{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:05:50Z","timestamp":1777899950330,"version":"3.51.4"},"reference-count":50,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T00:00:00Z","timestamp":1718236800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>This study investigated trends within a custom Sports Nutrition Assessment for Consultation (SNAC) survey designed to identify nutrition-related risk factors among post-operative lower-extremity youth athletes. Athletes aged 8\u201318 years who completed the SNAC at a sports medicine institution after lower-extremity surgery were reviewed for associations between SNAC questions and age\/sex differences. Of 477 patients (15.0 \u00b1 2.0 years; 47.8% female), 319 (66.9%) answered \u2018yes\u2019 to at least one question and were identified for a consult, though 216 (64.3%) declined. The most frequent questions to prompt a consult were a desire to better understand nutrition for recovery (41.5%) and regularly skipping at least one meal a day (29.8%). Inter-question responses were often significantly related, especially regarding appetite changes, weight changes, and\/or meal-skipping. While consult acceptance was not significantly different between sex\/age, males were more likely to report a desire to better understand nutrition (p = 0.004) and a weight change (p = 0.019), and females were more likely to report struggling with dizziness\/fatigue (p &lt; 0.001). Additionally, older athletes reported an appetite change (p = 0.022), meal-skipping (p = 0.002), a desire to better understand nutrition (p &lt; 0.001), a weight change (p &lt; 0.001), and an effort\/recommendation to change their body composition\/weight (p = 0.005). These findings demonstrate a link between risky nutrition behaviors and physical detriments.<\/jats:p>","DOI":"10.3390\/nu16121847","type":"journal-article","created":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T04:30:12Z","timestamp":1718253012000},"page":"1847","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Trends in Nutrition-Related Risk Factors Identified Post-Operatively in Patients Treated for a Lower-Extremity Injury"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9793-5421","authenticated-orcid":false,"given":"Caroline","family":"Podvin","sequence":"first","affiliation":[{"name":"Center for Excellence in Sports Medicine, Scottish Rite for Children, 5700 Dallas Parkway, Frisco, TX 75034, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taylor","family":"Morrison","sequence":"additional","affiliation":[{"name":"Center for Excellence in Sports Medicine, Scottish Rite for Children, 5700 Dallas Parkway, Frisco, TX 75034, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Dabis","sequence":"additional","affiliation":[{"name":"Center for Excellence in Sports Medicine, Scottish Rite for Children, 5700 Dallas Parkway, Frisco, TX 75034, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James J.","family":"McGinley","sequence":"additional","affiliation":[{"name":"Center for Excellence in Sports Medicine, Scottish Rite for Children, 5700 Dallas Parkway, Frisco, TX 75034, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry B.","family":"Ellis","sequence":"additional","affiliation":[{"name":"Center for Excellence in Sports Medicine, Scottish Rite for Children, 5700 Dallas Parkway, Frisco, TX 75034, USA"},{"name":"Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, TX 75390, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip L.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Center for Excellence in Sports Medicine, Scottish Rite for Children, 5700 Dallas Parkway, Frisco, TX 75034, USA"},{"name":"Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, TX 75390, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6262-2054","authenticated-orcid":false,"given":"Sophia","family":"Ulman","sequence":"additional","affiliation":[{"name":"Center for Excellence in Sports Medicine, Scottish Rite for Children, 5700 Dallas Parkway, Frisco, TX 75034, USA"},{"name":"Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, TX 75390, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,13]]},"reference":[{"key":"ref_1","unstructured":"Child and Adolescent Health Measurement Initiative (2019). 2019 National Survey of Children\u2019s Health (NSCH) Data Query, Resource Center for Child and Adolescent Health Supported by the U.S. Department of Health and Human Services, Maternal and Child Health Bureau (MCHB)."