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Nutrition in Soccer Dorianne Caruana Bonnici A thesis submitted in partial fulfilment of the requirements of Edge Hill University for the Degree of Doctor of Philosophy October 2017 i Abstract The game of soccer places various physiological demands on players, who are required to respond by carrying out a range of locomotor activities at different intensities. Such activity patterns contribute to a high energy turnover in both training and match-play, which in turn requires the intake of adequate fuel sources to sustain it. Adequate nutrient intake constitutes an important foundation for physical performance by providing fuel for biological work, both short and long term as required throughout the course of a soccer match. Despite the popularity of the sport worldwide, few studies investigating the effect of nutrition on performance in soccer have been conducted to substantiate the effect of optimal nutrition over the duration of a standard soccer match. This dearth of evidence has contributed in turn to a lack of specific nutrition guidelines for soccer players, coaches, sport scientists, nutritionists and club administrators. The aim of this thesis is to investigate the physiological, psychological and sociological aspects of nutrition and soccer, and posit a comprehensive nutritional framework to actively engage soccer players in adopting diets supportive of optimal performance in soccer training and match-play. The researcher set out by hypothesising that an optimal diet positively influences physical performance in soccer match-play. To test this hypothesis, a 90 h diet was developed for the participating semi-professional soccer players. Following implementation of the diet, a 90-minute soccer-specific simulation protocol, BEAST90mod was used to test its effects on physical performance in soccer. The remaining three inter-linked studies were longitudinal in nature, and carried out with participants forming part of the Malta U21 National Soccer Team. In the first instance, players’ habitual dietary intake, expenditure and energy balance was examined. The researcher then gathered information about the players’ knowledge, attitudes, habits, perceptions and barriers towards a diet conducive with optimal soccer performance. The same players finally underwent a 9-month nutritional education and support intervention, the efficacy of which was measured by the researcher throughout the intervention period. The principle aim of the research is to present findings that provide players and stakeholders in soccer a clear indication of the effects of specialist nutrition in soccer, and empower them with a range of appropriate tools and strategies as employed throughout the support programme. It ultimately seeks to improve physical performance in soccer training and match-play by informing sound individual and team approaches to nutritional decision-making. i Key words: Soccer nutrition, dietary intake, effect of nutrition on physical performance in soccer, soccer-nutrition knowledge, nutritional attitudes, nutritional barriers, energy balance, nutrition intervention, nutrition education and support intervention programme ii Acknowledgements There are a number of close relatives that I am indebted to who have made this PhD study possible. Firstly, I would like to thank my parents who have been my backbone especially in the initial phase of the study when I still lived at home. I used to spend hours researching, collecting data and studying whilst all the basic life necessities were being taken care of. To you as well, my dear husband Triston whose unquestionable support, faith and encouragement have guided me through the most rewarding yet challenging experience of my life. My beloved first offspring Rafael, I am indebted to you too because of the extended time that I had to spend in the library to get research done instead of being with you. I promise that I will make that up to you once this is all done. My gratitude extends to all the soccer players and technical staff of the Malta Football Association who have made this innovative research possible offering their services, time and commitment to abide by my instructions and all the requirements that this PhD required. Special thanks go to the Team Manager Mr. Ray (Zazu) Farrugia who has always believed in my research and the importance of nutrition in soccer. Without you, this unique research population or this longitudinal study would not have been possible. I have also been a lucky student with supervisors who have offered me unprecedented support throughout my studies. Professor Lars McNaughton, I thank you for all your correspondence, academic support and most of all understanding in giving me reasonable timeframes to present my work. Dr Ibrahim Akubat, I thank you for encouraging me to start this journey. Having been my tutor and mentor in my MSc, you were the scholar who encouraged me to start a Doctorate and helped me to find the correct university and tutors that fit my area of expertise. I also thank my colleague, Mr. Matthew Muscat Inglott who has been my listening and suggestive ear when discussing the research focus in this field. And finally, I would also like to thank my sister Ms. Annamaria Bonnici whose experience working for a research department in a foreign University has helped to polish my writing and make the whole dissertation more flowing and readable. I am grateful to all of you for your relentless patience, expert advice and personal support to help me develop as an academic. Thank you all for being part of this journey. It would not have been possible without your support. I hope that I will make you all proud. iii
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