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Cited by 4Nutrition, Health and Food BehaviorObesity, Physical Activity, DietNutritional Studies and Diet

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Dietary intake, nutrition knowledge, and behavior in youth team sport athletes: a scoping review and call to advance research and practice

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Irwin, Neil, Ó Catháin, Ciarán, Ward, Cormac, Kelly, David T.·2026·Journal of the International Society of Sports Nutrition

Abstract

BACKGROUND: Youth team sport athletes face unique nutritional challenges due to the combined demands of growth, development and exercise. This scoping review systematically mapped the literature on dietary intake, nutrition knowledge, education interventions and factors influencing dietary behaviors in male and female team sport athletes aged 12-19 years. The review aimed to identify knowledge gaps, highlight methodological limitations and inform recommendations for advancing both research and practice in this population. METHODS: The review followed PRISMA-ScR guidelines and was pre-registered on the Open Science Framework. Eligible studies examined dietary intake, nutrition knowledge, education interventions and factors influencing dietary behavior in youth team sport athletes. Searches were conducted across PubMed, MEDLINE, PsycINFO, SPORTDiscus and gray literature sources. Study selection and data charting were conducted by the lead reviewer, with independent verification by a second reviewer. Findings were synthesized using descriptive analysis and thematic synthesis across these four domains. RESULTS: Fifty-seven studies involving 4,369 youth team sport athletes were included. Cross-sectional designs predominated (59.6%) and the evidence base was characterized by significant methodological inconsistencies, including wide variation in dietary assessment methods, limited adjustment for misreporting and substantial underrepresentation of female athletes who accounted for 26.9% of the total sample. Energy and carbohydrate intake were frequently reported below recommended levels, most evident during periods of intensive training and competition. However, findings from studies using doubly labeled water suggest that the magnitude of reported deficits may be overestimated due to dietary underreporting and imprecise estimation of energy expenditure. Protein and fat intake generally met recommendations although micronutrient intake often fell short, particularly for vitamins A, D, and E, calcium and iron. Nutrition knowledge was limited, particularly for sport-specific topics and none of the questionnaires used were validated for adolescent populations. Twelve education interventions were identified; education-only approaches rarely produced changes in dietary behavior, whereas interventions incorporating behavior change components tended to report improvements. Only five studies examined factors influencing dietary behavior, finding that parents, coaches and peers acted as both enablers and barriers to dietary adherence, and that environmental constraints compromised dietary quality. CONCLUSIONS: Youth team sport athletes commonly exhibit inadequate reported energy and carbohydrate intake alongside frequent micronutrient shortfalls, although the reliability of these estimates is limited by methodological constraints. Nutrition knowledge is generally poor, particularly in sport-specific areas. Dietary behaviors are shaped by individual, social and environmental influences that extend beyond knowledge alone and education interventions rarely produce sustained dietary change without the integration of behavior change strategies. Future research should prioritize more rigorous and consistent methodological approaches, improved representation of female athletes and the development of youth-specific validated assessment tools. Given the scope and persistence of the methodological inconsistencies identified, the development of an expert-led consensus statement on standards for dietary assessment, nutrition knowledge measurement, intervention design and participant characterization may help advance the quality and comparability of future research in this population.

Overview

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TL;DR

This PRISMA-ScR scoping review mapped 57 studies (4,369 youth team sport athletes aged 12–19) on dietary intake, nutrition knowledge, education interventions, and factors influencing dietary behavior. It found frequently reported inadequate energy and carbohydrate intake and poor sport-specific nutrition knowledge, but major methodological inconsistencies, female underrepresentation, and unvalidated adolescent knowledge questionnaires limit confidence in the evidence.

Key findings

  • Across 57 studies involving 4,369 athletes, females accounted for 26.9% of the sample (1,176 females; 3,167 males; 26 unspecified), and cross-sectional designs predominated (59.6%).
  • Reported carbohydrate intake varied from 3.6 to 8.3 g/kg/day, with 76.9% (20/26) of studies reporting carbohydrate in g/kg/day showing mean values below the recommended 6–10 g/kg/day; protein intake was typically adequate (1.2–2.6 g/kg/day), while fat ranged from 0.9 to 1.8 g/kg/day.
  • Nutrition knowledge scores ranged from 42% to 69.5%, with 43.8% of studies reporting poor to inadequate knowledge; none of the questionnaires used were validated for adolescent populations.
  • Of 12 education interventions, 5 (41.7%) reported improved dietary behavior, all of which incorporated behavior change components beyond education alone; only 5 studies examined factors influencing dietary behavior, finding parents, coaches, and peers acted as both enablers and barriers.

