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Parallel assessment of nutrition and activity in athletes: Validation against doubly labelled water, 24-h urea excretion,and indirect calorimetry
Authors:Karsten Koehler  Hans Braun  Markus De Marées  Gerhard Fusch  Christoph Fusch  Joachim Mester
Institution:1. Institute of Biochemistry, German Sport University , Cologne, Germany;2. German Research Centre of Elite Sport , Cologne, Germany koehler@dshs-koeln.de;4. German Research Centre of Elite Sport , Cologne, Germany;5. German Research Centre of Elite Sport , Cologne, Germany;6. Institute of Training Science, German Sport University , Cologne, Germany;7. Department of Neonatology and Paediatric Intensive Care , University Children's Hospital , Greifswald, Germany;8. Department of Neonatology and Paediatric Intensive Care , University Children's Hospital , Greifswald, Germany;9. Department of Paediatrics , McMaster University , Hamilton, Ontario, Canada
Abstract:Abstract

The assessment of nutrition and activity in athletes requires accurate and precise methods. The aim of this study was to validate a protocol for parallel assessment of diet and exercise against doubly labelled water, 24-h urea excretion, and respiratory gas exchange. The participants were 14 male triathletes under normal training conditions. Energy intake and doubly labelled water were weakly associated with each other (r = 0.69, standard error of estimate SEE] = 304 kcal · day?1). Protein intake was strongly correlated with 24-h urea (r = 0.89) but showed considerable individual variation (SEE = 0.34 g · kg?1 · day?1). Total energy expenditure based on recorded activities was highly correlated with doubly labelled water (r = 0.95, SEE = 195 kcal · day?1) but was proportionally biased. During running and cycling, estimated exercise energy expenditure was highly correlated with gas exchange (running: r = 0.89, SEE = 1.6 kcal · min?1; cycling: r = 0.95, SEE = 1.4 kcal · min?1). High exercise energy expenditure was slightly underestimated during running. For nutrition data, variations appear too large for precise measurements in individual athletes, which is a common problem of dietary assessment methods. Despite the high correlations of total energy expenditure and exercise energy expenditure with reference methods, a correction for systematic errors is necessary for the valid estimation of energetic requirements in individual athletes.
Keywords:Energy intake  energy expenditure  protein intake  energy availability  METs
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