Nutrition intervention in bodybuilders in Limpopo Province, South Africa: anthropometric, serum lipid and micronutrient profiles

Authors

  • Sylven Masoga Faculty of Health Sciences, University of the Free State
  • Robert Schall Faculty of Natural and Agricultural Sciences, University of the Free State
  • Peter Mphekgwana University of Limpopo
  • Derik Coetzee Faculty of Health Sciences, University of the Free State
  • Elmine du Toit Faculty of Health Sciences, University of the Free State

DOI:

https://doi.org/10.31599/hsya9n84

Keywords:

bodybuilding, lipid profile, serum micronutrients, nutrition intervention

Abstract

Bodybuilders follow various diets, with some posing health risks. The study aimed to determine the baseline information on serum lipids and micronutrients, implement meal plans and evaluate the impact on these profiles of bodybuilders. An intervention study was conducted with 26 affiliated bodybuilders. The study was divided into baseline, intervention and post-intervention phases. In the baseline phase, anthropometry, serum lipid and certain micronutrient profiles were measured. The intervention phase was informed by baseline results, with athletes randomly assigned either to the experimental (n=14) or control (n=12) group. The experimental group received designed meal plans for three months. The post-intervention phase repeated measurements of the same variables in the baseline. Independent t-test and Wilcoxon test were used to determine the impact of meal plans between baseline and intervention variables. Total cholesterol (TC) and triglyceride (TG) serum levels were within acceptable standards, with a mean TC of 4.2 mmol/L for the experimental group and 3.8 mmol/L for the control group, and TG of 0.8 mmol/L for the experimental group and 0.7 mmol/L for the control group. High-density lipoprotein (HDL) and low-density lipoprotein (LDL) levels were within normal ranges for both groups. Dietary micronutrient intake and serum levels were mostly within the recommended daily allowance (RDA) and tolerable upper intake level (UL) in both groups. The nutrition intervention maintained bodybuilders' serum lipid and micronutrient profiles within acceptable standards.

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Author Biographies

  • Robert Schall, Faculty of Natural and Agricultural Sciences, University of the Free State

    Department of Mathematical Statistics and Actuarial Science

  • Peter Mphekgwana, University of Limpopo

    Research Administration and Development

  • Derik Coetzee, Faculty of Health Sciences, University of the Free State

    Department of Exercise and Sport Sciences

  • Elmine du Toit, Faculty of Health Sciences, University of the Free State

    Department of Nutrition and Dietetics

References

Amawi, A., AlKasasbeh, W., Jaradat, M., Almasri, A., Alobaidi, S., Hammad, A.A., Bishtawi, T., Fataftah, B., Turk, N., Saoud, H.A., Jarrar, A. & Ghazzawi, H. (2024). Athletes' nutritional demands: a narrative review of nutritional requirements. Frontiers in Nutrition, 18(10), 1331854. https://doi.org/10.3389/fnut.2023.1331854

Barjaktarovic-Labović, S., Andrijević, V., Banjari, I., Kurgaš, H. & Zejnilović, M. (2015). Lipid status of professional athletes. Medical Data, 7(1), 21–25. Available at: https://www.academia.edu/61307950/Lipid_Status_of_Professional_Athletes

Barakat, C., Pearson, J., Escalante, G., Campbell, B. & De Souza, E.O. (2020). Body recomposition: can trained individuals build muscle and lose fat at the same time? Strength and Conditioning Journal, 42(5), 7–21. https://doi.org/10.1519/SSC.0000000000000584

Beschasnyi, S., Hasiuk, O., Shakhman, N. & Sheldahayeva, H. (2021). Oxidative stress in athletes after occasional smoking. Journal of Physical Education and Sport, 21(2), 942–947. https://doi.org/10.7752/jpes.2021.02117

Brancaccio, M., Mennitti, C., Cesaro, A., Fimiani, F., Vano, M. & Gargiulo, B., et al. (2022). The biological role of vitamins in athletes' muscle, heart and microbiota. International Journal of Environmental Research and Public Health, 19(3), 1249. https://doi.org/10.3390/ijerph19031249

Bülbül, A., Özsoy, Ş., Ocalık, S. & Ölçücü, B. (2022). The effect of heavy exercise on plasma lipid levels in elite volleyball male athletes. Mediterranean Journal of Sport Science, 5(3), 604–612. https://doi.org/10.38021asbid.1154758

