Exercising behavior differences in users and non-users of dietary supplements by sportsmen in Lebanon
DOI:
https://doi.org/10.12922/jshp.v3i4.66Keywords:
physical activity, dietary supplements, exercising behaviorAbstract
Introduction: The purpose of the study was to determine the prevalence of dietary supplement use, types of physical activities, and aims of supplements users and non-users, knowledge about their side effects, and changes reported due to dietary supplements use in the suburbs of Beirut, Lebanon. Methods: 220 male participants between the ages of 15 and 53 completed a questionnaire on the ingestion of dietary supplements and knowledge about their benefits and side effects. The study population was drawn from seven health and fitness clubs located in the suburbs of Beirut city. Results: Out of the 220 participants, 109 (49.5%) reported taking supplements; protein shakes were the most consumed (49.5%). Participants mainly engaged in strength exercises (56.7%), and users of dietary supplements were found to practice more than non-users. Users of dietary supplements mainly performed physical activity to build muscles while non-user aims were mainly to improve fitness and performance and to lose weight. Participants sought knowledge regarding dietary supplement use from the internet (24.6%), friends (21.1%), or coaches and personal trainers (24.6%), and rarely from licensed dietitians (1.8%). The greatest difference reported after the use of supplements was improved performance and muscle growth (12.8%). Knowledge about supplements was rated to be low and inaccurate, as 57.8% believed supplements have no side effects and 16.5% did not know what the side effects were. Conclusion: There is limited data on dietary supplement use from males in Beirut, Lebanon. This study provides data to contribute to the awareness on the use of dietary supplements specific to this population.
References
Abood, D.A., Black, D.R. and Brinbaum, R.D. (2004), “Nutrition education intervention for college female athletes”, Journal of Nutrition Education Behavior, Vol. 36 No. 3; pp. 135-137. PubMed PMID: 15202989
Ahrendt, M.D. (2001), “Ergogenic aids counseling the athlete”, Clinical Opinion, Vol. 63 No. 5, pp. 913-922. PubMed PMID: 11261867
Aljaloud, S. and Ibrahim, S. (2013), “Use of dietary supplements among professional athletes in Saudi Arabia”, Journal of nutrition and metabolism, Article ID: 245349. PubMed PMID: 23762541; PubMed Central PMCID: PMC3677665
American College of Sports Medicine (ACSM), and American Dietetic Association (ADA) and Dietitians of Canada (DC) (2000), “Joint Position Statement: Nutrition and Athletic performance”, Medicine of Science Sports Exercise, Vol. 32 No.12, pp. 2130-2145. PubMed PMID: 11128862
Barrione, P., Rizzo, M., Quaranta, F., Ciminelli, E., Fagnani, F., Parisi, A. and Pigozzi, F. (2012), “Consumption and Biochemical impact of commercially available plant-derived nutritional supplements. An observational pilot-study on recreational athletes”, Journal of the International Society of Sports Nutrition, 9:28. PubMed PMID: 22713127; PubMed Central: PMC3407721
Bassit, R.A., Pinheiro, C.H., Vitzel, K.F., Sproesser, A.J., Silveira, L.R. and Curi, L. (2010), “Effect of short-term creatine supplementation on markers of skeletal muscle damage after strenuous contractile activity”, European Journal of Applied Physiology, Vol. 108 No. 5, pp. 945-955. PubMed PMID: 19956970
