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Cited by 0Nutrition and Health StudiesNutrition, Health and Food BehaviorMuscle metabolism and nutrition

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Dietary Intake of Canadian Middle‐Aged Endurance Athletes

Open access
Ghomeshi, B., McPhee, L., Morello, O., Ismail, M., Kebbe, M., Totosy de Zepetnek, J. O.·2025·Journal of Human Nutrition and Dietetics

Abstract

Introduction: The purpose of the present study was to assess dietary intakes of Canadian non‐elite middle‐aged endurance athletes and explore potential sex differences. Methods: Non‐consecutive 3‐day food intake records (FIR) were analyzed using Cronometer. Intakes were compared to dietary reference intakes (DRIs), acceptable macronutrient distribution ranges (AMDRs), and sports nutrition guidelines when available. Dietary intakes, including the proportion of males versus females meeting recommendations for each nutrient, were assessed using descriptive statistics, independent t ‐tests, and/or Fisher's exact test. Results: A total of n = 44 (28 M/16 F) middle‐aged endurance athletes completed the study (age = 50.4 ± 7.2 years, BMI = 23.6 ± 3.2 kg/m 2 , moderate‐vigorous activity [MVA] = 627.0 ± 3.2 min/week). All athletes met recommendations for protein (PRO), but not carbohydrates (CHO; 20.5% met sport nutrition guidelines) or fat (FAT; 54.5% exceeded AMDRs), with no differences between males and females. Athletes did not meet the recommended intakes for vitamin D (4.5% [38.6% with supplementation]), vitamin E (34.1% [47.7% with supplementation]), potassium (15.9%), calcium (50.0% [61.4% with supplementation]), or magnesium (65.9% [78.0% with supplementation]), and exceed the recommended intake of sodium (70.5% exceeded DRI). Females were more likely than males to have intakes below the DRIs for several vitamins and minerals, however many of these differences disappeared when supplement use was considered. Conclusion: Middle‐aged athletes require diets that not only support physical performance but also promote healthy aging. Findings in the present study indicate that Canadian non‐elite middle‐aged endurance athletes are not meeting recommended intakes of CHO, FAT, and many micronutrients; improving adherence to recommended intakes may help these athletes achieve optimal performance, taking into consideration age‐ and sex‐related physiological changes. Future directions should investigate longitudinal dietary intake among middle‐aged endurance athletes, as well as dietary intake based on menopausal stage.

Overview

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TL;DR

This cross-sectional study assessed 3-day food intake records from 44 Canadian non-elite middle-aged (40–65 y) endurance athletes and found widespread shortfalls in carbohydrate and micronutrient intake alongside excessive fat and sodium intake, with few sex differences once supplement use was accounted for. The authors conclude that improving adherence to dietary recommendations may support both performance and healthy aging in this population.

Key findings

  • All 44 athletes met the protein AMDR (10–35% of energy) and 86.4% (n = 38) met the sport nutrition guideline of 1.2–2.0 g/kg/day; only 64.3% of males and 43.8% of females met the 1.6 g/kg/day recommendation for masters athletes (p = 0.220).
  • Carbohydrate intake fell short: 27.3% (n = 12) fell within the sport guideline of 50–65% of energy and only 20.5% (n = 9) met 5–10 g/kg/day. Conversely, 54.5% (n = 24) exceeded the fat AMDR upper limit of 35% of energy and 65.9% (n = 29) exceeded the saturated fat recommendation of < 10%.
  • Only 29.5% (n = 13) met total energy requirements (EER) and 52.3% (n = 23) met the water AI; 72.7% (n = 32) met the fiber AI.
  • Shortfall micronutrients (< 75% of cohort meeting DRI) were vitamin A (63.6%), vitamin D (4.5%), vitamin E (34.1%), vitamin K (70.5%), folate/B9 (59.1%), potassium (15.9%), calcium (50.0%) and magnesium (65.9%); 70.5% exceeded the sodium CDRR. With supplements added, meeting rates rose (e.g., vitamin D 4.5% to 38.6%, magnesium 65.9% to 78.0%).
  • Females were at greater risk than males of not meeting recommendations for vitamin E, B1, B9, B12, calcium, potassium, iron and selenium; differences for vitamin E, B1, B9, B12 and calcium disappeared with supplementation, while vitamin A (males at greater risk), potassium, iron and selenium persisted.

