ISSN exercise & sports nutrition review update: research & recommendations
Chad M. KerksickColin WilbornMichael D. RobertsAbbie E. Smith‐RyanSusan M. KleinerRalf JägerRick CollinsMatthew B. CookeJaci N. DavisE GalvánMike GreenwoodLonnie LoweryRobert WildmanJosé AntónioRichard B. Kreider
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Abstract:
Sports nutrition is a constantly evolving field with hundreds of research papers published annually. In the year 2017 alone, 2082 articles were published under the key words ‘sport nutrition’. Consequently, staying current with the relevant literature is often difficult. This paper is an ongoing update of the sports nutrition review article originally published as the lead paper to launch the Journal of the International Society of Sports Nutrition in 2004 and updated in 2010. It presents a well-referenced overview of the current state of the science related to optimization of training and performance enhancement through exercise training and nutrition. Notably, due to the accelerated pace and size at which the literature base in this research area grows, the topics discussed will focus on muscle hypertrophy and performance enhancement. As such, this paper provides an overview of: 1.) How ergogenic aids and dietary supplements are defined in terms of governmental regulation and oversight; 2.) How dietary supplements are legally regulated in the United States; 3.) How to evaluate the scientific merit of nutritional supplements; 4.) General nutritional strategies to optimize performance and enhance recovery; and, 5.) An overview of our current understanding of nutritional approaches to augment skeletal muscle hypertrophy and the potential ergogenic value of various dietary and supplemental approaches. This updated review is to provide ISSN members and individuals interested in sports nutrition with information that can be implemented in educational, research or practical settings and serve as a foundational basis for determining the efficacy and safety of many common sport nutrition products and their ingredients.Keywords:
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Sports nutrition is a constantly evolving field with hundreds of research papers published annually. For this reason, keeping up to date with the literature is often difficult. This paper is a five year update of the sports nutrition review article published as the lead paper to launch the JISSN in 2004 and presents a well-referenced overview of the current state of the science related to how to optimize training and athletic performance through nutrition. More specifically, this paper provides an overview of: 1.) The definitional category of ergogenic aids and dietary supplements; 2.) How dietary supplements are legally regulated; 3.) How to evaluate the scientific merit of nutritional supplements; 4.) General nutritional strategies to optimize performance and enhance recovery; and, 5.) An overview of our current understanding of the ergogenic value of nutrition and dietary supplementation in regards to weight gain, weight loss, and performance enhancement. Our hope is that ISSN members and individuals interested in sports nutrition find this review useful in their daily practice and consultation with their clients.
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Following critical evaluation of the available literature to date, The International Society of Sports Nutrition (ISSN) position regarding caffeine intake is as follows:
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Health care professionals are having several occupational risks than the rest of the population because of the specificity of their working conditions.Since the health of health care professionals affects their performances, self-care may examine closely to improve the health care system.Therefore, this study was conducted to state nutritional and health status of health care professionals, performing a survey including dietary intake pattern and health status query.This was a cross sectional study carried out among health care professionals who were working at hospitals in Istanbul and Izmir-Turkey.A total of 62 health care professionals were interviewed face to face by using pre-tested questionnaire.Mean age of subjects was 38.66±10.05years.Fifty eight percent (58.1%) of health care professionals were female.The mean BMI value was 25.40±4.32 and 53.22% of the health care professionals had a BMI value over 25.Twenty six percent of the subjects were declared to suffer from chronic diseases such as CVD, stomach and gut problems, high cholesterol, hypertension and diabetes.Sixty four percent of the subjects had a family history of diseases.It was observed that more than half of the participants (59.0%) were regularly taking three meals a day.Among them, 11.3% was taking supplement.Mean vegetable and fruit consumptions in portion per day were 1.23±0.54,and1.05±0.59,respectively.Water consumption was 1.64±0.83litter/day.The irregular working conditions of health care professionals may affect their nutritional and health status.This pilot study gave an opportunity to analyze the health care professionals' status concluding that nearly half of the population could not take three meal regularly, more than 50% of subjects had BMI value over 25.0 and 26% had chronic diseases.
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View addendum:International Society of Sports Nutrition position stand: Nutrient timingInternational Society of Sports Nutrition position stand: Nutrient timing
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Background Maintaining energy balance by consuming the required distribution of macronutrients (nutritional status) is important to support performance and health in collegiate athletes; however, less than 10% of NCAA athletes possess adequate sports nutrition knowledge or maintain nutritional status (Torres-McGehee et al., 2012). A recent study demonstrated that a sports nutrition education intervention (SNEI) improved nutritional knowledge and nutritional status in Division I volleyball players. This study investigated the effects of an SNEI on nutritional status, knowledge, body composition, and performance in NCAA Division I baseball players.
