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sports med 1997 31 45 47 45 brj energy and macronutrient intakes ofprofessional football soccer players br j sports med first published as 10 1136 bjsm 31 1 45 on ...

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                    Sports Med 1997;31:45-47                                                                                                                         45
               BrJ
                                              Energy and macronutrient intakes ofprofessional
                                              football (soccer) players                                                                                                         Br J Sports Med: first published as 10.1136/bjsm.31.1.45 on 1 March 1997. Downloaded from 
                                              RJMaughan
                                              Abstract                                                       sional soccer players at two Scottish Premier
                                               Objective-To examine the dietary habits                       League clubs during a typical week oftraining
                                              ofprofessional soccer players at two Scot-                     and competition.
                                              tish Premier League clubs during the
                                              competitive season.                            intake of       Methods
                                              Methods-A study ofthe dietarywith two                          Subjects who volunteered to participate in this
                                               51 professional soccer players                                study were the playing staff of two successful
                                              different clubs was carried out by the                         Scottish Premier League teams. All players at
                                              seven day weighed intake method. of the                        both clubs took part, and all measurements
                                              Results-Physical characteristics                     with      were made at a time when players were in full
                                              two groups of players were similar,                            training. Players prevented by injury or illness
                                              only small differences in age and body                         from training or competing at the time of the
                                              mass but no difference in height and body                      study, as well as those who had returned to
                                              fat. Mean (SD) daily energy intake for                         match fitness within the previous week were
                                              club A was 11.0 (2.6) MJ, and for club B                       excluded from the analysis, giving a total of26
                                               12.8 (2.2) MJ. The higher energy intake at                    subjects at club A and 25 subjects at club B. As
                                              club B was largely accounted for by a                          well as recording food and drink intake, players
                                              higher (P < 0.005) fat intake (118 v 93 g                      kept a record oftraining undertaken and games
                                              d-l): there was no difference inthe absolute                   played during the study week. All measure-
                                              amounts of protein, carbohydrate, or                           ments were made at a time when players had
                                              alcohol consumed. When expressed as a                          one competitive game in the study week, and
                                              fraction oftotal energy intake, mean pro-                      all data were collected within a four week
                                              tein intake was higher (P < 0.05) and fat                      period. The players included nine current and
                                              intake lower (P < 0.01) at club A.                             four former full international players, as well as
                                               Conclusions-The mean energy intake of                         reserve team players, giving a wide spread of
                                              these players was not high compared with                       age, playing experience, and ability.
                                              athletes in endurance sports. Fractional                          All players weighed and recorded all food
                                              contribution of the macronutrients to                          and drink consumed for a period ofseven con-                       http://bjsm.bmj.com/
                                              total energy intake was broadly similar to                     secutive days. Players were issued with food
                                              that ofthe general population.                                 diaries and digital scales readable to 2 g and
                                               (BrJ'Sports Med 1997;31:45-47)                                with a comprehensive set ofinstructions on the
                                              Keywords: soccer; football; nutrition; diet.                   procedures to be followed. Diaries were
                                                                                                             inspected after two days to ensure proper
                                                                                                             record keeping and to resolve any difficulties.
                                                                                                             The completed dietary records were analysed
                                              Regular training imposes extra nutritional                     using a computerised version ofthe food com-                        on January 6, 2023 by guest. Protected by copyright.
                                              demands on all sports participants, and the                    position tables ofPaul and Southgate.'
                                              requirements of competition place an addi-                        Height, body mass, and skinfold thickness
                                              tional load on the individual. Total energy                    values were measured on all players in the
                                              expenditure is increased in proportion to the                  morning before training. Percent body fat was
                                              amount of exercise performed, and the addi-                    estimated from skinfold thickness measured at
                                              tional requirements for individual nutrients                   four sites using the equation of Durnin and
                                              will also be increased by varying amounts. In                  Rahaman.'