Methods

  • Cross-sectional study; data collected January–August 2020 via social media, email and snowball sampling. Participants were 44 Canadian middle-aged (40–65 y) non-elite endurance athletes (28 M/16 F; age 50.4 ± 7.2 y; BMI 23.6 ± 3.2 kg/m²; 627.0 ± 232.0 min/week MVPA) training ≥ 8 h/week; exclusions included COVID-19-related diet/activity changes, pregnancy/breastfeeding, and digestive disorders.
  • Participants completed an online survey (Qualtrics) for demographics, medical history, menopause status and IPAQ-SF physical activity, plus a 3-day food intake record on two non-consecutive weekdays and one weekend day, analyzed in Cronometer (v2.18.6); supplements were assessed separately and added to food intake for "total intake" analyses.
  • Intakes were compared with DRIs (RDA/AI), AMDRs and sport nutrition guidelines; EER was calculated with the Mifflin-St Jeor equation. Descriptive statistics, independent t-tests and Fisher's exact test were used (SPSS v28; significance at p < 0.05), with post hoc power calculations reported as adequate for sex-based comparisons.

Limitations

  • Stated by the authors: relatively small sample size and cross-sectional design that may not reflect long-term consumption patterns; reliance on self-reported body mass for body-mass-relative nutrient recommendations; no training volume or intensity recorded on food-record days; protein distribution across the day not assessed.
  • Stated by the authors: the female subsample was too small to evaluate nutrient intake by menopause stage (data were pooled across pre-, peri- and post-menopausal participants).
  • Evident from the text: the sample was geographically concentrated (26 of 44 in Saskatchewan, 15 in Ontario), and the 3-day FIR method carries potential for reactivity and underreporting as noted by the authors; the abstract reports MVA as 627.0 ± 3.2 min/week while Table 1 reports 627.0 ± 232.0 min/week, an internal inconsistency in the reporting.

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Figures

Figure 1 Black boarder = % meeting recommended intakes; grey boarder = % exceeding recommended intakes. Total kcal compared to recommended intake for moderately active, very active or extremely active males and females (see text for equation). Water, fiber, omega‐6 (n‐6), and omega‐3 (n‐3) intakes compared to Dietary Reference Intake (DRI) Adequate Intake (AI) for males and females in 31–50 y and 51–70 y age groups (mL or g/day). Carbohydrate (CHO; 5–10 g/kg/day) and protein (PRO; 1.2‐2.0 g/kg/day) intakes compared to sports nutrition guidelines for endurance athletes. Fat and saturated fat (Sat Fat) intake compared to Acceptable Macronutrient Distribution Range (AMDR, % of total intake) and represented as proportion of cohort exceeding recommended intakes. No differences between males and females.
Figure 1 Black boarder = % meeting recommended intakes; grey boarder = % exceeding recommended intakes. Total kcal compared to recommended intake for moderately active, very active or extremely active males and females (see text for equation). Water, fiber, omega‐6 (n‐6), and omega‐3 (n‐3) intakes compared to Dietary Reference Intake (DRI) Adequate Intake (AI) for males and females in 31–50 y and 51–70 y age groups (mL or g/day). Carbohydrate (CHO; 5–10 g/kg/day) and protein (PRO; 1.2‐2.0 g/kg/day) intakes compared to sports nutrition guidelines for endurance athletes. Fat and saturated fat (Sat Fat) intake compared to Acceptable Macronutrient Distribution Range (AMDR, % of total intake) and represented as proportion of cohort exceeding recommended intakes. No differences between males and females.CC BY · PubMed Central
Figure 2 Shortfall micronutrients and sodium. Shortfall nutrients are defined as less than 75% of the total cohort meeting recommended intakes. Black border = % meeting recommended intakes; grey border = % exceeding recommended intakes. Fat‐soluble vitamins (A, D, E, K), water‐soluble vitamin B9, and minerals (potassium, K; calcium, Ca; magnesium, Mg; sodium, Na) compared to DRI Recommended Dietary Allowance (RDA) or Adequate Intake (AI) for males and females in 31–50 y and 51–70 y age groups (IU, mg, or µg/day). White bars represent total cohort micronutrient intake from whole foods only; patterned bars represent micronutrient intake from whole foods plus supplements.
Figure 2 Shortfall micronutrients and sodium. Shortfall nutrients are defined as less than 75% of the total cohort meeting recommended intakes. Black border = % meeting recommended intakes; grey border = % exceeding recommended intakes. Fat‐soluble vitamins (A, D, E, K), water‐soluble vitamin B9, and minerals (potassium, K; calcium, Ca; magnesium, Mg; sodium, Na) compared to DRI Recommended Dietary Allowance (RDA) or Adequate Intake (AI) for males and females in 31–50 y and 51–70 y age groups (IU, mg, or µg/day). White bars represent total cohort micronutrient intake from whole foods only; patterned bars represent micronutrient intake from whole foods plus supplements.CC BY · PubMed Central
Figure 3 Males versus females for shortfall micronutrients. Shortfall nutrients are defined as less than 75% of males or females meeting recommended intakes. Vitamins (A, E, B1, B9, B12) and minerals (Ca, Calcium; K, Potassium; Fe, Iron; Se, Selenium) compared to DRI Recommended Dietary Allowance (RDA) or Adequate Intake (AI) for males and females in 31–50 y and 51–70 y age groups (IU, mg, or µg/day). Light grey and dark grey bars represent micronutrient intake from whole foods in males and females, respectively; *p < 0.05 M versus F meeting recommended intakes from whole foods only. Patterned bars represent micronutrient intake from whole foods plus supplements; #p < 0.05 M versus F for whole foods plus supplement (i.e., if significance remained between males and females after adding supplement intake).
Figure 3 Males versus females for shortfall micronutrients. Shortfall nutrients are defined as less than 75% of males or females meeting recommended intakes. Vitamins (A, E, B1, B9, B12) and minerals (Ca, Calcium; K, Potassium; Fe, Iron; Se, Selenium) compared to DRI Recommended Dietary Allowance (RDA) or Adequate Intake (AI) for males and females in 31–50 y and 51–70 y age groups (IU, mg, or µg/day). Light grey and dark grey bars represent micronutrient intake from whole foods in males and females, respectively; *p < 0.05 M versus F meeting recommended intakes from whole foods only. Patterned bars represent micronutrient intake from whole foods plus supplements; #p < 0.05 M versus F for whole foods plus supplement (i.e., if significance remained between males and females after adding supplement intake).CC BY · PubMed Central

