Sports Nutrition Research Articles

Sports nutrition knowledge, attitude, and practice questionnaire for Indian adolescent athletes—an exploratory sequential mixed-method study

Sports nutrition knowledge, attitude, and practice questionnaire for Indian adolescent athletes—an exploratory sequential mixed-method study

Effect of Social Media on Diet, Lifestyle, and Performance of Athletes: A Review of Current Evidence.

Social media (SM) plays an important role in providing diet and health advice to athletes, but it also carries with it a risk of credibility in the information sought for and received. The objective of this review is to assess the knowledge gap on how SM influences dietary and lifestyle practices in athletes. For this, relevant literature was searched in three leading databases with appropriate keywords, which were subjected to proper scrutiny that led to inclusion of 22 articles (original research papers, reviews, viewpoints, and commentaries). The current era of digitalization has seen an over-reliance on internet and SM for nutrition and lifestyle advice for an athlete. SM has become a powerful tool in athlete's choice of food, nutrition information, healthy living, and performance, with merits and demerits. Their role in choosing dietary supplements and particular food types (e.g., ketogenic diet), body image, self-esteem and eating disorders, and in lifestyle and performance are discussed. SM should be used with caution and should not be used alone as a source of information for nutrition related pieces of advise by athletes. Any food type and supplements trending in SM should be discussed with a sports nutritionist before consumption. SM influencers having a big follower base may not always be disseminating the right knowledge on food and nutrition, thus caution should be exercised. For optimal benefit to the athlete, SM information should be in alignment with recommendations provided by sports nutrition and coaches.

BCAAs as Ergogenic Aids: Exploring Their Impact on Exercise-Induced Muscle Damage

This research delves into the multifaceted realm of Branched-Chain Amino Acids (BCAAs) as potential ergogenic aids, specifically exploring their impact on exercise-induced muscle damage. The investigation spans an extensive literature review of studies conducted in the United States from 2010 to 2023, synthesizing diverse methodologies and outcomes. The study employs a systematic approach, considering randomized controlled trials, observational studies, and intervention studies to provide a comprehensive understanding of the nuanced relationship between BCAAs and exercise-induced muscle damage. Findings reveal varied outcomes, suggesting BCAAs may influence markers such as Creatine Kinase levels, recovery time, and muscle soreness. However, inconsistencies and individual variations underscore the complexity of this interaction. The paper also elucidates the biochemical mechanisms through which BCAAs act, addressing considerations for optimal dosage, timing, and potential side effects. Practical implications are drawn for athletes and fitness enthusiasts, emphasizing personalized approaches within the broader context of sports nutrition. Acknowledging limitations, the study concludes with a call for continued research, refining methodologies and advancing the understanding of BCAAs in optimizing athletic performance and recovery.

Analyzing the Nutritional Awareness, Dietary Practices, Attitudes, and Performance of U-17 Football Players in Ethiopia

Background. Adequate nutrition knowledge is crucial for developing proper eating habits, especially among athletes, as it has a significant impact on sports performance. This underscores the consensus in sports nutrition education among professionals working with athletes. Study purpose. The study aimed to assess the nutritional knowledge, attitudes, and dietary practices of under-17 football club players in Ethiopia. Materials and methods. A descriptive survey research method was used, and standardized questionnaires were randomly distributed to 26 footballers to assess participants’ knowledge, attitudes, and dietary practices regarding nutrition. Data were analyzed using the t-test, Pearson coefficient, and one-way ANOVA (p <0.05). Reliability analysis showed a Cronbach’s alpha value of 0.83 for the scales measuring attitudes towards eating habits and nutrition knowledge (0.79 and 0.78, respectively). Results. No statistically significant differences (p >0.5) were observed in the data related to eating habits, age, or nutritional understanding. Significant variations in educational backgrounds were noted (p <0.05). Although gender and source were not recognized as correlates of nutritional knowledge, but age and education were. Conclusions. In summary, the study revealed no significant differences (p > 0.05) in nutrition knowledge scores for age, education, and source of information. However, a significant difference (p<0.05) was found between male and female athletes. Gender correlated with dietary habits, while age, education, and source of information did not. The key factor is to encourage ongoing future vision within sports organizations, nutritionists, and educational institutions to continuously refine and enhance nutrition knowledge, attitudes, and practice programs for U-17 players. It is also important to ensure sustainable relevance and effectiveness in the evolving landscape of sports and nutrition.