                                              locomotor sports where the energy demand is                       Data in the text and tables are expressed as
                                              relatively easy to quantify, there have been sev-              mean (SD) throughout. Comparisons between
                                              eral studies of the energy expenditure and                     the two groups of players were made by an
                                              nutrient intake of elite competitors: these                    unpaired t test. Where the relation between
                                              sports include cycling, running, and swim-                     variables within the players at a single club was
               Environmental and              ming. The dietary habits of games players                      examined, a least squares linear regression
               Occupational                   have, however, been less comprehensively                       model was used.
               Medicine, University           investigated, and in spite ofthe universal popu-
               Medical School,                larity ofsoccer as a game, little information has
               Foresterhill, Aberdeen         been published on the dietary habits of soccer                 Results
               AB25 2ZD, United               players. One estimate has suggested that there                 Physical characteristics         of the players are
               Kingdom                        may be as many as 120 million players                          shown in table 1. The variation in playing
               RJMaughan                      worldwide,' and yet we know almostnothing of                   experience of these players is reflected in the
               Correspondence to Professor    the dietary habits or nutritional status of elite              age range of 18-36 years. Players from club A
               RJMaughan.                     performers in this sport.                                      were older (P < 0.02) and heavier (P < 0.01)
               Accepted for publication          The purpose of this study was to assess the                 but not taller than those at club B. There was
               29 April 1996                  energy and macronutrient intake of profes-                     no statistically significant difference in the esti-
                 46
                                                                                                                                                                      Maughan
                                                  Table 1   Physical characteristics ofplayersfrom the two         players to be approximately 6.1 MJ (1500
                                                 clubs                                                             kcal).   The only technique that might be
                                                                     Team A                 Team B                 expected to give a reliable estimate of energy                       Br J Sports Med: first published as 10.1136/bjsm.31.1.45 on 1 March 1997. Downloaded from 
                                                                     Mean       SD          Mean       SD          expenditure in a situation such as this is the
                                                                                                                   doubly labelled water method, but this has not
                                                 Age (years)          26        4            23        4           yet been applied to soccer players.
                                                 Height (cm)         178        7           178        5              Energy intake is comparatively simple to meas-
                                                 Body mass (kg)       80.1      7.8          74.6      6.5         ure, but only a limited number of studies on the
                                                 Body fat (%)         12.2      2.4           13.0     2.5         energy intakes of players has been attempted.
                                                 mated percent body fat content of players at                      Comparisons between studies carried out in
                                                 the two clubs.                                                    different countries must be made with some cau-
                                                    Results for dietary energy and macronutri-                     tion because of the differences in dietary habit
                                                 ent intake are shown in table 2. Table 3 shows                    among the normal population: dietary habits are
                                                 the contribution of the macronutrients to                         also changing with time and this is especially true
                                                 energy intake expressed as a percentage oftotal                   in sport, where an intensive education programme
                                                 energy intake. The results reveal an energy                       is encouraging athletes to adopt specific nutri-
                                                 intake somewhat higher than the average for                       tional strategies. Where analysis ofdietary records
                                                 the United Kingdom population, but the aver-                      of soccer players has been undertaken, data for
                                                 age composition of the diet is not different                      elite Danish players show a mean energy intake of
                                                 from the national average. In spite ofthe higher                  15.7 MJ d- (3738 kcal d&).5 Data reported for
                                                 body mass of players in team A, there was a                       club players in Sweden give a daily energy intake
                                                 lower total energy intake in these players (P <                   of 20.7 MJ (4930 kcal), but these measurements
                                                 0.01). Dietary intakes ofprotein, carbohydrate,                   were made over only four days: these intakes were
                                                 and alcohol were not different between the two                    considered to be much less than the energy
                                                 clubs, but there was a lower (P < 0.005) fat                      requirement of the players, based on body mass
                                                 intake in the diets ofplayers at club A.                          and activity profiles.5        Caldarone et at also
                                                    When the dietary intake of the macronutri-                     reported a rather low mean value of 12.9 MJ
                                                 ents is expressed as a percentage oftotal energy                  (3066 kcal) for energy intake in 33 players
                                                 intake, protein accounted for a significantly                     competing in the top Italian division. In one indi-
                                                 greater (P < 0.05) percentage of total energy                     vidual English international player, Reilly7 recently
                                                 for players at club A [15.9(2.6)%] than those                     reported a daily intake of 13.1 MJ (3127 kcal).
