Sport supplement consumption in children and adolescents competing in swimming in the Valencian Community
Abstract
The consumption of sports supplements (SS) is on the rise, including among children and adolescents. The lack of studies on SS consumption habits in these age groups represents a significant gap. The aim of this study was to identify the pattern of SS consumption in children and adolescents competing in swimming, analyzing the different types of SS they use and assessing whether there are age-related differences. A descriptive cross-sectional study was conducted with 148 competitive swimmers from the Valencian Community (age: 12.6±2.7). To collect data for this study, a questionnaire was used consisting of three sections: personal and anthropometric data, information about sports practice, and aspects related to supplement consumption, including types, reasons, sources of advice, and places of purchase. A total of 66.9% of respondents reported using SS. The average number of SS consumed by the sample was 2.6. The main reason, place of purchase, and advisor selected by the sample were performance improvement (86.9%), specialized stores (62.6%), and coaches/trainers (74.7%), respectively. The three most consumed SS were sports bars (73.7%), sports drinks (69.7%), and multivitamins (36.4%). This knowledge is crucial for developing educational programs to prevent unnecessary and indiscriminate use of supplements.
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References
1. Al-Jwadi, R. F., Jespersen, E., Dalgård, C., Bilenberg, N., & Christesen, H. T. (2018). S-25OHD is associated with hand grip strength and myopathy at 5 years in girls: An odense child cohort study. Journal of Clinical Endocrinology and Metabolism, 103(7), 2630–2639. https://doi.org/10.1210/JC.2018-00281
2. Amawi, A., Khataybeh, B., Al Aqaili, R., Ababneh, N., Alnimer, L., Qoqazeh, A., Oukal, F., Jahrami, H., Mousa Ay, K., Al Saoud, H., & Ghazzawi, H. (2024). Junior athletes’ nutritional demands: a narrative review of consumption and prevalence of eating disorders. Frontiers in Nutrition, 11, 1-21. https://doi.org/10.3389/FNUT.2024.1390204
3. Armento, A., Heronemus, M., Truong, D., & Swanson, C. (2023). Bone Health in Young Athletes: a Narrative Review of the Recent Literature. Current Osteoporosis Reports, 21(4), 447–458. https://doi.org/10.1007/S11914-023-00796-5
4. Australian Institute of Sport (AIS). (2022). Australian Institute of Sport Position Statement: Supplements and Sports Foods in High Performance Sport.
5. Baltazar-Martins, G., Brito de Souza, D., Aguilar-Navarro, M., Muñoz-Guerra, J., Plata, M. del M., & Del Coso, J. (2019). Prevalence and patterns of dietary supplement use in elite Spanish athletes. Journal of the International Society of Sports Nutrition, 16(1), 1-9. https://doi.org/10.1186/S12970-019-0296-5
6. Bjelica, A., Aleksić, S., Goločorbin-Kon, S., Sazdanić, D., Torović, L., & Cvejić, J. (2020). Internet Marketing of Cardioprotective Dietary Supplements. Journal of Alternative and Complementary Medicine, 26(3), 204–211. https://doi.org/10.1089/ACM.2019.0128
