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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Nutr.</journal-id>
<journal-title>Frontiers in Nutrition</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Nutr.</abbrev-journal-title>
<issn pub-type="epub">2296-861X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnut.2023.1134845</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Nutrition</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Dietary intakes and daily distribution patterns of macronutrients in youth soccer players</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Martinho</surname>
<given-names>Diogo V.</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="c001" ref-type="corresp"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/825546/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Naughton</surname>
<given-names>Robert J.</given-names>
</name>
<xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Le&#x00E3;o</surname>
<given-names>C&#x00E9;sar</given-names>
</name>
<xref rid="aff3" ref-type="aff"><sup>3</sup></xref>
<xref rid="aff4" ref-type="aff"><sup>4</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1199395/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lemos</surname>
<given-names>Jo&#x00E3;o</given-names>
</name>
<xref rid="aff4" ref-type="aff"><sup>4</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Field</surname>
<given-names>Adam</given-names>
</name>
<xref rid="aff5" ref-type="aff"><sup>5</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Faria</surname>
<given-names>Ana</given-names>
</name>
<xref rid="aff6" ref-type="aff"><sup>6</sup></xref>
<xref rid="aff7" ref-type="aff"><sup>7</sup></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rebelo</surname>
<given-names>Andr&#x00E9;</given-names>
</name>
<xref rid="aff8" ref-type="aff"><sup>8</sup></xref>
<xref rid="aff9" ref-type="aff"><sup>9</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2251516/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gouveia</surname>
<given-names>&#x00C9;lvio R.</given-names>
</name>
<xref rid="aff10" ref-type="aff"><sup>10</sup></xref>
<xref rid="aff11" ref-type="aff"><sup>11</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1442923/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sarmento</surname>
<given-names>Hugo</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/404227/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra</institution>, <addr-line>Coimbra</addr-line>, <country>Portugal</country></aff>
<aff id="aff2"><sup>2</sup><institution>School of Human and Health Sciences, University of Huddersfield</institution>, <addr-line>Huddersfield</addr-line>, <country>United Kingdom</country></aff>
<aff id="aff3"><sup>3</sup><institution>Escola Superior de Desporto e Lazer, Instituto Polit&#x00E9;cnico de Viana do Castelo</institution>, <addr-line>Viana do Castelo</addr-line>, <country>Portugal</country></aff>
<aff id="aff4"><sup>4</sup><institution>Research Center in Sports Performance, Recreation, Innovation and Technology (SPRINT)</institution>, <addr-line>Melga&#x00E7;o</addr-line>, <country>Portugal</country></aff>
<aff id="aff5"><sup>5</sup><institution>Manchester Metropolitan University</institution>, <addr-line>Manchester</addr-line>, <country>United Kingdom</country></aff>
<aff id="aff6"><sup>6</sup><institution>Polytechnic of Coimbra, Coimbra Health School, Dietetics and Nutrition</institution>, <addr-line>Coimbra</addr-line>, <country>Portugal</country></aff>
<aff id="aff7"><sup>7</sup><institution>Laboratory for Applied Health Research (LabinSa&#x00FA;de)</institution>, <addr-line>Coimbra</addr-line>, <country>Portugal</country></aff>
<aff id="aff8"><sup>8</sup><institution>CIDEFES, Centro de Investiga&#x00E7;&#x00E3;o em Desporto, Educa&#x00E7;&#x00E3;o F&#x00ED;sica e Exerc&#x00ED;cio e Sa&#x00FA;de, Universidade Lus&#x00F3;fona</institution>, <addr-line>Lisbon</addr-line>, <country>Portugal</country></aff>
<aff id="aff9"><sup>9</sup><institution>COD, Center of Sports Optimization, Sporting Clube de Portugal</institution>, <addr-line>Lisbon</addr-line>, <country>Portugal</country></aff>
<aff id="aff10"><sup>10</sup><institution>Department of Physical Education and Sport, University of Madeira</institution>, <addr-line>Funchal</addr-line>, <country>Portugal</country></aff>
<aff id="aff11"><sup>11</sup><institution>Laboratory of Robotics and Engineering Systems (LARSYS), Interactive Technologies Institute</institution>, <addr-line>Funchal</addr-line>, <country>Portugal</country></aff>
<author-notes>
<fn id="fn0001" fn-type="edited-by"><p>Edited by: Nora L. Nock, Case Western Reserve University, United States</p></fn>
<fn id="fn0002" fn-type="edited-by"><p>Reviewed by: Roberto Fernandes Da Costa, Federal University of Rio Grande do Norte, Brazil; Amy Knab, Queens University of Charlotte, United States</p></fn>
<corresp id="c001">&#x002A;Correspondence: Diogo V. Martinho, <email>dvmartinho92@hotmail.com</email></corresp>
<fn id="fn0003" fn-type="other"><p>This article was submitted to Sport and Exercise Nutrition, a section of the journal Frontiers in Nutrition</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>20</day>
<month>04</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>10</volume>
<elocation-id>1134845</elocation-id>
<history>
<date date-type="received">
<day>30</day>