                                                 at club B [14.3(2.0)%]. Fat accounted for a                       Dutch players competing at elite level were
                                                 smaller (P < 0.01) fraction of energy intake at                   reported to have a mean energy intake of 14.3 MJ
                                                 club     A [31.5(5.2)%]             than     at    club     B     d' (3406 kcal d').8 InAmerican collegeplayers, an
                                                  [35.0(4. 1)%]. There were no significant differ-                 energyintake ofabout 11 MJ d' was reported, but
                                                 ences in the fractions of total energy intake                     the standard of play of these individuals would
                                                 accounted for by carbohydrate or by alcohol at                    have been considerably lower than those in the
                                                 the two clubs.                                                    present study or in the other investigations                         http://bjsm.bmj.com/
                                                                                                                   referred to above.9
                                                                                                                      The mean values for energy intake in these
                                                 Discussion                                                        Scottish players are generally lower than those
                                                 The training and competition programmes of                        in other published reports. This may be the
                                                 the two clubs were similar and differences in                     result ofdeliberate or inadvertent underreport-
                                                 training load seem unable to account for the                      ing ofintake. One part ofthis may be the result
                                                 observed difference in energy intake between                      of the emphasis on fitness for match play, and
                                                 the    two sets of players. Because of the                        body mass and body composition undoubtedly                            on January 6, 2023 by guest. Protected by copyright.
                                                 variations in the exercise intensity across the                   have a bearing on this. In sports where a low
                                                 duration of training, no estimates of energy                      body mass is crucial to performance, it is com-
                                                 expenditure are available for these players.                      monto see underreporting ofdietary intakes,'"
                                                 Reilly4 estimated the daily energy expenditure                    although this seems to be much more common
                                                 during typical training of English professional                   in female athletes than in males. Among the
                                                                                                                   players in this study, there was a significant,
                 Table 2   Daily energy and macronutrient intake ofplayersfrom the two clubs                       albeit weak, negative relation between energy
                                      TeamA                                  Team B                                intake and estimated per cent body fat content
                                                                                                                   among the players at club A (r = -0.489,
                                      Mean        SD        Range           Mean         SD        Range           P<0.05), even though there was no relation
                 Energy (MJ)            11.0       2.6      5.2-16.5          12.8        2.2      8.5-16.2        between energy intake and body mass. In a
                 Protein (g)          103         26         59-154          108         20         77-144         previous study of female distance runners, a
                 Fat (g)               93         33         41-195          118         24         74-179         negative relation has been reported between
                 Carbohydrate (g)     354         95        167-538          397         94        243-599         energy     expenditure        (measured by doubly
                Alcohol (g)              9        10            0-38          13          9            0-28        labelled water) and reported energy intake,
                 Table 3   Percent contribution ofmacronutrients to energy intake                                  suggesting that underreporting of energy in-
                                                                                                                   take occurs to a greater extent in the subjects
                                      Team A                                 Team B                                training hardest: these were also the individuals
                                                                            Mean         SD                        most concerned with body image."1 The same
                                      Mean        SD        Range                                  Range           may apply to some degree among elite
                 Protein              15.9        2.6       11.9-23.8        14.3        2.0       10.8-18.5       performers in sport, even though none of the
                 Fat                  31.5        5.2       19.2-41.2        35.0        4.1       23.8-42.9       players in this study would be considered over-
                 Carbohydrate         51.4        7.8       34.6-64.8        48.4        4.4       38.3-58.4       weight. It seems likely that any underreporting
                 Alcohol               2.3        2.7       0-10.5            3.2        2.2       0-7.2           of intake among these players was inadvertent
                Diet of UKprofessional soccerplayers                                                                                                                                 47
                                                   rather than deliberate. An attempt was made to                      to be underreported, and in some cases the
                                                   minimise this effect by interviewing players                        intake may have been substantially higher than
                                                   and inspecting their diaries after the first two                    the reported intake. Ten of the 25 players at                             Br J Sports Med: first published as 10.1136/bjsm.31.1.45 on 1 March 1997. Downloaded from 
                                                   days of record keeping, but the possibility of                      club A and four of the 25 players at club B
                                                   missing items cannot be excluded. There was                         reported zero alcohol intake during the week
                                                   no relation between estimated percent body fat                      that diet was monitored.
