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DOI: 10.1055/a-2108-5691
Energy and Macronutrient Intakes in Young Athletes: A Systematic Review and Meta-analysis
Abstract
The aim of this study was to conduct a systematic review and meta-analysis of differences in energy and macronutrient intakes between young athletes and non-athletes, considering age, gender and sport characteristics. The study included original research articles that compared energy and macronutrient intakes of 8 to 18-year-old athletes to non-athletes. Mean difference (MD) meta-analyses were performed to quantify energy and macronutrient intake differences between athletes and non-athletes. Eighteen observational studies were included. Results revealed that the energy and carbohydrate consumption of athletes was higher than that of non-athletes (MD=4.65kcal/kg/d, p<0.01 and MD=1.65% of total energy intake, p<0.01, respectively). Subgroup analyses revealed a significant effect of total training time on the observed mean differences between athletes and non-athletes. As practice time increased, the differences between athletes and non-athletes increased for carbohydrate and decreased for protein. Sport type analysis revealed a higher protein intake by mixed sport athletes compared to endurance and power sports. Analyses also indicated an age effect: the older the athletes, the smaller the differences between athletes and non-athletes for energy intake. However, the methods used to match groups and estimate dietary intakes forced us to moderate the results. More rigorous research methods are needed to define the dietary intakes of athletes and non-athletes.
Publication History
Received: 31 May 2023
Accepted: 31 May 2023
Article published online:
13 November 2023
© 2023. Thieme. All rights reserved.
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Germany
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References
- 1 Desbrow B, McCormack J, Burke LM. et al. Sports dietitians Australia position statement: Sports nutrition for the adolescent athlete. Int J Sport Nutr Exerc Metab 2014; 24: 570-584
- 2 Michopoulou E, Avloniti A, Kambas A. et al. Elite premenarcheal rhythmic gymnasts demonstrate energy and dietary intake deficiencies during periods of intense training. Pediatr Exerc Sci 2011; 23: 560-572
- 3 Silva M-RG, Silva H-H. Comparison of body composition and nutrients’ deficiencies between Portuguese rink-hockey players. Eur J Pediat 2017; 176: 41-50
- 4 Boisseau N, Vermorel M, Rance M. et al. Protein requirements in male adolescent soccer players. Eur J Appl Physiol 2007; 100: 27-33
- 5 GMDO Coelho, MLFD Farias, LMCD Mendonça. et al. The prevalence of disordered eating and possible health consequences in adolescent female tennis players from Rio de Janeiro, Brazil. Appetite 2013; 64: 39-47
- 6 Mountjoy M, Sundgot-Borgen J, Burke L. et al. International olympic committee (ioc) consensus statement on relative energy deficiency in sport (RED-S): 2018 update. Int J Sport Nutr Exerc Metab 2018; 28: 316-331
- 7 Desbrow B. Youth athlete development and nutrition. Sports Med 2021; 51: 3-12
- 8 Petrie HJ, Stover EA, Horswill CA. Nutritional concerns for the child and adolescent competitor. Nutrition 2004; 20: 620-631
- 9 Barrack MT, Rauh MJ, Nichols JF. Cross-sectional evidence of suppressed bone mineral accrual among female adolescent runners. J Bone Miner Res 2010; 25: 1850-1857
- 10 Mountjoy M, Armstrong N, Bizzini L. et al. IOC consensus statement: Training the elite child athlete. BJSM 2008; 42: 163-164
- 11 Vidaillet M. Agence Française de sécurité sanitaire des aliments. Apports nutritionnels conseillés pour les enfants et adolescents sportifs de haut niveau de performance. Tec&doc. Paris: Lavoisier;; 2005
- 12 Smith JW, Holmes ME, McAllister MJ. Nutritional considerations for performance in young athletes. J Sports Med (Hindawi Publ Corp) 2015; 2015: 734649
- 13 Filaire E. Nutritional status and body composition of juvenile elite female gymnast. J Sports Med Phys Fitness 2002; 42: 65-70
- 14 Collins AC, Ward KD, Mirza B. et al. Comparison of nutritional intake in US adolescent swimmers and non-athletes. Health (Irvine Calif) 2012; 4: 873-880
- 15 Benson JE, Allemann Y, Theintz GE. et al. Eating problems and calorie intake levels in Swiss adolescent athletes. Int J Sports Med 1990; 11: 249-252
- 16 Boisseau N, Le Creff C, Loyens M. et al. Protein intake and nitrogen balance in male non-active adolescents and soccer players. Eur J Appl Physiol 2002; 88: 288-293
- 17 Moher D, Shamseer L, Clarke M. et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev 2015; 4: 1
- 18 Capling L, Beck KL, Gifford JA. et al. Validity of dietary assessment in athletes: A systematic review. Nutrients 2017; 9: 1313
- 19 Amorim T, Metsios GS, Wyon M. et al. Bone mass of female dance students prior to professional dance training: A cross-sectional study. PLoS One 2017; 12: e0180639
- 20 Roemmich JN, Richmond RJ, Rogol AD. Consequences of sport training during puberty. J Endocrinol Invest 2001; 24: 708-715
