Nutritional Strategies in the Rehabilitation of Musculoskeletal Injuries in Athletes: A Systematic Integrative Review

It is estimated that three to five million sports injuries occur worldwide each year. The highest incidence is reported during competition periods with mainly affectation of the musculoskeletal tissue. For appropriate nutritional management and correct use of nutritional supplements, it is important...

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Main Authors: John E. Giraldo-Vallejo, Miguel Á. Cardona-Guzmán, Ericka J. Rodríguez-Alcivar, Jana Kočí, Jorge L. Petro, Richard B. Kreider, Roberto Cannataro, Diego A. Bonilla
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/4/819
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author John E. Giraldo-Vallejo
Miguel Á. Cardona-Guzmán
Ericka J. Rodríguez-Alcivar
Jana Kočí
Jorge L. Petro
Richard B. Kreider
Roberto Cannataro
Diego A. Bonilla
author_facet John E. Giraldo-Vallejo
Miguel Á. Cardona-Guzmán
Ericka J. Rodríguez-Alcivar
Jana Kočí
Jorge L. Petro
Richard B. Kreider
Roberto Cannataro
Diego A. Bonilla
author_sort John E. Giraldo-Vallejo
collection DOAJ
description It is estimated that three to five million sports injuries occur worldwide each year. The highest incidence is reported during competition periods with mainly affectation of the musculoskeletal tissue. For appropriate nutritional management and correct use of nutritional supplements, it is important to individualize based on clinical effects and know the adaptive response during the rehabilitation phase after a sports injury in athletes. Therefore, the aim of this PRISMA in Exercise, Rehabilitation, Sport Medicine and Sports Science PERSiST-based systematic integrative review was to perform an update on nutritional strategies during the rehabilitation phase of musculoskeletal injuries in elite athletes. After searching the following databases: PubMed/Medline, Scopus, PEDro, and Google Scholar, a total of 18 studies met the inclusion criteria (Price Index: 66.6%). The risk of bias assessment for randomized controlled trials was performed using the RoB 2.0 tool while review articles were evaluated using the AMSTAR 2.0 items. Based on the main findings of the selected studies, nutritional strategies that benefit the rehabilitation process in injured athletes include balanced energy intake, and a high-protein and carbohydrate-rich diet. Supportive supervision should be provided to avoid low energy availability. The potential of supplementation with collagen, creatine monohydrate, omega-3 (fish oils), and vitamin D requires further research although the effects are quite promising. It is worth noting the lack of clinical research in injured athletes and the higher number of reviews in the last 10 years. After analyzing the current quantitative and non-quantitative evidence, we encourage researchers to conduct further clinical research studies evaluating doses of the discussed nutrients during the rehabilitation process to confirm findings, but also follow international guidelines at the time to review scientific literature.
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spelling doaj.art-11ffd926eec04910aac513ce17230dd82023-11-16T22:29:24ZengMDPI AGNutrients2072-66432023-02-0115481910.3390/nu15040819Nutritional Strategies in the Rehabilitation of Musculoskeletal Injuries in Athletes: A Systematic Integrative ReviewJohn E. Giraldo-Vallejo0Miguel Á. Cardona-Guzmán1Ericka J. Rodríguez-Alcivar2Jana Kočí3Jorge L. Petro4Richard B. Kreider5Roberto Cannataro6Diego A. Bonilla7Grupo de Investigación NUTRAL, Facultad de Ciencias de Nutrición y Alimentos, Universidad CES, Medellín 050021, ColombiaGrupo de Investigación NUTRAL, Facultad de Ciencias de Nutrición y Alimentos, Universidad CES, Medellín 050021, ColombiaGrupo de Investigación NUTRAL, Facultad de Ciencias de Nutrición y Alimentos, Universidad CES, Medellín 050021, ColombiaResearch Division, Dynamical Business & Science Society—DBSS International SAS, Bogotá 110311, ColombiaResearch Division, Dynamical Business & Science Society—DBSS International SAS, Bogotá 110311, ColombiaExercise & Sport Nutrition Laboratory, Human Clinical Research Facility, Texas A&M University, College Station, TX 77843, USAResearch Division, Dynamical Business & Science Society—DBSS International SAS, Bogotá 110311, ColombiaGrupo de Investigación NUTRAL, Facultad de Ciencias de Nutrición y Alimentos, Universidad CES, Medellín 050021, ColombiaIt is estimated that three to five million sports injuries occur worldwide each year. The highest incidence is reported during competition periods with mainly affectation of the musculoskeletal tissue. For appropriate nutritional management and correct use of nutritional supplements, it is important to individualize based on clinical effects and know the adaptive response during the rehabilitation phase after a sports injury in athletes. Therefore, the aim of this PRISMA in Exercise, Rehabilitation, Sport Medicine and Sports Science PERSiST-based systematic integrative review was to perform an update on nutritional strategies during the rehabilitation phase of musculoskeletal injuries in elite athletes. After searching the following databases: PubMed/Medline, Scopus, PEDro, and Google Scholar, a total of 18 studies met the inclusion criteria (Price Index: 66.6%). The risk of bias assessment for randomized controlled trials was performed using the RoB 2.0 tool while review articles were evaluated using the AMSTAR 2.0 items. Based on the main findings of the selected studies, nutritional strategies that benefit the rehabilitation process in injured athletes include balanced energy intake, and a high-protein and carbohydrate-rich diet. Supportive supervision should be provided to avoid low energy availability. The potential of supplementation with collagen, creatine monohydrate, omega-3 (fish oils), and vitamin D requires further research although the effects are quite promising. It is worth noting the lack of clinical research in injured athletes and the higher number of reviews in the last 10 years. After analyzing the current quantitative and non-quantitative evidence, we encourage researchers to conduct further clinical research studies evaluating doses of the discussed nutrients during the rehabilitation process to confirm findings, but also follow international guidelines at the time to review scientific literature.https://www.mdpi.com/2072-6643/15/4/819sports injurymusculoskeletal painnutrientsdietary supplementssports nutritionsports nutritional physiological phenomena
spellingShingle John E. Giraldo-Vallejo
Miguel Á. Cardona-Guzmán
Ericka J. Rodríguez-Alcivar
Jana Kočí
Jorge L. Petro
Richard B. Kreider
Roberto Cannataro
Diego A. Bonilla
Nutritional Strategies in the Rehabilitation of Musculoskeletal Injuries in Athletes: A Systematic Integrative Review
Nutrients
sports injury
musculoskeletal pain
nutrients
dietary supplements
sports nutrition
sports nutritional physiological phenomena
title Nutritional Strategies in the Rehabilitation of Musculoskeletal Injuries in Athletes: A Systematic Integrative Review
title_full Nutritional Strategies in the Rehabilitation of Musculoskeletal Injuries in Athletes: A Systematic Integrative Review
title_fullStr Nutritional Strategies in the Rehabilitation of Musculoskeletal Injuries in Athletes: A Systematic Integrative Review
title_full_unstemmed Nutritional Strategies in the Rehabilitation of Musculoskeletal Injuries in Athletes: A Systematic Integrative Review
title_short Nutritional Strategies in the Rehabilitation of Musculoskeletal Injuries in Athletes: A Systematic Integrative Review
title_sort nutritional strategies in the rehabilitation of musculoskeletal injuries in athletes a systematic integrative review
topic sports injury
musculoskeletal pain
nutrients
dietary supplements
sports nutrition
sports nutritional physiological phenomena
url https://www.mdpi.com/2072-6643/15/4/819
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