Bytomski, J.R. (2017). Fuelling for performance. Sports Health, 10(1), 47–53. https://doi.org/10.1177/1941738117743913

Carlsohn, A., Braun, H., Großhauser, M., König, D., Lampen, A., Mosler S, et al. (2019). Minerals and vitamins in sports nutrition. Position of the working group sports nutrition of the German Nutrition Society (DGE). Ernährungs Umschau, 66(12), 250–257. https://doi.org/10.4455/eu.2019.050

Celik, H., Tuysuz, M.Z., Aktas, Y., Eren, M.A. & Demirbag, R. (2024). Assessment of paraoxonase 1 and arylesterase activities and lipid profile in bodybuilders: a comparative study of physical activity and anthropometry on atherosclerosis. Medicina (Kaunas), 60(10), 1717. https://doi.org/10.3390/medicina60101717

Chappell, A.J. & Simper, T.N. (2018). Nutritional peak week and competition day strategies of competitive natural bodybuilders. Sports, 6, 126. https://doi.org/10.3390/sports6040126

Close, G.L., Ashton, T., Cable, T., Doran, D., Holloway, C., McArdle, F., et al. (2006). Ascorbic acid supplementation does not attenuate post-exercise muscle soreness following muscle-damaging exercise but may delay the recovery process. British Journal of Nutrition, 95(5), 976–981. https://doi.org/10.1079/bjn20061732

Cooper, M.S. & Gittoes, N.J. (2008). Diagnosis and management of hypocalcaemia. British Medical Journal, 336(7656), 1298–1302. https://doi.org/10.1136/bmj.39582.589433.BE

Das, P. & Ingole, N. (2023). Lipoproteins and their effects on the cardiovascular system. Cureus, 15(11), e48865. https://doi.org/10.7759/cureus.48865

De Souza, D.C., Santos, J.A.B., De Jesus, D.M. & Gentil, P. (2018). Biochemical profile and body composition alteration of amateur bodybuilders during the pre-contest period. Journal of Functional Morphology and Kinesiology, 3(2), 26. https://doi.org/10.3390/jfmk3020026

Di Cesare, M, Bixby, H., Gaziano, T., Hadeed, L., Kabudula, C., McGhie, D.V., et al. (2023). World Heart Report: confronting the world's number one killer. Geneva: World Heart Federation. Available at: https://world-heart-federation.org/wp-content/uploads/World-Heart-Report-2023.pdf

Dunford, M, & Doyle, J.A. (2019). Nutrition for Sports and Exercise. 4th ed. Boston, MA: Cengage Learning, Inc.

El Hoss, K., Salla, M., Khaled, S., Krayem, M., Hassan, H, & El Khatib, S. (2023). Update on vitamin D deficiency and its impact on human health major challenges and technical approaches of food fortification. Journal of Agriculture and Food Research, 12, 100616. https://doi.org/10.1016/j.jafr.2023.100616

Elsayyad, L., Hatem, A.H., Alzahrani, N., Gharib, A.F., Shami, A., Khalifa, O.M., et al. (2020). Effect of short-term aerobic exercise on lipid profile. Biomedical Science Journal, 1, 5. https://www.researchgate.net/profile/Khadiga-Ismail-2/publication/342232064_Effect_of_Short-Term_Aerobic_Exercise_on_Lipid_Profile/links/5ee9c889458515814a653a49/Effect-of-Short-Term-Aerobic-Exercise-on-Lipid-Profile.pdf

Escalante, G., Stevenson, S.W., Barakat, C., Aragon, A.A. & Schoenfeld, B.J. (2021). Peak week recommendations for bodybuilders: an evidence based approach. BMC Sports Science, Medicine and Rehabilitation, 13(1), 68. https://doi.org/10.1186/s13102-021-00296-y

Faber, M., Van Jaarsveld, P., Wenhold, F., & van Rensburg, J. (2010). African leafy vegetables consumed by households in the Limpopo and KwaZulu-Natal provinces in South Africa. South African Journal of Clinical Nutrition, 23(1). https://www.ajol.info/index.php/sajcn/article/view/52748

Food and Agriculture Organization (FAO); World Health Organization (WHO). (2001). Human vitamin and mineral requirements. Report of a joint FAO/WHO Expert consultation Bangkok, Thailand. https://wfp.tind.io/record/6878?ln=en

