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SSE 244: The Fluid Replacement Process: Principles of Beverage Formulation for Athletes

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.

Reference Article

SSE 244: The Fluid Replacement Process: Principles of Beverage Formulation for Athletes

Course Objectives

  • Define the physiological systems involved in the fluid replacement process 
  • Identify factors influencing fluid intake, delivery, distribution, and retention 
  • Describe the differences in rehydration needs before, during, and after exercise 

Course

Credits

Course Expiration

ACSM

1

11/12/2027

BOC

1

11/12/2027

Reference Article

https://www.gssiweb.org/docs/default-source/sse-docs/sse_244.pdf?sfvrsn=4

SSE 243: Use of Buffers in Specific Contexts: Highly Trained Female Athletes; Extreme Environments; and Combined Buffering Agents

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.

Reference Article

SSE 243: Use of Buffers in Specific Contexts: Highly Trained Female Athletes; Extreme Environments; and Combined Buffering Agents

Course Objectives

  •  Discuss the current evidence-based guidelines for buffering agents (sodium bicarbonate, sodium citrate and beta-alanine), and the moderating variables that can impact the efficacy of buffering agents in enhancing athletes’ performance.
  • Describe factors that may impact the translation of research findings in buffering agents to highly trained athletes’ real-world practice, including study design factors and athlete-specific factors.
  • Describe strategies that can be used to develop evidence-based supplementation protocols for individual athletes, which can be integrated within their broader training and preparation strategies.

Course

Credits

Course Expiration

ACSM

1

11/12/2027

BOC

1

11/12/2027

Reference Article

https://www.gssiweb.org/docs/default-source/sse-docs/sse_243_003.pdf?sfvrsn=2

SSE 238: Micronutrient Considerations for Female Athletes

Vitamins and minerals are essential for numerous metabolic processes in the body, such as immune functioning, haematological adaption, energy metabolism and growth and repair. Athletes often have higher micronutrient requirements than the general population due to the increased utilisation and/or losses of micronutrients associated with exercise and training adaptation. Females can be at greater risk of micronutrient deficiencies and vitamin and/or mineral supplements can have a useful role in helping an athlete meet daily micronutrient needs. Iron, calcium, vitamin D and folate are identified as micronutrients which require greater attention for female athletes.

Reference Article

SSE 238: Micronutrient Considerations for Female Athletes

Course Objectives

  • Articulate key anthropometric and physiological differences between males and females. 
  • Discuss some of the reasons female athletes are at increased risk of micronutrient deficiencies, and the overarching nutritional factors that should be addressed.  
  • Define key vitamins and minerals which female athletes should pay specific attention to and their recommended dietary intakes.

Course

Credits

Course Expiration

ACSM

1

11/21/2026

BOC

1

11/21/2026

CSCCa

1

11/21/2026

Reference Article

https://www.gssiweb.org/docs/default-source/sse-docs/sse_238_003.pdf?sfvrsn=2

SSE 228: Functional Ingredients to Support Active Women

There are important sex-based differences that exist between men and women that may influence nutrition and dietary supplement recommendations. The hormonal fluctuations throughout the menstrual cycle, and with oral contraceptives, result in metabolic alterations which should be considered when making supplement considerations for active women. Body composition and protein metabolism also change throughout a woman’s lifespan. This course will detail the scientific evidence related to sex-specific nutritional recommendations.

Reference Article

SSE 228: Functional Ingredients to Support Active Women

Course Objectives

  • Describe a typical menstrual cycle and potential metabolic alterations during the phases 
  • Discuss hormonal contraceptive use and the impact on the menstrual cycle 
  • Identify and describe dietary supplements that may be beneficial to active women

Course

Credits

Course Expiration

ACSM

1

05/15/2026

BOC

1

05/15/2026

Reference Article

https://www.gssiweb.org/docs/default-source/sse-docs/sse_228_004.pdf?sfvrsn=2

SSE 231: Dietary carbohydrate and the endurance athlete: contemporary perspectives

The importance of carbohydrate as a fuel source for endurance exercise and athletic performance is well established. Despite decades of intense carbohydrate research within the field of sports nutrition, new knowledge continues to be generated with the potential to inform practice. To ensure sufficient muscle glycogen availability, endurance competition or high-quality intense training should be preceded by daily dietary carbohydrate intakes scaled to the demands of the subsequent exercise. The optimization of liver and muscle glycogen content in the hours before and hours directly after exercise are important goals for carbohydrate nutrition. In this respect, nutrition strategies that combine glucose and fructose carbohydrate sources appear most beneficial for enhancement of performance and recovery. Athletes looking to benefit from carbohydrate feeding during exercise can choose from a wide range of readily oxidizable carbohydrate sources, with glucose-fructose blends (inc. sucrose) affording the greatest flexibility for within-event modulation of carbohydrate intake. Finally, a periodized approach to dietary carbohydrate intake around training will ensure athletes have sufficient fuel to execute the demands of training to maximize training adaptation whilst minimizing the potential for adverse health or performance consequences (e.g., through development of RED-S). 

Reference Article

SSE 231: Dietary carbohydrate and the endurance athlete: contemporary perspectives

Course Objectives

  • Utilize the available information on dietary carbohydrates and exercise when considering your athlete’s nutrition plan 
  • Describe the metabolic basis underpinning dietary carbohydrate recommendations for athletes 
  • Discuss technologies that practitioners might use to individualize dietary carbohydrate intakes for athletes

Course

Credits

Course Expiration

ACSM

1

05/15/2026

BOC

1

05/15/2026

CSCCa

1

05/05/2026

Reference Article

https://www.gssiweb.org/docs/default-source/sse-docs/sse_231_005.pdf?sfvrsn=2

SSE 227: Sports Nutrition Recommendations for Elite Female Soccer Players

The application of sound nutritional guidance is necessary to support female soccer player health and performance. Based on findings in elite female soccer players, there is scope to improve nutritional practices relative to energy intake, fueling, hydration, and supplement use. Drs. Samantha Moss and Rebecca Randell discuss the energy and nutrient needs of female soccer players and areas where additional high-quality research that includes elite female players as participants is necessary.