7. Capra, M. E., Stanyevic, B., Giudice, A., Monopoli, D., Decarolis, N. M., Esposito, S., & Biasucci, G. (2024). Nutrition for Children and Adolescents Who Practice Sport: A Narrative Review. Nutrients, 16(16), 1-16. https://doi.org/10.3390/nu16162803
8. Caraballo, I., Domínguez, R., Guerra-Hernandez, E. J., & Sánchez-Oliver, A. J. (2020). Analysis of sports supplements consumption in young Spanish elite dinghy sailors. Nutrients, 12(4), 1-14. https://doi.org/10.3390/NU12040993
9. Cordrey, K., Keim, S. A., Milanaik, R., & Adesman, A. (2018). Adolescent consumption of sports drinks. Pediatrics, 141(6), 1-18. https://doi.org/10.1542/PEDS.2017-2784
10. Dascombe, B. J., Karunaratna, M., Cartoon, J., Fergie, B., & Goodman, C. (2010). Nutritional supplementation habits and perceptions of elite athletes within a state-based sporting institute. Journal of Science and Medicine in Sport, 13(2), 274–280. https://doi.org/10.1016/J.JSAMS.2009.03.005
11. DellaValle, D. M., & Haas, J. D. (2011). Impact of iron depletion without anemia on performance in trained endurance athletes at the beginning of a training season: A study of female collegiate rowers. International Journal of Sport Nutrition and Exercise Metabolism, 21(6), 501–506. https://doi.org/10.1123/IJSNEM.21.6.501
12. Derave, W., & Tipton, K. D. (2014). Dietary supplements for aquatic sports. International Journal of Sport Nutrition and Exercise Metabolism, 24(4), 437–449. https://doi.org/10.1123/IJSNEM.2014-0017
13. Desbrow, B., McCormack, J., Burke, L. M., Cox, G. R., Fallon, K., Hislop, M., Logan, R., Marino, N., Sawyer, S. M., Shaw, G., Star, A., Vidgen, H., & Leveritt, M. (2014). Sports dietitians australia position statement: Sports nutrition for the adolescent athlete. International Journal of Sport Nutrition and Exercise Metabolism, 24(5), 570–584. https://doi.org/10.1123/IJSNEM.2014-0031
14. Domínguez, R., Sánchez-Oliver, A. J., Cuenca, E., Jodra, P., Fernandes da Silva, S., & Mata-Ordóñez, F. (2017). Nutritional needs in the professional practice of swimming: a review. Journal of Exercise Nutrition & Biochemistry, 21(4), 1–10. https://doi.org/10.20463/JENB.2017.0030
15. Domínguez, R., Sánchez-Oliver, A. J., Mata-Ordoñez, F., Feria-Madueño, A., Grimaldi-Puyana, M., López-Samanes, Á., & Pérez-López, A. (2018). Effects of an acute exercise bout on serum hepcidin levels. Nutrients, 10(2), 1-21. https://doi.org/10.3390/NU10020209
16. Evans, M. W., Ndetan, H., Perko, M., Williams, R., & Walker, C. (2012). Dietary supplement use by children and adolescents in the United States to enhance sport performance: Results of the national health interview survey. Journal of Primary Prevention, 33(1), 3–12. https://doi.org/10.1007/S10935-012-0261-4
17. Mata-Ordóñez, F., Sánchez-Oliver, A. J., Domínguez, R., & Villegas-García, J. A. (2018). Suplementación en el deporte: directrices desde la responsabilidad profesional. Habilidad Motriz: Revista de Ciencias de La Actividad Física y Del Deporte, 51, 4–12.
