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This was known as the tertiary injury prevention which marked interventions athletes can undertake after their accident occurred. For example, a common intervention was rehabilitation to prevent disabilities from the athlete’s injury and minimize the likelihood of a reinjury. While all of the existing preventions could decrease the risk of injury the data on this potential shift is subjective. Most of the articles the researchers investigated had conducted retrospective survey studies or descriptive studies based on expert opinion and beliefs from the participants. However, ChunCheung Woo suggested that eight injury prevention strategies be analyzed for future use in the sports nutrition field to lower the chance of injuries and help athletes properly heal from injuries. Some of the strategies are as follows: preparticipation screening, sports behavior modifications, enforcement of protective gear, and sports nutrition considerations.4 Lastly, professional ballet is where athleticism intersects with art creating a different set of nutrition requirements compared to aquatic sports for optimal performance.5 Performance can be enhanced with proper nutritional care and consideration; however, just as easily be weakened without sufficient nutrients. According to Wright and Colin, the role of nutrition to prevent injury among ballet dancers correlates with symptoms of the female athlete triad. These symptoms consist of low bone mineral density, low energy availability and/or disordered eating, and amenorrhea. As the nature of the professional ballet realm presses the desire for dancers to be thin and highly trained, the risk of injury increases as symptoms of the female athlete triad progress. Stress fractures may be the result of low iron, calcium, and vitamin D intake which could naturally connect to low energy intake as ballet dancers consume few micronutrients to obtain a low body weight. On the other hand, there are studies that demonstrate the notion that weight-bearing exercise like ballet holds significance in improving bone density because it slows bone loss. However, if proper training techniques and adequate nutrition intake are not taken into consideration, the exercise may have a negative impact instead of positive for bone health. Therefore, nutrition recommendations for ballet dancers include a focus on adding foods rich in calcium, iron, and vitamin D. Another strong emphasis should be meeting individual energy needs based on the training demands of ballet; ultimately, decreasing the likelihood of malnutrition as a result of prolonged energy deficiency. Furthermore, ensuring the dancers are properly hydrated before, during, and after exercise. 20
Lastly, choosing high quality, whole-food sources rich in fiber and omega-3 fatty acids will ensure a nutrient-dense diet to allow the dancers to perform without risk of injury or affecting their health. To prevent performance injuries and delayed recovery time, studies suggest that interventions such as nutrition education workshops and lectures be a standard part of ballet training. One study the researchers analyzed determined that an education series of three lectures to adolescent dancers increased nutrition knowledge about the female athlete triad and self-efficacy.5 As such, nutrition interventions and programs should become a component of standard care practice during athlete training sessions to prevent injuries and improve time spent in the rehabilitation process.2 Overall, nutrition is essential in injury prevention and recovery to ensure athletes are meeting their individual needs and reach optimal performance without negatively affecting their health.2 So while injuries are often forthcoming in sports, it does not have to be part of every athlete’s narrative. References 1. Turnagöl HH, Koşar ŞN, Güzel Y, Aktitiz S, Atakan MM. Nutritional Considerations for Injury Prevention and Recovery in Combat Sports. Nutrients. 2021;14(1):53-. doi:10.3390/nu14010053 2. Smith-Ryan AE, Hirsch KR, Saylor HE, Gould LM, Blue MNM. Nutritional Considerations and Strategies to Facilitate Injury Recovery and Rehabilitation. Journal of athletic training. 2020;55(9):918-930. doi:10.4085/1062-6050-550-19 3. De Castro-Maqueda G, Amar-Cantos FE. Preventing Injuries Among Water Polo Players: A quantitative Survey. Journal of Physical Education and Sport. 2019;19:1496-1501. doi:10.7752/jpes.2019.s4216 4. Woo CC. Recreational windsurfing-related acute injuries: a narrative review. Part 2: injury prevention and a proposal for a set of potential prevention strategies with a holistic approach. Journal of the Canadian Chiropractic Association. 2023;67(2):159-174. 5. Wright L, Colin C. The Role of Nutrition in Injury Prevention Among Ballet Dancers. In: Perspectives in Performing Arts Medicine Practice. Springer International Publishing; 2020:311-319. doi:10.1007/978-3-030-37480-8_19 21
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