Skip to main content
Top
Published in: Sports Medicine 1/2015

Open Access 01-11-2015 | Review Article

Weight Management for Athletes and Active Individuals: A Brief Review

Author: Melinda M. Manore

Published in: Sports Medicine | Special Issue 1/2015

Login to get access

Abstract

Weight management for athletes and active individuals is unique because of their high daily energy expenditure; thus, the emphasis is usually placed on changing the diet side of the energy balance equation. When dieting for weight loss, active individuals also want to preserve lean tissue, which means that energy restriction cannot be too severe or lean tissue is lost. First, this brief review addresses the issues of weight management in athletes and active individuals and factors to consider when determining a weight-loss goal. Second, the concept of dynamic energy balance is reviewed, including two mathematical models developed to improve weight-loss predictions based on changes in diet and exercise. These models are now available on the Internet. Finally, dietary strategies for weight loss/maintenance that can be successfully used with active individuals are given. Emphasis is placed on teaching the benefits of consuming a low-ED diet (e.g., high-fiber, high-water, low-fat foods), which allows for the consumption of a greater volume of food to increase satiety while reducing energy intake. Health professionals and sport dietitians need to understand dynamic energy balance and be prepared with effective and evidence-based dietary approaches to help athletes and active individuals achieve their body-weight goals.
Literature
1.
go back to reference Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378:804–14.CrossRefPubMed Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378:804–14.CrossRefPubMed
2.
go back to reference Flegal KM, Carroll MD, Ogden CL, et al. Prevalence and trends in obesity among US adults, 1999–2008. JAMA. 2010;303:235–41.CrossRefPubMed Flegal KM, Carroll MD, Ogden CL, et al. Prevalence and trends in obesity among US adults, 1999–2008. JAMA. 2010;303:235–41.CrossRefPubMed
4.
go back to reference Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of high body mass index in US children and adolescents, 2007–2008. JAMA. 2010;303:242–9.CrossRefPubMed Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of high body mass index in US children and adolescents, 2007–2008. JAMA. 2010;303:242–9.CrossRefPubMed
5.
go back to reference Manore MM. Dietary supplements for improving body composition and reducing body weight: Where is the evidence? Int J Sport Nutr Exerc Metab. 2012;22:139–54.PubMed Manore MM. Dietary supplements for improving body composition and reducing body weight: Where is the evidence? Int J Sport Nutr Exerc Metab. 2012;22:139–54.PubMed
7.
go back to reference Sundgot-Borgen J, Meyer NL, Lohman TG, et al. How to minimise the health risks to athletes who compete in weight-sensitive sports review and position statement on behalf of the Ad Hoc Research Working Group on Body Composition, Health and Performance, under the auspices of the IOC Medical Commission. Br J Sports Med. 2013;47:1012–22.CrossRefPubMed Sundgot-Borgen J, Meyer NL, Lohman TG, et al. How to minimise the health risks to athletes who compete in weight-sensitive sports review and position statement on behalf of the Ad Hoc Research Working Group on Body Composition, Health and Performance, under the auspices of the IOC Medical Commission. Br J Sports Med. 2013;47:1012–22.CrossRefPubMed
8.
go back to reference Borchers JR, Clem KL, Habash DL, et al. Metabolic syndrome and insulin resistance in Division 1 collegiate football players. Med Sci Sports Exerc. 2009;41:2105–10.CrossRefPubMed Borchers JR, Clem KL, Habash DL, et al. Metabolic syndrome and insulin resistance in Division 1 collegiate football players. Med Sci Sports Exerc. 2009;41:2105–10.CrossRefPubMed
9.
go back to reference Sundgot-Borgen J, Torstveit MK. Aspects of disordered eating continuum in elite high-intensity sports. Scand J Med Sci Sports. 2010;2:112–21.CrossRef Sundgot-Borgen J, Torstveit MK. Aspects of disordered eating continuum in elite high-intensity sports. Scand J Med Sci Sports. 2010;2:112–21.CrossRef
10.