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2421","DOI":"10.1177\/0363546513496548","article-title":"Development and validation of a pediatric sports activity rating scale: The Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS)","volume":"41","author":"Fabricant","year":"2013","journal-title":"Am. J. Sports Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1177\/0363546514567298","article-title":"Sports-specialized intensive training and the risk of injury in young athletes: A clinical case-control study","volume":"43","author":"Jayanthi","year":"2015","journal-title":"Am. J. Sports Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s40279-021-01534-6","article-title":"Youth Athlete Development and Nutrition","volume":"51","author":"Desbrow","year":"2021","journal-title":"Sports Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.clinthera.2020.01.016","article-title":"Menses Requires Energy: A Review of How Disordered Eating, Excessive Exercise, and High Stress Lead to Menstrual Irregularities","volume":"42","author":"Huhmann","year":"2020","journal-title":"Clin. Ther."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Kontele, I., and Vassilakou, T. (2021). Nutritional Risks among Adolescent Athletes with Disordered Eating. Children, 8.","DOI":"10.3390\/children8080715"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"599118","DOI":"10.3389\/fspor.2021.599118","article-title":"Key Nutritional Considerations for Youth Winter Sports Athletes to Optimize Growth, Maturation and Sporting Development","volume":"3","author":"Hannon","year":"2021","journal-title":"Front. Sports Act. Living"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"107","DOI":"10.3928\/0090-4481-19990201-07","article-title":"Nutrition in the adolescent","volume":"28","author":"Wahl","year":"1999","journal-title":"Pediatr. Ann."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Papadopoulou, S.K., Mantzorou, M., Kondyli-Sarika, F., Alexandropoulou, I., Papathanasiou, J., Voulgaridou, G., and Nikolaidis, P.T. (2022). The Key Role of Nutritional Elements on Sport Rehabilitation and the Effects of Nutrients Intake. Sports, 10.","DOI":"10.3390\/sports10060084"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Papadopoulou, S.K. (2020). Rehabilitation Nutrition for Injury Recovery of Athletes: The Role of Macronutrient Intake. Nutrients, 12.","DOI":"10.3390\/nu12082449"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Hirsch, K.R., Wolfe, R.R., and Ferrando, A.A. (2021). Pre- and Post-Surgical Nutrition for Preservation of Muscle Mass, Strength, and Functionality Following Orthopedic Surgery. Nutrients, 13.","DOI":"10.3390\/nu13051675"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1016\/j.jand.2013.08.004","article-title":"Position of the Academy of Nutrition and Dietetics: Interventions for the prevention and treatment of pediatric overweight and obesity","volume":"113","author":"Hoelscher","year":"2013","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"918","DOI":"10.4085\/1062-6050-550-19","article-title":"Nutritional Considerations and Strategies to Facilitate Injury Recovery and Rehabilitation","volume":"55","author":"Hirsch","year":"2020","journal-title":"J. Athl. Train."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"417","DOI":"10.55275\/JPOSNA-2022-0049","article-title":"No Postoperative Change in Body Mass Index Was Observed Among Adolescent Female Patients After Sports or Trauma Surgery","volume":"4","author":"Mackie","year":"2022","journal-title":"J. Pediatr. Orthop. Soc. N. Am."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"22","DOI":"10.53646\/30khg538","article-title":"Postoperative Body Composition in NCAA Division I Collegiate Athletes","volume":"3","author":"Olson","year":"2023","journal-title":"J. Women\u2019s Sports Med."},{"key":"ref_16","unstructured":"Belarde, C., Barrack, M., Gray, V., and Blaine, R. (2020). Evaluating the Concurrent Validity of a Web-Based Nutrition Screening Survey among Preadolescent Student Athletes, Department of Family and Consumer Sciences, California State University Long Beach."