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Citations

Cites

Show all 60 references

Research works printed but not linked: 7

  1. Fink H. H., 2021, Chapter 12: Endurance and Ultra‐Endurance Athletes in Practical Applications in Sports Nutrition, Sixth Edition, 333
  2. 2025, Nutrition and Healthy Eating
  3. National Institutes of Health, 2024, Dietary Supplements, Multivitamin/Mineral Supplements
  4. Health Canada, 2012, Food and Nutrition Surveillance
  5. Barkell J. F., 2022, The Effects of a Low Carb High Fat or Ketogenic Diet on Athletic Performance, Journal of Physical Fitness, Medicine & Treatment in Sports, 9
  6. McCubbin A. J., 2025, Sodium Intake for Athletes Before, During and After Exercise: Review and Recommendations, Performance Nutrition, 1
  7. Mccubbin A. J., 2018, Impact of Sodium Ingestion During Exercise on Endurance Performance: A Systematic Review, International Journal of Sports Science, 8, 97

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Metadata

Authors
Ghomeshi, B., McPhee, L., Morello, O., Ismail, M., Kebbe, M., & Totosy de Zepetnek, J. O.
Affiliations
  • Flinders University (AU)
  • University of Regina (CA)
  • Toronto Metropolitan University (CA)
  • Western University (CA)
  • University of New Brunswick (CA)
  • Faculty of Kinesiology and Health Studies University of Regina Saskatchewan Canada
Venue
Journal of Human Nutrition and Dietetics
Publisher
Wiley
Published
2025-12
Volume
38
Issue
6
Pages
e70182-e70182
ISSN
  • 0952-3871 (ISSN-L)
  • 1365-277X
OpenAlex
W7117323565
Cited by
0
References
60
FWCI
0.00
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Human Nutrition and Dietetics (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
Keywords
dietary intake, middle-aged athletes, endurance athletes, sex differences, micronutrient intake, macronutrient intake, vitamin D, vitamin E, potassium, calcium, magnesium, sodium intake, dietary supplementation, healthy aging
MeSH terms
Adult, Energy Intake, Canada, Diet, Dietary Proteins, Female, Humans, Male, Middle Aged, Physical Endurance, Sex Factors, Diet Records, Nutrition Policy, Athletes, Sports Nutritional Physiological Phenomena, Recommended Dietary Allowances

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CoChat. (2026). Citation check: Dietary Intake of Canadian Middle‐Aged Endurance Athletes. https://app.cochat.ai/papers/10.1111/jhn.70182
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Ghomeshi, B., McPhee, L., Morello, O., Ismail, M., Kebbe, M., & Totosy de Zepetnek, J. O. (2025). Dietary Intake of Canadian Middle‐Aged Endurance Athletes. Journal of Human Nutrition and Dietetics. https://doi.org/10.1111/jhn.70182

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