Nutrition in football

Gepubliceerd op 6 april 2024 om 17:24

Strength and conditioning (S&C) coaches might write and execute brilliant training plans, but without the correct fuel the expected training adaptations might be severely undermined. An S&C coach might not have the same knowledge and understanding of this as a sports dietitian, but an elementary knowledge of the metabolic demands of the sport and how to meet them could already help a lot.

A first step is a good understanding of metabolism. Metabolism is defined as all the chemical processes going on in the body that allow life. It is the breakdown of nutrients in our food (catabolism) and the use of those to repair and build the body (anabolism).

The metabolic rate is often referred to as the bodies energy expenditure and consists of three large components:

  • Basal metabolic rate (BMR): this is the amount of energy needed to keep your body – even in full rest – functioning. It is a large part of your total expenditure.
  • Thermogenesis: it is the amount of energy your body needs to digest the food as well as transport and store the nutrients.
  • Energy used during physical activity.

Basal metabolism is influenced by a number of factors such as body composition – especially fat-free mass - and size, age, growth, genetics, gender, hormones, environmental temperature, drugs and dietary deficiencies (M. Bubbs, 2019). Given the number of influencing factors, it seems odd that basal metabolic rate could be captured with a formula. Yet, the Harris Benedict equation is widely used for many years. Similarly, it shouldn't come as a surprise that the equation has been reviewed and found inaccurate in a clinical setting on several occasions (Pavlidou et al., 2023; Bendavid et al., 2021). Calorimetry (both direct and indirect) are often cited as the gold standard in resting energy expenditure. But even these methods have some limitations (Honore, 2021). Yet from a practical point of view, how many S&C coaches within football would be able to have BMR calculated by calorimetry for a full squad?

Graphic presentation of Total Energy Expenditure (TEE)

Thermogenesis, the second part of our total energy expenditure, is also influenced by several factors: age, body composition and physical activity are again factors to consider. But more specifically food intake as well as energy content of the meal, meal composition and processed versus unprocessed foods (Calcagno, 2019). Glickman et al. (1948) reported a large difference in the energy needed to digest the different nutrients, which is still often cited:

  • Carbohydrates: 5 to 15% of the energy consumed
  • Protein: 20 to 30%
  • Fats: at most 5 to 15%

Finally, a correct calculation of energy requirements for physical activity can also have its challenges. Often the use of standardized physical activity levels (PALs) is suggested, even in sports nutrition guides (Bean, 2017). A first problem is that self-report on overall physical activity seems to be unreliable to moderate at best (Prince et al., 2008; Scott et al., 2012). Secondly, within football the intensity levels across different sessions are varying depending on the goal. A competitive match will have the biggest intensity, while a tactical session or a technical / recovery session will be much less intense. With a lower intensity, comes a lower energy demand. External demands are easily available today as Global Positioning Systems (GPS) devices are more and more common in today's game. Even at a lower level. But the same external load can give a huge difference between individuals on an internal level. So, it might well be that two players who participate in the same session have very different energy requirements. The problem with mapping internal load is that simple heart rate monitoring might not be enough. These days, biomarkers are seen as the way forward (Haller, 2023). The practical application of this method however as well as the budgetary requirements mean that this is only done at top-level. Continuous glucose monitoring (CGM) might be an answer to that problem, but for now it is mostly used in endurance sports (Flockhart & Larsen, 2024; Bauhaus et al., 2023). The many contacts between players during games are probably one of the factors why it has not been introduced in football. All this should make it quite clear that it is very difficult for an S&C coach to provide his athlete with a valid estimate of the total daily energy expenditure (TDEE), which is the amount of fuel the player needs to support his training and lead to the required training adaptations.