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"685203","DOI":"10.3389\/fpsyg.2021.685203","article-title":"A Comparison in Physical Fitness Attributes, Physical Activity Behaviors, Nutritional Habits, and Nutritional Knowledge Between Elite Male and Female Youth Basketball Players","volume":"12","author":"Yanci","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"V\u00e1zquez-Espino, K., Fern\u00e1ndez-Tena, C., Lizarraga-Dallo, M.A., and Farran-Codina, A. (2020). Development and Validation of a Short Sport Nutrition Knowledge Questionnaire for Athletes. Nutrients, 12.","DOI":"10.3390\/nu12113561"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Manore, M.M., Patton-Lopez, M.M., Meng, Y., and Wong, S.S. (2017). Sport Nutrition Knowledge, Behaviors and Beliefs of High School Soccer Players. Nutrients, 9.","DOI":"10.3390\/nu9040350"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"S218","DOI":"10.1249\/01.mss.0000322395.05935.e9","article-title":"The Adolescent Sport Nutrition (SN) Knowledge Questionnaire: Validity and Reliability: 1459: Board #6 May 28 2:00 PM\u20133:30 PM","volume":"40","author":"Dvorak","year":"2008","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Rosi, A., Ferraris, C., Guglielmetti, M., Meroni, E., Charron, M., Menta, R., Manini, F., Di Gioia, V., Martini, D., and Erba, D. (2020). Validation of a General and Sports Nutrition Knowledge Questionnaire in Italian Early Adolescents. Nutrients, 12.","DOI":"10.3390\/nu12103121"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1038\/sj.ejcn.1602225","article-title":"Validity and reliability of SCREEN II (Seniors in the community: Risk evaluation for eating and nutrition, Version II)","volume":"59","author":"Keller","year":"2005","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Bird, S.P., and Rushton, B.D. (2020). Nutritional knowledge of youth academy athletes. BMC Nutr., 6.","DOI":"10.1186\/s40795-020-00360-9"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Brown, R., Seabrook, J.A., Stranges, S., Clark, A.F., Haines, J., O\u2019Connor, C., Doherty, S., and Gilliland, J.A. (2021). Examining the Correlates of Adolescent Food and Nutrition Knowledge. Nutrients, 13.","DOI":"10.3390\/nu13062044"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.bodyim.2020.11.012","article-title":"The \u201cLittle Red Riding Hood effect\u201d: Fitspiration is just as bad as thinspiration for women\u2019s body satisfaction","volume":"36","author":"Dignard","year":"2021","journal-title":"Body Image"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.bodyim.2020.02.002","article-title":"The effect of Instagram #fitspiration images on young women\u2019s mood, body image, and exercise behaviour","volume":"33","author":"Prichard","year":"2020","journal-title":"Body Image"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.bodyim.2019.03.004","article-title":"Ideal comparisons: Body ideals harm women\u2019s body image through social comparison","volume":"29","author":"Betz","year":"2019","journal-title":"Body Image"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1080\/13548506.2018.1442009","article-title":"The effect of viewing fitness imagery on body dissatisfaction: Sex and physical activity differences","volume":"23","author":"Rothwell","year":"2018","journal-title":"Psychol. Health Med."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Sundar, T.K.B., Londal, K., Lagerlov, P., Glavin, K., and Helseth, S. (2018). Overweight adolescents\u2019 views on physical activity\u2014Experiences of participants in an internet-based intervention: A qualitative study. BMC Public Health, 18.","DOI":"10.1186\/s12889-018-5324-x"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1177\/0890117118818747","article-title":"Adolescent Girls\u2019 Perceptions of Physical Activity: A Systematic Review of Qualitative Studies","volume":"33","author":"Corr","year":"2019","journal-title":"Am. J. Health Promot."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.bodyim.2020.05.008","article-title":"Do we cause harm? Understanding the impact of research with young children about their body image","volume":"34","author":"Damiano","year":"2020","journal-title":"Body Image"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"853","DOI":"10.3389\/fpsyg.2017.00853","article-title":"Self-Concept in Childhood: The Role of Body Image and Sport Practice","volume":"8","year":"2017","journal-title":"Front. Psychol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1590\/1984-0462\/;2017;35;3;00002","article-title":"Body Image in Childhood: An Integrative Literature Review","volume":"35","author":"Neves","year":"2017","journal-title":"Rev. Paul. Pediatr."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1123\/ijsnem.2018-0201","article-title":"Energy Availability in Athletics: Health, Performance, and Physique","volume":"29","author":"Melin","year":"2019","journal-title":"Int. J. Sport. Nutr. Exerc. Metab."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"S73","DOI":"10.1080\/02640410701607338","article-title":"Nutrition for the young athlete","volume":"25","author":"Meyer","year":"2007","journal-title":"J. Sports Sci."