Galin, P., Galyaveeva, A., Bataev, H. & Safonov, V. (2020). The role of micronutrients and vitamins in the prevention and remote treatment of heart failure. Revista Latinoamericana de Hipertension, 15(1), 26–32. http://saber.ucv.ve/ojs/index.php/rev_lh/article/view/18723

Garthe, I. & Maughan, R.J. (2018). Athletes and supplements: prevalence and perspectives. International Journal of Sports Nutrition, Exercise and Metabolism, 28(2), 126–138. https://doi.org/10.1123/ijsnem.2017-0429

Garthe, I., Raastad, T., Refsnes, P.E. & Sundgot-Borgen, J. (2013). Effect of nutritional intervention on body composition and performance in elite athletes. European Journal of Sport Science, 13(3), 295–303. https://doi.org/10.1080/17461391.2011.643923

Ghazzawi, H.A., Hussain, M.A., Raziq, K.M., Alsendi, K.K., Alaamer, R.O., Jaradat, M., et al. (2023). Exploring the relationship between micronutrients and athletic performance: a comprehensive scientific systematic review of the literature in sports medicine. Sports (Basel), 11(6), 109. https://doi.org/10.3390/sports11060109

Grams, L., Garrido, G., Villacieros, J. & Ferro, A. (2016). Marginal micronutrient intake in high-performance male wheelchair basketball players: a dietary evaluation and the effects of nutritional advice. PLoS One, 11(7), e0157931. https://doi.org/10.1371/journal.pone.0157931

Grozenski, A. & Kiel, J. (2020). Basic nutrition for sports participation, Part 2: vitamins and minerals. Current Sports Medicine Reports, 19(12), 508–510. https://doi.org/10.1249/JSR.0000000000000779

Guleria, P., Mahavidyalaya Kharkhoda, K., Sapna Dhawan, I., Chand, P., Kaushik, A. & Dhawan, S. (2018). Role of nutrients and sports drinks on sports performance: a review. International Journal of Physiology, Nutrition and Physical Education, 3(1), pp.184–189. https://www.researchgate.net/publication/354311843_Role_of_nutrients_and_sports_drinks_on_sports_performance_A_review

Hannon, B.A., Thompson, S.V., Edwards, C.G., Skinner, S.K., Niemiro, G.M., Burd, N.A., et al. (2018). Dietary fiber is independently related to blood triglycerides among adults with overweight and obesity. Current Developments in Nutrition, 3(2), nzy094. https://doi.org/10.1093/cdn/nzy094

Heaton, L.E., Davis, J.K., Rawson, E.S., Nuccio, R.P., Witard, O.C., Stein, K.W., et al. (2017). Selected in-season nutritional strategies to enhance recovery for team sport athletes: a practical overview. Sports Medicine, 47(11), 2201–2218. https://doi.org/10.1007/s40279-017-0759-2

Inês, G. (2019). Complex B vitamins in physical exercise. JOJ Public Health, 4(4), 555624. https://doi.org/10.19080/jojph.2019.04.555642

Institute of Medicine (US) Panel on Dietary Antioxidants and Related Compounds. (2000). Dietary reference intakes for vitamin C, vitamin E, selenium, and carotenoids. Washington DC: National Academies Press.

International Fitness and Bodybuilding Federation (IFBB). (2024). IFBB Federation rules for bodybuilding and fitness. https://ifbb.com/wp-content/uploads/2024/08/01-IFBB-General-Rules-2024-edition-1.pdf

Jeukendrup, A. & Gleeson, M. (2019). Sport Nutrition. 4th ed. Champaign, IL: Human Kinetics.

Kairaitis, R., Mamkus, G., Degens, H. & Kamandulis, S. (2024). Nutrition practices of Lithuanian elite international and national-level male bodybuilders in the pre-competition period. Journal of Musculoskeletal and Neuronal Interactions, 24(3), 232–242. https://hylonome-publications.fra1.digitaloceanspaces.com/jmni/published/97/jmni_24_232.pdf

Kerksick, C.M., Wilborn, C.D., Roberts, M.D., Smith-Ryan, A., Kleiner, S.M., Jäger, R., et al. (2018). ISSN exercise and sports nutrition review update: research and recommendations. Journal of the International Society of Sports Nutrition, 15(1), 38. https://doi.org/10.1186/s12970-018-0242-y

Kim, H.K., Kimura, Y., Takahashi, M., Nakaoka, T., Yamada, Y., Ono, R., et al. (2024). Morning physical activity may be more beneficial for blood lipids than afternoon physical activity in older adults: a cross-sectional study. European Journal of Applied Physiology, 124(11), 3253–3263. https://doi.org/10.1007/s00421-024-05526-y

