Context: Many athletes fail to obtain the optimal levels of energy and nutrients to support health and performance. The constructs underlying the Theory of Planned Behavior (TPB) may help identify barriers to healthful eating that can be addressed in nutrition-education programs.Objective: To use the TPB to examine factors regarding collegiate male and female student-athletes' intentions of eating a healthful diet.Design: Cross-sectional study. Setting: Online survey tool.Patients or Other Participants: The survey was taken by 244 male and female National Collegiate Athletic Association Division II athletes, and data from 201 were analyzed. Mean age of the athletes was 20 6 1.31 years (range, 18-24 years); most were white (86.1%) and female (78.6%).Main Outcome Measure(s): We assessed predictive strength of attitude, subjective norms, and perceived behavioral control on behavioral intentions. Regression analysis evaluated how the variables of TPB were valued and how they predict behavioral intentions.Results: The combination of attitude, subjective norms, and perceived behavioral controls accounted for 73.4% (R 2 ) of the variance in behavioral intention (F¼180.82, P , .001). Attitude had the greatest influence on behavioral intentions (b¼.534, P , .001).Conclusions: Understanding both the intentions of collegiate athletes to eat healthfully and how highly they value nutrition is crucial for the development of effective nutrition education and counseling programs.Key Words: Theory of Planned Behavior, nutrition, sex differences
Key PointsThese collegiate student-athletes viewed a healthful diet as a way to improve sport endurance and concentration. Family, teammates, and fans influenced the athletes' intentions to eat a healthful diet. The athletes had a high level of perceived control over environmental factors that may affect dietary behaviors. M any athletes fail to obtain the optimal levels of energy and nutrients to support health and performance. [1][2][3][4][5][6] The dietary behaviors of collegiate athletes are subjected to the same challenges that all college students face, including 24-hour access to lowquality, energy-dense food; schedule demands; social situations; and newly found independence.7,8 Despite a lack of knowledge and suboptimal dietary behaviors, collegiate athletes appear to have a positive attitude overall toward nutrition and nutrition education.
7,9-12The Theory of Planned Behavior (TPB) stems from the Theory of Reasoned Action. 13 Extensive literature 14 has explored the role of TPB in health-related decision-making behaviors. The assumptions of TPB have been well described, with behavioral intention being considered the most influential predictor of behavior. 15 The TPB postulates that the stronger the intention, the more likely the person will perform a behavior. 16 The 3 major constructs that directly affect behavioral intention are attitude, subjective norms, and perceived behavioral control (Figure 1). Attitudes refer to the degree to which a person has a favorable or unfavorabl...