GLOSSARY

Paralympic Sports Nutrition Nutrition care adapted to a para-athlete's impairment, training, health and practical access requirements.

Para-athlete nutrition depends on the impairment, sport, functional capacity, health and practical access to food and fluids. Reduced active muscle mass can alter energy estimates, while intensive training still requires adequate fuel. Standard body-composition equations or body-mass comparisons may be unsuitable after amputation or spinal cord injury. Thermoregulation, bowel function, skin integrity, bladder management and medication can affect the plan. Work with the athlete and appropriate clinicians to find usable strategies rather than treating all impairments as one nutritional category.

Choose a dietary assessment method according to the question, population and resources. A recent intake record can explore meal timing around training; a frequency questionnaire can describe longer-term patterns. Neither automatically establishes exact habitual intake. Combine food details with training, access, symptoms, medication and relevant measurements. Explain uncertainties and what the method cannot answer. Good assessment produces a decision that can be reviewed, rather than an impressive nutrient report whose apparent precision exceeds the quality of the information collected.

For example, a wheelchair athlete may need a fluid plan that considers bladder management and access without creating chronic underdrinking. Discuss the athlete's own priorities and relevant medical advice. Adjust measurements and food arrangements to the impairment instead of relying uncritically on standard able-bodied prediction equations.

An adequate diet provides sufficient energy and essential nutrients while fitting health needs. A high score for variety or a healthy food label cannot independently demonstrate adequacy. Review what is actually eaten, including foods excluded and suitable replacements. Athletes can consume many vegetables yet still lack enough energy or carbohydrate for training. Assess the overall pattern, distribution and relevant nutrient risks rather than assuming that a single food or supplement makes the entire diet balanced.

Fluid planning should consider sweat losses, conditions, tolerance and opportunities to drink. Carbohydrate and fluid needs can differ, so a single beverage may not meet both without adjustment. Excessive drinking can also be harmful; more fluid is not always better. Sodium provision may be relevant in selected prolonged or high-loss situations, but it does not make unlimited drinking safe. Practice the combined food-and-fluid plan in training and evaluate actual intake and symptoms rather than relying only on a product label.

Food availability describes what is present, whereas accessibility includes whether a person can obtain and use it. Cost, transport, opening hours, kitchen facilities, disability and team arrangements can all affect intake. Food insecurity concerns unreliable access to sufficient suitable food and is not resolved by telling someone to make better choices. Ask respectfully about constraints and identify practical support. A technically ideal sports menu is ineffective if the athlete cannot afford, prepare, store or reach the foods at the required time.

A nutrition care record should explain the assessment, interpretation, agreed plan, responsible professionals and follow-up criteria. Separate reported information from measured findings and clinical judgments. Record relevant units, dates, methods and changes so that another practitioner can understand the decision. Seek consent for sharing sensitive information and limit access appropriately. A referral should communicate the specific concern and urgency rather than only a broad label. In sport, documentation should support continuity of care while protecting health information from inappropriate use in coaching or selection.