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The objective of this study was to describe barriers influencing dietary practices of elite-level athletes using a focus-group design involving discussions with elite-level athletes, coaches and sports dietitians. The participants were sixteen male and thirty female elite athletes from an Australian State Institute of Sport, representing diving, netball, basketball and lawn bowls; twelve elite coaches representing swimming, diving, soccer, sailing, cycling and golf; and sixteen sports dietitians who consulted to state institutes/academies of sport with various sports. Focus groups were audio-taped and transcribed with in-depth notes also recorded during the groups. Thematic coding of transcripts and notes were undertaken by the primary coder and these themes were subsequently evaluated by the research team. A number of barriers to healthy eating were described. Lack of time for food preparation was a significant barrier raised by all groups. Financial limitations, inadequate cooking skills and difficulty with living arrangements also rated high among all three groups. Coaches were concerned with excess body weight and fat levels and perceived an impact on sports performance. Athletes reported concern about body shape due to societal pressures. Sports dietitians and coaches were concerned with issues relating to optimal dietary provision surrounding travel to and from training and competition. A range of barriers influence the diet of athletes, in particular time and financial constraints in addition to specific physique requirements. Health professionals working with elite athletes need to be aware of these barriers when assessing dietary intake, or designing nutrition interventions. Dietitians may need to advocate on behalf of athletes to facilitate increased financial or professional support to assist athletes to choose and then maintain healthy diet practices.
Heaney et al. (Mon,) studied this question.