<month>12</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>03</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2023 Martinho, Naughton, Le&#x00E3;o, Lemos, Field, Faria, Rebelo, Gouveia and Sarmento.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Martinho, Naughton, Le&#x00E3;o, Lemos, Field, Faria, Rebelo, Gouveia and Sarmento</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>There has been an abundance of dietary analysis research conducted on adult male soccer players, while studies on youth players are lacking. Furthermore, the daily distribution of energy and macronutrient intake throughout the day has been reported to influence training adaptations, but this is often not considered in the literature. This study aims to quantify daily energy and macronutrient intake and assess their distribution over 5 days, and compare daily energy intakes and predicted daily energy expenditure in under-16 male soccer players.</p>
</sec>
<sec>
<title>Methods</title>
<p>The sample included 25 soccer participants aged 14.8&#x2013;15.7 years. Five-day self-reported food diaries were used to record the food/drink consumption. Intake was analyzed for total daily energy, macronutrient intakes, and distribution among meals (breakfast, lunch, dinner, and snacks). Daily energy expenditure was predicted by resting energy expenditure and physical activity levels developed for youth sports participants.</p>
</sec>
<sec>
<title>Results</title>
<p>The mean total energy intake was 1,928&#x2009;&#x00B1;&#x2009;388&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>, whereas the estimated daily energy expenditure was 3,568&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>. Relative daily protein intakes were lower at breakfast, morning snack, afternoon snack, and night snack compared to lunch and dinner.</p>
</sec>
<sec>
<title>Discussion</title>
<p>Youth soccer players do not appear to meet energy requirements and daily CHO guidelines. Fluctuations in protein intake throughout the day were noted and may influence training adaptations (i.e., muscle protein synthesis and recovery).</p>
</sec>
</abstract>
<kwd-group>
<kwd>nutrition</kwd>
<kwd>carbohydrates</kwd>
<kwd>protein</kwd>
<kwd>energy expenditure</kwd>
<kwd>football</kwd>
</kwd-group>
<counts>
<fig-count count="2"/>
<table-count count="2"/>
<equation-count count="1"/>
<ref-count count="44"/>
<page-count count="7"/>
<word-count count="5427"/>
</counts>
</article-meta>
</front>
<body>
<sec id="sec1" sec-type="intro">
<label>1.</label>
<title>Introduction</title>
<p>Soccer academies place significant demands on young players in order to facilitate their holistic development (<xref ref-type="bibr" rid="ref1">1</xref>, <xref ref-type="bibr" rid="ref2">2</xref>). Analyses of external loads over the course of one season in the English Premier League (EPL) soccer academy found that adolescent players covered approximately 26.0&#x2009;km p&#x2219;wk.<sup>&#x2212;1</sup>, and the mean high-speed running distance was 657 and 749&#x2009;m for under-15 and under-16 players, respectively (<xref ref-type="bibr" rid="ref3">3</xref>). Indeed, the seasonal load indicators obtained in young soccer players were comparable to those reported in six elite adult players (<xref ref-type="bibr" rid="ref4">4</xref>), particularly in the under-16 and under-18 age groups (<xref ref-type="bibr" rid="ref3">3</xref>). Additionally, the reported total energy expenditure measured by accelerometry in under-16 players averaged 2,551&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup> (<xref ref-type="bibr" rid="ref5">5</xref>), meaning that to support training and match loads, attention needs to be given to the nutritional recommendations in youth players, namely, energy intake, and the quantity, type, timing, and distribution of macronutrients. Previous studies in youth players have focused on total daily energy and macronutrient intakes (<xref ref-type="bibr" rid="ref5">5</xref>&#x2013;<xref ref-type="bibr" rid="ref8">8</xref>), with findings indicating that recommended protein intakes were generally met, but energy and carbohydrate (CHO) requirements were not.</p>
<p>Studies focusing on daily energy intake in youth soccer players reported varied results. The mean energy intake using a 24-h dietary recall during four non-consecutive days in Dutch players was 2,938&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup> (<xref ref-type="bibr" rid="ref9">9</xref>). The intake of Spanish players was assessed by 3-day food diaries, and higher values were obtained in three competitive age groups (14-year-olds: 3,456&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>; 15-year-olds: 3,148&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>; 16-year-olds: 3,478&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>) (<xref ref-type="bibr" rid="ref6">6</xref>) compared to the Dutch sample. Daily energy intake was approximately 800&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup> lower than the predicted daily energy expenditure in Italian youth players (<xref ref-type="bibr" rid="ref10">10</xref>). In addition, the mean daily energy intake estimated from self-reported food diaries in EPL academies in under-15 and under-16 players was 1,927&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup> (<xref ref-type="bibr" rid="ref8">8</xref>), which may also indicate an insufficient intake in youth soccer participants. The consequences of negative energy balance (energy intake &#x003C; energy expenditure) are associated with health problems (i.e., compromised bone health, reproductive function immunity, sub-optimal protein synthesis, increased risk of injury, and development of eating disorders) (<xref ref-type="bibr" rid="ref11">11</xref>, <xref ref-type="bibr" rid="ref12">12</xref>).</p>