Becque, M.D., Lochmann, J.D. and Melrose, D.R. (2000), “Effects of oral creatine supplementation on muscular strength and body composition”, Medicine and Science in Sports and Exercise, Vol. 32 No. 3, 654-658. PubMed PMID: 10731009
Beduschi, G. (2003), “Current popular ergogenic aids used in sports; a critical review”, Nutrition and dietetics, Vol. 60 No. 2, pp. 104-118. Record Number: 20033110469
Bell, D.G. and McLellan, T.M. (2002), “Exercise endurance 1, 3, and 6 hours after caffeine ingestion in caffeine users and non users.”Journal of Applied Physiology, Vol. 93 No. 4, pp. 1227-1234. PubMed PMID: 12235019
Belsom, P.D., Söderlund, K. and Ekblom, B. (1994), “Creatine in humans with special reference to creatine supplementation”, Sports medicine, Vol. 18 No. 4, pp. 268-280. PubMed PMID: 7817065
Biwer, C.J., Jensen, R.L., Schmidt, W.D., Watts, P.B., (2003), “The effect of creatine on treadmill running with high-intensity intervals”, Journal of Strength and Conditioning Research, Vol. 17 No. 3, pp. 439-445. PubMed PMID: 12930167
Bizzarini, E. and De Angelis, L. (2004), “Is the use of oral creatine supplementation safe?”, Journal of Sports Medicine and Physiological Fitness, Vol. 44 No. 4, pp. 411-416. PubMed PMID: 15758854
Brass, E.P., (2000), “Supplemental carnitine and exercise”, American Journal of Clinical Nutrition, 725, Sup. 2, pp. 618-623. PubMed PMID: 10919968
Brolinson P.G., Clark N., Juhn, M.S. and Vukovich M.D. (2004), “Nutritional supplements as ergogeninc aids”, Patient Care, Vol. 38 No. 1, pp. 37-45. Proquest Academic Research Library ISSN: 0031-305X
Buchman, A.L., Awal, M., Jenden, D., Roch, M. and Kang, SH. (2000), “The effect of lecithin supplementation on plasma choline concentration during a marathon”, Journal of the American College of Nutrition, Vol. 19 No. 6, pp. 768-770. PubMed PMID: 11194530
Buford, T., Kreider, R., Stout, J., Greenwood, M., Campbell, B., Spano, M., Ziegenfuss, T., Lopez, H., Landis, J. and Antonio, J. (2007), “International society of sports nutrition position stand: creatine supplementation and exercise”, Journal Society of Sports Nutrition, 4:6. PubMed PMID: 17908288; PubMed Central PMCID: PMC2048496
Burns, R.D., Schiller, M.R., Merrick, M.A. and Wolf, K.N. (2004), “Intercollegiate student athlete use of nutritional supplements and the role of athletic trainers and dietitians in nutrition counseling”, Journal of the American Dietetic Association, Vol. 104 No. 2, pp. 246-249. PubMed PMID: 14760575
Campbell, B., Kreider, R.B., Ziegenfuss, T., La Bounty, P., Roberts, M., Burke, D., Landis, J., Lopez, H. and Antonio J. (2007), “International society of sports nutrition position stand: protein and exercise”, Journal of the International Society of Sports Nutrition, 4:8. PubMed PMID: 17908291; PubMed Central PMCID: PMC2117006
Coletta, A., Thompson, D. and Raynor, H. (2013), “The influence of commercially available carbohydrate and carbohydrate-protein supplements on endurance running performance and recreational athletes during a field trial”, Journal of the International Society of Sports Nutrition, 10:17. PubMed PMID: 23537142; PubMed Central PMCID: PMC3614480
Cook, T.M., Russell J.M. and Barker, M.E. (2014), “Dietary advice for muscularity, leanness and weight control in Men's Health magazine: a content analysis” BMC Public Health, 14:1062. PubMed PMID: 25304148; PubMed Central PMCID: PMC41198727