18. Froiland, K., Koszewski, W., Hingst, J., & Kopecky, L. (2004). Nutritional Supplement Use among College Athletes and Their Sources of Information. International Journal of Sport Nutrition and Exercise Metabolism, 14(1), 104–120. https://doi.org/10.1123/IJSNEM.14.1.104
19. García-Durán, J., González-Jurado, J. A., & Sánchez-Oliver, A. J. (2024). Analysis of Sports Supplement Consumption in 1688 Federated Road Cyclists. Nutrients, 16(1), 1-15. https://doi.org/10.3390/NU16010123/S1
20. Garthe, I., & Ramsbottom, R. (2020). Elite athletes, a rationale for the use of dietary supplements: A practical approach. PharmaNutrition, 14(10), 1-21. https://doi.org/10.1016/J.PHANU.2020.100234
21. Golden, N. H., Abrams, S. A., Daniels, S. R., Corkins, M. R., De Ferranti, S. D., Magge, S. N., & Schwarzenberg, S. J. (2014). Optimizing bone health in children and adolescents. Pediatrics, 134(4), 1229–1243. https://doi.org/10.1542/PEDS.2014-2173
22. Gomez-Bruton, A., Montero-Marín, J., González-Agüero, A., Gómez-Cabello, A., García-Campayo, J., Moreno, L. A., Casajús, J. A., & Vicente-Rodríguez, G. (2018). Swimming and peak bone mineral density: A systematic review and meta-analysis. Journal of Sports Sciences, 36(4), 365–377. https://doi.org/10.1080/02640414.2017.1307440
23. González-Jurado, J., Sánchez-Oliver, J. A., García-Durán, J., Antonio González-Jurado, J., & Jesús Sánchez-Oliver, A. (2024). Sports Supplement Consumption in 316 Federated Female Road Cyclists. Nutrients, 16(15), 1-16. https://doi.org/10.3390/NU16152563
24. Guest, N. S., VanDusseldorp, T. A., Nelson, M. T., Grgic, J., Schoenfeld, B. J., Jenkins, N. D. M., Arent, S. M., Antonio, J., Stout, J. R., Trexler, E. T., Smith-Ryan, A. E., Goldstein, E. R., Kalman, D. S., & Campbell, B. I. (2021). International society of sports nutrition position stand: caffeine and exercise performance. Journal of the International Society of Sports Nutrition, 18(1), 1-37. https://doi.org/10.1186/S12970-020-00383-4
25. Hoch, A. Z., Goossen, K., & Kretschmer, T. (2008). Nutritional requirements of the child and teenage athlete. Physical Medicine and Rehabilitation Clinics of North America, 19(2), 373–398. https://doi.org/10.1016/J.PMR.2007.12.001
26. Jeukendrup, A., & Cronin, L. (2011). Nutrition and elite young athletes. Medicine and Sport Science, 56, 47–58. https://doi.org/10.1159/000320630
27. Jovanov, P., Đorđić, V., Obradović, B., Barak, O., Pezo, L., Marić, A., & Sakač, M. (2019). Prevalence, knowledge and attitudes towards using sports supplements among young athletes. Journal of the International Society of Sports Nutrition, 16(1), 1-9. https://doi.org/10.1186/S12970-019-0294-7
28. Knapik, J. J., Steelman, R. A., Hoedebecke, S. S., Austin, K. G., Farina, E. K., & Lieberman, H. R. (2016a). Prevalence of Dietary Supplement Use by Athletes: Systematic Review and Meta-Analysis. Sports Medicine, 46(1), 103–123. https://doi.org/10.1007/s40279-015-0387-7
29. Laurson, K. R., Thomas, J. N., & Barnes, J. L. (2020). Vitamin D status is associated with muscular strength in a nationally representative sample of US youth. Acta Paediatrica, International Journal of Paediatrics, 109(12), 2755–2761. https://doi.org/10.1111/APA.15253
30. Llorente-Cantarero, F. J., Palomino-Fernández, L., & Gil-Campos, M. (2018). Nutrition for the young athlete. Journal of Child Science, 8(1), 90–98. https://doi.org/10.1055/S-0038-1669382