<p>The importance of CHO to fuel soccer training and competition and to promote glycogen replenishment is well documented (<xref ref-type="bibr" rid="ref13">13</xref>). Moreover, the daily distribution of protein intake is essential to optimize the skeletal muscle adaptive response and enhance recovery (<xref ref-type="bibr" rid="ref14">14</xref>&#x2013;<xref ref-type="bibr" rid="ref16">16</xref>), and consequently, an intake of 0.40&#x2013;0.55&#x2009;g&#x2219;kg<sup>&#x2212;1</sup>&#x2219;meal<sup>&#x2212;1</sup> over at least four meals is recommended (<xref ref-type="bibr" rid="ref17">17</xref>). Of note, pre-sleep protein intake potentiated changes in strength and body composition (<xref ref-type="bibr" rid="ref18">18</xref>, <xref ref-type="bibr" rid="ref19">19</xref>) and improved hunger and appetite sensations (<xref ref-type="bibr" rid="ref20">20</xref>). The distribution of energy intake throughout the day was related to total energy intake, with a higher energy intake in the morning being associated with a lower total energy intake (<xref ref-type="bibr" rid="ref21">21</xref>). Studies on macronutrient distribution have focused on CHO periodization strategies according to training and match loads in adult male players (<xref ref-type="bibr" rid="ref4">4</xref>, <xref ref-type="bibr" rid="ref13">13</xref>, <xref ref-type="bibr" rid="ref22">22</xref>). In youth players, a skewed distribution of protein intake was noted, which may be sub-optimal for training adaptations and recovery (<xref ref-type="bibr" rid="ref8">8</xref>). However, this study combined intermediate meals and did not analyze variations in macronutrient intake across morning, afternoon, and evening snacks. In addition, information on daily energy intake and dietary patterns in Portuguese soccer academies is scarce.</p>
<p>Given the high physical demands placed on young soccer players, the purposes of this study were: (1) quantify total energy and macronutrient intakes; (2) compare total energy intakes with predicted energy expenditure and (3) examine the daily distribution of energy and macronutrient intakes. It was hypothesized that soccer players would not meet recommendations for energy and CHO intake, and that the distribution of protein would be skewed throughout the day.</p>
</sec>
<sec id="sec2" sec-type="materials|methods">
<label>2.</label>
<title>Materials and methods</title>
<sec id="sec3">
<label>2.1.</label>
<title>Ethical approval and procedures</title>
<p>The current study was approved by the Ethics Committee of the Instituto Polit&#x00E9;cnico de Coimbra (N.&#x00B0;56_CEIPC/2022) and followed the recommendations of the Declaration of Helsinki for research involving human subjects, prepared by the World Medical Association. Parents or legal guardians were informed about the nature, aims, and risks of the study and subsequently gave written informed consent. Soccer players were made aware that participation was voluntary and that they could withdraw from the study at any time.</p>
</sec>
<sec id="sec4">
<label>2.2.</label>
<title>Participants</title>
<p>Adolescent male soccer players (<italic>n</italic>&#x2009;=&#x2009;25), aged 14.8&#x2013;15.7&#x2009;years, who were registered with a competitive club affiliated with the Portuguese Soccer Federation took part in this study. Participants completed four soccer training sessions per week and three strength and conditioning sessions per week under the supervision of a fitness coach. The average duration of the soccer and gym sessions was 90 and 45&#x2009;min, respectively. Chronological age was calculated as the difference between the date of birth and the date of anthropometric assessment.</p>
</sec>
<sec id="sec5">
<label>2.3.</label>
<title>Anthropometry</title>
<p>Height, body mass, and skinfolds were measured by an experienced observer. Two skinfolds (triceps and calf) were measured to estimate the percentage of fat mass based on the following equation (<xref ref-type="bibr" rid="ref23">23</xref>):</p>
<disp-formula id="E1"><mml:math id="M1"><mml:mo>%</mml:mo><mml:mi mathvariant="normal">B</mml:mi><mml:mi mathvariant="normal">F</mml:mi><mml:mo>=</mml:mo><mml:mn>0.735</mml:mn><mml:mspace width="thickmathspace"/><mml:mi mathvariant="normal">x</mml:mi><mml:mspace width="thickmathspace"/><mml:mfenced open="(" close=")"><mml:mrow><mml:mi mathvariant="normal">triceps</mml:mi><mml:mo>+</mml:mo><mml:mi mathvariant="normal">calf</mml:mi></mml:mrow></mml:mfenced><mml:mo>+</mml:mo><mml:mn>1.0</mml:mn></mml:math></disp-formula>
</sec>
<sec id="sec6">
<label>2.4.</label>
<title>Dietary intake</title>