go back to reference Mountjoy M, Sundgot-Borgen J, Burke L, et al. The IOC consensus statement: beyond the Female Athlete Triad-Relative Energy Deficiency in Sport (RED-S). Br J Sports Med. 2014;48:491–7.CrossRefPubMed Mountjoy M, Sundgot-Borgen J, Burke L, et al. The IOC consensus statement: beyond the Female Athlete Triad-Relative Energy Deficiency in Sport (RED-S). Br J Sports Med. 2014;48:491–7.CrossRefPubMed
11.
go back to reference Pettersson S, Pipping-Ekström M, Berg CM. The food and weight combat. A problematic fight for the elite combat sports athlete. Appetite. 2012;59:234–42.CrossRefPubMed Pettersson S, Pipping-Ekström M, Berg CM. The food and weight combat. A problematic fight for the elite combat sports athlete. Appetite. 2012;59:234–42.CrossRefPubMed
12.
go back to reference Wilson G, Drust B, Morton JP, et al. Weight-making strategies in professional jockeys: implications for physical and mental health and well-being. Sports Med. 2014;44:785–96.CrossRefPubMed Wilson G, Drust B, Morton JP, et al. Weight-making strategies in professional jockeys: implications for physical and mental health and well-being. Sports Med. 2014;44:785–96.CrossRefPubMed
13.
go back to reference Sundgot-Borgen J, Garthe I. Elite athletes in aesthetic and Olympic weight-class sports and the challenge of body weight and body compositions. J Sports Sci. 2011;29:S101–14.CrossRefPubMed Sundgot-Borgen J, Garthe I. Elite athletes in aesthetic and Olympic weight-class sports and the challenge of body weight and body compositions. J Sports Sci. 2011;29:S101–14.CrossRefPubMed
14.
go back to reference Slater GJ, Rice AJ, Sharpe K, et al. Body-mass management of Australian lightweight rowers prior to and during competition. Med Sci Sports Exerc. 2005;37:860–6.CrossRefPubMed Slater GJ, Rice AJ, Sharpe K, et al. Body-mass management of Australian lightweight rowers prior to and during competition. Med Sci Sports Exerc. 2005;37:860–6.CrossRefPubMed
15.
go back to reference Manore MM, Meyer NL, Thompson J. Sport nutrition for health and performance. 2nd Ed. ed. Champaign: Human Kinetics; 2009. Manore MM, Meyer NL, Thompson J. Sport nutrition for health and performance. 2nd Ed. ed. Champaign: Human Kinetics; 2009.
16.
go back to reference Nattiv A, Loucks A, Manore M, et al. American College of Sports Medicine position stand. The female athlete triad. Med Sci Sports Exerc. 2007;39:1867–82.CrossRefPubMed Nattiv A, Loucks A, Manore M, et al. American College of Sports Medicine position stand. The female athlete triad. Med Sci Sports Exerc. 2007;39:1867–82.CrossRefPubMed
17.
go back to reference Galgani J, Ravussin E. Energy metabolism, fuel selection and body weight regulation. Int J Obes. 2008;32:S109–19.CrossRef Galgani J, Ravussin E. Energy metabolism, fuel selection and body weight regulation. Int J Obes. 2008;32:S109–19.CrossRef
18.
go back to reference Acheson KJ, Blondel-Lubrano A, Oguey-Araymon S, et al. Protein choices targeting thermogenesis and metabolism. Am J Clin Nutr. 2011;93:525–34.CrossRefPubMed Acheson KJ, Blondel-Lubrano A, Oguey-Araymon S, et al. Protein choices targeting thermogenesis and metabolism. Am J Clin Nutr. 2011;93:525–34.CrossRefPubMed
19.
go back to reference Hawley JA, Burke LM, Phillips SM, et al. Nutritional modulation of training-induced skeletal muscle adaptations. J Appl Physiol. 2011;110:834–45.CrossRefPubMed Hawley JA, Burke LM, Phillips SM, et al. Nutritional modulation of training-induced skeletal muscle adaptations. J Appl Physiol. 2011;110:834–45.CrossRefPubMed
20.
go back to reference Hawley JA, Burke LM. Carbohydrate availability and training adaptation: effects on cell metabolism. Exerc Sport Sci Rev. 2010;38:152–60.CrossRefPubMed Hawley JA, Burke LM. Carbohydrate availability and training adaptation: effects on cell metabolism. Exerc Sport Sci Rev. 2010;38:152–60.CrossRefPubMed
21.
go back to reference Stensel D. Exercise, appetite and appetite-regulating hormones: implications for food intake and weight control. Ann Nutr Metab. 2010;2:36–42.CrossRef Stensel D. Exercise, appetite and appetite-regulating hormones: implications for food intake and weight control. Ann Nutr Metab. 2010;2:36–42.CrossRef
22.
go back to reference Hagobian TA, Braun B. Physical activity and hormonal regulation of appetite: sex differences and weight control. Exerc Sport Sci Rev. 2010;38:25–30.CrossRefPubMed Hagobian TA, Braun B. Physical activity and hormonal regulation of appetite: sex differences and weight control. Exerc Sport Sci Rev. 2010;38:25–30.CrossRefPubMed