31. Martínez-Sanz, J. M., Mata, F., Ripoll, M. S., Braza, J. M. P., Segura, A. M., Oliver, A. J. S., & Tormo, J. M. C. (2021). Fraud in nutritional supplements for athletes: A narrative review. Nutricion Hospitalaria, 38(4), 839–847. https://doi.org/10.20960/NH.03413
32. Martínez-Sanz, J. M., Sospedra, I., Ortiz, C. M., Baladía, E., Gil-Izquierdo, A., & Ortiz-Moncada, R. (2017). Intended or unintended doping? A review of the presence of doping substances in dietary supplements used in sports. Nutrients, 9(10), 1-22. https://doi.org/10.3390/NU9101093
33. Maughan, R. J., Burke, L. M., Dvorak, J., Larson-Meyer, D. E., Peeling, P., Phillips, S. M., Rawson, E. S., Walsh, N. P., Garthe, I., Geyer, H., Meeusen, R., Van Loon, L. J. C., Shirreffs, S. M., Spriet, L. L., Stuart, M., Vernec, A., Currell, K., Ali, V. M., Budgett, R. G., … Engebretsen, L. (2018a). IOC consensus statement: Dietary supplements and the high-performance athlete. British Journal of Sports Medicine, 52(7), 439–455. https://doi.org/10.1136/BJSPORTS-2018-099027
34. Maughan, R. J., Burke, L. M., Dvorak, J., Larson-Meyer, D. E., Peeling, P., Phillips, S. M., Rawson, E. S., Walsh, N. P., Garthe, I., Geyer, H., Meeusen, R., Van Loon, L., Shirreffs, S. M., Spriet, L. L., Stuart, M., Vernec, A., Currell, K., Ali, V. M., Budgett, R. G. M., … Engebretsen, L. (2018b). IOC Consensus Statement: Dietary Supplements and the High-Performance Athlete. International Journal of Sport Nutrition and Exercise M etabolism, 28(2), 104–125. https://doi.org/10.1123/IJSNEM.2018-0020
35. Maughan, R. J., Shirreffs, S. M., & Vernec, A. (2018). Making decisions about supplement use. International Journal of Sport Nutrition and Exercise Metabolism, 28(2), 212–219. https://doi.org/10.1123/IJSNEM.2018-0009
36. Mesquita, E. D. de L., Exupério, I. N., Agostinete, R. R., Luiz-de-Marco, R., da Silva, J. C. M., Maillane-Vanegas, S., Kemper, H. C. G., & Fernandes, R. A. (2022). The Combined Relationship of Vitamin D and Weight-Bearing Sports Participation on Areal Bone Density and Geometry Among Adolescents: ABCD - Growth Study. Journal of Clinical Densitometry, 25(4), 674–681. https://doi.org/10.1016/J.JOCD.2022.09.001
37. Meyer, F., O’Connor, H., & Shirreffs, S. M. (2007). Nutrition for the young athlete. Journal of Sports Sciences, 25, 73–82. https://doi.org/10.1080/02640410701607338
38. Ministerio de Cultura y Deporte. (2022). Encuesta de Hábitos Deportivos en España 2022. https://www.csd.gob.es/sites/default/files/media/files/2022-12/Encuesta%20de%20H%C3%A1bitos%20Deportivos%20en%20Espa%C3%B1a%202022%20Resultados%20detallados.pdf
39. Moreno, B., Veiga, S., Sánchez-Oliver, A. J., Domínguez, R., & Morencos, E. (2022). Analysis of Sport Supplement Consumption by Competitive Swimmers According to Sex and Competitive Level. Nutrients, 14(15), 1-12. https://doi.org/10.3390/nu14153218
40. Morouço, P. G., Marinho, D. A., Izquierdo, M., Neiva, H., & Marques, M. C. (2015). Relative Contribution of Arms and Legs in 30 s Fully Tethered Front Crawl Swimming. BioMed Research International, 2015, 1-6. https://doi.org/10.1155/2015/563206
41. Nabuco, H. C. G., Rodrigues, V. B., de Barros, W. M., Ravagnani, F. C. de P., Espinosa, M. M., & Ravagnani, C. de F. C. (2017). Use of dietary supplements among Brazilian athletes. Revista de Nutricao, 30(2), 163–173. https://doi.org/10.1590/1678-98652017000200002
42. Newbury, J. W., Sparks, S. A., Cole, M., Kelly, A. L., & Gough, L. A. (2023). Nutritional Supplement Use in a UK High-Performance Swimming Club. Nutrients, 15(15), 1-13. https://doi.org/10.3390/nu15153306
