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Continuous glucose monitoring (CGM) can be used by athletes without diabetes as a novel wearable technology that provides valuable insights about individual responses to dietary choices, training, performance and recovery. Glucose responses in healthy athletes can be influenced by factors including meal glycemic load or composition; type, duration and intensity of exercise; stress; and other extrinsic and intrinsic factors. Circulating glucose levels following different meals and exercise vary considerably among athletes depending on their sport, training strategies, and unique physiology. Endurance athletes are a sub-population of athletes whose unique glucose profiles and responses to exercise and diet continue to challenge our understanding of glucose regulation. As glucose regulation is influenced by numerous factors, incorporating additional training data and context may help improve CGM interpretation in the context of athletic performance.
Course Objectives
Course
Credits
Course Expiration
ACSM
1.25
06/23/2028
BOC
1.25
06/23/2028
Commission on Dietetic Registration
1.25
06/25/2028
CSCCa
1
06/23/2028
Athletes with spinal cord injury (SCI) often have reduced resting metabolic rate (RMR) and increased body fat due to lower active muscle mass and decreased metabolic rate, necessitating dietary adjustments to prevent nutrient deficiencies. Athletes with amputations (AMP) experience a reduction in fat-free mass (FFM), leading to a decreased RMR, particularly in those with lower-leg amputations. Athletes with cerebral palsy (CP) often face higher energy costs due to less efficient movements and muscle stiffness. Limited visual feedback in athletes with visual impairments (VI) impacts motor learning and pacing, which can alter performance timing and pacing efficiency, especially in sports like swimming. Athletes with VI may lack visual feedback to gauge hydration and energy status. There is no "one-size-fits-all" approach to assessing body composition in Para athletes due to the diverse impacts of impairments, which result in unique distributions of muscle and fat across different impairment types and activity levels. This requires tailored assessment methods to provide accurate and meaningful data.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
03/31/2028
BOC
1
03/31/2028
Commission on Dietetic Registration
1
04/18/2028
CSCCa
1
03/31/2028
The postpartum period is a time of rapid transition from a physical, psychological and social perspective. When returning to sport postpartum, load management is essential with a gradual progression in activity recommended. Appropriate hydration and fueling is critical for the postpartum athlete, especially if they are lactating. With appropriate guidance and robust support, athlete-mothers can return to peak performance postpartum.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
03/27/2028
BOC
1
03/27/2028
Commission on Dietetic Registration
1
04/01/2028
CSCCa
1
03/27/2028
Spinal cord injuries (SCI) are often caused by trauma or congenital disorders, leading to varying degrees of motor, sensory and autonomic function loss. The extent of these losses depends on the lesion level and completeness which also influences the autonomic nervous system function that is essential for understanding altered cardiovascular and respiratory responses to exercise. Athletes with SCI face heightened thermoregulatory challenges due to a reduction in afferent input to and efferent control of the thermoregulatory system, making these athletes more susceptible to heat illness. Consequently, managing heat stress in athletes with SCI is crucial for their safety and performance during sports.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
03/21/2028
BOC
1
03/21/2028
Commission on Dietetic Registration
1
03/31/2028
CSCCa
1
03/21/2028
The growing number of pregnant athletes demonstrates that pregnancy is not the end of an athletic career. Pregnancy is associated with significant adaptations and medical conditions of which all people working with pregnant athletes need to be aware. Maintaining participation in sport during pregnancy is encouraged but may require modification of activities. It is essential to manage risk to sport participation in pregnancy but also take a holistic view of maternal/fetal benefits. Athlete-centered decision making around sport participation during pregnancy in conjunction with the athletes’ obstetric care team and coach/support staff is essential.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
03/17/2028
BOC
1
03/17/2028
Commission on Dietetic Registration
1
03/19/2028
CSCCa
1
03/17/2028
The management of fluctuating blood glucose levels in athletes with type 1 diabetes (T1D) is crucial for both safety and performance during training, sport and competition. Low blood glucose (hypoglycemia) is a major barrier to most forms of exercise, but activity-related high blood glucose levels (hyperglycemia) can also occur with some forms of intense exercise and when insulin dose adjustments are suboptimal for exercise. Continuous glucose monitors (CGM) offer real-time insights into interstitial glucose levels, as a proxy for circulating blood glucose concentrations, for these individuals and their coaching and support teams. Endurance and resistance training present unique challenges in glucose self-management for physically active individuals with T1D, as aerobic exercise generally decreases glucose levels while anaerobic exercise keeps glucose more stable or can increase it. With competition, glucose levels may rise because of stress hormones, but then glucose levels can drop into the hypoglycemic range (low blood glucose levels) in recovery. Proactive blood glucose measures guided by CGM are critical. CGM data helps to inform carbohydrate intake strategies for training and competition, and to help guide more appropriate insulin adjustments for different forms of activity (e.g., aerobic, anaerobic, mixed), with the primary goal of reducing the occurrence of both hypo- and hyperglycemia.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