Still, there is plenty of research available which might help the S&C coach to provide his player with practical guidelines to assist with the training demands. Carbohydrates (CHO) are the prime energy source for football players (Rollo I., 2014; Williams & Rollo, 2015; Burke, Loucks & Broad, 2006) due to the intermittent nature of football. In their research Burke, Loucks & Broad (2006) recommend the following CHO-intake:

  • 5-7 g.kg-1.day-1 for normal training days
  • 7-12 g.kg-1.day-1 for intense training days and match days

Crucially, evidence can be found that players – especially males – are not meeting this intake (García-Rovés, 2014). Even at the very highest-level, players only consume 4.2 g.kg-1.day-1 and 6.4 g.kg-1.day-1 on match days (Anderson et al., 2017; Devlin et al., 2017). So why are players not meeting these recommendations? Let’s look at a player who weighs 75 kg, which seems to be an average weight within elite football (Devlin et al., 2017). This player would need to consume between 375 and 525 g of CHO on a normal training day. Similarly, his intake would have to be between 525 and 900 g – that is up to 3600 kcal - of CHO on match days. Most people will struggle to take in that amount of food. 

Graphic presentation of nutritional guidance by UEFA expert group. Presentation made by Ylmsportscience.com

While CHO have a clear role in performance within football, recent research also seems to suggest sufficient CHO availability has a role in recovery as glycogen seems to have a role as a regulator in signalling response influencing mitochondrial biogenesis and oxidative metabolism (Tavares et al., 2023). Both the required quantity of CHO as the influence on recovery show that periodisation and timing will be an important aspect of an athlete’s nutritional strategies. More on that later in this article.

Graphic presentation findings by Margolis et al. (2019)

Presentation made by Ylmsportscience.com

Next, let’s look at the other nutrients, fat and protein. Depending on the research consulted, protein requirements are defined between 1.0 g.kg-1.day-1 to as much as 2.2 g.kg-1.day-1 (Hawley et al., 2007; Steffl et al., 2019). Elite footballers seem to meet these demands, even the higher end values (Steffl et al., 2019; M. Bubbs, 2019). The growing influence of personal trainers and physique enhancement athletes on social media in the past few years could be one of the drivers. Protein enriched food and supplementation is widely available these days. S&C coaches should keep in mind the specific needs of players who are injured (higher protein share in total energy intake). Evidence is also available that a combination of CHO and protein (0.9 + 0.3 g.kg-1.day-1 respectively) lead to a better glycogen resynthesis than just CHO intake (Margolis et al., 2021).

Lastly, the amount of fat that should be consumed by footballers is often cited as 20-35% (M. Bubbs, 2019; Tavares et al., 2023) of the TEE. As such, the athlete should work backwards:

TEE - KcalCHO – Kcalprotein = Kcalfat

While fat often has a negative image, they are as much an essential part of the daily diet as CHO and protein. As an energy source, they are less important within football, although they still are an energy source in the recovery period between high-intensity bouts. (Maclaren & Morton, 2012) A distinction should be made by healthy and unhealthy fats. The availability of health fatty acids has shown to have a positive effect on post-exercise resynthesis of glycogen within the skeletal muscles (Lundsgaard et al., 2020).

The importance of meal timing and nutritional periodisation was already highlighted before. The research of Anderson et al. (2017) is often cited as evidence of this practice at the highest-level. Dr. Tom Little developed the colour fit method to support players to make the correct food choices. His method uses three icons: a yellow heart for health-related nutrition, a green runner for performance nutrition and a red muscular torso for food that supports lean mass. His method is widely used by English league teams such as Arsenal, Manchester city and Chelsea. The beauty of this system is that it takes the complexity of nutrition down to a very ‘digestible’ level for the player. But while this method supports food choices, the athlete might still need support with overall timing of meals as well as portion sizes and total energy uptake (Bonnici et al., 2019). While CHO needs to be planned around training and matches – the more exercise intense period of the day – a good overall distribution of protein intake over the day needs to be provided. Research suggests four to five meals with a protein intake of 0.4 g.kg-1 per meal.