<p>Participants recorded each food item consumed for five consecutive days (four training days and one match day) during the season (November 2021) using a training diary. In athletes, 3&#x2013;7&#x2009;days are necessary to obtain accurate and precise estimates of habitual food intake (<xref ref-type="bibr" rid="ref24">24</xref>&#x2013;<xref ref-type="bibr" rid="ref26">26</xref>). During this period, no nutritional intervention was implemented by the club in order not to influence food choices. A dietitian explained the instructions for completing the food diary. Supplements are usually consumed before, during, or post-training and may not be considered food by athletes (<xref ref-type="bibr" rid="ref25">25</xref>); this point was previously explained to athletes and supplements should be included in the food diary. Time of consumption was used to categorize six meals: breakfast (meal consumed between 7:00&#x2013;9:30&#x2009;a.m.), morning snack (meal consumed between breakfast and lunch), lunch (meal consumed between 12:00&#x2013;2:00&#x2009;p.m.), afternoon snack (meal consumed between lunch and dinner), dinner (meal consumed after 9:30&#x2009;p.m.), night snack (meal consumed between 11:30&#x2009;p.m.&#x2013;12:30&#x2009;a.m.). Details of brand names, cooking and preparation methods, time of the meal, and the number of items ingested were obtained. In addition, players quantified the quantity of foods and fluids consumed by providing weight or volume details specific to the food package or using standardized household measures. The dietitian checked missing data and resolved problematic cases through individual interviews. Food diary records were analyzed using Nutritics software (version 3.74 professional edition, Nutritics Ltd., Co. Dublin, Ireland) by a single and expert observer to reduce variation in data interpretation (<xref ref-type="bibr" rid="ref27">27</xref>). The main outputs extracted were overall total absolute, and relative to body mass, intakes of energy (kcal), CHO, protein, and fats and also considering the variation by meal.</p>
</sec>
<sec id="sec7">
<label>2.5.</label>
<title>Predicted total energy expenditure</title>
<p>Total energy expenditure was based on the Schofield-HW equation for estimating resting energy expenditure (<xref ref-type="bibr" rid="ref28">28</xref>), which has been validated for male children and adolescents (<xref ref-type="bibr" rid="ref29">29</xref>). Subsequently, the average physical activity level of 2.03 reported in male adolescent athletes was used to estimate total energy expenditure (<xref ref-type="bibr" rid="ref30">30</xref>).</p>
</sec>
<sec id="sec8">
<label>2.6.</label>
<title>Statistical analysis</title>
<p>Descriptive statistics were calculated, and the normality of the distribution was checked using the Shapiro&#x2013;Wilk test. Repeated measures of analysis of variance (ANOVA) with one factor tested the differences in energy and macronutrient intakes between meals. A limited number of players who consumed the night snack were therefore not considered in the analysis. The size of the effect was interpreted as follows (<xref ref-type="bibr" rid="ref31">31</xref>): eta squared &#x003C; 0.1 (trivial), 0.1&#x2009;&#x2264;&#x2009;eta squared &#x003C; 0.3 (small), 0.3&#x2009;&#x2264;&#x2009;eta squared &#x003C; 0.5 (moderate), 0.5&#x2009;&#x2264;&#x2009;eta squared &#x003C;0.7 (large), 0.7&#x2009;&#x2264;&#x2009;eta squared &#x003C;0.9 (very large), 0.9&#x2009;&#x2264;&#x2009;eta squared (nearly perfect). <italic>Post-hoc</italic> comparisons with Bonferroni adjustment were used to identify differences between specific meals. Analyses were completed using SPSS for Windows (SPSS Inc., IBM Company, N.Y., United States) and GraphPad Prism (version 5.00 for Windows, GraphPad Software, San Diego California United States). Statistical significance was set at 0.05.</p>
</sec>
</sec>
<sec id="sec9" sec-type="results">
<label>3.</label>
<title>Results</title>
<p>Descriptive statistics for age, height, body mass, fat mass percentage, energy expenditure, and energy and macronutrient intake are summarized in <xref rid="tab1" ref-type="table">Table 1</xref>. The mean estimated energy intake was, on average, 1,929&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup> while the predicted total energy expenditure was 3,568&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>. The adolescent soccer players ingested 4.0&#x2009;g&#x2219;kg<sup>&#x2212;1</sup>, 1.9&#x2009;g&#x2219;kg<sup>&#x2212;1</sup>, and 0.9&#x2009;g&#x2219;kg<sup>&#x2212;1</sup> of CHO, proteins, and lipids, respectively. <xref rid="tab2" ref-type="table">Table 2</xref> shows the meal frequency for each day. The late snack is often not consumed by most players. Repeated measures ANOVA showed a significant difference in the distribution across meals for energy, protein, and fat intakes when expressed as absolute (<xref rid="fig1" ref-type="fig">Figure 1</xref>) or relative values (<xref rid="fig2" ref-type="fig">Figure 2</xref>). Energy intake was significantly lower at breakfast (286&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>) in comparison to lunch (491&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>), afternoon snack (434&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>), and dinner (474&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>). The average energy intake for the morning snack was 256&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup> and significant differences were noted with lunch, afternoon snack, and dinner.</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Characteristics, dietary intake and energy expenditure for the sample of male soccer players.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Variable</th>
