In this review, we outline key principles for prevention of injury and illness in aquatic sports, detail the epidemiology of injury and illness in aquatic athletes at major international competitions and in training, and examine the relevant scientific evidence on nutrients for reducing the risk of illness and injury. Aquatic athletes are encouraged to consume a well-planned diet with sufficient calories, macronutrients (particularly carbohydrate and protein), and micronutrients (particularly iron, zinc, and vitamins A, D, E, B6, and B12) to maintain health and performance. Ingesting carbohydrate via sports drinks, gels, or sports foods during prolonged training sessions is beneficial in maintaining energy availability. Studies of foods or supplements containing plant polyphenols and selected strains of probiotic species are promising, but further research is required. In terms of injury, intake of vitamin D, protein, and total caloric intake, in combination with treatment and resistance training, promotes recovery back to full health and training.
Keywords: epidemiology, nutrition, swimming, infection, supplements, ergogenic aidsAquatic coaches are obliged to use physically challenging training programs to prepare their athletes for high-level competitions. However, a high level of exposure to training (and competition) can increase the risk of illness or injury, limiting improvements in performance. Sports science and sports medicine practitioners who work with swimmers (and swimming coaches) are seeking effective evidence-based interventions and strategies to reduce the risk of injury and illness compromising training and competitive performance. Although the importance of illness and injuries and their impact on performance is better understood nowadays by both researchers and practitioners, there remains a lack of quality information, particularly related to the importance of nutrition and dietary practices.Nutrient intake during everyday eating and around swimming training and competition is a key factor influencing immune function and risk of injury. Other factors related to illness include the volume, intensity, and load of exercise training; degree of exposure to pathogens; underlying health and medical status of individual athletes; lifestyle behaviors, including sleep and recovery; and psychosocial issues related to training and competition. Given the lack of specific research studies on highly trained swimmers, it is necessary to look more broadly at general nutrition, sports nutrition, and studies of athletes in other sports. A Medline search (November 2013) using nutrition as a search term yielded 325 hits for swimming, but only seven for water polo, six for long-distance swimming, five for diving, and two for synchronized swimming.Although the benefits of avoiding illness and injury appear obvious, only one study has directly quantified the effect of illness on international swimming performance. A study of performances of Australian swimmers showed that mild illness had only a trivial mean effect...