Cooke, M.B. (2009), “Creatine supplementation enhances muscle force recovery after eccentrically-induced muscle damage in healthy individuals”, Journal of International Society of Sports Nutrition, 6:13. PubMed PMID: 19490606; PubMed Central PMCID: PMC2697134
Del Coso, J., Salinero, J., Gonzalez-Milan, C., Abian-Vicen, J. and Perez-Gonzalez, B. (2012), “Dose response effects of a caffeine containing energy drink on muscle performance: a repeated measures design”, Journal of the International Society of Sports Nutrition, 9:21. PubMed PMID: 22569090; PubMed Central PMCID: PMC3461468
Delecluse, C., Diels, R. and Goris, M. (2003), “Effects of creatine supplementation on intermittent sprint running performance in highly trained athletes”, Journal of Strength and Conditioning Research, Vol. 17 No. 3, pp. 446-454. PubMed PMID: 12930168
Deutekom, M., Beltman, J.G., De Ruiter, C.J., De Koning, J.J., De Haan, A.A. (2000), “No acute effects of short term creatine supplementation on muscle properties and sprint performance”, European Journal of Applied Physiology, Vol. 82 No. 3, pp. 223-229. PubMed PMID: 10929216
El khoury, D. and Jonville, S. (2011), “Intake of nutritional supplements among people exercising in gyms in Beirut city”, Journal of nutrition and metabolism, Vol. 2012, article ID 703490. PubMed PMID: 22506105; PubMed Central PMCID: PMC3306945
Engels, H.J., Kolokouri, I., Cieslak, T.J. and Wirth, J.C. (2001). “Effects of ginseng supplementation on supramaximal exercise performance and short term recovery”, Journal of Strength and Conditioning Research, Vol. 15 No. 3, pp. 290-295. PubMed PMID: 11710653
Finn, J.P., Ebert, T.R., Withers, R.T., Carey, M.F., Mackay, M., Phillips, J.W. and Febrario, M.A., (2001), “Effect of creatine supplementation on metabolism and performance in humans during intermittent sprint cycling”, European Journal of Applied Physiology, Vol. 84 No. 3, pp. 238-243. PubMed PMID: 11320642
Froiland, K., Koszewski, W., Hingst, J. and Kopecky, L. (2004), “Nutritional supplement use among college athletes and their sources of information”, International Journal of sports nutrition and exercise metabolism, Vol. 14 No. 1, pp. 104-120. PubMed PMID: 15129934
Gilliam, J.D., Hohzorn, C., Martin, D. and Trimble, M.H. (2000), “Effect of oral creatine supplementation on isokinetic torque production”, Medicine and Science in Sports and Exercise, Vol. 32 No. 5, pp. 993-996. PubMed PMID: 10795791
Ginty, F. (2003), “Dietary protein and bone health”, Protein Nutritional Society, Vol. 62 No. 4, pp. 867-876. PubMed PMID:15018487
Gleeson M. (2005), “Interrelationship between physical activity and branched-chain amino acids”, Journal of Nutrition, Vol. 135 Sup. 6, pp. 1591-1595. PubMed PMID: 15930475
Goldstein, E., Ziegenfuss, T., Kalman, D., Kreider, R., Campbell, B., Wilborn, C., Taylor, L., Willoughby, D., Stout, J., Graves, B., Wildman, R., Ivy, J., Spano, M., Smith, A. and Antonio, J. (2010), “International society of sports nutrition position stand: caffeine and performance”, Journal of the International Society of Sports Nutrition, 7:5. PubMed PMID: 20205813; PubMed Central PMCID: PMC2824625
Griesemer, A.B. (2003), “Ergogenic aids elevate health risks in young athletes”, Pediatric Annuals, Vol. 32 No. 11, pp. 733-737. PubMed PMID: 22111154