<th align="center" valign="top" rowspan="2">Units</th>
<th align="center" valign="top" colspan="3">Descriptive statistics</th>
<th align="center" valign="top" colspan="2">Normality</th>
</tr>
<tr>
<th/>
<th align="center" valign="top">Range</th>
<th align="center" valign="top">Mean (95% CI)</th>
<th align="center" valign="top">Standard deviation</th>
<th align="center" valign="top">Shapiro&#x2013;Wilk</th>
<th align="center" valign="top"><italic>p</italic></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Chronological age</td>
<td align="center" valign="top">years</td>
<td align="center" valign="top">(14.8; 15.7)</td>
<td align="center" valign="top">15.3 (15.2 to 15.5)</td>
<td align="center" valign="top">0.3</td>
<td align="center" valign="top">0.910</td>
<td align="center" valign="top">0.030</td>
</tr>
<tr>
<td align="left" valign="top">Height</td>
<td align="center" valign="top">cm</td>
<td align="center" valign="top">(156.0; 183.0)</td>
<td align="center" valign="top">171.1 (168.4 to 173.8)</td>
<td align="center" valign="top">6.5</td>
<td align="center" valign="top">0.950</td>
<td align="center" valign="top">0.251</td>
</tr>
<tr>
<td align="left" valign="top">Body mass</td>
<td align="center" valign="top">kg</td>
<td align="center" valign="top">(46.7; 81.4)</td>
<td align="center" valign="top">62.0 (59.0 to 65.0)</td>
<td align="center" valign="top">7.2</td>
<td align="center" valign="top">0.970</td>
<td align="center" valign="top">0.640</td>
</tr>
<tr>
<td align="left" valign="top">Fat mass</td>
<td align="center" valign="top">%</td>
<td align="center" valign="top">(8.2; 28.1)</td>
<td align="center" valign="top">16.1 (13.6 to 18.5)</td>
<td align="center" valign="top">5.9</td>
<td align="center" valign="top">0.194</td>
<td align="center" valign="top">0.016</td>
</tr>
<tr>
<td align="left" valign="top">Energy expenditure</td>
<td align="center" valign="top">kcal&#x2219;day <sup>&#x2212;1</sup></td>
<td align="center" valign="top">(3,027; 4,232)</td>
<td align="center" valign="top">3,568 (3,565 to 3,672)</td>
<td align="center" valign="top">251</td>
<td align="center" valign="top">0.971</td>
<td align="center" valign="top">0.683</td>
</tr>
<tr>
<td align="left" valign="top">Absolute energy intake</td>
<td align="center" valign="top">kcal&#x2219;day <sup>&#x2212;1</sup></td>
<td align="center" valign="top">(1,312; 2,842)</td>
<td align="center" valign="top">1929 (1768 to 2088)</td>
<td align="center" valign="top">388</td>
<td align="center" valign="top">0.968</td>
<td align="center" valign="top">0.583</td>
</tr>
<tr>
<td align="left" valign="top">Relative energy intake</td>
<td align="center" valign="top">kcal<sup>.</sup>kg<sup>&#x2212;1</sup></td>
<td align="center" valign="top">(20; 47)</td>
<td align="center" valign="top">32 (29 to 35)</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">0.962</td>
<td align="center" valign="top">0.460</td>
</tr>
<tr>
<td align="left" valign="top">Total carbohydrates</td>
<td align="center" valign="top">g</td>
<td align="center" valign="top">(149; 349)</td>
<td align="center" valign="top">245 (220 to 270)</td>
<td align="center" valign="top">61</td>
<td align="center" valign="top">0.939</td>
<td align="center" valign="top">0.142</td>
</tr>
<tr>
<td align="left" valign="top">Relative carbohydrates</td>
<td align="center" valign="top">g<sup>.</sup>kg<sup>&#x2212;1</sup></td>
<td align="center" valign="top">(2.4; 6.2)</td>
<td align="center" valign="top">4.0 (3.9 to 4.4)</td>
<td align="center" valign="top">1.0</td>
<td align="center" valign="top">0.959</td>
<td align="center" valign="top">0.393</td>
</tr>
<tr>
<td align="left" valign="top">Total protein</td>
<td align="center" valign="top">g</td>
<td align="center" valign="top">(79; 157)</td>
<td align="center" valign="top">114 (105 to 122)</td>
<td align="center" valign="top">22</td>
<td align="center" valign="top">0.966</td>
<td align="center" valign="top">0.547</td>
</tr>
<tr>
<td align="left" valign="top">Relative protein</td>
<td align="center" valign="top">g<sup>.</sup>kg<sup>&#x2212;1</sup></td>
<td align="center" valign="top">(0.9; 2.7)</td>
<td align="center" valign="top">1.9 (1.7 to 2.0)</td>
<td align="center" valign="top">0.4</td>
<td align="center" valign="top">0.985</td>
<td align="center" valign="top">0.963</td>
</tr>
<tr>
<td align="left" valign="top">Total fat</td>
<td align="center" valign="top">g</td>
<td align="center" valign="top">(33; 102)</td>
<td align="center" valign="top">55 (49 to 61)</td>
<td align="center" valign="top">15</td>
<td align="center" valign="top">0.912</td>
<td align="center" valign="top">0.034</td>
</tr>
<tr>
<td align="left" valign="top">Relative fat</td>
<td align="center" valign="top">g<sup>.</sup>kg<sup>&#x2212;1</sup></td>
<td align="center" valign="top">(0.6; 1.7)</td>
<td align="center" valign="top">0.9 (0.8 to 1.0)</td>
<td align="center" valign="top">0.2</td>
<td align="center" valign="top">0.902</td>
<td align="center" valign="top">0.021</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Frequency of meal intake per day.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Meal</th>
<th align="center" valign="top" colspan="5">Frequency of meals consumed (<italic>n</italic>)</th>
</tr>
<tr>
<th/>
<th align="center" valign="top">TD1</th>
<th align="center" valign="top">TD2</th>
<th align="center" valign="top">TD3</th>
<th align="center" valign="top">TD4</th>