23.
go back to reference King JA, Garnham JO, Jackson AP, et al. Appetite-regulatory hormone responses on the day following a prolonged bout of moderate-intensity exercise. Physiol Behav. 2015;141:23–31.CrossRefPubMed King JA, Garnham JO, Jackson AP, et al. Appetite-regulatory hormone responses on the day following a prolonged bout of moderate-intensity exercise. Physiol Behav. 2015;141:23–31.CrossRefPubMed
24.
go back to reference Guebels CP, Kam LC, Maddalozzo GF, et al. Active women before/after an intervention designed to restore menstrual function: resting metabolic rate and comparison of four methods to quantify energy expenditure and energy availability. Int J Sport Nutr Exerc Metab. 2014;24:37–46.CrossRefPubMed Guebels CP, Kam LC, Maddalozzo GF, et al. Active women before/after an intervention designed to restore menstrual function: resting metabolic rate and comparison of four methods to quantify energy expenditure and energy availability. Int J Sport Nutr Exerc Metab. 2014;24:37–46.CrossRefPubMed
26.
go back to reference Thompson J, Manore M, Skinner J. Resting metabolic rate and thermic effect of a meal in low-and adequate-energy intake male endurance athletes. Int J Sport Nutr. 1993;3:194–206.PubMed Thompson J, Manore M, Skinner J. Resting metabolic rate and thermic effect of a meal in low-and adequate-energy intake male endurance athletes. Int J Sport Nutr. 1993;3:194–206.PubMed
27.
go back to reference Wishnofsky M. Caloric equivalents of gained or lost weight. Am J Clin Nutr. 1958;6:542–6.PubMed Wishnofsky M. Caloric equivalents of gained or lost weight. Am J Clin Nutr. 1958;6:542–6.PubMed
28.
go back to reference Swinburn B, Ravussin E. Energy balance or fat balance? Am J Clin Nutr. 1993;57:766S–71S.PubMed Swinburn B, Ravussin E. Energy balance or fat balance? Am J Clin Nutr. 1993;57:766S–71S.PubMed
29.
go back to reference Westerterp-Plantenga MS, Nieuwenhuizen A, Tomé D, et al. Dietary protein, weight loss, and weight maintenance. Ann Rev Nutr. 2009;29:21–41.CrossRef Westerterp-Plantenga MS, Nieuwenhuizen A, Tomé D, et al. Dietary protein, weight loss, and weight maintenance. Ann Rev Nutr. 2009;29:21–41.CrossRef
30.
go back to reference Turocy PS, DePalma BF, Horswill CA, et al. National Athletic Trainers’ Association position statement: safe weight loss and maintenance practices in sport and exercise. J Athl Train. 2011;46:322–36.PubMedCentralPubMed Turocy PS, DePalma BF, Horswill CA, et al. National Athletic Trainers’ Association position statement: safe weight loss and maintenance practices in sport and exercise. J Athl Train. 2011;46:322–36.PubMedCentralPubMed
31.
go back to reference Thomas DM, Gonzalez MC, Pereira AZ, et al. Time to correctly predict the amount of weight loss with dieting. J Acad Nutr Dietet. 2014;114:857–61.CrossRef Thomas DM, Gonzalez MC, Pereira AZ, et al. Time to correctly predict the amount of weight loss with dieting. J Acad Nutr Dietet. 2014;114:857–61.CrossRef
32.
go back to reference Heymsfield SB, Thomas D, Martin CK, et al. Energy content of weight loss: kinetic features during voluntary caloric restriction. Metabolism. 2012;61:937–43.CrossRefPubMed Heymsfield SB, Thomas D, Martin CK, et al. Energy content of weight loss: kinetic features during voluntary caloric restriction. Metabolism. 2012;61:937–43.CrossRefPubMed
33.
go back to reference Hall KD. Predicting metabolic adaptation, body weight change, and energy intake in humans. Am J Physiol. 2010;298:E449–66. Hall KD. Predicting metabolic adaptation, body weight change, and energy intake in humans. Am J Physiol. 2010;298:E449–66.
34.
go back to reference Mettler S, Mitchell N, Tipton KD. Increased protein intake reduces lean body mass loss during weight loss in athletes. Med Sci Sports Exerc. 2010;42:326–37.CrossRefPubMed Mettler S, Mitchell N, Tipton KD. Increased protein intake reduces lean body mass loss during weight loss in athletes. Med Sci Sports Exerc. 2010;42:326–37.CrossRefPubMed
35.