Hawley, J.A., Palmer, G.S. and Noakes, T.D. (1997), “Effects of 3 days of carboohyydrate supplementation on muscle glycogen content and utilization during 1 hour cycling performance”, European Journal of Applied Physiology and Occupational Physiology, Vol. 75 No. 5, pp. 407-412. PubMed PMID: 9189727
Hogervorst, E., Bandelow, S., Schmitt, J., Jentjens, R., Oliveira, M., Allgrove, J., Carter, T. and Gleeson, M. (2008), “Caffeine improves physical and cognitive performance during exhaustive exercise”, Medicine Science Sport Exercise, Vol. 40 No. 10, pp. 1841-1851. PubMed PMID: 18799996
Izquierdo, M., Ibañez, J., González-Badillo, J.J. and Gorostiaga, E.M. (2002), “Effects of creatine supplementation on muscle power, endurance, and sprint performance”, Medicine and Science in Sports and Exercise, Vol. 34 No. 2, pp. 332-343. PubMed PMID:11828245
Kerksick, C., Stout J., Cambell B., Wilbom C., Kreider R., Kalman D., Ziegenfuss T., Lopez H., Lanids J., Ivy J. and Antonio J. (2008), “International society of sports nutrition position stand: nutrient timing”, Journal of International Society of Sports, 5:17. PubMed PMID: 18834505; PubMed Central PMCID: PMC2575187
Kim, H.J., Kim, C.K., Carpentier, A. and Poortmans, J.R. (2011), “Studies on the safety of creatine supplementation”, Amino Acids, Vol. 40 No. 5, pp. 1409-1418. PubMed PMID: 21399917
Kingsley, M. (2009), “Role of creatine supplementation on exercise induced cardiovascular function and oxidative stress”, Oxidative Medicine Cell Longevity, Vol. 2 No. 4, pp. 247-254. PubMed PMID: 20716911; PubMed Central PMCID: PMC2763263
Koopman, R., Saris, W.H., Wagenmakers, A.J. and Van Loon, L.J. (2007), “Nutritional interventions to promote post exercise muscle protein synthesis”, Sports Medicine, Vol. 37 No. 10, pp. 895-906. PubMed PMID: 17887813
Kreider, R.B., Melton, C., Rasmussen, C.J., Greenwood, M., Lancaster, S., Cantler, E.C., Milnor, P. and Almada, A.L. (2003), “Long-term creatine supplementation does not significantly affect clinical markers of health in athletes”, Molecular and Cellular Biochemistry, Vol. 244 No. 1-2, pp. 95-104. PubMed PMID: 12701816
Kreider, R.B., Earnest, C.P., Lundberg, J., Rasmussen, C., Greenwood, M., Cowan, P. and Almada, A. (2007), “Effects of ingestion protein with various forms of carbohydrate following resistance exercise on substrate availability and markers of anabolism, catabolism, and immunity”, International Society of Sports Nutrition, 4:18. PubMed PMID: 17997840
Kreider, R.B., Wilborn, C., Taylor, L., Campbell, B., Almada, A., Collins, R., Cooke, M., Earnest, C., Greenwood, M., Kalman, D., Merksick, C., Kleiner, S., Leutholtz,b., Lopez, H., Lowery, L., Mendel, R., Smith, A., Spano, M., Wildman, R., Willoughby, D., Ziegenfuss, T. and Antonio, J. (2010), “ISSN exercise of sport nutrition review: research and recommendation”, Journal of International Society of Sports Nutrition, 7:7. PubMed PMID: 20181066
Kreiger, N.S., Frick, K.K. and Bushinky, D.A. (2004), “Mechanism of acid induced bone resorption”, Current Opinion Nephrology Hypertension, Vo. 13 No. 4, pp. 423-436. PubMed PMID: 15199293
Lemon, P.W. (2000), “Beyond the zone: protein needs of active individuals”, Journal of the American College of Nutrition, Vol. 19 Sup. 5, pp. 513-521. PubMed PMID: 11023001
