eating attitudes (r = −0.449; p < 0.05). Conclusions: These findings suggest that longer-term interventions may be beneficial and warrant further investigation. IE may serve as a promising strategy to enhance psychological well-being and performance outcomes without focusing on weight control. Full article