Center for Excellence in Sports Medicine, Scottish Rite for Children, 5700 Dallas Parkway, Frisco, TX 75034, USA.
Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, TX 75390, USA.
Nutrients. 2024 Jun 13;16(12):1847. doi: 10.3390/nu16121847.
This study investigated trends within a custom Sports Nutrition Assessment for Consultation (SNAC) survey designed to identify nutrition-related risk factors among post-operative lower-extremity youth athletes. Athletes aged 8-18 years who completed the SNAC at a sports medicine institution after lower-extremity surgery were reviewed for associations between SNAC questions and age/sex differences. Of 477 patients (15.0 ± 2.0 years; 47.8% female), 319 (66.9%) answered 'yes' to at least one question and were identified for a consult, though 216 (64.3%) declined. The most frequent questions to prompt a consult were a desire to better understand nutrition for recovery (41.5%) and regularly skipping at least one meal a day (29.8%). Inter-question responses were often significantly related, especially regarding appetite changes, weight changes, and/or meal-skipping. While consult acceptance was not significantly different between sex/age, males were more likely to report a desire to better understand nutrition ( = 0.004) and a weight change ( = 0.019), and females were more likely to report struggling with dizziness/fatigue ( < 0.001). Additionally, older athletes reported an appetite change ( = 0.022), meal-skipping ( = 0.002), a desire to better understand nutrition ( < 0.001), a weight change ( < 0.001), and an effort/recommendation to change their body composition/weight ( = 0.005). These findings demonstrate a link between risky nutrition behaviors and physical detriments.
本研究调查了一项定制的运动营养评估咨询（SNAC）调查中的趋势，旨在确定下肢青少年运动员术后与营养相关的风险因素。对在运动医学机构接受下肢手术后完成 SNAC 的 477 名 8-18 岁运动员进行了回顾，以研究 SNAC 问题与年龄/性别差异之间的关联。在 477 名患者中（15.0 ± 2.0 岁；47.8%为女性），319 名（66.9%）对至少一个问题回答“是”，并被确定需要咨询，但有 216 名（64.3%）拒绝了。最常引发咨询的问题是渴望更好地了解恢复期间的营养（41.5%）和经常至少一天不吃一顿饭（29.8%）。问题之间的回答往往存在显著相关性，尤其是关于食欲变化、体重变化和/或不吃饭的问题。尽管咨询接受率在性别/年龄之间没有显著差异，但男性更有可能报告渴望更好地了解营养（ = 0.004）和体重变化（ = 0.019），而女性更有可能报告头晕/疲劳（ < 0.001）方面的困难。此外，年龄较大的运动员报告食欲变化（ = 0.022）、不吃饭（ = 0.002）、渴望更好地了解营养（ < 0.001）、体重变化（ < 0.001）和努力/建议改变身体成分/体重（ = 0.005）。这些发现表明，危险的营养行为与身体损害之间存在关联。