Louis, M., Poortmans, JR., Francaux, M., Berré, J., Boisseau, N., Brassine, E., Cuthberston, DJ., Smith, K., Babraj, JA., Waddell, T. and Rennie, MJ. (2003), “No effects of creatine supplementation on human myofibrillar sarcoplasmic protein synthesis after resistance exercise”, American Journal of Physiology, Endocrinology, and Metabolism, Vol. 285 No. 5, pp. E1089-E1094. PubMed PMID: 12824083
Mardon, J., Habauzit, V., Trzeciakiewicz, A., Davicco, MJ., Lebecque, P., Mercier, S., Tressol, JC., Horcajada, MN., Demigné, C.and Coxam, V. (2008), “Long term intake of a high protein diet with or without potassium citrate modulates acid-base metabolism, but no base status in male rats”, Journal of Nutrition, Vol. 138 No. 4, pp. 718-724. PubMed PMID: 18356326
Metges, C.C. and Barth, C.A. (2000), “Metabolic consequences of a high dietary protein intake in adulthood: assessment of the available evidence”, Journal of Nutrition, Vol. 130 No. 4, pp. 886-889. PubMed PMID: 10736347
Molinero, O. and Marquez, S. (2009), “Use of nutritional supplements in sports: risks, knowledge, and behavioral-related factors”, Nutritional Hospital, Vol. 24 No. 2, pp. 128-134. PubMed PMID: 19593480
Moore, R.D., Areta, J., Coffey, V.G., Stellingwerff, T., Phillips, S.M., Burke, L.M., Cléroux, M., Godin, J.P. and Hawley, J.A. (2012), “Daytime pattern of post exercise protein intake affects whole body protein turnover in resistance trained males”, Nutrition and Metabolism, 9:91. PubMed PMID: 23067428
Mujika, I., Padilla, S., Ibañez, J., Izqueirdo, M. and Gorostiaga, E. (2000), “Creatine supplementation and sprint performance in soccer players”, Medicine and Science in Sports and Exercise, Vol. 32 No. 2, pp. 518-525. PubMed PMID: 10694141
Nieman, D.C. and Bishop, N.C. (2006), “Nutritional strategies to counter stress to the immune system in athletes with special reference to football”, Journal of Sports Science, Vol. 24 No. 7, pp. 763-772. PubMed PMID: 16766504
Op’t, E.B., (2001), “Effect of oral creatine supplementation on human muscle GLUT4 protein content after immobilization”, Diabetes, Vol. 50 No. 1, pp. 18-23. PubMed PMID: 11147785
Percario, S., Dominguez S., Teixiria L., De Vasconcelos S., Ciarrocchi D., Almeida E. and Conte M. (2012), “Effects of creatine supplementation on oxidative stress profile of athletes”, Journal of the International Society of Sports Nutrition, 9:56. PubMed PMID: 23259853
Poortmans, J.R. and Dellalieux, O. (2000), “Do regular high protein diets have potential health risks on kidney function in athletes?”, International Journal of Sports Science Nutrition Exercise Metabolism, Vol. 10 No. 1, pp. 28-38. PubMed PMID: 10722779
Rahimi, R. (2011), “Creatine Supplementation decreases oxidative DNA damage and lipid peroxidation induced by a single bout of resistance exercise”, Journal of Strength, Conditioning Research, Vol. 25 No. 12, pp. 3448-3455. PubMed PMID: 22080314
Rodriguez, N.R., DiMacro, N.M. and Langley, S. (2009), “Position of the American dietetic association, dietitians of Canada, and the American college of sports medicine: nutrition and athletic performance”, Journal of the American Dietetic Association, Vol. 9 No. 3, pp. 509-527. PubMed PMID: 19278045
Rosenbloom, C.A. (2002), “Nutrition knowledge of collegiate athletes in a division 1 national collegiate athletic association institution”, Journal of the American Dietetic Association, Vol. 102 No. 3, pp. 418-420. PubMed PMID: 11902379
Saunders, M.J., Kane, M.D. and Todd, M.K. (2004), “Effects of a carbohydrate-protein beverage on cycling endurance and muscle damage”, Medicine Science of Sports and Exercise, Vol. 36 No. 7, pp. 1233-1238. PubMed PMID: 15235331
