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Proper Nutrition Critical to the Health of Young Gymnasts

New York—April 1, 2010

Most elite gymnasts reach their peak at age 15 or 16, training 20 to 36 hours per week when a body’s calorie needs are at its highest. But in a sport where aesthetics can influence scores, some athletes adopt restrictive eating habits to control their physique.

“The ideal body type is not always the healthiest body type,” says Sotiria Tzakas, registered dietitian and staff nutritionist at the Women’s Sports Medicine Center at Hospital for Special Surgery. “As both a growing child and athlete, young gymnasts have elevated nutritional needs that must be met despite constraining schedules and the pressure to stay lean.” Tzakas recently presented on proper nutrition for the young gymnast at Special Surgery’s 12th Annual Sports Medicine for the Young Athlete Symposium in New York. 

Studies show that the average Body Mass Index (BMI), body fat percentage and daily energy intake of gymnasts are lower than those of non-gymnasts. Unfortunately, this behavior can lead to severe physical and psychological complications. Tzakas warns that gymnasts might develop unhealthy body images and experience lethargy, poor performance, frequent stress fractures and disorders such as amenorrhea. Characterized by missed menstrual periods, amenorrhea may be a symptom of hormonal imbalance due to elevated stress levels, excessive weight loss and over-exercising.

With more than 4 million gymnasts under the age of 18 in the United States, Tzakas emphasizes the role that coaches, trainers and parents can play in ensuring that young gymnasts receive the proper amount of nutrition. She recommends the following steps:

• Be sure gymnasts understand the importance and role of carbohydrates, protein, calcium and other nutrients. Education is critical.

• Calorie intake varies with a gymnast’s skill level, weight and age. Be cognizant of how a gymnast’s calorie needs will evolve over time.

• Be on the lookout for dips in energy levels, weight changes, altered moods and frequent stress fractures. These are all symptoms of undernourishment.

• Flag gymnasts with suspicious eating behavior for a nutritional, medical and psychological evaluation.

• Minimize focus on weight and body types. Instead, find a positive way to address proper nutrition by positioning food as a source of fuel and energy.
• Conduct nutritional assessments and encourage gymnasts to keep food diaries. Based on your findings, recommend easy ways to add calories, such as drinking a cup of chocolate milk or eating an energy bar.

• Talk to your athletes—they are your greatest resource and can tell you which foods work best for them prior to, during, and after practice and competition.

• Make time for nutrition—take regular snack breaks and host weekly team dinners to instill healthy habits and routines.

It is also important to recognize problems before they become an integral part of the gymnasts’ lifestyle.

“Although gymnastics is an individual sport, these athletes train together,” says Lisa Callahan, M.D., medical director of the Women’s Sports Medicine Program at Hospital for Special Surgery. “The eating habits of one gymnast might influence the rest of the group.” Fortunately, with proper education, communication and care from coaches, trainers and parents, young gymnasts are more likely to have it all—healthy bodies, healthy images and stellar performance.

For more information about nutrition for athletes, visit http://www.hss.edu/.


About HSS | Hospital for Special Surgery
HSS is the world’s leading academic medical center focused on musculoskeletal health. At its core is Hospital for Special Surgery, nationally ranked No. 1 in orthopedics (for the eighth consecutive year) and No. 3 in rheumatology by U.S. News & World Report (2017-2018). Founded in 1863, the Hospital has one of the lowest infection rates in the country and was the first in New York State to receive Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center four consecutive times. The global standard total knee replacement was developed at HSS in 1969. An affiliate of Weill Cornell Medical College, HSS has a main campus in New York City and facilities in New Jersey, Connecticut and in the Long Island and Westchester County regions of New York State. In 2017 HSS provided care to 135,000 patients and performed more than 32,000 surgical procedures. People from all 50 U.S. states and 80 countries travelled to receive care at HSS. In addition to patient care, HSS leads the field in research, innovation and education. The HSS Research Institute comprises 20 laboratories and 300 staff members focused on leading the advancement of musculoskeletal health through prevention of degeneration, tissue repair and tissue regeneration. The HSS Global Innovation Institute was formed in 2016 to realize the potential of new drugs, therapeutics and devices. The culture of innovation is accelerating at HSS as 130 new idea submissions were made to the Global Innovation Institute in 2017 (almost 3x the submissions in 2015). The HSS Education Institute is the world’s leading provider of education on the topic on musculoskeletal health, with its online learning platform offering more than 600 courses to more than 21,000 medical professional members worldwide. Through HSS Global Ventures, the institution is collaborating with medical centers and other organizations to advance the quality and value of musculoskeletal care and to make world-class HSS care more widely accessible nationally and internationally.


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