Energy expenditure and dietary intake in professional female football players in the Dutch Women’s League: Implications for nutritional counselling

ABSTRACT In contrast to male football players, research on the nutritional requirements of female football players is limited. This study aimed to assess total daily energy expenditure (TDEE) in professional female football players, along with body composition, physical activity and dietary intake. This observational study included 15 professional football players playing in the highest Dutch Women’s League. TDEE was assessed by doubly labelled water over 14 days, along with resting metabolic rate (RMR; ventilated hood), fat-free mass (FFM; dual-energy x-ray absorptiometry), and dietary intake (24-h recalls). Physical activity energy expenditure (PAEE) was derived from subtracting RMR and estimated diet-induced thermogenesis (10%) from TDEE. TDEE was 2882 ± 278 kcal/day (58 ± 5 kcal/kg FFM) and significantly (p < 0.05) correlated with FFM (r = 0.62). PAEE was 1207 ± 213 kcal/d. Weighted energy intake was 2344 kcal [2023–2589]. Carbohydrate intakes were 3.2 ± 0.7, 4.4 ± 1.1 and 5.3 ± 1.9 g/kg body mass for rest, training and match days, respectively, while weighted mean protein intake was 1.9 ± 0.4 g/kg body mass. In conclusion, the energy requirements of professional female football players are moderate to high and can be explained by the substantial PAEE. To fuel these requirements, sports nutritionists should consider shifting the players’ focus towards prioritizing adequate carbohydrate intakes, rather than emphasizing high protein consumption.

Assessment of Nutritional Status and Nutrition Education for Athletes in Sadakathullah Appa College

Sports Nutrition is important that adolescent athletes understand that their energy needs will be different based on age, growth rate, and level of activity, and it is vital to educate athletes on these increased energy needs to avoid deficiencies sporting events and to avoid illness and injury. Despite the increased need for nutrition education for adolescent athletes, there is still date there is a limited amount of research in this area. So, the survey was conducted and their consent was 30 athletes in different age group of 18 to 25 years were selected from both genders in Sadakathullah Appa college, Rahmath Nager, Tirunelveli district. Anthropometric, Biochemical, Clinical Examination and Dietary Habits of athletes were analyzed. Nutrition Education is conducted to the participants to raise an awareness to combat the nutritional deficiency disorders as well to increase their performance during the event or post the event.

The Assessment of Nutrition Knowledge in ROTC Cadets

Introduction: The purpose of this study was to measure the nutrition knowledge of Army ROTC cadets before and after the implementation of nutrition education sessions presented by a registered dietitian nutritionist (RDN), while observing the effectiveness of nutrition intervention on this population.Methods: Army ROTC cadets (n=33; 19+1 years old) from a southeastern university participated in a 9-week study in which they completed a nutrition knowledge survey pre- and post- implementation of six nutrition education sessions. General nutrition knowledge (GNK) and sports nutrition knowledge (SNK) were measured via the Abridged Nutrition for Sport Knowledge Questionnaire (ANSKQ).Results: General, sports, and total nutrition knowledge (TNK) improved significantly between pre-survey and post-survey scores (p &lt; .001; p &lt; .01; p &lt; .001, respectively). Independent samples t-test showed large t-score values (GNK t = -3.559; SNK t = -2.794; TNK t = -3.776), indicating a strong difference between the three groups. Army ROTC cadet ANSKQ scores significantly improved GNK from adequate to good, SNK from poor to adequate, and TNK from poor to adequate.Conclusions: The results of this study indicate nutrition knowledge is poor in ROTC cadets, but may improve from nutrition education interventions presented by an RDN.

Nutritional Considerations of Irish Performance Dietitians and Nutritionists in Concussion Injury Management.