<th align="center" valign="top">MD</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Breakfast</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">25</td>
</tr>
<tr>
<td align="left" valign="top">Morning snack</td>
<td align="center" valign="top">21</td>
<td align="center" valign="top">21</td>
<td align="center" valign="top">18</td>
<td align="center" valign="top">19</td>
<td align="center" valign="top">19</td>
</tr>
<tr>
<td align="left" valign="top">Lunch</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">24</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">24</td>
</tr>
<tr>
<td align="left" valign="top">Afternoon snack</td>
<td align="center" valign="top">23</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">23</td>
<td align="center" valign="top">25</td>
</tr>
<tr>
<td align="left" valign="top">Dinner</td>
<td align="center" valign="top">24</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">24</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">23</td>
</tr>
<tr>
<td align="left" valign="top">Night snack</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">0</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>TD (training day); MD (match day). <italic>n</italic>&#x2009;=&#x2009;25.</p>
</table-wrap-foot>
</table-wrap>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Daily distribution of relative <bold>(A)</bold> energy, <bold>(B)</bold> CHO, <bold>(C)</bold> protein, and <bold>(D)</bold> fat.</p>
</caption>
<graphic xlink:href="fnut-10-1134845-g001.tif"/>
</fig>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Daily distribution of absolute <bold>(A)</bold> energy, <bold>(B)</bold> CHO, <bold>(C)</bold> protein, and <bold>(D)</bold> fat.</p>
</caption>
<graphic xlink:href="fnut-10-1134845-g002.tif"/>
</fig>
<p>Comparable results were found for relative energy intake. The distribution of CHO across meals was not significant whether expressed as absolute (<italic>F</italic>&#x2009;=&#x2009;2.381, <italic>p</italic>&#x2009;=&#x2009;0.057) or relative (<italic>F</italic>&#x2009;=&#x2009;2.330, <italic>p</italic>&#x2009;=&#x2009;0.109). Absolute and relative CHO intakes were significantly lower at breakfast (absolute: 41.2&#x2009;g; relative: 0.68&#x2009;g&#x2219;kg<sup>&#x2212;1</sup>) than at the afternoon snack (absolute: 64.8&#x2009;g; relative: 1.06&#x2009;g&#x2219;kg<sup>&#x2212;1</sup>). Absolute protein intakes were significantly lower at breakfast (12.6&#x2009;g), morning snack (9.1&#x2009;g), and afternoon snack (19.0&#x2009;g) than at lunch (38.6&#x2009;g) and dinner (34.2&#x2009;g). Very large differences were found for relative protein intake across meals (<italic>F</italic>&#x2009;=&#x2009;82.176; <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001; ES-r&#x2009;=&#x2009;0.880). For absolute (<italic>F</italic>&#x2009;=&#x2009;18.014; p&#x2009;&#x003C;&#x2009;0.001; ES-r&#x2009;=&#x2009;0.654) and relative intake (<italic>F</italic>&#x2009;=&#x2009;17.223; <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001; ES-r&#x2009;=&#x2009;0.647) fat distribution, large differences were found across meals.</p>
</sec>
<sec id="sec10" sec-type="discussions">
<label>4.</label>
<title>Discussion</title>
<p>The objectives of the current study were to compare the total energy intake with the predicted energy expenditure, to describe the daily macronutrient intakes, and to quantify the daily distribution of CHO, protein, and fat in a cross-sectional sample of youth male soccer players. First, energy intake was substantially lower in comparison to predicted energy expenditure; second, male soccer players did not meet recommendations for relative CHO intake; and finally, total energy intake and macronutrients presented an unbalanced distribution throughout the day. Given the demands of training and competition, the main findings of the present study have implications for soccer training adaptations, body composition, and pre-and post-training fueling.</p>
<p>Predicted daily energy expenditure based on the Schofield-HW equation to estimate resting energy expenditure and physical activity level of 2.03 reported in 23 youth athletes (<xref ref-type="bibr" rid="ref30">30</xref>) was, on average, 3,568&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>. Lower values of daily energy expenditure using accelerometers (i.e., 2,550&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>) were found in 10 adolescent male soccer players (<xref ref-type="bibr" rid="ref5">5</xref>), while energy expenditure derived from hours of soccer activity, body mass and thermic effects of macronutrients in 10 players was 3,618&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup> (<xref ref-type="bibr" rid="ref7">7</xref>). More recently, mean energy expenditure measured by the doubly labeled water method over 14&#x2009;days was 3,586, 3,029, and 2,589&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup> in under-18, under-15, and under-13 soccer players, respectively (<xref ref-type="bibr" rid="ref32">32</xref>). Taking into account the differences between methods of estimating energy expenditure, a negative energy balance was consistent across studies with youth soccer players. A mean daily energy intake of 2,243&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup> using food diaries and 24-h recall methods was noted in the Premier League Soccer Academy, which corresponds to a mean