                                                   content and energy intake at club B.                                   Protein intake was highly variable between
                                                      The absolute amount ofcarbohydrate in the                        individual players, with a range from 59-154 g
                                                   diet may be an important factor for the recov-                      d-'  (12-24% of total energy) at club A and
                                                   ery ofthe muscle and liver glycogen stores after                    77-144 g d-' (11-19%) at club B. Protein intake
                                                   training and competition.12 In a recent review                      is often expressed relative to body mass, and
                                                   of some of the nutritional demands of soccer,                       the intake at club A was 1.3 (0.4) g kg-' d-l, with
                                                   the authors stressed the need for a high carbo-                     a range ofvalues from 0.8-2.1 g kg-' d-l: at club
                                                   hydrate intake, especially in the two to three                      B, the mean daily protein intake was 1.5 (0.2)
                                                   days before competition: a carbohydrate intake                      g kg-' d-' with a range ofvalues from 1.1-1.8 g
                                                   of 10 g kg-' body mass d-' was recommended at                       kg-' d-'. Lemon'7 has recommended a daily
                                                   this time." It is more usual, however, to focus                     protein intake of 1.4-1.7 g kg-' as being
                                                   on the carbohydrate content ofthe diet relative                     adequate for soccer players, and although some
                                                   to total food intake. Although a diet in which                      players fell below this recommended intake, all
                                                   about 50% of the energy is accounted for by                         were at or above the recommended intake for
                                                   carbohydrate may be considered satisfactory                         the general United Kingdom population of0.8
                                                   for the general population, this is somewhat                        g kg` d-'.
                                                   less than the recommendations that are gener-                          In summary, these results show a pattern of
                                                   ally made for sportsmen and women, where a                          dietary intake in elite professional soccer play-
                                                   carbohydrate intake equivalent to 60-70% of                         ers that is not very different from that of the
                                                   total energy intake is considered appropriate.'2                    general population in the United Kingdom.
                                                   Recommendations for soccer players stress                           Therewere some small differences between the
                                                   that a high carbohydrate diet is essential in                       two clubs studied, but in general the pattern of
                                                   training and in preparation for competition."4                      energy and macronutrient intake was the same
                                                   The mean values for diet composition in these                       in both clubs. It seems clear that some players
                                                   players suggest a diet that is not different from                   consume a diet that supplies less carbohydrate
                                                   that ofthe general population, and this finding                     than is normally recommended to sustain per-
                                                   is in accord with other reports for soccer play-                    formance in training and competition. The diet
                                                   ers.59   In elite Dutch players, carbohydrate                       of other players, however, seems entirely
                                                   accounted for about 47% of total energy                             adequate        to   meet their needs, and any
                                                   intake.8                                                            recommendations for dietary modification
                                                      The use of mean values in these reports                          should be targeted at individual players only
                                                   does, however, obscure the extremely large                          after an assessment of current intake has been                            http://bjsm.bmj.com/
                                                   interindividual variability that is often ob-                       made.
                                                   served. Some players in the present investiga-                      I gratefully acknowledges the assistance ofthe management and
                                                   tion reported a carbohydrate intake ofless than                     playing staff ofthe two clubs where this work was carried out.
                                                   40% of total energy intake, with the lowest                           1 Ekblom B. Applied physiology of soccer. Sports Med
                                                   individual value being 35%. Even if the total                             1986;3:50-60.
                                                   intake is subject to errors resulting from                            2 Paul AA, Southgate DAT. The composition offoods. London:
                                                   underreporting, this should not significantly                             HMSO, 1988.
                                                                                                                         3 Durnin JVGA, Rahaman MM. The assessment of the
                                                   affect the composition of the diets. There                                amount offat in the human body from measurements of                  on January 6, 2023 by guest. Protected by copyright.
                                                   seems little doubt that some of these players                             skinfold thickness. BrJ Nutr 1967;21:681-9.