Sport-related concussion incidence has increased in many team-based sports, such as rugby, Gaelic (camogie, hurling, football), and hockey. Concussion disrupts athletes' brain function, causing an "energy crisis" that requires energy and nutrient support to restore function and heal. Performance dietitians and nutritionists play a role in supporting athletes' post-injury nutritional demands. This study aimed to investigate Irish performance dietitians' and nutritionists' knowledge and implementation of nutritional strategies to manage and support athletes' recovery following concussion. In-depth, semi-structured interviews were conducted with seventeen (n = 17) Irish performance dietitians and nutritionists recruited from the Sport and Exercise Nutrition register and other sporting body networks across Ireland. Participants practised or had practised with amateur and/or professional athletes within the last ten years. All interviews and their transcripts were thematically analysed to extract relevant insights. These data provided valuable insights revealing performance dietitians and nutritionists: (1) their awareness of concussion events and (2) their use of nutritional supports for concussion management. Furthermore, the research highlighted their implementation of 'novel nutritional protocols' specifically designed to support and manage athletes' concussion recovery. There was a clear contrast between participants who had an awareness and knowledge of the importance of nutrition for brain recovery after sport-related concussion(s) and those who did not. Participants presenting with a practical understanding mentioned re-emphasising certain foods and supplements they were already recommending to athletes in the event of a concussion. Performance dietitians and nutritionists were keeping up to date with nutrition research on concussions, but limited evidence has prevented them from implementing protocols in practice. Meanwhile, participants mentioned trialling/recommending nutritional protocols, such as carbohydrate reloading, reducing omega-6 intake, and acutely supplementing creatine, omega-3 fish oils high in Docosahexaenoic acid, and probiotics to support brain healing. Performance dietitians' and nutritionists' use of nutrition protocols with athletes following concussion was linked to their knowledge and the limited scientific evidence available. Nutrition implementation, therefore, may be overlooked or implemented with uncertainty, which could negatively affect athletes' recovery following sports-related concussions.

Fueling for and recovering from resistance training: The periworkout nutrition practices of competitive powerlifters

PurposeNutrient timing is a concept that emphasizes the intentional ingestion of whole or fortified foods, and dietary supplements, to adequately fuel for, and recover from, acute and chronic exercise. The nutrition strategies used by powerlifters around training sessions have not, to our knowledge, been previously investigated. This study explored the self-reported periworkout (before, during, and after) nutrition practices of competitive powerlifters, including what, why, and information source that informed practice, with comparison to current sport nutrition guidelines. MethodsActively competing male (n = 240) and female (n = 65) powerlifters completed a cross-sectional online survey of self-reported periworkout nutrition practices in the pre-, intra-, and postexercise periods, fasted training, and supplementation. Data are presented as the number (n) and percentage (%) of all powerlifters practicing a given strategy followed by a % of responses reporting various practices or beliefs within this strategy. Categorical subgroups (sex, age, and weight class; and competitive caliber) were analyzed with a chi-square test or Fisher's exact test and denoted where significant (P ≤ 0.05). ResultsMost powerlifters reported paying specific attention to nutrition practices in the pre-exercise period (n = 261; 85.6%) by ingesting more carbohydrate (CHO) rich foods (n = 234; 89.6%) for the purpose of assisting in training performance (n = 222; 85.1%). Most powerlifters reported intraexercise nutrition strategies (n = 211; 69.2%), of which most included ingesting more CHO rich foods (n = 159; 74.5%) for the purpose of feeling less hungry and/or boosting energy levels during training (n = 129; 61.1%). Most powerlifters reported paying attention to postexercise nutrition (n = 244; 80%), by ingesting more protein rich foods (n = 182; 74.6%) for the purpose of recovering better for the whole day (n = 152; 62.3%) and enhancing the benefits of training (n = 149; 61.1%). Most powerlifters did not complete training sessions in the fasted state (n = 262; 85.9%). Most powerlifters reported paying attention to supplementation before training (n = 237; 77.7%), of which preworkout formulas (n = 137; 57.8%), energy drinks (n = 101; 42.6%), creatine (n = 88; 37.1%), and caffeine pills (n = 70; 29.5%) were most reported. Supplementation was used to assist in training performance (n = 197; 83.1%) and increase wakefulness/alertness (n = 183; 77.2%). Males reported more often than females that they informed multiple elements of their nutrition practices with the information they read or watched somewhere (P = 0.002–0.012). ConclusionThe periworkout nutrition practices used by competitive powerlifters followed current sport nutrition guidelines, by using CHO sources to fuel for training and ensuring the provision of protein postexercise. Competitive powerlifters may wish to exert caution with supplementation, as there is a risk of harm or inadvertent doping.

Trimethylamine N-Oxide Improves Exercise Performance by Reducing Oxidative Stress through Activation of the Nrf2 Signaling Pathway.