daily energy deficit of &#x2212;307&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup> (<xref ref-type="bibr" rid="ref5">5</xref>). Another study that included players from the Premier League Soccer Academy also reported lower values of energy intake (under-12 and under-13: 2,659&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>; under-15: 2,821&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>; under-18: 3,180&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>) estimated by the remote food photography method compared to daily energy expenditure (under-12 and under-13: 2,859&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>; under-15: 3,029&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>; under-18: 3,586&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>) (<xref ref-type="bibr" rid="ref32">32</xref>). A negative energy balance of 890&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup> was also found in 75 adolescent soccer players from junior teams of the Italian First Division Soccer League (<xref ref-type="bibr" rid="ref10">10</xref>). The daily energy intake in the present study (i.e., 1,929&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>) was substantially lower than in the previous studies, which explains the highest energy deficit (i.e., &#x2212;1,729&#x2009;kcal&#x2219;day<sup>&#x2212;1</sup>) found in the current sample. Nevertheless, a negative energy balance is related to the concept of low energy availability, which in turn has an impact on performance, bone health, reproductive function, immunity, protein synthesis, cardiovascular and mental health, increased risk of injury, and development of eating disorders (<xref ref-type="bibr" rid="ref11">11</xref>, <xref ref-type="bibr" rid="ref33">33</xref>).</p>
<p>Low energy intake is partially associated with CHO intake in youth soccer players. CHO recommendations for young players to meet daily energy requirements are in the range of 6&#x2013;8&#x2009;g&#x2219;kg<sup>&#x2212;1</sup>&#x2219;day<sup>&#x2212;1</sup> (<xref ref-type="bibr" rid="ref32">32</xref>). In Spanish players under 17&#x2009;years of age, a CHO intake of 5.39&#x2009;g&#x2219;kg<sup>&#x2212;1</sup>&#x2219;day<sup>&#x2212;1</sup> was reported (<xref ref-type="bibr" rid="ref6">6</xref>), and 4.7&#x2009;g&#x2219;kg<sup>&#x2212;1</sup>&#x2219;day<sup>&#x2212;1</sup> of CHO intake was noted in under-15 and under-16 participants (<xref ref-type="bibr" rid="ref8">8</xref>). The CHO intake in the present sample (i.e., 4.0&#x2009;g&#x2219;kg<sup>&#x2212;1</sup>&#x2219;day<sup>&#x2212;1</sup>) was significantly lower than the recently proposed recommendations for youth soccer players (<xref ref-type="bibr" rid="ref32">32</xref>). Taken together, these data suggest that youth soccer players do not meet current daily recommendations, which may negatively affect the demands imposed by training and match loads. In terms of protein guidelines, the protein requirements of adolescent soccer players based on the nitrogen balance method were 1.4&#x2013;1.6&#x2009;g&#x2219;kg<sup>&#x2212;1</sup>&#x2219;day<sup>&#x2212;1</sup> (<xref ref-type="bibr" rid="ref34">34</xref>, <xref ref-type="bibr" rid="ref35">35</xref>). These values are comparable to those recommended for adult participants (<xref ref-type="bibr" rid="ref15">15</xref>, <xref ref-type="bibr" rid="ref17">17</xref>). The average relative daily protein intake in the present study was 1.9&#x2009;g&#x2219;kg<sup>&#x2212;1</sup>&#x2219;day<sup>&#x2212;1</sup>, which was compared with previous data from Spanish (<xref ref-type="bibr" rid="ref6">6</xref>), Italian (<xref ref-type="bibr" rid="ref10">10</xref>), and English (<xref ref-type="bibr" rid="ref8">8</xref>) soccer players. Soccer players tend to follow the requirements for daily protein consumption more than those for CHO. Consequently, in order to increase energy intake and achieve daily energy balance, Portuguese soccer academies should emphasize the relevance of CHO guidelines (type, timing, and quantity) for training and competition (<xref ref-type="bibr" rid="ref36">36</xref>&#x2013;<xref ref-type="bibr" rid="ref38">38</xref>).</p>
<p>Recommendations for CHO intake 3&#x2013;4&#x2009;h before soccer training varied from 1 to 3 g&#x2219;kg<sup>&#x2212;1</sup> to ensure pre-exercise fueling. In addition, soccer players should achieve 1&#x2009;g&#x2219;kg<sup>&#x2212;1</sup> of CHO per hour for 4&#x2009;h in post-exercise (<xref ref-type="bibr" rid="ref13">13</xref>). In the present sample, a normal distribution of CHO across meals was evident, and considering that players trained at 8:00&#x2009;p.m. (between afternoon and dinner), the previous guidelines were not met, as shown in <xref rid="fig2" ref-type="fig">Figure 2</xref>. The mean CHO intakes of the meals before and after soccer training were 1.1&#x2009;g&#x2219;kg<sup>&#x2212;1</sup> (afternoon snack) and 0.8&#x2009;g&#x2219;kg<sup>&#x2212;1</sup> (dinner), respectively. Curiously enough, few players consumed the late snack, which is likely to have had a negative effect on the recovery process, especially considering the low CHO intake post-training. It must be noted that the guidelines were developed for adult soccer players and their application is limited for youth players. Lower levels of relative CHO intake were found at the breakfast (0.8&#x2009;g&#x2219;kg<sup>&#x2212;1</sup>). In seven EPL Academy soccer players (<xref ref-type="bibr" rid="ref39">39</xref>), a 4.7% improvement in mean dribbling speed test was found when the players consumed an increased energy breakfast (497&#x2009;kcal, 77&#x2009;g CHO, 14&#x2009;g protein, and 12&#x2009;g fat) compared to a normal energy breakfast (268&#x2009;kcal, 39&#x2009;g CHO,10&#x2009;g protein, and 8&#x2009;g fat). In light of the above, a considerable amount of CHO should be consumed around training and breakfast.</p>
