Background: to develop sport-specific and effective dietary advice, it is important to understand the dietary intakes of team sport athletes. This systematic literature review aims to (1) assess the dietary intakes of professional and semi-professional team sport athletes and (2) to identify priority areas for dietetic intervention. Methods: an extensive search of MEDLINE, Sports DISCUS, CINAHL, Web of Science, and Scopus databases in April–May 2018 was conducted and identified 646 studies. Included studies recruited team sport, competitive (i.e., professional or semi-professional) athletes over the age of 18 years. An assessment of dietary intake in studies was required and due to the variability of data (i.e., nutrient and food group data) a meta-analysis was not undertaken. Two independent authors extracted data using a standardised process. Results: 21 (n = 511) studies that assessed dietary intake of team sport athletes met the inclusion criteria. Most reported that professional and semi-professional athletes’ dietary intakes met or exceeded recommendations during training and competition for protein and/or fat, but not energy and carbohydrate. Limitations in articles include small sample sizes, heterogeneity of data and existence of underreporting. Conclusions: this review highlights the need for sport-specific dietary recommendations that focus on energy and carbohydrate intake. Further exploration of factors influencing athletes’ dietary intakes including why athletes’ dietary intakes do not meet energy and/or carbohydrate recommendations is required.

Sports Dietitians aim to assist in improving performance by developing nutrition knowledge (NK), enhancing dietary intake and optimising body composition of athletes. In a high-pressure environment, it is important to identify factors that may compromise an athlete’s nutrition status. Body composition assessments are regularly undertaken in sport to provide feedback on training adaptions; however, no research has explored the impact of these assessments on the dietary intake of professional athletes. This cross-sectional study assessed dietary intake (7-day food diary), nutrition knowledge (Nutrition for Sport Knowledge Questionnaire) and body composition (Dual-energy X-ray absorptiometry) of 46 professional male Australian football (AFL) athletes during a 2017 pre-season training week (7 days) where body composition assessments were undertaken. Dietary intake was assessed against International Olympic Committee recommendations for professional athletes. Overall, no athlete met dietary their recommended energy intake (15 ± 1.1 vs. 9.1 ± 1.8 MJ, respectively) or carbohydrate recommendations (6–10 vs. 2.4 ± 0.9 g·kg-1·day-1). Only 54% met protein recommendations. Secondary analyses demonstrated significant associations between education status and energy intake (P < 0.04) and vegetable intake (P < 0.03), with higher levels of education being associated with higher intakes. A moderately positive association was observed between NK scores and meeting estimated energy requirements (r = 0.33, P = 0.03). NK scores were also positively associated with protein (r = 0.35, P = 0.02), fibre (r = 0.51, P = 0.001) and calcium intakes (r = 0.43, P = 0.004). This research identified that the dietary intake of professional AFL athletes during a pre-season training week where body composition assessments were undertaken did not meet current recommendations. Several factors may influence the dietary intake of AFL athletes, including lower education levels, poor NK and dietary intake restriction surrounding body composition assessment. Athletes may require support to continue with performance-based nutrition plans in periods surrounding body composition assessment.

Sports nutrition is an evolving field, but there is a lack of data on Australian athletes’ knowledge of current sports nutrition guidelines. Additionally, several tools used to assess nutrition knowledge (NK) have not undergone adequate validation. The purpose of this study was to assess and compare the sports NK of elite and nonelite Australian football (AF) athletes using a newly validated questionnaire—The Nutrition for Sport Knowledge Questionnaire. Elite AF players (n = 46) were recruited directly from their club dietitian and nonelite AF players (n = 53) were invited to participate via e-mail from their club president or secretary. The mean NK score of elite and nonelite AF players was 46 ± 16% and 51 ± 11%, respectively (p = .041). In both groups, knowledge of macronutrients, weight management, and alcohol was better than knowledge of supplements, micronutrients, and sports nutrition. Nonelite athletes achieved statistically significantly higher scores on the questionnaire subsections testing weight management (elite: 48 ± 18; nonelite: 57 ± 19, p = .019), micronutrients (elite: 39 ± 19; nonelite: 50 ± 16, p = .004), and alcohol (elite: 52 ± 13; nonelite: 71 ± 17, p = .002). While overall NK of Australian athletes was poor, scores varied greatly among individuals (range: 10–70%) and across the six subsections (topics) being assessed. Professionals working with athletes should undertake an assessment of the athletes’ NK so that they can provide targeted education programs.

Nutrition education in professional sport may improve athletes’ nutrition knowledge (NK), self-efficacy and food choices. Understanding athletes’ NK can inform development of tailored nutrition education programs. To enhance health and performance, athletes’ dietary intakes must meet their energy and nutritional needs and NK has been identified as a modifiable determinant of dietary intake. This study aimed to assess the NK of professional Australian football league women’s (AFLW) athletes to provide recommendations for possible dietetic intervention and nutrition education. AFLW athletes (n=26) were recruited from one Victorian club competing in the AFLW. NK was assessed during pre-season training, using the validated online Nutrition for Sport Knowledge Questionnaire (NSKQ). AFLW athletes scored ‘average’ in overall NK (score: 45.1±12.5, mean accuracy: 50.6±14%). Athletes demonstrated better knowledge in alcohol (5.6±1.9, mean accuracy: 70±23%), macronutrients (18.2±5.0, mean accuracy: 60±17%) and weight management subsections (7.3±2.2, mean accuracy: 57±17%). Athletes performed poorly in the supplements subsection (3.2±2.0, mean accuracy: 23±14%). Individualised dietary planning, group education and cooking classes administered by a dietitian, were reported as preferred sources of nutrition information. This study assessed the NK of AFLW athletes using the NSKQ and found athletes had average NK, with room for improvement particularly regarding supplement knowledge. Future research should assess the efficacy of online and group education to improve athletes’ NK and dietary intake.

(1) Background: Many professional Australian Football (AF) players do not meet recommended sports nutrition guidelines despite having access to nutrition advice. There are a range of factors that can influence players′ ability to meet their nutrition goals and awareness of the barriers players face is essential to ensure that dietary advice translates into practice. Therefore, this qualitative research study aimed to explore the factors influencing AF players’ dietary intakes and food choice. (2) Methods: Semi-structured interviews were conducted with twelve professional male AF players. (3) Results: Less experienced players restricted their carbohydrate intake to meet body composition goals, particularly during preseason and surrounding body composition assessment. During the competition season players had a greater focus on performance and placed more emphasis on carbohydrate intake in the lead up to matches. Players felt nutrition goals were easier to achieve when dietary choices were supported by their families and peers. One-on-one consultations provided by a sports dietitian were players′ preferred mode of nutrition intervention. Individualized nutrition advice is required for less experienced AF players who may be vulnerable to unsustainable dietary habits. Experienced AF players can support junior teammates by promoting positive team culture related to body composition, nutrition and performance.