King, K.M., Woltring, M.T. & Jubenville, C.B. (2021). Amateur bodybuilders and their perceptions of supplements: a qualitative analysis. Journal of Exercise and Nutrition, 4(2), 6. https://doi.org/10.53520/jen2021.103103

Kraus, W.E., Houmard, J.A., Duscha, B.D., Knetzger, K.J., Wharton, M.B., McCartney, J.S., et al. (2002). Effects of the amount and intensity of exercise on plasma lipoproteins. New England Journal of Medicine, 347(19), 1483–1492. https://doi.org/10.1056/NEJMoa020194

Kreider, R.B., Almada, A.L., Antonio, J., Broeder, C., Earnest, C., Greenwood, M., et al. (2010). ISSN exercise sport nutrition review: research and recommendations. Journal of the International Society of Sports Nutrition, 7(7), 9–16. https://doi.org/10.1186/1550-2783-7-7

Krzywański, J., Mikulski, T., Pokrywka, A., Młyńczak, M., Krysztofiak, H., Frączek, B., et al. (2020). Vitamin B12 status and optimal range for hemoglobin formation in elite athletes. Nutrients, 12(4), 1038. https://doi.org/10.3390/nu12041038

Larson-Meyer, D.E. & Willis, K.S. (2010). Vitamin D and athletes. Current Sports Medicine Reports, 9(4), 220–226. https://doi.org/10.1249/JSR.0b013e3181e7dd45

Larson-Meyer, D.E., Woolf, K. & Burke, L. (2018). Assessment of nutrient status in athletes and the need for supplementation. International Journal of Sport Nutrition, Exercise and Metabolism, 28(2), 139–158. https://doi.org/10.1123/ijsnem.2017-0338

Lee, N. (2017). A review of magnesium, iron, and zinc supplementation effects on athletic performance. Korean Journal of Sport Studies, 56(1), 797–806. https://doi.org/10.23949/KJPE.2017.01.56.1.59

Lenzi, J.L., Teixeira, E.L., de Jesus, G., Schoenfeld, B.J. & de Salles Painelli, V. (2021). Dietary strategies of modern bodybuilders during different phases of the competitive cycle. Journal of Strength and Conditioning Research, 35(9), 2546–2551. https://doi.org/10.1519/JSC.0000000000003169

Madden, R.F., Shearer, J. & Parnell, J.A. (2017). Evaluation of dietary intakes and supplement use in paralympic athletes. Nutrients, 9(11), 1266. https://doi.org/10.3390/nu9111266

Makiel, K., Suder, A., Kasza, S. & Kubasiak, K. (2020). Body composition and dietary patterns in professional and amateur bodybuilders. Anthropology Reviews, 83(2), 225–238. https://doi.org/10.2478/anre-2020-0016

Masoga, S, Makuse, S.H.M. & Bopape, M.M. (2019). Dietary intake of amateur bodybuilding athletes around Polokwane Municipality in Limpopo Province, South Africa. Global Journal of Health Sciences, 11(9),134–144. https://doi.org/10.5539/gjhs.v11n9p134

Masoga, S., Mboweni, N.W. & Ramokolo, KM. (2023). Use of ergogenic substances amongst bodybuilding athletes around Polokwane Municipality, Limpopo Province, South Africa. Arab Journal of Nutrition and Exercise, 7(1), 33–46. https://doi.org/10.18502/ajne.v7i1.13427

Masoga, S., Du Toit, E., Coetzee, F. & Schall, R. (2024). Fluid intake Hydration Strategies of Bodybuilders In the Capricorn District, Limpopo Province, South Africa. Journal Coaching Education Sports, 5(1), 141–158. https://doi.org/10.31599/jces.v5i1.3721

Melnik, S.N., Belaya, L.A., Brel, Y.I., Konovalenko, V,P. & Haustova, E.S. (2022). Blood biochemical parameters in athletes of different types of sports. Opera Medical Physiology, 9(2), 35–41. https://doi.org/10.24412/2500-2295-2022-2-35-41

Oborný, J. & Ferenc, I. (2019). Fitness and bodybuilding as a physical activity and its importance for physical development, physical fitness and mental wellbeing. Advances in Social Sciences Research Journal, 6(2), pp. 112–122. https://doi.org/10.14738/assrj.62.6135