go back to reference Helms ER, Zinn C, Rowlands DS, et al. A systematic review of dietary protein during caloric restriction in resistance trained lean athletes: a case for higher intakes. Int J Sport Nutr Exerc Metab. 2014;24:127–38.CrossRefPubMed Helms ER, Zinn C, Rowlands DS, et al. A systematic review of dietary protein during caloric restriction in resistance trained lean athletes: a case for higher intakes. Int J Sport Nutr Exerc Metab. 2014;24:127–38.CrossRefPubMed
36.
go back to reference Redman LM, Heilbronn LK, Martin CK, et al. Metabolic and behavioral compensations in response to caloric restriction: implications for the maintenance of weight loss. PLoS One. 2009;4(2):1–9.CrossRef Redman LM, Heilbronn LK, Martin CK, et al. Metabolic and behavioral compensations in response to caloric restriction: implications for the maintenance of weight loss. PLoS One. 2009;4(2):1–9.CrossRef
37.
go back to reference Donnelly JE, Blair SN, Jakicic JM. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41:459–71.CrossRefPubMed Donnelly JE, Blair SN, Jakicic JM. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41:459–71.CrossRefPubMed
38.
go back to reference Thomas DM, Bouchard C, Church T, et al. Why do individuals not lose more weight from an exercise intervention at a defined dose? An energy balance analysis. Obes Rev. 2012;13:835–47.PubMedCentralCrossRefPubMed Thomas DM, Bouchard C, Church T, et al. Why do individuals not lose more weight from an exercise intervention at a defined dose? An energy balance analysis. Obes Rev. 2012;13:835–47.PubMedCentralCrossRefPubMed
39.
go back to reference Thomas D, Das SK, Levine JA, et al. New fat free mass—fat mass model for use in physiological energy balance equations. Nutr Metab. 2010;7:39.CrossRef Thomas D, Das SK, Levine JA, et al. New fat free mass—fat mass model for use in physiological energy balance equations. Nutr Metab. 2010;7:39.CrossRef
40.
go back to reference Weinheimer EM, Sands LP, Campbell WW. A systematic review of the separate and combined effects of energy restriction and exercise on fat-free mass in middle-aged and older adults: implications for sarcopenic obesity. Nutr Rev. 2010;68:375–88.CrossRefPubMed Weinheimer EM, Sands LP, Campbell WW. A systematic review of the separate and combined effects of energy restriction and exercise on fat-free mass in middle-aged and older adults: implications for sarcopenic obesity. Nutr Rev. 2010;68:375–88.CrossRefPubMed
41.
go back to reference Hall KD, Sacks G, Chandramohan D, et al. Quantification of the effect of energy imbalance on bodyweight. Lancet. 2011;378:826–37.CrossRefPubMed Hall KD, Sacks G, Chandramohan D, et al. Quantification of the effect of energy imbalance on bodyweight. Lancet. 2011;378:826–37.CrossRefPubMed
43.
go back to reference Pasiakos SM, Cao JJ, Margolis LM, et al. Effects of high-protein diets on fat-free mass and muscle protein synthesis following weight loss: a randomized controlled trial. FASEB J. 2013;27:3837–47.CrossRefPubMed Pasiakos SM, Cao JJ, Margolis LM, et al. Effects of high-protein diets on fat-free mass and muscle protein synthesis following weight loss: a randomized controlled trial. FASEB J. 2013;27:3837–47.CrossRefPubMed
44.
go back to reference Garthe I, Raastad T, Refsnes PE, et al. Effect of two different weight-loss rates on body composition and strength and power-related performance in elite athletes. Int J Sport Nutr Exerc Metab. 2011;21:97–104.PubMed Garthe I, Raastad T, Refsnes PE, et al. Effect of two different weight-loss rates on body composition and strength and power-related performance in elite athletes. Int J Sport Nutr Exerc Metab. 2011;21:97–104.PubMed
45.
46.
go back to reference Rodriguez NR, DiMarco NM, Langley S. Position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and Athletic performance. J Am Dietet Assoc. 2009;109:509–27.CrossRef Rodriguez NR, DiMarco NM, Langley S. Position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and Athletic performance. J Am Dietet Assoc. 2009;109:509–27.CrossRef
47.
go back to reference Institute of Medicine (IOM) Food and Nutrition Board, editor. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Washington, D.C.: The National Academies Press; 2005. Institute of Medicine (IOM) Food and Nutrition Board, editor. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Washington, D.C.: The National Academies Press; 2005.
48.
