Publications by authors named "Leslie Bonci"

Background: Dietary supplement use is common in the United States, with more than half of the population using such products. Nutrition authorities consistently advocate a "food first" approach to achieving nutritional adequacy but some, including the Academy of Nutrition and Dietetics (formerly the American Dietetic Association), also recognize that dietary supplements have a role to play in improving nutrient intake to support health and wellness. Surveys show that many health professionals use dietary supplements themselves and also recommend dietary supplements to their patients or clients.

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Despite many advances in nutritional knowledge and dietary practices, sports nutrition-associated issues, such as fatigue, loss of strength and stamina, loss of speed, and problems with weight management and inadequate energy intake, are common. Sound nutritional practices and well-designed patterns of eating are not awarded the same priority as training and many athletes fail to recognize that poor eating habits or suboptimal hydration choices may detract from athletic performance. Those who care for athletes and active individuals must take an active role in their nutritional well-being.

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Supplement use by athletes presents many challenges to health care professionals. We need to respect the athlete's desire to optimize performance and balance this with the need to protect the athlete's health. Supplements are available so readily and hold significant appeal because of the promise of quick results with little effort.

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Objective: To present recommendations for the prevention, detection, and comprehensive management of disordered eating (DE) in athletes.

Background: Athletes with DE rarely self-report their symptoms. They tend to deny the condition and are often resistant to referral and treatment.

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