Icons used by Dr. Tom Little in his colour-fit method used by o.a. Arsenal, Chelsea and Manchester City

While this article might help S&C coaches to support their players, it should be clear that nutrition is a complex matter which is best tackled by a sports nutritionist given the various influencing factors mentioned at the start of the article. Especially with regards to special populations such as injured athletes or youngsters, more specific guidelines are to be considered which are not really part of the scope of this article. Other aspects which have not been included but should be looked at in more detail to fully support performance and recovery are hydration, the need for wholesome food and supplements. The food pyramid for athletes gives a more general overview of all aspects of nutrition for the player. S&C coaches are advised to work through the different tiers when implementing new food strategies. 

Example of daily protein distribution for footballers

The athlete's food pyramid

References

Anderson, L., Orme, P., Naughton, R. J., Close, G. L., Milsom, J., Rydings, D., O'Boyle, A., Di Michele, R., Louis, J., Hambly, C., Speakman, J. R., Morgans, R., Drust, B., & Morton, J. P. (2017). Energy Intake and Expenditure of Professional Soccer Players of the English Premier League: Evidence of Carbohydrate Periodization. International Journal of Sport Nutrition and Exercise Metabolism, 27(3), 228-238. https://doi.org/10.1123/ijsnem.2016-0259

Bauhaus, H., Erdogan, P., Braun, H., & Thevis, M. (2023). Continuous Glucose Monitoring (CGM) in Sports-A Comparison between a CGM Device and Lab-Based Glucose Analyser under Resting and Exercising Conditions in Athletes. International Journal of Environmental Research and Public Health, 20(15), 6440. https://doi.org/10.3390/ijerph20156440

Bendavid, I., Lobo, D. N., Barazzoni, R., Cederholm, T., Coëffier, M., de van der Schueren, M., Fontaine, E., Hiesmayr, M., Laviano, A., Pichard, C., & Singer, P. (2021). The centenary of the Harris–Benedict equations: How to assess energy requirements best? Recommendations from the ESPEN expert group. Clinical Nutrition (Edinburgh, Scotland), 40(3), 690-701. https://doi.org/10.1016/j.clnu.2020.11.012

Burke, L. M., Loucks, A. B., & Broad, N. (2006). Energy and carbohydrate for training and recovery. Journal of Sports Sciences, 24(7), 675-685. https://doi.org/10.1080/02640410500482602

Calcagno, M., Kahleova, H., Alwarith, J., Burgess, N. N., Flores, R. A., Busta, M. L., & Barnard, N. D. (2019). The Thermic Effect of Food: A Review. Journal of the American College of Nutrition, 38(6), 547-551. https://doi.org/10.1080/07315724.2018.1552544

Caruana Bonnici, D., Greig, M., Akubat, I., Sparks, S. A., Bentley, D., & Mc Naughton, L. R. (2019). Nutrition in Soccer: A Brief Review of the Issues and Solutions. Journal of Science in Sport and Exercise (Online), 1(1), 3-12. https://doi.org/10.1007/s42978-019-0014-7

Devlin, B. L., Kingsley, M., Leveritt, M. D., & Belski, R. (2017). Seasonal Changes in Soccer Players' Body Composition and Dietary Intake Practices. Journal of Strength and Conditioning Research, 31(12), 3319-3326. https://doi.org/10.1519/JSC.0000000000001751

Flockhart, M., & Larsen, F. J. (2024). Continuous Glucose Monitoring in Endurance Athletes: Interpretation and Relevance of Measurements for Improving Performance and Health. Sports Medicine (Auckland), 54(2), 247-255. https://doi.org/10.1007/s40279-023-01910-4

Frączek, B., Grzelak, A., & Klimek, A. T. (2019). Analysis of Daily Energy Expenditure of Elite Athletes in Relation to their Sport, the Measurement Method and Energy Requirement Norms. Journal of Human Kinetics, 70(1), 81-92. https://doi.org/10.2478/hukin-2019-0049

García-Rovés, P.,M., García-Zapico, P., Patterson, A. M., & Iglesias-Gutiérrez, E. (2014). Nutrient intake and food habits of soccer players: analyzing the correlates of eating practice. Nutrients, 6(7), 2697-2717. https://doi.org/10.3390/nu6072697

