{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:18:41Z","timestamp":1785410321323,"version":"3.56.0"},"reference-count":27,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T00:00:00Z","timestamp":1721692800000},"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>Systematic detection of risky nutrition behaviors after sports surgery may better promote healing for return-to-sport. The purpose of this study was to assess nutritional behavior differences between patients following anterior cruciate ligament reconstruction (ACLR) and following other lower-extremity orthopedic surgeries. One pediatric sports medicine center was reviewed for a custom Sports Nutrition Assessment for Consultation, which investigates nutrition-related risk factors for youth athletes at their first post-operative visit. Patients reported \u201cYes\u201d or \u201cNo\u201d to eight questions, after which they were offered a nutrition consultation for any response indicating risk. A total of 243 post-ACLR and 242 non-ACLR patients were reviewed. The post-ACLR patients more often reported a change in appetite (p = 0.021), recent weight changes (p = 0.011), a desire to better understand nutrition (p = 0.004), and recommendations to change their body composition (p = 0.032). More post-ACLR patients were identified for a nutrition consultation (p = 0.002), though an equal percentage accepted the consultation between groups. Age and sex were not determined to be significant confounders after matched sub-analysis. The post-ACLR patients more often reported nutrition risks, specifically weight-related issues, regardless of age or sex. Sports surgeons should regularly inquire about nutrition-related concerns with patients and refer to sports dietitians for recovery nutrition support as needed, particularly after ACLR.<\/jats:p>","DOI":"10.3390\/nu16152379","type":"journal-article","created":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T07:57:23Z","timestamp":1721721443000},"page":"2379","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Greater Post-Operative Nutrition Risks Identified in Pediatric and Adolescent Patients after Anterior Cruciate Ligament Reconstruction Regardless of Age and Sex"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4021-6362","authenticated-orcid":false,"given":"James J.","family":"McGinley","sequence":"first","affiliation":[{"name":"Center for Excellence in Sports Medicine, Scottish Rite for Children Orthopedic and Sports Medicine Center, 5700 Dallas Parkway, Frisco, TX 75034, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Dabis","sequence":"additional","affiliation":[{"name":"Center for Excellence in Sports Medicine, Scottish Rite for Children Orthopedic and Sports Medicine Center, 5700 Dallas Parkway, Frisco, TX 75034, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Morrison","sequence":"additional","affiliation":[{"name":"Center for Excellence in Sports Medicine, Scottish Rite for Children Orthopedic and Sports Medicine Center, 5700 Dallas Parkway, Frisco, TX 75034, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9793-5421","authenticated-orcid":false,"given":"Caroline","family":"Podvin","sequence":"additional","affiliation":[{"name":"Center for Excellence in Sports Medicine, Scottish Rite for Children Orthopedic and Sports Medicine Center, 5700 Dallas Parkway, Frisco, TX 75034, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry B.","family":"Ellis","sequence":"additional","affiliation":[{"name":"Center for Excellence in Sports Medicine, Scottish Rite for Children Orthopedic and Sports Medicine Center, 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":[{"vocabulary":"crossref","role":"author"}]},{"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 Orthopedic and Sports Medicine Center, 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":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,23]]},"reference":[{"key":"ref_1","first-page":"1","article-title":"Epidemiology and Diagnosis of Anterior Cruciate Ligament Injuries","volume":"36","author":"Kaeding","year":"2017","journal-title":"Controv. ACL Reconstr."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2325967116684776","DOI":"10.1177\/2325967116684776","article-title":"Cost of Outpatient Arthroscopic Anterior Cruciate Ligament Reconstruction among Commercially Insured Patients in the United States, 2005\u20132013","volume":"5","author":"Herzog","year":"2017","journal-title":"Orthop. J. Sports Med."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Marois, B., Tan, X.W., Pauyo, T., Dodin, P., Ballaz, L., and Nault, M.-L. (2021). Can a Knee Brace Prevent ACL Reinjury: A Systematic Review. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18147611"},{"key":"ref_4","first-page":"163","article-title":"Safe Return to Play Following ACL Reconstruction in Young Athletes","volume":"2","author":"Stinson","year":"2020","journal-title":"J. Pediatr. Soc. N. Am."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1177\/19417381221146538","article-title":"Reconsideration of Return-to-Sport Decision-Making After Pediatric ACL Injury: A Scoping Review","volume":"15","author":"Pauw","year":"2023","journal-title":"Sports Health"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1249\/JSR.0000000000000809","article-title":"Psychosocial Impacts of Sports-related Injuries in Adolescent Athletes","volume":"20","author":"Haraldsdottir","year":"2021","journal-title":"Curr. Sports Med. Rep."