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Position Statement: The International Society of Sports Nutrition (ISSN) presents this position based on a critical examination of literature surrounding the effects of essential amino acid (EAA) supplementation on skeletal muscle maintenance and performance. This position stand is intended to provide a scientific foundation to athletes, dietitians, trainers, and other practitioners as to the benefits of supplemental EAA in both healthy and resistant (aging/clinical) populations. EAAs are crucial components of protein intake in humans, as the body cannot synthesize them. The daily recommended intake (DRI) for protein was established to prevent deficiencies due to inadequate EAA consumption. The following conclusions represent the official position of the Society: 1. Initial studies on EAAs' effects on skeletal muscle highlight their primary role in stimulating muscle protein synthesis (MPS) and turnover. Protein turnover is critical for replacing degraded or damaged muscle proteins, laying the metabolic foundation for enhanced functional performance. Consequently, research has shifted to examine the effects of EAA supplementation – with and without the benefits of exercise – on skeletal muscle maintenance and performance. 2. Supplementation with free-form EAAs leads to a quick rise in peripheral EAA concentrations, which in turn stimulates MPS. 3. The safe upper limit of EAA intake (amount), without inborn metabolic disease, can easily accommodate additional supplementation. 4. At rest, stimulation of MPS occurs at relatively small dosages (1.5–3.0 g) and seems to plateau at around 15–18 g. 5. The MPS stimulation by EAAs does not require non-essential amino acids. 6. Free-form EAA ingestion stimulates MPS more than an equivalent amount of intact protein. 7. Repeated EAA-induced MPS stimulation throughout the day does not diminish the anabolic effect of meal intake. 8. Although direct comparisons of various formulas have yet to be investigated, aging requires a greater proportion of leucine to overcome the reduced muscle sensitivity known as "anabolic resistance." 9. Without exercise, EAA supplementation can enhance functional outcomes in anabolic-resistant populations. 10. EAA requirements rise in the face of caloric deficits. During caloric deficit, it's essential to meet whole-body EAA requirements to preserve anabolic sensitivity in skeletal muscle.
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Background The tool kits of bibliometrics and science mapping provide a standard methodology to map the knowledge base of specific fields of science. The aim of the present research is the analysis of the recent international trends of sport nutrition science, as well as the primary identification of the research topics and results of sport nutrition science via enhanced bibliometric methods for the 2000–2018 time period.Methods Altogether, 3889 publications were included in this study. We identified the most relevant sport nutrition topics by running a community detection algorithm on the proximity network constructed via network text analysis. The key issues and key concepts of sport nutrition topics as well as their relations were evaluated via network analysis. Besides, we carried a chronological analysis of topics out and a scientometric evaluative analysis was also created.Results We identified the four main basic groups from which the 18 most characteristics topics were analyzed. The 18 topics are the following: 'soccer and physiology', 'carbohydrate metabolism', 'muscle physiology: alkalosis and acidosis', 'muscle mass gain and dietary supplementation', 'fluid balance and hydration', 'dietary intake and nutrition knowledge', 'determination of energy need of athletes', 'bone health and female athlete triad', 'hydration strategy', 'body weight management', 'nutritional strategies and human skeletal muscle', 'dietary supplementation of nitrates', 'oxidative stress and dietary supplement use', 'dietary supplement use and doping', 'oxidative stress and inflammation and dietary antioxidants', 'exercise adaptation and nutritional strategies', 'gut microbiota', 'celiac disease'. Regarding the size of the topic, researches on sport nutrition science have put the focus on the following three groups: 'muscle mass gain and dietary supplementation', 'carbohydrate metabolism', 'oxidative stress and dietary supplement use'. The greatest scientific impact can be ascribed to the following topics: 'nutritional strategies and human skeletal muscle', 'dietary supplementation of nitrates', 'body weight management', and 'gut microbiota'.Conclusions Scientific output on sport nutrition has continuously been rising between 2000 and 2018. The ratio of topics related to sport nutrition but predominantly connected to basic research has decreased significantly within all publications. The results of this study confirm the role of science mapping in the identification of specific research topics and primary research directions in the field of sport nutrition science.
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New evidence and feedback from colleagues have led to modifications to the Nutrition for Sport Knowledge Questionnaire (NSKQ) and Abridged Nutrition for Sport Knowledge Questionnaire (ANSKQ). The changes predominately affect questions regarding the nutrient content of foods, protein recommendations and the legality of supplements. Some English language edits have also been made.
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