Trimethylamine N-oxide (TMAO) has attracted interest because of its association with cardiovascular disease and diabetes, and evidence for the beneficial effects of TMAO is accumulating. This study investigates the role of TMAO in improving exercise performance and elucidates the underlying molecular mechanisms. Using C2C12 cells, we established an oxidative stress model and administered TMAO treatment. Our results indicate that TMAO significantly protects myoblasts from oxidative stress-induced damage by increasing the expression of Nrf2, heme oxygenase-1 (HO-1), NAD(P)H dehydrogenase (NQO1), and catalase (CAT). In particular, suppression of Nrf2 resulted in a loss of the protective effects of TMAO and a significant decrease in the expression levels of Nrf2, HO-1, and NQO1. In addition, we evaluated the effects of TMAO in an exhaustive swimming test in mice. TMAO treatment significantly prolonged swimming endurance, increased glutathione and taurine levels, enhanced glutathione peroxidase activity, and increased the expression of Nrf2 and its downstream antioxidant genes, including HO-1, NQO1, and CAT, in skeletal muscle. These findings underscore the potential of TMAO to counteract exercise-induced oxidative stress. This research provides new insights into the ability of TMAO to alleviate exercise-induced oxidative stress via the Nrf2 signaling pathway, providing a valuable framework for the development of sports nutrition supplements aimed at mitigating oxidative stress.

The Immunomodulatory Effects of Sulforaphane in Exercise-Induced Inflammation and Oxidative Stress: A Prospective Nutraceutical.

Sulforaphane (SFN) is a promising molecule for developing phytopharmaceuticals due to its potential antioxidative and anti-inflammatory effects. A plethora of research conducted in vivo and in vitro reported the beneficial effects of SFN intervention and the underlying cellular mechanisms. Since SFN is a newly identified nutraceutical in sports nutrition, only some human studies have been conducted to reflect the effects of SFN intervention in exercise-induced inflammation and oxidative stress. In this review, we briefly discussed the effects of SFN on exercise-induced inflammation and oxidative stress. We discussed human and animal studies that are related to exercise intervention and mentioned the underlying cellular signaling mechanisms. Since SFN could be used as a potential therapeutic agent, we mentioned briefly its synergistic attributes with other potential nutraceuticals that are associated with acute and chronic inflammatory conditions. Given its health-promoting effects, SFN could be a prospective nutraceutical at the forefront of sports nutrition.

The Concept and Physiological Consequences of Energy Deficiency in Sports Nutrition

The Concept and Physiological Consequences of Energy Deficiency in Sports Nutrition

Nutrition Periodization in Recreational Endurance Athletes During Training Camp – Case study

Both training and dietary practices used by athletes greatly vary. Current sports nutrition guidelines promote dietary manipulation of energy-yielding nutrients specific to the period of training. The study explores the ad libitum nutrition practices of four healthy adult recreational athletes during a 2-week cycling training camp (~100 km·d-1, ~240 min·d-1) with particular attention to the current sports nutrition recommendations. Based on evidence-based guidelines, peri-exercise carbohydrate (CHO) and protein (PRO) intake periodization cut-off levels were set for athletes. Training days were categorized as hard (HARD, two training units/day), middle (MID, one training unit/day), and easy (LOW, no training). Fourteen-day diet records were used and analyzed by nutritional software for energy intake (EI), carbohydrate (CHO), and protein (PRO) intake.&#x0D; Relative daily EI of 78.6±4.5, 73.3±6.4, 75.4±8.2 kcal·kg·d-1, and CHO 8.9±0.8, 7.8±1.0, 8.2±1.5 g·kg1 intakes were not different in HARD, MID and LOW days, respectively. The mean daily EI was 1.3× higher than the predicted total daily energy expenditure, irrespective of the training day category, resulting in ~500 kcal·d-1 energy surplus. In the 2h post-exercise period, PRO intake exceeded the current recommendations 4.6-fold, and CHO intake was significantly lower after a second training session on HARD days (0.7 g·kg·h-1) than a recommendation (1.2 g·kg·h-1). Mean in-exercise CHO intake (~11.5 g·h-1) was significantly under the moderate 30 g·h-1 recommendation.&#x0D; In conclusion, the dietary behaviours of recreational athletes are not consistent with current sports nutrition periodization guidelines. Energy intake throughout the training camp led to positive energy balance being highest on non-training days. Daily or during and post-exercise CHO and PRO intakes were not adjusted to the training sessions' volume, intensity, or duration.