},{"key":"ref_7","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_8","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_9","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1249\/MSS.0000000000002200","article-title":"Temporal Muscle-Specific Disuse Atrophy during One Week of Leg Immobilization","volume":"52","author":"Kilroe","year":"2020","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1177\/1941738120944256","article-title":"Muscle Atrophy After ACL Injury: Implications for Clinical Practice","volume":"12","author":"Lepley","year":"2020","journal-title":"Sports Health"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Turnag\u00f6l, H.H., Ko\u015far, \u015e.N., G\u00fczel, Y., Aktitiz, S., and Atakan, M.M. (2022). Nutritional Considerations for Injury Prevention and Recovery in Combat Sports. Nutrients, 14.","DOI":"10.3390\/nu14010053"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1097\/JSM.0000000000000500","article-title":"Return to Sports After Athletes Undergo Meniscal Surgery: A Systematic Review","volume":"29","author":"Lee","year":"2019","journal-title":"Clin. J. Sport Med."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Nyland, J., Sirignano, M.N., Richards, J., and Krupp, R.J. (2024). Regenerative Anterior Cruciate Ligament Healing in Youth and Adolescent Athletes: The Emerging Age of Recovery Science. J. Funct. Morphol. Kinesiol., 9.","DOI":"10.3390\/jfmk9020080"},{"key":"ref_14","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_15","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1177\/18632521231198250","article-title":"Elective Musculoskeletal Surgery Is Associated with Postoperative Weight Changes in Pediatric and Adolescent Patients","volume":"17","author":"Huang","year":"2023","journal-title":"J. Child. Orthop."},{"key":"ref_16","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_17","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1589\/jpts.35.435","article-title":"Comprehensive Inpatient Rehabilitation for Elite Athletes after Anterior Cruciate Ligament Reconstruction","volume":"35","author":"Takahashi","year":"2023","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.rehab.2012.11.002","article-title":"Rehabilitation and Leucine Supplementation as Possible Contributors to an Athlete\u2019s Muscle Strength in the Reathletization Phase Following Anterior Cruciate Ligament Surgery","volume":"56","author":"Laboute","year":"2013","journal-title":"Ann. Phys. Rehabil. Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1794","DOI":"10.1080\/02640414.2019.1594571","article-title":"Rehabilitation and Nutrition Protocols for Optimising Return to Play from Traditional ACL Reconstruction in Elite Rugby Union Players: A Case Study","volume":"37","author":"Shaw","year":"2019","journal-title":"J. Sports Sci."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1123\/ijsnem.2018-0290","article-title":"Nutrition for the Prevention and Treatment of Injuries in Track and Field Athletes","volume":"29","author":"Close","year":"2019","journal-title":"Int. J. Sport Nutr. Exerc. Metab."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1186\/s40634-022-00561-0","article-title":"ACL Microtrauma: Healing through Nutrition, Modified Sports Training, and Increased Recovery Time","volume":"9","author":"Nyland","year":"2022","journal-title":"J. Exp. Orthop."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1186\/s12970-014-0052-9","article-title":"Nine\u2013Month Nutritional Intervention Improves Restoration of Menses in Young Female Athletes and Ballet Dancers","volume":"11","author":"Kapczuk","year":"2014","journal-title":"J. Int. Soc. Sports Nutr."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Gimunov\u00e1, M., Paul\u00ednyov\u00e1, A., Bernacikov\u00e1, M., and Paludo, A.C. (2022). The Prevalence of Menstrual Cycle Disorders in Female Athletes from Different Sports Disciplines: A Rapid Review. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192114243"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"e20162148","DOI":"10.1542\/peds.2016-2148","article-title":"Council On Sports Medicine And Fitness Sports Specialization and Intensive Training in Young Athletes","volume":"138","author":"Brenner","year":"2016","journal-title":"Pediatrics"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1123\/ijatt.2020-0066","article-title":"The Impact of COVID-19 on Sport and Daily Activities in an Italian Cohort of Football School Children","volume":"26","author":"Ungaro","year":"2021","journal-title":"Int. J. Athl. Ther. Train."},{"key":"ref_26","first-page":"385","article-title":"Children\u2019s lifestyle behaviors in relation to anthropometric indices: A family practice study","volume":"90","author":"Puia","year":"2017","journal-title":"Clujul Med."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Podvin, C., Morrison, T., Dabis, J., McGinley, J.J., Ellis, H.B., Wilson, P.L., and Ulman, S. (2024). Trends in Nutrition-Related Risk Factors Identified Post-Operatively in Patients Treated for a Lower-Extremity Injury. Nutrients, 16.","DOI":"10.3390\/nu16121847"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/15\/2379\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:21:23Z","timestamp":1760109683000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/15\/2379"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,23]]},"references-count":27,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2024,8]]}},"alternative-id":["nu16152379"],"URL":"https:\/\/doi.org\/10.3390\/nu16152379","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,23]]}}}