cronutrients for athletes with special nutrition concerns such as vegetar- ians/vegans, pregnant athletes and those with metabolic disorders such as celiac disease (gluten intolerance) or diabetes. • Educate athletes and other sports personnel about energy requirements for their particular sport—the role of food in body fueling. • Develop appropriate and realistic weight and body composition goals and counsel athletes on nutritionally sound practices to reach and main- tain an appropriate weight and body composition. • Provide individualized meal plans when warranted. • Evaluate any vitamin/mineral or herbal supplement, sports food or er- gogenic aid an athlete wants to use, and provide guidance on legal, safe and effective methods to gain a com- petitive edge. • Build rapport with athletes, ath- letic trainers, coaches and family members, and disseminate ongoing sound and credible nutrition strate- gies to meet sports-related nutrition goals. For example, nutrition strate- gies while traveling and eating away from home, while exercising in ex- treme conditions, as well as timing of meals and snacks relative to activity. • Educate and consult with food- service director and staff on menus, training-table options and off-site meals for athletes. • Network and consult with other healthcare providers to develop com- prehensive medical nutrition therapy for athletes with or at risk for eating disorders, celiac disease, diabetes, food allergies, high blood pressure, iron-deficiency anemia and other health-care concerns. • Screen for inadequate caloric intake (energy drain), disordered eating and eating disorders among potential incoming male and female student-athletes.
Sports Dietetics—USA In 2004, the Academy of Nutri- tion and Dietetics (AND) formed a
coachad.com
special sub-unit called Sports Dietet- ics—USA (SD-USA). This sub-unit is under the auspices of Sports, Car- diovascular and Wellness Nutrition (SCAN), the largest sub-practice group of the Academy with 6,000- plus members. Qualified dietitians who join SD-
USA are dedicated to promoting food and nutrition practices that enhance lifelong health, fitness and optimal performance. One of the key strategic goals of SD-USA is to obtain spe- cialty certification for sports dietitians to enable medical personnel, sports teams and athletic departments, as well as recreational and professional athletes of all ages and abilities, to locate a qualified and credible sports- nutrition professional. This board certification (which meets the rigorous requirements of an independent credentialing com- mission) serves to differentiate sports dietitians from those who are less qualified to provide sports-nutrition services. Today, more than 550 certi- fied sports dietitians work in various sport and fitness-oriented settings throughout the country.
Besides developing and maintain- ing core competencies and standards of practice for sports dietitians, SD- USA actively participates in research to optimize sports-nutrition practices and outcomes, provides leadership in translating sports-nutrition sci- ence into practice, and leads the way in forming partnerships with sports personnel who share common goals. Ultimately, athletes, sports organiza- tions and the recreational public are better served and public health will be protected by the promotion of evi- dence-based sports-nutrition guidance. Beyond certain academic require- ments, sports dietitians also are re- quired to display specific competen- cies, undertake practical experience and successfully complete a com- prehensive board examination every five years. Sports dietitians are iden- tified by the initials CSSD (Specialist in Sports Dietetics) after their name, which today is the premier profes-
sional sports nutrition credential in the United States. To locate a sports dietitian, con- tact SCAN headquarters at 440-481- 3560 or visit
scandpg.org.
Suzanne Girard Eberle, MS, RD, CSSD is a board-certified sports dietitian, guest speaker and the author of Endurance Sports Nutrition. Find her at
eatdrinkwin.com.
CLINICAL CONCERNS COMMONLY MANAGED BY
SPORTS DIETITIANS
• Alcohol addiction • Amenorrhea (loss of menstrual cycle)
• Anemia/Low ferritin • Anorexia • Arteriosclerosis • Binge eating
• Body-image distortion • Bulimia • Cancer (prevention and recovery) • Celiac disease • Chronic fatigue • Constipation
• Dehydration/Heat illness • Diabetes • Diarrhea • Energy drain scenario/Female athlete triad • Food allergies/Intolerances • Gastrointestinal disorders: reflux, stomachache, vomiting • Gout
• Headaches
• Hypoglycemia (low blood sugar) • Hyperlipidemia (high blood lipids) • Hyponatremia (low blood sodium) • Hypertension • Lactose intolerance • Menopause
• Obesity/Overweight • Osteopenia/Osteoporosis • Pregnancy/Perinatal nutrition • Stress fractures • Surgery (specific needs pre- and post-operative) • Upper respiratory infections
May/June 2013 25
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