Reference Article

SSE 227: Sports Nutrition Recommendations for Elite Female Soccer Players

Course Objectives

  • Describe the role of energy availability in terms of performance and recovery. 
  • Compare current macronutrient intakes in female soccer players with recommended macronutrient intakes. 
  • Outline dietary supplements that may provide health and performance benefits to female soccer players.

Course

Credits

Course Expiration

ACSM

1

04/04/2026

BOC

1

04/04/2026

CSCCa

1

04/04/2026

Reference Article

https://www.gssiweb.org/docs/default-source/sse-docs/sse_227_005_final.pdf?sfvrsn=2

SSE 224: Application of Sports Nutrition to Healthy Aging

Aging is associated with the progressive loss of skeletal muscle mass and decline in physical function which may result in reduced mobility and subsequent loss of independence. Exercise is a potent stimulator of muscle protein synthesis in both athletic populations and in older adults. Dietary practices by athletes to augment performance and recovery may be relevant to the preservation of skeletal muscle mass and strength in older adults such as the supplementation with creatine, long chain n-3 polyunsaturated fatty acids (n-3 PUFAs), and inorganic nitrate.

Reference Article

SSE 224: Application of Sports Nutrition to Healthy Aging

Course Objectives

  • Identify how sports nutrition can be applied to improve skeletal muscle in older adults.
  • Discuss the scientific evidence surrounding elevated protein recommendations for older adults.
  • Describe the evidence for the supplementation of creatine, n-3 PUFAs, and inorganic nitrate to benefit skeletal muscle health in older adults.

Course

Credits

Course Expiration

ACSM

1

12/19/2025

BOC

1

12/19/2025

Reference Article

https://www.gssiweb.org/docs/default-source/sse-docs/sse_224_a04.pdf?sfvrsn=2

SSE 221: Fish Oil for Healthy Aging - Potential Applications for Master Athletes

Long chain n-3 polyunsaturated fatty acids (LC n-3 PUFAs) are a class of biologically active fatty acids that play fundamental roles in the production of anti-inflammatory signalling molecules as well as serving as vital components of phospholipid membranes. The most well studied LC n-3 PUFAs are eicosapentaenoic acid (EPA; 20:5 n-3) and docosahexaenoic acid (DHA; 22:6 n-3). Often associated with improved cardiovascular health, there is now emerging evidence that ingestion of LC n-3 PUFAs above population recommendations enhances skeletal muscle anabolism in older adults. Indeed, daily intake of ~ 5g/d of LC n-3 PUFAs has been shown to potentiate the muscle protein synthetic response to the infusion of insulin and amino acids and increase gains in skeletal muscle strength with resistance exercise training in older women. These findings suggest that LC n-3 PUFA intake could have ergogenic effects in older exercising adults. However, more recent work has failed to detect a positive impact of LC n-3 PUFA intake towards skeletal muscle in older persons. Yet, few studies have been conducted in highly-trained older adults, or ‘master athletes’ thus it is unclear if there is a benefit to increased LC n-3 PUFA  intake in this specific population. Aside from the potential ergogenic benefit, as some older adults possess sub-optimal LC n-3 PUFA status, there may be utility in increasing LC n-3 PUFAs ingestion in older persons to support healthy aging. 

Reference Article

SSE 221: Fish Oil for Healthy Aging - Potential Applications for Master Athletes

Course Objectives

  • Describe the current state of evidence regarding the impact of LC n-3 PUFA intake on the adaptive response of skeletal muscle to exercise training in older persons.  
  • Define the strengths and limitations of assessing LC n-3 PUFA status in the context of the Sport and Exercise Science. 
  • Identify various food and supplemental sources of LC n-3 PUFAs that could be used to increase LC n-3 PUFA intake.  
 

Course

Credits

Course Expiration

ACSM

1

12/19/2025

BOC

1

12/19/2025

Reference Article

https://www.gssiweb.org/docs/default-source/sse-docs/sse221_caioh_chrism_nov_a7.pdf?sfvrsn=2

SSE 215: Practical Approaches to Nutrition for Female Athletes

The majority of published sport nutrition recommendations are based on studies conducted with male athletes. In female athletes, the menstrual cycle may affect optimal nutrition strategies for performance, but menstrual cycles can be quite variable. Authors Bryan Holtzman and Kate Ackerman review the nutritional recommendations for female athletes from a variety of perspectives. Within the review, the energetic requirements for athletes and the negative effects of failing to meet these requirements are discussed. The authors also establish a model for meeting nutritional needs of increasing complexity and personalization for female athletes and provide baseline recommendations for female athletes. This course aims to provide practical advice for athletes, coaches, physicians, and other members of the athlete entourage.

Reference Article

SSE 215: Practical Approaches to Nutrition for Female Athletes

Course Objectives

  • Define energy availability and the impact of failing to meet energy needs in female athletes 
  • Describe unique physiological considerations for female athletes related to the menstrual cycle. 
  • Identify micronutrients of particular interest for female athletes and baseline recommendations for intake.

Course

Credits

Course Expiration

ACSM

1

05/26/2025

BOC

1

05/26/2025

CSCCa

1

05/26/2025

Reference Article

http://www.gssiweb.org/docs/default-source/sse-docs/final-gssi_sse_215.pdf?sfvrsn=2