43. Nieper, A. (2005). Nutritional supplement practices in UK junior national track and field athletes. British Journal of Sports Medicine, 39(9), 645–649. https://doi.org/10.1136/BJSM.2004.015842
44. Orces, C. H. (2022). The association between Vitamin D status and muscle strength among adolescents. International Journal of Preventive Medicine, 13(1), 1-4. https://doi.org/10.4103/IJPVM.IJPVM_625_20
45. Parnell, J. A., Wiens, K. P., & Erdman, K. A. (2016). Dietary Intakes and Supplement Use in Pre-Adolescent and Adolescent Canadian Athletes. Nutrients, 8(9), 1-13. https://doi.org/10.3390/nu8090526
46. Petróczi, A., Naughton, D. P., Pearce, G., Bailey, R., Bloodworth, A., & McNamee, M. (2008). Nutritional supplement use by elite young UK athletes: Fallacies of advice regarding efficacy. Journal of the International Society of Sports Nutrition, 5(1), 1-8. https://doi.org/10.1186/1550-2783-5-22
47. Pyne, D. B., & Sharp, R. L. (2014). Physical and Energy Requirements of Competitive Swimming Events. International Journal of Sport Nutrition and Exercise Metabolism, 24(4), 351–359. https://doi.org/10.1123/ijsnem.2014-0047
48. Rockwell, M. S., Nickols-Richardson, S. M., & Thye, F. W. (2001). Nutrition knowledge, opinions, and practices of coaches and athletic trainers at a Division I University. International Journal of Sport Nutrition, 11(2), 174–185. https://doi.org/10.1123/IJSNEM.11.2.174
49. Rodgers, R. F., Slater, A., Gordon, C. S., McLean, S. A., Jarman, H. K., & Paxton, S. J. (2020). A Biopsychosocial Model of Social Media Use and Body Image Concerns, Disordered Eating, and Muscle-Building Behaviors among Adolescent Girls and Boys. Journal of Youth and Adolescence, 49(2), 399–409. https://doi.org/10.1007/S10964-019-01190-0
50. Rogerson, D. (2017). Vegan diets: practical advice for athletes and exercisers. Journal of the International Society of Sports Nutrition, 14(1), 1–15. https://doi.org/10.1186/S12970-017-0192-9
51. Roy, R., Kück, M., Radziwolek, L., & Kerling, A. (2022). Iron Deficiency in Adolescent and Young Adult German Athletes—A Retrospective Study. Nutrients, 14(21), 1-10. https://doi.org/10.3390/NU14214511
52. Sánchez-Oliver, A. J. (2012). Suplementación nutricional en la actividad físico-deportiva. Análisis de la calidad del suplemento proteico consumido (Tesis, Granada. Universidad de Granada).
53. Sánchez-Oliver, A. J., Domínguez, R., López-Tapia, P., Tobal, F. M., Jodra, P., Montoya, J. J., Guerra-Hernández, E. J., & Ramos-álvarez, J. J. (2021). A survey on dietary supplement consumption in amateur and professional rugby players. Foods, 10(1), 1-21. https://doi.org/10.3390/FOODS10010007
54. Sánchez-Oliver, A. J., Grimaldi-Puyana, M., & Domínguez, R. (2019). Evaluation and behavior of spanish bodybuilders: Doping and sports supplements. Biomolecules, 9(4), 1-9. https://doi.org/10.3390/BIOM9040122
55. Shaw, G., Slater, G., & Burke, L. M. (2016a). Changes in the supplementation practices of elite Australian swimmers over 11 years. International Journal of Sport Nutrition and Exercise Metabolism, 26(6), 565–571. https://doi.org/10.1123/IJSNEM.2016-0060
56. Shaw, G., Slater, G., & Burke, L. M. (2016b). Supplement use of elite Australian swimmers. International Journal of Sport Nutrition and Exercise Metabolism, 26(3), 249–258. https://doi.org/10.1123/IJSNEM.2015-0182