Risk of low energy availability and nutrition knowledge among female team sport athletes.

Nutrition knowledge influences adequate dietary intake in athletes. Inadequate dietary intakes can result in low energy availability (LEA) which can lead to relative energy deficiency in sport (RED-S). To date, there is little information on the relationship between nutrition knowledge and the risk of LEA in female team sport athletes. This study investigates if general and sports nutrition knowledge are associated with the risk of LEA in female team athletes. A cross-sectional design was used. Female athletes (>16 years) who participate in team sports in New Zealand were asked to complete an online questionnaire. The LEA in Females Questionnaire and the Abridged Sport Nutrition Knowledge Questionnaire were included. LEA risk and general/sports nutrition knowledge were assessed. The relationship between LEA risk and knowledge was analyzed using the Kruskal-Wallis Test of independent variables and χ2 tests. Among 100 female athletes, 53% were at-risk for LEA, and 70% (N.=67) had poor nutrition knowledge. Athletes who were "at-risk" for LEA and those who were "not at-risk" for LEA did not differ statistically in terms of age (P=0.350) or BMI (P=0.576). Of those "not at risk" 54% had an A-NSK score between 50 and 60% (i.e., average knowledge), whereas 54% of the athletes who were "at risk" for LEA had poor nutrition knowledge. There was no statistical difference between the groups (P=0.273). The poor nutrition knowledge and the high rates of those "at risk" of LEA among team sports athletes indicates the need for more nutrition education in this population.

Editorial: Reviews in sport and exercise nutrition

Editorial: Reviews in sport and exercise nutrition

Body Composition Changes in Male and Female Elite Soccer Players: Effects of a Nutritional Program Led by a Sport Nutritionist.

Soccer is a game in constant evolution and the intensity of play is increasing. Nutrition can play a role in the physical performance of elite players, maintaining their health and facilitating recovery. It is important to cover players' energy demands, and low energy availability may therefore result in impaired performance. This study aimed to evaluate alterations in body composition to determine the effects of a nutritional program led by a sport nutritionist. A group of 88 elite soccer players from a Serie A club in Italy (44 males aged 26.5 ± 3.0 years and 44 females aged 27.1 ± 5.2 years) were enrolled. To evaluate changes in body composition, bioimpedance and anthropometric measurements were obtained following the protocol of the International Society for the Advancement of Kinanthropometry (ISAK). Compared with females, males had more muscle mass and less fat mass in both seasons evaluated. Comparing the first and last seasons, the male soccer players showed increased muscle mass and decreased fat mass while the female soccer players only showed decreased fat mass. The presence of a specialist sport nutritionist on the staff of professional soccer clubs could be important to ensure energy availability and evaluate body composition during the season.

The athletic consul: a new role in sports organizations

Sports organizations are complex. In addition to the actual coaching of athletes, many utilize a myriad of different administrative and sport science departments or areas of expertise to aid in the achievement of success. Examples include sports administration, nutrition, strength and conditioning, sport psychology, counseling, athletic training, to name a few. Consequently, there are many voices within the organization, and communication and effectiveness may be affected by silos, fear of voicing opinions, or other chal¬lenges that come from the stresses and rigors of athletic competition. Anecdotally, we have noticed the often-informal introduction of an individual into some sports organizations and teams to help support the overall organization and its personnel. This individual does not necessarily have decision-making pow¬ers, but serves as a conduit of information, a supporter, and an advisor to all parties. To date, a specific title for this position has not been formally recognized, nor have its roles or responsibilities been defined. There¬fore, the purpose of this conceptual article is to propose a name for this position, which we have termed Athletic Consul (AC). Further, we outline why such a position is valuable, its fit within an athletic program, the roles and responsibilities of the position, and why it is necessary for such this position be formalized.