Methods

  • Scoping review following PRISMA-ScR and JBI guidance, pre-registered on the Open Science Framework; searches of PubMed, MEDLINE, PsycINFO, SPORTDiscus, and gray literature were conducted between January 15 and June 7, 2024, yielding 12,151 records.
  • Eligible studies examined dietary intake, nutrition knowledge, education interventions, or factors influencing dietary behavior in male and female team sport athletes aged 12–19 years; 57 studies met eligibility.
  • Data were synthesized using descriptive analysis and thematic synthesis across four predefined domains; study quality was appraised with the Academy of Nutrition and Dietetics Quality Criteria Checklist, though no studies were excluded on quality.

Limitations

  • Stated in the paper: only English-language publications were included, studies focused solely on vitamin or supplement use were excluded, and heterogeneity in designs, dietary assessment methods, and nutrition knowledge tools limited comparability; as a scoping review, it mapped evidence rather than evaluating efficacy or causality.
  • Evident from the text: female athletes were substantially underrepresented (70.2% of studies focused exclusively on males; 10.5% solely on females), 60.9% of dietary studies did not address reporting bias, 77.2% did not report a priori power calculations, and no nutrition knowledge questionnaire was validated for adolescents.
  • Evident from the text: most studies were cross-sectional (59.6%) and concentrated in soccer (64.9%), basketball (17.5%), and rugby (15.8%), limiting generalizability and causal inference.

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Crossref · 10.1080/15502783.2026.2671431

Cites

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Figures

Figure 1. PRISMA-ScR flow diagram illustrating the study selection process.
Figure 1. PRISMA-ScR flow diagram illustrating the study selection process.CC BY · PubMed Central
Figure 2. Distribution of studies across thematic domains in the scoping review.
Figure 2. Distribution of studies across thematic domains in the scoping review.CC BY · PubMed Central

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Citations

Cites

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Research works printed but not linked: 11

  1. Peters MDJ , Godfrey CM , McInerney P , et al. Methodology for JBI scoping reviews In: Aromataris E , Munn Z , editors. Joanna Briggs Institute reviewers’ manual (2015)Adelaide: The Joanna Briggs Institute; 2015. pp. 3–24.
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  4. Hickson J , Schrader J , Trischler L . Preseason nutritional profile of high school basketball athletes. J Strength Cond Res. 1990;4(4):3–7.
  5. Koç M , Saritaş N , Kirbaş Ş . Bülbül H. Examining nutritional habits of soccer players at youth development teams. Sci Mov Health. 2016;16(2):576–584 https://www.analefefs.ro/anale-fefs/2016/i2s/pe-autori/46.pdf.
  6. Pavlak M Smith R Wood K . The inter-relatedness of nutrition menstrual status lean body mass and injury among high school female varsity basketball players [master’s thesis]. Allendale (MI): Grand Valley State University; 1998 Available from: https://scholarworks.gvsu.edu/theses/397.
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  9. Supriya V , Ramaswami L . Knowledge, attitude and dietary practices of track and field athletic men and women aged 18–22 years. Int J Innov Res Dev. 2013;2(11). Available from: https://internationaljournalcorner.com/index.php/ijird_ojs/article/view/134032
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  11. Deakin V , Peeling P . Prevention, detection and treatment of iron depletion and deficiency in athletes In: Burke LM , Deakin V , editors. Clinical sports nutrition. 5th North Ryde (NSW): McGraw-Hill Education; 2015. pp. 266–309.

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Metadata

Authors
Irwin, N., Ó Catháin, C., Ward, C., & Kelly, D. T.
Affiliations
  • Technological University of the Shannon: Midlands Midwest (IE)
  • Department of Sport and Health Science, Technological University of the Shannon
Corresponding author
Irwin, Neil
Venue
Journal of the International Society of Sports Nutrition
Published
2026-05-14
Volume
23
Issue
1
Pages
2671431-2671431
ISSN
1550-2783 (ISSN-L)
OpenAlex
W7161307677
Cited by
4
References
113
Citations by year
2026: 4
FWCI
3.35
Type
journal article
Language
en
Open access
Locations
  • Journal of the International Society of Sports Nutrition (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Research Ireland (Grant number EBPPG/2023/1141)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Keywords
dietary intake, nutrition knowledge, dietary behavior, nutrition education intervention, micronutrient deficiency, behavior change strategies, peer influence, environmental constraints, youth athletes, energy expenditure estimation, micronutrient intake
MeSH terms
Youth Sports, Evidence Gaps, Adolescent, Energy Intake, Child, Diet, Feeding Behavior, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Young Adult, Athletes, Sports Nutritional Physiological Phenomena

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