02/25/2028
BOC
1
02/25/2028
Commission on Dietetic Registration
1.25
03/03/2028
CSCCa
1
02/25/2028
While total energy needs of female athletes are lower than male athletes, macronutrient needs tend to be similar relative to body size (i.e. g per kg body mass). Macronutrient utilization may vary over the course of a menstrual cycle; however, the overall effect appears to be small and can be minimized with proper fueling. Micronutrient needs of female athletes differ from male athletes, and the risk of deficiency should be considered in the development of nutrition plans. Nutrition programs that encourage autonomy, build competence and enhance connection have the potential to improve athlete performance by increasing intrinsic (internal) motivation. Nutrition plans should consider the individual needs of female athletes and be adjusted throughout the training and competitive phase to help athletes achieve their goals.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
01/27/2028
BOC
1
01/27/2028
Commission on Dietetic Registration
1
01/23/2028
CSCCa
1
01/27/2028
The practice of sports medicine, sport science, and coaching are increasingly being driven using real-world data, which is any data which is routinely collected from a variety of sources relating to the health or performance of an athlete/team for the delivery of healthcare or training. While real-world data has many use cases, a very minute amount of this data is currently used to generate real-world evidence which allows us to determine causality from the data. Whether the goal is to increase athlete performance, team performance, mitigate injuries or return athletes to sport more rapidly, it is often insufficient to describe previous performance/injury or predict future performance/injury; it is necessary to change the course of a reality, which requires a causally effective intervention by the practitioner.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
01/22/2028
BOC
1
01/22/2028
Commission on Dietetic Registration
1
01/21/2028
CSCCa
1
01/22/2028
Interval training describes an intermittent style of exercise in which repeated bouts of relatively intense effort are interspersed with short recovery periods. The basic premise is simple, but responses depend on many variables, including the intensity, duration, and frequency of work bouts, and overall training volume. An ~80-to-20 ratio of low- to-moderate-intensity and high-intensity/interval training is commonly recommended to optimize performance in already well-trained athletes who compete in events that require a high rate of aerobic energy provision. The optimal interval training strategy to enhance performance in highly trained athletes is unknown and likely depends on individual characteristics and the demands of the sport or event. There is debate over the best method to structure the portion of training time spent at high intensity including whether a polarized, pyramidal, or threshold approach to intensity distribution is optimal to enhance endurance performance. A key focus of interval training for health has been on maximal oxygen uptake (VO2max), a direct measure of the clinical correlate cardiorespiratory fitness, which is a strong predictor of mortality and risk for many chronic diseases. Recent research has shown the potential for simple, practical, and relatively time-efficient applications of interval training to increase VO2max and other health-related markers. This includes include “exercise snacks” or short (≤1 min) bouts performed periodically throughout the day, and “vigorous intermittent lifestyle physical activity”, which refers to short bursts of vigorous effort embedded incidentally or secondary to regular activities of daily living.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
01/16/2028
BOC
1
01/16/2028
Commission on Dietetic Registration
1
01/09/2028
CSCCa
1
01/16/2028
Athlete monitoring can be used to gauge and elevate players’ responses to training to help the maintenance of maximal performance and minimize injury and/or illness risk. There are many tools for both internal and external load monitoring, however little research has been performed within the context of American football. Given that American football is a team sport made up of different positions requiring unique skillsets and game demands, the individualization of monitoring tools and/or techniques is critical. Data analysis and interpretation needs context, both in terms of training phase (e.g., preseason vs. in-season) and in determining meaningful changes in selected monitoring tools. The authors review different parameters associated with external and internal load assessments in football and tools on how to monitor the player’s recovery with the aim of optimizing both their health and performance.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
11/27/2027
BOC
1
11/27/2027
Commission on Dietetic Registration
1.25
12/03/2027
CSCCa
1
11/27/2027