<p>The distribution of daily protein intake appears to play a crucial role in the modulation of muscle protein synthesis rather than the total daily protein intake (<xref ref-type="bibr" rid="ref14">14</xref>, <xref ref-type="bibr" rid="ref40">40</xref>). In resistance-trained participants, the effect of doses of protein was examined under three different conditions 12&#x2009;h post-exercise: eight servings of 10&#x2009;g every 1.5&#x2009;h; four servings of 20&#x2009;g every 3&#x2009;h; two servings of 40&#x2009;g every 6&#x2009;h. The highest rates of muscle protein synthesis were noted in athletes who consumed four servings of 20&#x2009;g every 3&#x2009;h (<xref ref-type="bibr" rid="ref14">14</xref>). Similar results were found in 26 young active participants (<xref ref-type="bibr" rid="ref40">40</xref>). Whole-body protein synthesis was higher with multiple doses of protein compared to a single dose (<xref ref-type="bibr" rid="ref40">40</xref>). Recommendations for protein intake per meal/snack to optimize protein synthesis range from 0.22 to 0.33&#x2009;g&#x2219;kg<sup>&#x2212;1</sup> every 3&#x2013;4&#x2009;h (<xref ref-type="bibr" rid="ref18">18</xref>, <xref ref-type="bibr" rid="ref40">40</xref>). In the present sample of young male soccer players, the daily protein intake had a skewed distribution, which is consistent with recent data from EPL soccer players (<xref ref-type="bibr" rid="ref8">8</xref>) and adult Dutch soccer players (<xref ref-type="bibr" rid="ref41">41</xref>). Given these results, adjustments to daily protein intakes need to be considered, particularly at the night snack, breakfast, and morning snack. In addition, the mean protein intake at lunch and dinner was 0.6&#x2009;g&#x2009;g&#x2219;kg<sup>&#x2212;1</sup> which may indicate that elevated amounts are being consumed. Of note, the frequency of night snacks was reduced over the 5 days. In fact, it has been shown that the ingestion of 40&#x2009;g of casein protein 30&#x2009;min immediately before bedtime increases amino acid availability, which in turn impacts muscle protein synthesis (<xref ref-type="bibr" rid="ref42">42</xref>). The effects of CHO, slow (i.e., casein), and fast (i.e., whey) proteins on appetite and resting energy expenditure were studied in 11 active adult males. Although non-significant differences were found, satiety was greater in the protein groups compared to the CHO or placebo trials (<xref ref-type="bibr" rid="ref43">43</xref>). The ingestion of a protein snack before bedtime should be encouraged in youth soccer players.</p>
<p>The present study has limitations that should be acknowledged. First, food diaries tend to under-report up to 20% of the total energy intake (<xref ref-type="bibr" rid="ref44">44</xref>). Second, most of the macronutrient recommendations presented in this paper were based on adult soccer players (<xref ref-type="bibr" rid="ref38">38</xref>). Nevertheless, guidelines for youth players are scarce. Total energy expenditure was predicted by equations so future studies need to quantify the energy expenditure using the doubly labeled water method in addition to training and match load. Finally, the sample is limited to a single Portuguese youth soccer team, therefore the generalizability of these results should be made with caution.</p>
<p>In conclusion, Portuguese adolescent soccer players did not meet the CHO recommendations. Daily protein intakes were, on average, met but the distribution of protein over the day had a significant fluctuation. Lower values of protein intake were reported during the night snack, breakfast, and morning snack, which has a negative impact on muscle protein synthesis. The low energy intake was associated with an average daily energy deficit, which is associated with health problems. Given the high demands of soccer training and matches, players should optimize their daily energy intake and follow the recommendations for CHO and protein intakes in terms of type, timing, and quantity.</p>
</sec>
<sec id="sec11" sec-type="data-availability">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="sec12">
<title>Ethics statement</title>
<p>The studies involving human participants were reviewed and approved by Instituto Polit&#x00E9;cnico de Coimbra. Written informed consent to participate in this study was provided by the participants&#x2019; legal guardian/next of kin.</p>
</sec>
<sec id="sec13">
<title>Author contributions</title>
<p>DVM, RN, AFa, and HS conceptualized and wrote the manuscript. DVM, CL, and JL collect and organized the data. DVM, AR, AFi, and ERG planned and performed the statistical analyses and figures. RN and AFi revised of the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="conf1" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="sec100" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
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