Nutrition and Athletic Performance

It is the position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine that physical activity, athletic performance, and recovery from exercise are enhanced by optimal nutrition. These organizations recommend appropriate selection of food and fluids, timing of intake, and supplement choices for optimal health and exercise performance. This position paper reviews the current scientific data related to the energy needs of athletes, assessment of body composition, strategies for weight change, the nutrient and fluid needs of athletes, special nutrient needs during training, the use of supplements and nutritional ergogenic aids, and the nutrition recommendations for vegetarian athletes. During times of high physical activity, energy and macronutrient needs—especially carbohydrate and protein intake—must be met in order to maintain body weight, replenish glycogen stores, and provide adequate protein for building and repair of tissue. Fat intake should be adequate to provide the essential fatty acids and fat-soluble vitamins, as well as to help provide adequate energy for weight maintenance. Overall, diets should provide moderate amounts of energy from fat (20% to 25% of energy); however, there appears to be no health or performance benefit to consuming a diet containing less than 15% of energy from fat. Body weight and composition can affect exercise performance, but should not be used as the sole criterion for sports performance; daily weigh-ins are discouraged. Consuming adequate food and fluid before, during, and after exercise can help maintain blood glucose during exercise, maximize exercise performance, and improve recovery time. Athletes should be well-hydrated before beginning to exercise; athletes should also drink enough fluid during and after exercise to balance fluid losses. Consumption of sport drinks containing carbohydrates and electrolytes during exercise will provide fuel for the muscles, help maintain blood glucose and the thirst mechanism, and decrease the risk of dehydration or hyponatremia. Athletes will not need vitamin and mineral supplements if adequate energy to maintain body weight is consumed from a variety of foods. However, supplements may be required by athletes who restrict energy intake, use severe weight-loss practices, eliminate one or more food groups from their diet, or consume high-carbohydrate diets with low micronutrient density. Nutritional ergogenic aids should be used with caution, and only after careful evaluation of the product for safety, efficacy, potency, and whether or not it is a banned or illegal substance. Nutrition advice, by a qualified nutrition expert, should only be provided after carefully reviewing the athlete’s health, diet, supplement and drug use, and energy requirements. Med. Sci. Sports Exerc. Vol. 32, No. 12, pp. 2130–2145; J. Am. Diet. Assoc. Vol. 12, pp. 1543– 1556. 2000; Diet of Canada Vol. 61, pp. 176-192. Over the past 20 years, research has clearly documented the beneficial effects of nutrition on exercise performance. There is no doubt that what an athlete eats and drinks can affect health, body weight and composition, substrate availability during exercise, recovery time after exercise, and, ultimately, exercise performance. As the research and interest in sport nutrition has increased, so has the sale of ergogenic aids, supplements, herbal preparations, and diet aids, all aimed at improving sports performance. The manufacturers of these products frequently make unsubstantiated claims to entice the athlete to use their products. The athlete who wants to optimize exercise performance needs to follow good nutrition and hydration practices, use supplements and ergogenic aids carefully, minimize severe weight loss practices, and eat a variety of foods in adequate amounts. This position is focused on adult athletes, rather than children or adolescents, and does not focus on any particular type of athlete or athletic event. Moreover, the position is intended to provide guidance to dietetics and health professionals working with athletes, and is not directed to individual athletes themselves.