Odysseois, C. & Avraamidou, M. (2017). Weight management for athletes: important things to be considered. Arab Journal of Nutrition and Exercise, 1(3), 155–170. https://doi.org/10.18502/ajne.v1i3.1232

Pietrzak, A., Kȩska, A., Saghebjoo, M. & Nezamdoost, Z. (2020). Intake of antioxidant vitamins in women with different physical activity levels. Biomedical Human Kinetics, 12(1), 166–172. https://doi.org/10.2478/bhk-2020-0021

Purdom, T., Kravitz, L., Dokladny, K. & Mermier, C. (2018). Understanding the factors that affect maximal fat oxidation. Journal of the International Society of Sports Nutrition, 15(1), 3. https://doi.org/10.1186/s12970-018-0207-1

Purva, A., Sharma, K. & Khan, M.S. (2020). A review on dyslipidemia: types, risk factors and management. Asian Journal of Pharmaceutical Research and Development, 8(2), 96–98. https://doi.org/10.22270/ajprd.v8i2.682

Rafeeq, H., Basit, I., Jabeen, R., Shehzadi, I., Shafique, K., Tariq, S., et al. (2020). Biochemistry of water soluble vitamins, sources, biochemical functions and toxicity. Haya Saudi Journal of Life Sciences, 5(9), 188–196. https://doi.org/10.36348/sjls.2020.v05i09.007

Rankoana, S.A. (2021). Indigenous plant foods of Dikgale community in South Africa. Journal of Ethnic Foods, 8(5). https://doi.org/10.1186/s42779-021-00080-w

Rashid, M., Azad, A., Jamal, S., Seerwan, R., Faridoon, Q. & Raheleh, S. (2023). Assessment of lipid profiles among athletes and non-athletes in Kalar City. Modern Sport, 22(4), 122–130. https://doi.org/10.54702/ms.v22i4.1214

Ravindra, P.V., Janhavi, P., Divyashree, S. & Muthukumar, S.P. (2022). Nutritional interventions for improving the endurance performance in athletes. Archives of Physiology and Biochemistry, 128(4), 851–858. https://doi.org/10.1080/13813455.2020.1733025

Reamy, B.V. & Thompson, P.D. (2004). Lipid disorders in athletes. Current Sports Medicine Reports, 3(2), 70–76. https://doi.org/10.1249/00149619-200404000-00004.

Ribeiro, A.S., Nunes, J.P., Schoenfeld, B.J., Aguiar, A.F. & Cyrino, E.S. (2019). Effects of different dietary energy intake following resistance training on muscle mass and body fat in bodybuilders: a pilot study. Journal of Human Kinetics, 70(1), 125–134. https://doi.org/10.2478/hukin-2019-0038

Richardson, D.P. (2014). Risk management approaches to the setting of maximum levels of vitamins and minerals in food supplements for adults and for children aged 4–10 years. Brussels: Food Supplements Europe. https://foodsupplementseurope.org/wp-content/themes/fse-theme/documents/publications-and-guidelines/fseriskmanagement.pdf

Ross, A.C., Manson, J.E., Abrams, S.A., Aloia, J.F., Brannon, P.M., Clinton, S.K., Durazo-Arvizu, R.A., Gallagher, J.C., Gallo, R.L, Jones, G., Kovacs, C.S., Mayne, S.T., Rosen, C.J. & Shapses, S.A. (2011). The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. Journal of Clinical Endocrinology and Metabolism, 96(1), 53– 58. https://doi.org/10.1210/jc.2010-2704

Safari, A., Moradi, M. & Khansooz, M. (2020). Effect of aerobic exercise and kefir consumption on anthropometric indices, lipid profile and blood pressure in overweight non-athletic women. Journal of Arak University of Medical Sciences, 23(2), 236–245. https://doi.org/10.32598/JAMS.23.2.4428.3

Sale, C. & Elliott-Sale, K.J. (2019). Nutrition and athlete bone health. Sports Medicine, 49(Suppl 2), 139–151. https://doi.org/10.1007/s40279-019-01161-2

Sikora-Klak, J., Narvy, S.J., Yang, J., Makhni, E., Kharrazi, F.D. & Mehran, N. (2018). The effect of abnormal vitamin D levels in athletes. Permanente Journal, 22, 17–126. https://doi.org/10.7812/TPP/17-216