Schreider, K.I., Bishop, D., Dawson, B. and Hackett, L.P. (2006), “Effects of caffeine on prolonged intermittent sprint ability in team sport athletes”, Journal of Medicine Sports Exercise, Vol. 38 No. 3, pp. 578-585. PubMed PMID: 16540848
Schröder, H., Navarro, E., Mora, J., Seco, J., Torregrosa, J.M. and Tramullas, A. (2002), “The type, amount, frequency and timing of dietary supplement use by elite player and the firs Spanish Basketball League”, Journal of Sports Science, Vol. 20 No. 4, pp. 353-358. PubMed PMID: 12003281
Sherman, W.M. (1995), “Metabolism of sugars and physical performance”, American Journal of Clinical Nutrition, Vol. 62 Sup. 1, pp. 228-241. PubMed PMID: 7598080
Stuart, G.R., Hopkins, W.G., Cook, C. and Cairns, S.P. (2005), “Multiple effects of caffeine on stimulated high intensity team sport performance”, Journal of Medicine Sports Exercise, Vol. 37 No. 11, pp. 1998-2005. PubMed PMID: 16286872
Thein, L.A., Thein, J.M., Landry, G.L., (1995), “Ergogenic aids”, Journal of Physics Theory, Vol. 75 No. 5, pp.426-439. PubMed PMID: 7732086
Thorsteinsdottir, B., Grande, J.P. and Garovic, V.D. (2006), “Acute renal failure in a young weight lifter taking multiple food supplements including creatine monohydrate”, Renal Nutrition, Vol.16 No. 4, pp. 341-345. PubMed PMID: 17046619
Tipton, D., Elliott, T., Cree, M., Wolf, S., Sanford, A. and Wolfe, R. (2004), “Investigation of casein and whey proteins results in muscle anabolism after resistance exercise”, Medicine Science Sports Exercise, Vol. 34 No. 12, pp. 2073-2081. PubMed PMID: 15570142
Trojian, T.H. and McKeag D.B. (2001), “Renal problems in the athlete”, In Garrett W.E., Kirkendall D.T.and Squire D.L., eds, Principles and practice of primary care sports medicine, Philadelphia, Lippincot, Williams & Wilkins, pp. 299-310.
Volek, J.S., Boetes, M., Bush, J.A., Putukian, M., Sebastianelli, W. and Kraemer, W.J. (1997), “Response of testosterone and cortisol concentrations to high intensity resistance exercise following creatine supplementation”, Journal of Strength and Conditioning Research, Vol. 11 No. 3, pp. 182-187. http://journals.lww.com/nsca-jscr/Abstract/1997/08000/Response_of_Testosterone_and_Cortisol.9.aspx
White, J., Wilson, J., Austin, K., Greer, B., John, N. and Panton, L. (2008), “Effects of carbohydrate-protein supplement timing on acute exercise induced muscle damage”, Journal of the International Society of Sports Nutrition, 5:5. PubMed PMID: 18284676
Williams, M.H. (1995), “Nutritional ergogenics in athletics”, Journal of Sports Science, Vol. 13 Special No., pp. S63-S74. PubMed PMID: 8897322
Willoughby, D.S., Stout, J.R. and Wilborn, C.D. (2007), “Effects of resistance training and protein plus amino acids supplementation on muscle anabolism, mass, and strength”, Amino Acids, Vol. 32 No. 4, pp. 467-477. PubMed PMID: 16988909
Woolf, K., Bidwell, W.K. and Carlson, A.G. (2008), “The effect of caffeine as an ergogenic aid in anaerobic exercise”, International Journal of Sports Nutrition Exercise Metabolism, Vol. 18 No. 4, pp. 412-429. PubMed PMID: 18708685
Yoshizumi, W. and Tsourounis, C. (2004), “Effects of creatine supplementation on renal function”, Journal of Herbal Pharmacotherapy, Vol. 4 No.1, pp. 1-7. PubMed PMID: 15273072
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