ABSTRACT

Athletes with an amputation may have characteristics that vary from being effectively the same as able-bodied athletes (e.g., lower arm amputees) through to those that are substantially different (e.g., bilateral above-knee amputees). While resting energy requirements may be lower than those of able-bodied athletes due to limb deficiency, energy requirements of ambulation may be significantly higher due to unstable gait. While there is still much research to be conducted in this population, this chapter aims to review current research and best practices for assessing energy needs and providing sound nutrition recommendations. Successful elite Para athletes with an amputation were interviewed to provide further insight and help summarize specific nutrition-related considerations including weight management and prosthesis fit, hydration and thermoregulation challenges, and travel nutrition. Other practical applications addressed include common injuries and bone health concerns, fueling needs, hydration and cooling considerations, and methods used to accurately assess body composition.