Glickman, N., Mitchell, H. H., Lambert, E. H., & Keeton, R. W. (1948). The Total Specific Dynamic Action of High-Protein and High-Carbohydrate Diets on Human Subjects. The Journal of Nutrition, 36(1), 41-57. https://doi.org/10.1093/jn/36.1.41

Haller, N., Behringer, M., Reichel, T., Wahl, P., Simon, P., Krüger, K., Zimmer, P., & Stöggl, T. (2023). Blood-Based Biomarkers for Managing Workload in Athletes: Considerations and Recommendations for Evidence-Based Use of Established Biomarkers. Sports Medicine (Auckland), 53(7), 1315-1333. https://doi.org/10.1007/s40279-023-01836-x

Honore, P. M., Redant, S., Preseau, T., Kaefer, K., Barreto Gutierrez, L., Anane, S., Attou, R., Gallerani, A., & De Bels, D. (2021). Indirect calorimetry is the gold standard to assess REE in ICU patients: some limitations to consider. Critical Care (London, England), 25(1), 406. https://doi.org/10.1186/s13054-021-03817-w

Kipp, S., Byrnes, W. C., & Kram, R. (2018). Calculating metabolic energy expenditure across a wide range of exercise intensities: the equation matters. Applied Physiology, Nutrition, and Metabolism, 43(6), 639-642. https://doi.org/10.1139/apnm-2017-0781

Lundsgaard, A., Fritzen, A. M., & Kiens, B. (2020). The Importance of Fatty Acids as Nutrients during Post-Exercise Recovery. Nutrients, 12(2), 280. https://doi.org/10.3390/nu12020280

Margolis, L. M., Allen, J. T., Hatch-McChesney, A., & Pasiakos, S. M. (2021). Coingestion of Carbohydrate and Protein on Muscle Glycogen Synthesis after Exercise: A Meta-analysis. Medicine and Science in Sports and Exercise, 53(2), 384-393. https://doi.org/10.1249/MSS.0000000000002476

Pavlidou, E., Papadopoulou, S. K., Seroglou, K., & Giaginis, C. (2023). Revised Harris-Benedict Equation: New Human Resting Metabolic Rate Equation. Metabolites, 13(2), 189. https://doi.org/10.3390/metabo13020189

Pittet, P., Gygax, P. H., & Jéquier, E. (1974). Thermic effect of glucose and amino acids in man studied by direct and indirect calorimetry. British Journal of Nutrition, 31(3), 343-349. https://doi.org/10.1079/BJN19740042

Prince, S. A., Adamo, K. B., Hamel, M. E., Hardt, J., Connor Gorber, S., & Tremblay, M. (2008). A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. The International Journal of Behavioral Nutrition and Physical Activity, 5(1), 56. https://doi.org/10.1186/1479-5868-5-56

Rollo, I. (2014, CARBOHYDRATE: THE FOOTBALL FUEL. Retrieved 4 april 2024, from https://www.gssiweb.org/sports-science-exchange/article/sse-127-carbohydrate-the-football-fuel#

Scott, T., Black, C., Quinn, J., & Coutts, A. (2013). Validity and Reliability of the Session-RPE Method for Quantifying Training in Australian Football: A Comparison of the CR10 and CR100 Scales. Journal of Strength and Conditioning Research, 27(1), 270-276. https://doi.org/10.1519/JSC.0b013e3182541d2e

Steffl, M., Kinkorova, I., Kokstejn, J., & Petr, M. (2019). Macronutrient Intake in Soccer Players-A Meta-Analysis. Nutrients, 11(6), 1305. https://doi.org/10.3390/nu11061305

Tavares, F., Mendes, A. P., Pereira, F., Singer, B., Watts, M., & Sheridan, H. (2023). Recovery and nutrition. Peak Performance for Soccer, , 189-222. https://doi.org/10.4324/9781003200420-8

Williams, C., & Rollo, I. (2015). Carbohydrate Nutrition and Team Sport Performance. Sports Medicine (Auckland), 45(Suppl 1), 13-22. https://doi.org/10.1007/s40279-015-0399-3