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"734649","DOI":"10.1155\/2015\/734649","article-title":"Nutritional Considerations for Performance in Young Athletes","volume":"2015","author":"Smith","year":"2015","journal-title":"J. Sports Med."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1123\/ijsnem.2014-0034","article-title":"Relationship Between General Nutrition Knowledge and Dietary Quality in Elite Athletes","volume":"25","author":"Spronk","year":"2015","journal-title":"Int. J. Sport. Nutr. Exerc. Metab."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Foo, W.L., Faghy, M.A., Sparks, A., Newbury, J.W., and Gough, L.A. (2021). The Effects of a Nutrition Education Intervention on Sports Nutrition Knowledge during a Competitive Season in Highly Trained Adolescent Swimmers. Nutrients, 13.","DOI":"10.3390\/nu13082713"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1136\/bjsports-2017-098958","article-title":"Low energy availability surrogates correlate with health and performance consequences of Relative Energy Deficiency in Sport","volume":"53","author":"Ackerman","year":"2019","journal-title":"Br. J. Sports Med."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s40279-021-01508-8","article-title":"Recommendations and Nutritional Considerations for Female Athletes: Health and Performance","volume":"51","author":"Holtzman","year":"2021","journal-title":"Sports Med."},{"key":"ref_41","first-page":"149","article-title":"Weight status and body image perceptions in adolescents: Current perspectives","volume":"6","author":"Voelker","year":"2015","journal-title":"Adolesc. Health Med. Ther."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1002\/eat.10142","article-title":"A longitudinal examination of patterns in girls\u2019 weight concerns and body dissatisfaction from ages 5 to 9 years","volume":"33","author":"Davison","year":"2003","journal-title":"Int. J. Eat. Disord."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1079\/PHN2002255","article-title":"Nutrient intake over time in a multi-ethnic sample of youth","volume":"5","author":"Lytle","year":"2002","journal-title":"Public Health Nutr."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1016\/S0022-3999(02)00486-5","article-title":"Ethnic\/racial differences in weight-related concerns and behaviors among adolescent girls and boys: Findings from Project EAT","volume":"53","author":"Croll","year":"2002","journal-title":"J. Psychosom. Res."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Klein, D.J., Eck, K.M., Walker, A.J., Pellegrino, J.K., and Freidenreich, D.J. (2021). Assessment of Sport Nutrition Knowledge, Dietary Practices, and Sources of Nutrition Information in NCAA Division III Collegiate Athletes. Nutrients, 13.","DOI":"10.3390\/nu13092962"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1007\/s42978-022-00171-3","article-title":"Nutritional Considerations in High Performance Youth Soccer: A Systematic Review","volume":"4","author":"North","year":"2022","journal-title":"J. Sci. Sport Exerc."},{"key":"ref_47","first-page":"8810548","article-title":"Nutritional Status and Cardiovascular Health in Female Adolescent Elite-Level Artistic Gymnasts and Swimmers: A Cross-Sectional Study of 31 Athletes","volume":"2021","author":"Mis","year":"2021","journal-title":"J. Nutr. Metab."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1016\/j.nut.2004.04.002","article-title":"Nutritional concerns for the child and adolescent competitor","volume":"20","author":"Petrie","year":"2004","journal-title":"Nutrition"},{"key":"ref_49","first-page":"551","article-title":"Adolescent Endurance Runners Exhibit Suboptimal Energy Availability and Intakes of Key Nutrients","volume":"41","author":"Matt","year":"2022","journal-title":"J. Am. Nutr. Assoc."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/j.pmrj.2010.04.020","article-title":"Nutritional Factors That Influence Change in Bone Density and Stress Fracture Risk Among Young Female Cross-Country Runners","volume":"2","author":"Nieves","year":"2010","journal-title":"PM&R"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/12\/1847\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:57:46Z","timestamp":1760108266000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/12\/1847"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,13]]},"references-count":50,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["nu16121847"],"URL":"https:\/\/doi.org\/10.3390\/nu16121847","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,13]]}}}