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      Dietary Intake, Body Composition and Iron Status in Experienced and Elite Climbers

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          Abstract

          Climbing has developed into a popular recreational and elite sport, evidenced by a growing number of licenced competition athletes, and the acceptance into the Olympic calendar for Tokyo 2020. A nutritional assessment, including the evaluation of anthropometric and biochemical data, has not been previously reported in climbing athletes. Therefore, the aim of this study was to assess the dietary intake, body composition, and iron status in experienced climbers, across a range of performance levels. Forty climbers (n = 20 male, n = 20 female; 8.8 ± 6.6 years' experience; BMI 21.6 ± 1.7) aged 18–46 (30.3 ± 6.7 years) participated in the study. Dietary intake was recorded in a 3-days diet diary. Body composition was assessed using a skinfold profile and iron status via blood markers. Mean energy intake was 2154.6 ± 450 kcal·day −1, with 30% of male climbers and 5% of female climbers failing to meet predicted resting metabolic rate. Furthermore, 77.5% of participants failed to meet a predicted energy requirement to support a “moderate” training programme. There were no significant correlations between daily energy intake and exercise volume. Mean intake of carbohydrate, protein and fat was 3.7 ± 0.9 g·kg −1·day −1, 1.6 ± 0.5 g·kg −1·day −1, and 1.4 ± 0.4 g·kg −1·day −1, respectively, with no significant difference between genders. Approximately 17% of males ( n =3) and 45% of females ( n = 9) had a sub-optimal iron status. Thirty percent of females met the classification criteria for iron deficiency. Mean serum ferritin was significantly greater in males, compared to females (102.7 ± 54.9 vs. 51.4 ± 24.2 μg·L −1; p ≤ 0.01) and significantly lower in vegan/vegetarians vs. omnivores, in female climbers only (33.2 ± 14.8 vs. 57.5 ± 24 μg·L −1; p = 0.05). No significant differences were observed between climbing ability groups (intermediate-advanced/elite-higher elite) for body composition, dietary intake, or iron status, for males or females. These findings suggest that experienced climbers are at risk of energy restriction and iron deficiency, therefore, routine assessment of nutritional status is warranted. Future research should consider iron status in relation to energy availability and investigate additional factors which may predispose this population to iron deficiency, as well as the risk of relative energy deficiency in sport (RED-S).

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          Most cited references61

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          IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update

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            Vitamin and mineral status: effects on physical performance.

            Public health recommendations encourage the selection of a balanced diet and increasing physical activity to foster health and well-being. Whereas the adverse effects of restricted intakes of protein, fat, and carbohydrate on physical performance are well known, there is limited information about the impact of low intakes of vitamins and minerals on the exercise capacity and performance of humans. Physically active people generally consume amounts of vitamins and minerals consistent with the recommendations for the general public. However, when intakes are less than recommendations, some noticeable functional impairments occur. Acute or short-term marginal deficiencies, identified by blood biochemical measures of vitamin B status, had no impacts on performance measures. Severe deprivation of folate and vitamin B12 result in anemia and reduce endurance work performance. Evidence of vitamin A and E deficiencies in athletic individuals is lacking apparently because body storage is appreciable. In contrast to vitamins, marginal mineral deficiencies impair performance. Iron deficiency, with or without anemia, impairs muscle function and limits work capacity. Magnesium deprivation increases oxygen requirements to complete submaximal exercise and reduces endurance performance. Use of vitamin and mineral supplements does not improve measures of performance in people consuming adequate diets. Young girls and individuals participating in activities with weight classifications or aesthetic components are prone to nutrient deficiencies because they restrict food intake and specific micronutrient-rich foods. This information will be useful to professionals who counsel physically active people and scientific groups who make dietary recommendations to improve health and optimize genetic potential.
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              Indirect calorimetry: a practical guide for clinicians.

              This review provides clinicians with a comprehensive overview of indirect calorimetry including the principles, methodology, technologic advancements, benefits, and challenges. Clinical applications for indirect calorimetry and the potential limitations are specifically addressed for both the inpatient and outpatient setting. Measurement of energy expenditure is the most accurate method to assess energy needs. Indirect calorimetry remains a gold standard in measuring energy expenditure in the clinical settings. The benefits of providing optimal nutrition for recovery from illness and chronic health management are well documented. Indirect calorimetry offers a scientifically-based approach to customize a patient's energy needs and nutrient delivery to maximize the benefits of nutrition therapy. With recent advances in technology, indirect calorimeters are easier to operate, more portable, and affordable. Increased utilization of indirect calorimetry would facilitate individualized patient care and should lead to improved treatment outcomes.
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                Author and article information

                Contributors
                Journal
                Front Nutr
                Front Nutr
                Front. Nutr.
                Frontiers in Nutrition
                Frontiers Media S.A.
                2296-861X
                05 August 2020
                2020
                : 7
                : 122
                Affiliations
                [1] 1Centre for Sport and Exercise Science, College of Health, Wellbeing and Lifestyle, Sheffield Hallam University , Sheffield, United Kingdom
                [2] 2Sport Industry Research Centre, College of Health, Wellbeing and Lifestyle, Sheffield Hallam University , Sheffield, United Kingdom
                [3] 3Academy of Sport and Physical Activity, College of Health, Wellbeing and Lifestyle, Sheffield Hallam University , Sheffield, United Kingdom
                Author notes

                Edited by: Vanesa España-Romero, University of Cádiz, Spain

                Reviewed by: Lanae Marie Joubert, Northern Michigan University, United States; Alba Maria Santaliestra-Pasias, University of Zaragoza, Spain

                *Correspondence: Edward Gibson-Smith edward.smith@ 123456shu.ac.uk

                This article was submitted to Sport and Exercise Nutrition, a section of the journal Frontiers in Nutrition

                Article
                10.3389/fnut.2020.00122
                7419595
                32850940
                b8d059a2-6584-4fae-ba4d-0d427358179f
                Copyright © 2020 Gibson-Smith, Storey and Ranchordas.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 10 March 2020
                : 30 June 2020
                Page count
                Figures: 2, Tables: 4, Equations: 0, References: 77, Pages: 11, Words: 9285
                Funding
                Funded by: Sheffield Hallam University 10.13039/100010035
                Categories
                Nutrition
                Original Research

                climbing,nutrition,bouldering,sport climbing,red-s,energy availability,weight loss,sport

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