57. Skalska, M., Nikolaidis, P. T., Knechtle, B., Rosemann, T. J., Radzimiński, Ł., Jastrzębska, J., Kaczmarczyk, M., Myśliwiec, A., Dragos, P., López-Sánchez, G. F., & Jastrzębski, Z. (2019). Vitamin D supplementation and physical activity of young soccer players during high-intensity training. Nutrients, 11(2), 1-9. https://doi.org/10.3390/NU11020349
58. Smith, J. W., Holmes, M. E., & McAllister, M. J. (2015). Nutritional Considerations for Performance in Young Athletes. Journal of Sports Medicine, 2015, 1–13. https://doi.org/10.1155/2015/734649
59. Smolak, L., Murnen, S. K., & Thompson, J. K. (2005). Sociocultural influences and muscle building in adolescent boys. Psychology of Men and Masculinity, 6(4), 227–239. https://doi.org/10.1037/1524-9220.6.4.227
60. Smolak, L., & Stein, J. A. (2010). A Longitudinal Investigation of Gender Role and Muscle Building in Adolescent Boys. Sex Roles, 63(9–10), 738–746. https://doi.org/10.1007/S11199-010-9819-X
61. Tawfik, S., El Koofy, N., & Moawad, E. M. I. (2016). Patterns of nutrition and dietary supplements use in young Egyptian athletes: A community-based cross-sectional survey. PLoS ONE, 11(8), 1-12. https://doi.org/10.1371/JOURNAL.PONE.0161252
62. Thams, L., Hvid, L. G., Stounbjerg, N. G., Brønd, J. C., Mølgaard, C., Damsgaard, C. T., & Hansen, M. (2022). Vitamin D supplementation and increased dairy protein intake do not affect muscle strength or physical function in healthy 6–8-year-old children: the D-pro randomized trial. European Journal of Nutrition, 61(7), 3613–3623. https://doi.org/10.1007/S00394-022-02912-0
63. Tomlin, D. L., Clarke, S. K., Day, M., McKay, H. A., & Naylor, P. J. (2013). Sports drink consumption and diet of children involved in organized sport. Journal of the International Society of Sports Nutrition, 10, 1-15.https://doi.org/10.1186/1550-2783-10-38
64. Torres-McGehee, T. M., Pritchett, K. L., Zippel, D., Minton, D. M., Cellamare, A., & Sibilia, M. (2012). Sports nutrition knowledge among collegiate athletes, coaches, athletic trainers, and strength and conditioning specialists. Journal of Athletic Training, 47(2), 205–211. https://doi.org/10.4085/1062-6050-47.2.205
65. West, S., Monteyne, A. J., van der Heijden, I., Stephens, F. B., & Wall, B. T. (2023). Nutritional Considerations for the Vegan Athlete. Advances in Nutrition, 14(4), 774–795. https://doi.org/10.1016/J.ADVNUT.2023.04.012
66. Wiens, K., Erdman, K. A., Stadnyk, M., & Parnell, J. A. (2014). Dietary supplement usage, motivation, and education in young Canadian athletes. International Journal of Sport Nutrition and Exercise Metabolism, 24(6), 613–622. https://doi.org/10.1123/IJSNEM.2013-0087
67. Wikoff, D., Welsh, B. T., Henderson, R., Brorby, G. P., Britt, J., Myers, E., Goldberger, J., Lieberman, H. R., O’Brien, C., Peck, J., Tenenbein, M., Weaver, C., Harvey, S., Urban, J., & Doepker, C. (2017). Systematic review of the potential adverse effects of caffeine consumption in healthy adults, pregnant women, adolescents, and children. Food and Chemical Toxicology, 109, 585–648. https://doi.org/10.1016/J.FCT.2017.04.002
68. Willems, T. M., Cornelis, J. A. M., De Deurwaerder, L. E. P., Roelandt, F., & De Mits, S. (2014). The effect of ankle muscle strength and flexibility on dolphin kick performance in competitive swimmers. Human Movement Science, 36, 167–176. https://doi.org/10.1016/J.HUMOV.2014.05.004
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