go back to reference Weigle DS, Breen PA, Matthys CC, et al. A high-protein diet induces sustained reductions in appetite, ad libitum caloric intake, and body weight despite compensatory changes in diurnal plasma leptin and ghrelin concentrations. Am J Clin Nutr. 2005;82:41–8.PubMed Weigle DS, Breen PA, Matthys CC, et al. A high-protein diet induces sustained reductions in appetite, ad libitum caloric intake, and body weight despite compensatory changes in diurnal plasma leptin and ghrelin concentrations. Am J Clin Nutr. 2005;82:41–8.PubMed
50.
go back to reference Ello-Martin JA, Ledikwe JH, Rolls BJ. The influence of food portion size and energy density on energy intake: implications for weight management. Am J Clin Nutr. 2005;82:236S–41S.PubMed Ello-Martin JA, Ledikwe JH, Rolls BJ. The influence of food portion size and energy density on energy intake: implications for weight management. Am J Clin Nutr. 2005;82:236S–41S.PubMed
51.
go back to reference Bell EA, Castellanos VH, Pelkman CL, et al. Energy density of foods affects energy intake in normal-weight women. Am J Clin Nutr. 1998;67:412–20.PubMed Bell EA, Castellanos VH, Pelkman CL, et al. Energy density of foods affects energy intake in normal-weight women. Am J Clin Nutr. 1998;67:412–20.PubMed
52.
go back to reference Rolls BJ, Roe LS, Meengs JS. Reductions in portion size and energy density of foods are additive and lead to sustained decreases in energy intake. Am J Clin Nutr. 2006;83:11–7.PubMedCentralPubMed Rolls BJ, Roe LS, Meengs JS. Reductions in portion size and energy density of foods are additive and lead to sustained decreases in energy intake. Am J Clin Nutr. 2006;83:11–7.PubMedCentralPubMed
53.
go back to reference Ello-Martin JA, Roe LS, Ledikwe JH, et al. Dietary energy density in the treatment of obesity: a year-long trial comparing 2 weight-loss diets. Am J Clin Nutr. 2007;85:1465–77.PubMedCentralPubMed Ello-Martin JA, Roe LS, Ledikwe JH, et al. Dietary energy density in the treatment of obesity: a year-long trial comparing 2 weight-loss diets. Am J Clin Nutr. 2007;85:1465–77.PubMedCentralPubMed
54.
go back to reference Reed J, Bowell J, Hill B, et al. Exercising women with menstrual disturbances consume low energy dense foods and beverages. Appl Physiol Nutr Metab. 2011;36:382–94.CrossRefPubMed Reed J, Bowell J, Hill B, et al. Exercising women with menstrual disturbances consume low energy dense foods and beverages. Appl Physiol Nutr Metab. 2011;36:382–94.CrossRefPubMed
55.
56.
go back to reference Erdman KA, Tunnicliffe J, Lun VM, et al. Eating patterns and composition of meals and snacks in elite Canadian athletes. Int J Sport Nutr Exerc Metab. 2013;23:210–9. Erdman KA, Tunnicliffe J, Lun VM, et al. Eating patterns and composition of meals and snacks in elite Canadian athletes. Int J Sport Nutr Exerc Metab. 2013;23:210–9.
57.
go back to reference Shriver LH, Betts NM, Wollenberg G. Dietary intakes and eating habits of college athletes: are female college athletes following the current sports nutrition standards? J Am Coll Health. 2013;61:10–6.CrossRefPubMed Shriver LH, Betts NM, Wollenberg G. Dietary intakes and eating habits of college athletes: are female college athletes following the current sports nutrition standards? J Am Coll Health. 2013;61:10–6.CrossRefPubMed
58.
go back to reference Carlsohn A, Nippe S, Heydenreich J, et al. Carbohydrate intake and food sources of junior triathletes during a moderate and an intensive training period. Int J Sport Nutr Exerc Metab. 2012;22:438–43.PubMed Carlsohn A, Nippe S, Heydenreich J, et al. Carbohydrate intake and food sources of junior triathletes during a moderate and an intensive training period. Int J Sport Nutr Exerc Metab. 2012;22:438–43.PubMed
59.
go back to reference Malik VS, Schulze MB, Hu FB. Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr. 2006;84:274–88.PubMedCentralPubMed Malik VS, Schulze MB, Hu FB. Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr. 2006;84:274–88.PubMedCentralPubMed
60.
Metadata
Title
Weight Management for Athletes and Active Individuals: A Brief Review
Author
Melinda M. Manore
Publication date
01-11-2015
Publisher
Springer International Publishing
Published in
Sports Medicine / Issue Special Issue 1/2015
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-015-0401-0

Other articles of this Special Issue 1/2015

Sports Medicine 1/2015 Go to the issue