Substantial volumes of fluid can be lost during intense or prolonged exercise as a consequence of thermoregulatory sweating. In these situations, athletes need to drink during and after exercise to replace fluids lost to avoid potential negative effects of dehydration. Fluid replacement is a multi-step process involving a number of physiological systems including fluid intake, fluid delivery to the bloodstream, distribution within the body fluid compartments, and whole-body fluid retention. Adequate fluid replacement is influenced by beverage composition, as certain ingredients can facilitate or hinder one or more steps in the rehydration process. Dr Lindsay Baker reviews the scientific principles of fluid replacement and role of beverage formulation on the rehydration process for athletes.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
11/12/2027
BOC
1
11/12/2027
Commission on Dietetic Registration
1
12/03/2027
CSCCa
1
11/12/2027
Buffering agents including sodium bicarbonate, beta-alanine and sodium citrate are routinely used by athletes, and effects of buffering agents on athletes’ performance have been investigated since as early as the 1930s. Extracellular buffering agents, including sodium bicarbonate and sodium citrate, can increase the blood’s buffering capacity (pH and [HCO3-]), and intracellular buffering via beta-alanine supplementation can increase muscle carnosine concentration. The recent International Olympic Committee consensus statement on nutritional supplements reported that for sodium bicarbonate and beta-alanine, there is scientific evidence for beneficial effects on athletes’ performance. There is also growing evidence that sodium citrate can be effective in improving performance. There is a high prevalence of the use of supplements and buffering agents within athletic populations and consideration of the use of buffering agents in specific contexts relevant to athletes is therefore warranted. Contexts that have been investigated within the literature to only a limited extent include the use of buffering agents in highly trained female athletes, in extreme environmental conditions (e.g., training and/or competing in hot weather conditions or at altitude) and when using combinations of buffering agents. Recently, it has been demonstrated that the effectiveness of extracellular and intracellular buffering agents can be influenced by modifying factors, such as the dose, timing, duration, and intensity of exercise performed. Additionally, the translation of research findings in buffering agents to highly trained athletes can be influenced by the design factors of research studies (e.g., use of crossover or matched group study design, familiarisation trials, pre-test dietary standardisation, performance tests that were representative of the real-world competitive demands of athletes) and athlete-specific factors (e.g., recruitment of highly-trained athletes as research participants, measures of buffering capacity, and reported improvements in performance tests that replicate real-world competitive events). There is therefore further scope to provide a practical evaluation of the evidence on buffering agents, which may be particularly relevant to performance support practitioners and coaches seeking to implement an evidence-based buffering protocol for their athletes.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
11/12/2027
BOC
1
11/12/2027
Commission on Dietetic Registration
1
12/06/2027
CSCCa
1
11/12/2027
This presentation will explore the importance of carbohydrate for female athletes and the sex differences in energy metabolism. In addition, Dr Rebecca Randell will discuss the key energy and nutrient issues most likely to occur in the female athlete, and methods for how health professionals can monitor energy and nutrition intakes to support both health and performance.
Course Objectives
Course
Credits
Course Expiration
ACSM
1.5
12/28/2026
BOC
1
12/28/2026
In all sports, skill is used as an umbrella term that includes not only physical performance of a particular skill but also the complex interaction of cognitive and technical ability to respond to the multitude of scenarios that occur in every match. However, when competing in team sports participants experience, to different degrees, physical and mental fatigue that has a negative impact on the performance of sports specific skills. As nutrition counter measure, the ingestion of appropriate quantities of carbohydrate, at appropriate times, has been shown to maintain or benefit aspects of skill performance. The mechanisms underpinning this preservation of skill with carbohydrate feedings involve a complex series of events between brain and skeletal muscle that interact to minimize the impact of physical and mental fatigue. Although these questions are specific to soccer research, many of the principles are directly transferable to other “stop-and-go” team sports.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
12/19/2026
BOC
1
12/19/2026
CSCCa
1
12/19/2026
Bone stress injuries (BSI) are one of the most insidious and challenging outcomes of REDs in female athletes. This is often because it is not until a BSI is diagnosed that the underlying, often prolonged and/or severe LEA, is discovered. BSI are the most common injury in athletes and two-to-four times more common among females than males with prevalence rates as high as 20% depending on sport type. Since BSI are usually preceded by decreases in bone mineral density (BMD), and since any meaningful change (positive or negative) in the structural characteristics of the bone tissue can take months or years to occur, impairments to bone health can be incredibly difficult to prevent, treat and reverse. In this course, Dr Ida Heikura explores the key nutritional challenges and opportunities to support optimal bone health in female athletes, followed by a stepwise action plan to prevent poor bone health.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
12/19/2026
BOC
1
12/19/2026