- 21 Wells. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa Hospital Research Institute. Internet: http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp; Last updated: April 26, 2022
- 22 Harrer, M., Cuijpers, P., Furukawa, T. & Ebert, D. D. (2019). dmetar: Companion R Package For The Guide 'Doing Meta-Analysis in R’. R package version 0.1.0. URL http://dmetar.protectlab.org/
- 23 Balduzzi S, Rücker G, Schwarzer G. How to perform a meta-analysis with R: A practical tutorial. Evid Based Ment Health 2019; 22: 153-160
- 24 Niebauer J, Börjesson M, Carre F. et al. Recommendations for participation in competitive sports of athletes with arterial hypertension: A position statement from the sports cardiology section of the European Association of Preventive Cardiology (EAPC). Eur Heart J 2018; 39: 3664-3671
- 25 Cupisti A, D’Alessandro C, Castrogiovanni S. et al. Nutrition knowledge and dietary composition in Italian adolescent female athletes and non-athletes. Int J Sport Nutr Exerc Metab 2002; 12: 207-219
- 26 Rankinen T, Fogelholm M, Kujala U. et al. Dietary intake and nutritional status of athletic and nonathletic children in early puberty. Int J Sport Nutr 1995; 5: 136-150
- 27 Collins AC, Ward KD, Mirza B. et al. Comparison of nutritional intake in US adolescent swimmers and non-athletes. Health (Irvine Calif) 2012; 4: 873-880
- 28 Tong TK, Lin H, Lippi G. et al. Serum oxidant and antioxidant status in adolescents undergoing professional endurance sports training. Oxid Med Cell Longev 2012; 2012: 741239
- 29 Reading KJ, McCargar LJ, Harber VJ. Energy balance and luteal phase progesterone levels in elite adolescent aesthetic athletes. Int J Sport Nutr 2002; 12: 93-104
- 30 Cupisti A, D’Alessandro C, Castrogiovanni S. et al. Nutrition survey in elite rhythmic gymnasts. J Sports Med Phys Fitness 2000; 40: 350-355
- 31 Soric M, Misigoj-Durakovic M, Pedisic Z. Dietary intake and body composition of prepubescent female aesthetic athletes. Int J Sport Nutr Exerc Metab 2008; 18: 343-354
- 32 Zonderland ML, Erich WBM, Peltenburg AL. et al. Nutrition of premenarcheal athletes: Relation with the lipid and apolipoprotein profiles. Int J Sports Med 1985; 6: 329-335
- 33 Kalniņa L, Selga G, Sauka M. et al. Comparison of body composition and energy intake of young female ballet dancers and ordinary school girls. Latv Zinat Akad Vestis A Humanit Zinat. 2017
- 34 Moen S, Sanborn C, DiMarco N. Dietary habits and body composition in adolescent female runner. Women Sport Phys Act J 1992; 1: 85-95
- 35 Boisseau N, Persaud C, Jackson AA. et al. Training does not affect protein turnover in pre- and early pubertal female gymnasts. Eur J Appl Physiol 2005; 94: 262-267
- 36 Margaritis I. Chapter 12 – training, changes in nutritional requirements and dietary support of physical exercise. In: Walrand S, Hrsg. Nutrition and Skeletal Muscle. Academic Press; 2019: 151-182
- 37 Manore MM, Patton-Lopez MM, Meng Y. et al. Sport nutrition knowledge, behaviors and beliefs of high school soccer players. Nutrients 2017; 9: 350
- 38 Heaney S, O’Connor H, Gifford J. et al. Comparison of strategies for assessing nutritional adequacy in elite female athletes’ dietary intake. Int J Sport Nutr Exerc Metab 2010; 20: 245-256
- 39 Malina RM, Rogol AD, Cumming SP. et al. Biological maturation of youth athletes: Assessment and implications. Br J Sports Med 2015; 49: 852-859
- 40 Bar-Or O. Nutritional considerations for the child athlete. Can J Appl Physiol 2001; 26: 186-191
- 41 Wardenaar F, Brinkmans N, Ceelen I. et al. Macronutrient intakes in 553 Dutch elite and sub-elite endurance, team, and strength athletes: Does intake differ between sport disciplines?. Nutrients 2017; 9: 119
- 42 SPF. Etude de santé sur l’environnement, la biosurveillance, l’activité physique et la nutrition (Esteban), 2014-2016. Volet Nutrition. Chapitre Corpulence. In Internet: https://www.santepubliquefrance.fr/determinants-de-sante/nutrition-et-activite-physique/etude-de-sante-sur-l-environnement-la-biosurveillance-l-activite-physique-et-la-nutrition-esteban-2014-2016.-volet-nutrition.-chapitre-corpulence; Last updated: Aug. 9, 2021
- 43 SACN Dietary Reference Values for Energy. GOVUK. Im Internet: https://www.gov.uk/government/publications/sacn-dietary-reference-values-for-energy; Last updated: Oct. 14, 2021
- 44 Nikic M, Pedišic Z, Šatalic Z. et al. Adequacy of nutrient intakes in elite junior basketball players. Int J Sport Nutr Exerc Metab 2014; 24: 516-523
- 45 Biddle SJH. Sedentary Behavior. AJPM 2007; 33: 502-504
- 46 Burke LM. Dietary assessment methods for the athlete : Pros and cons of different methods. SSE 2015; 28: 1-6
- 47 Burke LM, Castell LM, Casa DJ. et al. International association of athletics federations consensus statement 2019: nutrition for athletics. Int J Sport Nutr Exerc Metab 2019; 29: 73-84
- 48 Stellingwerff T, Morton JP, Burke LM. A Framework for periodized nutrition for athletics. Int J Sport Nutr Exerc Metab 2019; 29: 141-151