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Mind the gap: limited knowledge of carbohydrate guidelines for competition in an international cohort of endurance athletes

Sampson, G, Morton, JP and Areta, JL (2023) Mind the gap: limited knowledge of carbohydrate guidelines for competition in an international cohort of endurance athletes. Journal of Nutritional Science, 12. pp. 1-16. ISSN 2048-6790

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Abstract

Despite the well-documented role of carbohydrate (CHO) in promoting endurance exercise performance, endurance athletes typically fail to meet current recommendations in competition. Adequate nutrition knowledge is key to drive athletes' behaviour, but the current level of knowledge in this population is not known. The present study assessed knowledge of CHO for competition in an international cohort of endurance athletes using the Carbohydrates for Endurance Athletes in Competition Questionnaire (CEAC-Q). The CEAC-Q was completed by 1016 individuals (45% female), from the United Kingdom (40%), Australia/New Zealand (22%), the United States of America/Canada (18%) and other countries (21%). Total CEAC-Q scores were 50 ± 20% (mean ± sd), with no differences in scores between the five subsections (10 ± 5 points, P < 0·001). Based on typical knowledge and frequency of correct answers, we defined questions with low (0-39%), moderate (40-69%) and high (70-100%) knowledge at a population level. Knowledge deficiencies were identified in questions related to CHO metabolism (Low: 2 out of 5 questions (2/5), Moderate: 3/5), CHO-loading (Low: 2/5, Moderate: 1/5), pre-event CHO (Low: 2/5, Moderate: 2/5), CHO during exercise (Moderate: 4/5) and CHO for recovery (Low: 3/5, Moderate: 1/5). Current CHO amounts recommendations were identified correctly for CHO-loading, pre-competition meal, during competition >2·5 h) and post-competition recovery by 28% (Low), 45% (Moderate), 48% (Moderate), and 29% (Low), respectively. Our findings indicate that endurance athletes typically have limited knowledge of carbohydrate guidelines for competition, and we identify specific knowledge gaps that can guide targeted nutrition education to improve knowledge as an initial step towards optimal dietary practice.

Item Type: Article
Uncontrolled Keywords: Humans; Dietary Carbohydrates; Exercise; Diet; Health Education; Female; Male; Athletes; Carbohydrate; Endurance athlete; Nutrition knowledge questionnaire; Sports nutrition; Humans; Female; Male; Dietary Carbohydrates; Athletes; Exercise; Diet; Health Education; 1111 Nutrition and Dietetics
Subjects: T Technology > TX Home economics > TX341 Nutrition. Foods and food supply
R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions: Sport & Exercise Sciences
Publisher: Cambridge University Press
SWORD Depositor: A Symplectic
Date Deposited: 10 Apr 2024 13:18
Last Modified: 10 Apr 2024 13:30
DOI or ID number: 10.1017/jns.2023.49
URI: https://researchonline.ljmu.ac.uk/id/eprint/23005
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