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. 2019 Sep 30;23(3):29-38.
doi: 10.20463/jenb.2019.0020.

Development of an Evidence-based Nutritional Intervention Protocol for Adolescent Athletes

Saningun Lee, Hyunjung Lim

Development of an Evidence-based Nutritional Intervention Protocol for Adolescent Athletes

Saningun Lee et al. J Exerc Nutrition Biochem. .

Abstract

Purpose: Effective nutritional intervention can help reduce the risk of nutritional problems and improve athletic performance in adolescents. The five A's (assess, advise, agree, assist, and arrange) model is widely used as the theoretical framework for advice on nutrition, smoking, drinking, and physical activity and it recommends that practitioners in primary health care promote behavior change to facilitate positive outcomes. This model has also been useful in understanding the underlying processes of behavior change. This study aimed to develop both a novel evidence-based nutritional intervention protocol, rooted in sound nutritional theory, and a customizable nutritional intervention program to support sustainable healthy eating, enhance nutrient intake, and improve athletic performance in adolescent athletes.

Methods: In this study, we adapted the 5 A's behavioral change model and motivational interview to develop a theoretical framework to help adolescent athletes change their behavior and achieve their goals.

Results: During each step of the 5 A's protocol, a customized nutritional intervention protocol was developed by nutrition experts for each of adolescent athletes. Each plan was developed to improve the eating habits of adolescent athletes through group education and counseling. All nutritional counseling sessions were designed to enable participants to apply nutritional knowledge and practical action plans to their training and competition conditions to enable each of them to achieve individual athletic goals and facilitate self-management.

Conclusion: A theoretical and evidence-based nutritional intervention protocol was developed to identify and address obstacles to healthy dietary habits in adolescent athletes. This could be used as the basis for further studies aimed at improving nutrient intake and athletic performance in adolescent athletes.

Keywords: Sports nutrition.

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Figures

Figure 1.
Figure 1.. Glasgow et al.’s 5 A’s model of self-management support
Figure 2.
Figure 2.. The basic principles and opening strategies of MI applied to the 5 A’s behavioral change model
1) MI: motivational interviewing2) OARS: open-ended questions, affirmations, reflections, and summaries
Figure 3.
Figure 3.. Intervention flowchart for the study
Figure 4.
Figure 4.. Nutritional intervention protocol
See this image and copyright information in PMC

References

    1. Desbrow B, McCormack J, Burke LM, Cox GR, Fallon K, Hislop M, Logan R, Marino N, Sawyer SM, Shaw G, Star A, Vidgen H, Leveritt M. Sports Dietitians Australia position statement: sports nutrition for the adolescent athlete. Int J Sport Nutr Exerc Metab. 2014;24:570–84. doi: 10.1123/ijsnem.2014-0031. [Desbrow B, McCormack J, Burke LM, Cox GR, Fallon K, Hislop M, Logan R, Marino N, Sawyer SM, Shaw G, Star A, Vidgen H, Leveritt M. Sports Dietitians Australia position statement: sports nutrition for the adolescent athlete. Int J Sport Nutr Exerc Metab. 2014;24:570-84.] - DOI - PubMed
    1. do Amaral EMGR, de Carvalho Silva Vargas F, Dos Santos Chagas CM, Toral N. Nutritional interventions for adolescents using information and communication technologies (ICTs): A systematic review. PloS One. 2017;12:e0184509. [do Amaral EMGR, de Carvalho Silva Vargas F, Dos Santos Chagas CM, Toral N. Nutritional interventions for adolescents using information and communication technologies (ICTs): A systematic review. PloS One. 2017;12:e0184509..] - PMC - PubMed
    1. Nelson MC, Story M, Larson NI, Neumark-Sztainer D, Lytle LA. Emerging adulthood and college-aged youth: an overlooked age for weight-related behavior change. Obesity (Silver Spring). 2008;16:2205–11. doi: 10.1038/oby.2008.365. [Nelson MC, Story M, Larson NI, Neumark-Sztainer D, Lytle LA. Emerging adulthood and college-aged youth: an overlooked age for weight-related behavior change. Obesity (Silver Spring). 2008;16:2205-11.] - DOI - PubMed
    1. Jeukendrup A, Cronin L. Vol. 56. Karger Publishers; 2011. Nutrition and elite young athletes; pp. 47–58. [Jeukendrup A, Cronin L. Nutrition and elite young athletes. Karger Publishers. 2011;56:47-58..] - PubMed
    1. Patton-Lopez MM, Manore MM, Branscum A, Meng Y, Wong SS. Changes in Sport Nutrition Knowledge, Attitudes/Beliefs and Behaviors Following a Two-Year Sport Nutrition Education and Life-Skills Intervention among High School Soccer Players. Nutrients. 2018;10:1636. doi: 10.3390/nu10111636. [Patton-Lopez MM, Manore MM, Branscum A, Meng Y, Wong SS. Changes in Sport Nutrition Knowledge, Attitudes/Beliefs and Behaviors Following a Two-Year Sport Nutrition Education and Life-Skills Intervention among High School Soccer Players. Nutrients. 2018;10:1636.] - DOI - PMC - PubMed

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