Smart, A.N., Downes, D., van der Touwm T., Hada, S., Dieberg, G. & Pearson, M.J., et al. (2024). The effect of exercise training on blood lipids: a systematic review and meta-analysis. Sports Medicine, 55(1), 67–78. https://doi.org/10.1007/s40279-024-02115-z

Smoliga, J.M, Wilber, Z.T. & Robinson, B.T. (2023). Premature death in bodybuilders: what do we know? Sports Medicine, 53(5), 933–948. https://doi.org/10.1007/s40279-022-01801-0

Sovilj, M. (2012). Prenatal memory and learning. Medicinska Revija, 4(3), 259–266. http://www.md-medicaldata.com/files/05-MD-Vol%204%20No%203-Sovilj.pdf

Sukwong, T., Chinnasee, P., Prajongjai, V., Chinnasee, C., Md Nadzalan, A. & Mohamad, N.I. (2022). The difference of anthropometric characteristics between elite and novice bodybuilders in Thailand. Physical Education Theory and Methodology, 22(1), 101–105. https://doi.org/10.17309/tmfv.2022.1.14

Thomas, D.T., Erdman, K.A. & Burke, L.M. (2016). American College of Sports Medicine joint position statement. Nutrition and athletic performance. Medicine and Science in Sports and Exercise, 48(3), 543-568. https://doi.org/10.1249/MSS.0000000000000852

Tian, T., Jian, S., Zhimei, S., Xueli, S., Yan, L., Ling, C., et al. (2022). Association of serum vitamin C with all-cause and cause-specific death: data from National Health and Nutrition Examination Survey (NHANES 2003–2006). Nutrition, 101, 111696. https://doi.org/10.1016/j.nut.2022.111696

Tidmas, V., Brazier, J., Hawkins, J., Forbes, S.C., Bottoms, L. & Farrington, K. (2022). Nutritional and non-nutritional strategies in bodybuilding : impact on kidney function. International Journal of Environmental Research and Public Health, 19(7), 4288. https://doi.org/10.3390/ijerph19074288

Turocy, P.S., DePalma, B.F., Horswill, C.A., Laquale, K.M., Martin, T.J. & Perry, A.C., et al. (2011). National athletic trainers' association position statement: Safe weight loss and maintenance practices in sport and exercise. Journal of Athletic Training, 46(3), 322–336. https://doi.org/10.4085/1062-6050-46.3.322

Umakanth, M. & Ibrahim, M. (2018). Fasting and non-fasting lipid profile among health care workers at teaching hospital Batticaloa SriLanka. Journal of Biosciences and Medicine, 6, 15–22. https://doi.org/10.4236/jbm.2018.67002

Vorster, H.H., Badham, J.B. & Venter, C.S. (2013). An introduction to the revised food-based dietary guidelines for South Africa. South African Journal of Clinical Nutrition, 26(3 Suppl), S5–S12. https://www.ajol.info/index.php/sajcn/article/view/97787

Wardenaar, F., Brinkmans, N., Ceelen, I., Rooij, B., Mensink, M., Witkamp, R., et al. (2017). Micronutrient intakes in 553 Dutch elite and sub-elite athletes: prevalence of low and high intakes in users and non-users of nutritional supplements. Nutrients, 9(2), 142. https://doi.org/10.3390/nu9020142

Watanabe, F., Yabuta, Y., Bito, T. & Teng, F. (2014). Vitamin B12-containing plant food sources for vegetarians. Nutrients, 6(5), 1861–1873. https://doi.org/10.3390/nu6051861

World Health Organization (WHO). (2011). Waist circumference and waist-hip ratio: report of a WHO expert consultation. Geneva, 8–11 December 2008. https://www.who.int/publications/i/item/9789241501491

World Health Organization (WHO). (2020). WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization. https://www.who.int/publications/i/item/9789240015128

World Health Organization (WHO). (2024). Non-communicable diseases: key facts. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

Wright, C.Y., Norval, M., Summers, B., Davids, L.M., Coetzee, G. & Oriowo, M. (2012). Solar ultraviolet radiation exposure and human health in South Africa: finding a balance. South African Medical Journal, 102(8), 665–666. https://doi.org/10.7196/SAMJ.5921

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2026-05-01

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Nutrition intervention in bodybuilders in Limpopo Province, South Africa: anthropometric, serum lipid and micronutrient profiles. (2026). Journal Coaching Education Sports, 7(1), 31-52. https://doi.org/10.31599/hsya9n84