Perceptions of the importance of sports nutrition knowledge and barriers in implementing them: a qualitative study among track and field stakeholders in Sri Lanka

BackgroundIntegrating the core aspects of sports nutrition knowledge [SNK] into the multidisciplinary team is critical to improving an athlete’s performance and well-being. Conducting in-depth interviews with members of the sports-related team is a comprehensive method of gathering information on various aspects of SNK. This qualitative study aimed to examine the opinions and beliefs of stakeholders in athletics regarding the importance of SNK.MethodsFifteen professional track and field athletes and stakeholders were recruited into the study. Separate in-depth interviews were conducted to collect information within four key themes. Practical difficulties in getting an appropriate meal were included in an additional theme. Thematic analysis was performed using NVIVO v10.0.ResultsAll participants were mindful of the importance of proper food habits for overall athletic outcomes and reported different opinions on meal timing and composition. The opinions on supplements were heterogeneous and both positive and negative claims were reported. Beliefs regarding hydration demonstrated that the cohort was well aware of the significance of adequate hydration plus the signs and consequences of dehydration with many reporting experiences of the negative consequences of dehydration. All respondents reported that both alcohol and smoking may have an adverse impact on performance and health.ConclusionsAll respondents emphasized the importance of proper food habits for sports performance and well-being, but also identified barriers to optimizing nutrition.

Athletes' nutritional demands: a narrative review of nutritional requirements.

Nutrition serves as the cornerstone of an athlete's life, exerting a profound impact on their performance and overall well-being. To unlock their full potential, athletes must adhere to a well-balanced diet tailored to their specific nutritional needs. This approach not only enables them to achieve optimal performance levels but also facilitates efficient recovery and reduces the risk of injuries. In addition to maintaining a balanced diet, many athletes also embrace the use of nutritional supplements to complement their dietary intake and support their training goals. These supplements cover a wide range of options, addressing nutrient deficiencies, enhancing recovery, promoting muscle synthesis, boosting energy levels, and optimizing performance in their respective sports or activities. The primary objective of this narrative review is to comprehensively explore the diverse nutritional requirements that athletes face to optimize their performance, recovery, and overall well-being. Through a thorough literature search across databases such as PubMed, Google Scholar, and Scopus, we aim to provide evidence-based recommendations and shed light on the optimal daily intakes of carbohydrates, protein, fats, micronutrients, hydration strategies, ergogenic aids, nutritional supplements, and nutrient timing. Furthermore, our aim is to dispel common misconceptions regarding sports nutrition, providing athletes with accurate information and empowering them in their nutritional choices.

Nutrition knowledge, weight loss practices, and supplement use in senior competition climbers.

Sport climbing has gained increased scientific attention, including studies investigating the dietary habits and nutritional requirements of climbers; however, significant gaps in the literature remain. An assessment of nutritional knowledge, weight loss for competition, and supplement use has not been previously reported in senior competition climbing athletes. Fifty climbers (26 male, 24 female; BMI 21.6 ± 1.9; 23.7 ± 5.2 years) participated in the study. Participants answered a 72-item questionnaire, comprised of demographic data and three main sections to assess general and sports nutrition knowledge, weight loss strategies, and supplement use. The mean nutrition knowledge score was 'average', with considerable individual variation (53.5 ± 11.1 %). There were no significant sex differences in the general (GNK) or sport (SNK) nutrition knowledge scores, or effect of age. Significantly higher knowledge was demonstrated by national vs. international athletes for the GNK scores (11.09 ± 1.58 vs. 9.58 ± 1.75; p = 0.028). Participants scored well in questions concerning protein, carbohydrates, alcohol, and supplements, and conversely, performed poorly in hydration and micronutrient related questions. Less than one-fifth of respondents had access to a dietitian. Forty-six percent of males and 38% of female climbers reported intentional weight loss for competition on at least one occasion. Of those, ~76% reported utilizing concerning practices, including methods that conform with disordered eating and/or eating disorders, dehydration, vomiting, and misuse of laxatives. Approximately 65% of athletes reported using at least one nutritional supplement in the previous 6 months, with 44% reporting multiple supplement use. There was no significant difference in supplement use between sexes or competition level. Due to the established importance of nutritional intake on athlete health and performance, educational support should be employed to improve knowledge in climbers and address shortcomings. Moreover, intentional weight loss for climbing competition is common, with most athletes achieving ~3-8% body weight loss over ≥2 weeks. It is crucial that professionals working with competitive climbers are vigilant in identifying athletes at risk of concerning weight management and establish referral pathways to the appropriate specialist services. High quality intervention trials to assess the efficacy of ergogenic aids in climbing remains inadequate.