The ketone bodies acetoacetate and β-hydroxybutyrate have wide-ranging metabolic and molecular effects on organs such as the brain, heart and skeletal muscle, some of which are suggestive of benefits to athletes in terms of performance and recovery. The recent development and increasing commercial availability of ingestible forms of ketone bodies as exogenous ketone supplements has amplified interest in these compounds. A variety of compounds classified as exogenous ketone supplements are now available and have been subject to several studies in exercise performance and recovery contexts in human participants. While there are mechanistic bases for potential beneficial effects of exogenous ketone supplements in various athletic contexts, most studies to date have failed to observe benefits to performance or recovery.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
05/15/2026
BOC
1
05/15/2026
CSCCa
1
05/05/2026
In this course, Dr David Kennedy discusses caffeine from a research and real-world perspective. Caffeine, when taken alone in a research context, is associated with consistent ergogenic and psychological benefits, although within differing optimal dose ranges. In a real-world sport/exercise context, caffeine is often consumed alongside other bioactive compounds in the form of manufactured energy drinks or naturally occurring, plant-derived, caffeinated products. This SSE course explores the state of the research and where further exploration is needed.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
02/06/2026
BOC
1
02/06/2026
Because of the discussions on more sustainable food production and the need to improve lifestyle and health, there is a growing interest in the transition towards consuming a more plant-based diet. As a result, daily protein intake will be derived more from the consumption of plant-based proteins at the expense of animal-based proteins. There are many questions on whether this has impact on the capacity of an athlete to recover and recondition following exercise. So far, basic research indicates that the ingestion of plant-derived proteins may not stimulate muscle protein synthesis to the same extent when compared to the ingestion of an equivalent amount of animal-derived proteins. The proposed lesser anabolic properties of plant- versus animal-based proteins have been attributed to differences in protein digestion and amino acid absorption kinetics. Furthermore, most plant-derived proteins have lower essential amino acid contents and can be deficient in one or more specific amino acids. However, it should be noted that very few studies have directly compared muscle protein synthesis rates following the ingestion of plant- versus high quality animal-derived proteins. Theoretically, a lower bioavailability and/or functionality of plant-based protein sources and/or plant-derived protein concentrates may result in greater daily protein requirements for athletes transitioning towards a (more) plant-based diet. However, as athletes typically consume a diet that provides more than 1.5 g protein per day, a lesser protein bioavailability or protein quality will unlikely compromise muscle conditioning in athletes adopting a (more) plant-based diet. However, when athletes are changing to a plant-based diet under conditions of low(er) energy and/or protein intake, a sports dietitian should be consulted to ensure ample protein provision.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
11/09/2025
BOC
1
11/09/2025
CSCCa
1
11/09/2025
Dietary protein is essential for an athlete’s recovery and adaptation as it provides the requisite amino acid building blocks to repair and remodeling old and/or damaged proteins, especially within working skeletal muscle. Amino acids may also be used as a source of fuel during exercise that requires high mitochondrial flux (e.g. repeated sprint and steady state endurance exercise) and therefore must be consumed in the diet to replenish these exercise-induced losses of the essential amino acids (e.g. branched chain amino acids). The majority of research on protein requirements for athletes have been performed in young individuals, which opens debate as to whether Master athletes would require similar or greater intakes. Available evidence suggest current recommendations for younger athletes would also translate to Master athletes. As opposed to daily protein targets that have been the focus of past research, current practice suggests the most efficient strategy to consume the daily protein requirement is to focus on consuming meals with a moderate amount of protein spaced regularly throughout the day. There is little evidence to suggest that protein requirements in older Master athletes are different between men and women, although estrogen is generally ‘protein-sparing’ and therefore can reduce protein requirements by ~10-15%. There appears to be an opportunity to educate Master athletes as to their meal protein requirements, which may be a safe and effective way to improve their training recovery and adaptation.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
11/09/2025
BOC
1
11/09/2025
Adolescence is a period of natural experimentation and is particularly important in terms of establishing the connection between diet, exercise and body image. An adolescent’s peers become increasingly powerful moderators of all behaviors, including eating. The pathway to elite sports performance is complex, and rarely forecast by success at junior levels. Stakeholders involved in managing developing athletes have a responsibility to prioritize sound physical and mental development while integrating principles of sport nutrition success.
Course Objectives
Course
Credits
Course Expiration
ACSM
1
11/09/2025
BOC
1
11/09/2025