                                                                                     that did not                       4 Reilly T. What research tells the coach about soccer. Washington
                                                   were consuming a diet                                 provide         5   DC: AAHPERD, 1979.
                                                   sufficient carbohydrate to maintain a high level                        Bangsbo    J.  Fitness   training  in  football.  Bagsvaerd:
                                                                in              and                      Several         6   HO+Storm, 1994.
                                                   of effort        training          competition.                         Caldarone G, Teanquilli C, Giampietro M. Assessment of
                                                  published reports suggest that many players                               the nutritional state oftop level football players. In: Santilli
                                                           a          with muscle                    levels that             G, ed. Sports medicine applied to football. Rome: CONI,
                                                  begin       game                      glycogen                        7    1990:133-41.
                                                   are less than optimal," and it seems clear that                         Reilly T. Physiological aspects ofsoccer. Biol Sport 1994;11:
                                                                        have                                                 3-20
                                                  many players                   an inappropriately low                 8 van Erp-Baart AMJ, Saris WHM, Binkhorst RA, Vos JA,
                                                   dietary carbohydrate intake. No attempt was                              Elvers JWH. Nationwide survey on nutritional habits in
                                                                                                                            elite athletes. Part 1. Energy, carbohydrate, protein and fat
                                                  made in this study to analyse diet in relation to                         intake. IntJ Sports Med 1989; 10; S3-S10
                                                   competition to investigate possible changes in                       9 Short SH, Short WR. Four-year study ofuniversity athletes'
                                                            habits in                        for match play:           10   dietary intake. JAm DietAssoc 983;82:632-45.
                                                   eating                  preparation                                     Burke L, Deakin VA. Clinical sports nutrition. Sydney:
                                                   some of the players were involved in midweek                        11   McGrawHill, 1994.
                                                              and the differences in dietary habits                        EdwardsJE,LindemanAK,MikeskyAE, StagerJM. Energy
                                                  games,                                                                    balance in highly trained female endurance runners. Med
                                                  between weekdays and weekend days would                              12   Sci Sports Exerc 1993;25:1398-404.
                                                  complicate the interpretation ofthe data.                                Coyle E. Timing and method of increased carbohydrate
                                                                                                                            intake to cope with heavy training, competition and recov-
                                                      The average alcohol intake ofthese players is                    13   ery. J Sports Sci 1991;9(special issue):29-52.
                                                                   than                                                    HawleyJ, Dennis SC, Noakes TD. Carbohydrate. fluid, and
                                                  rather less              the national average, and is                     electrolyte requirements of soccer play: a review. Int J
                                                  broadly in accord with that observed in most                         14   Sports Nutr 1994;4:221-36.
                                                  studies of athletic groups.'6 Again, however,                            Hargreaves M. Carbohydrate and lipid requirements ofsoc-
                                                                                                                            cer.JSports Sci 1994;12:513-16.
                                                  this    conceals      the    fact    that    some players            15 Shephard RJ, Leatt P. Carbohydrate and fluid needs of the
                                                  reported high intakes, with the highest indi-                             soccer player. Sports Med 1987;4:164-76.
                                                                                                                       16 Economos CD, Bortz SS, Nelson ME. Nutritional practices
                                                  vidual value being 11% of total intake. It is                        17   ofelite athletes. Sports Med 1993;16:381-99. J
                                                  widely accepted also that alcohol intake tends                           Lemon PWVR. Protein requirements of soccer.        Sports Sci
                                                                                                                             1994;12:S17-22.
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...Sports med brj energy and macronutrient intakes ofprofessional football soccer players br j first published as bjsm on march downloaded from rjmaughan abstract sional at two scottish premier objective to examine the dietary habits league clubs during a typical week oftraining scot competition tish competitive season intake of methods study ofthe dietarywith subjects who volunteered participate in this professional were playing staff successful different was carried out by teams all seven day weighed method both took part measurements results physical characteristics with made time when full groups similar training prevented injury or illness only small differences age body competing mass but no difference height well those had returned fat mean sd daily for match fitness within previous club mj b excluded analysis giving total higher largely accounted recording food drink p v g kept record undertaken games d l there inthe absolute played measure amounts protein carbohydrate ments alcoh...

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