title: Nutritional strategies of physically active subjects with muscle dysmorphia.
abstract: BACKGROUND
  The aim of this study was to identify dietary strategies for physically active individuals with muscle dysmorphia based on a systematic literature review.
  
  
  METHODS
  References were included if the study population consisted of adults over 18 years old who were physically active in fitness centers. We identified reports through an electronic search ofScielo, Lilacs and Medline using the following keywords: muscle dysmorphia, vigorexia, distorted body image, and exercise. We found eight articles in Scielo, 17 in Medline and 12 in Lilacs. Among the total number of 37 articles, only 17 were eligible for inclusion in this review.
  
  
  RESULTS
  The results indicated that the feeding strategies used by physically active individuals with muscle dysmorphia did not include planning or the supervision of a nutritionist. Diet included high protein and low fat foods and the ingestion of dietary and ergogenic supplements to reduce weight.
  
  
  CONCLUSIONS
  Physically active subjects with muscle dysmorphia could benefit from the help of nutritional professionals to evaluate energy estimation, guide the diet and its distribution in macronutrient and consider the principle of nutrition to functional recovery of the digestive process, promote liver detoxification, balance and guide to organic adequate intake of supplemental nutrients and other substances.
authors.affiliation: Uniasselvi/FAMEBLU, R Dr Pedro Zimmermann, 385 89065-000, Blumenau, SC, Brazil. dfrainer@hotmail.com.
authors.forename: Nadir
authors.initials: N
authors.lastname: Contesini
authors.forename: Fernando
authors.initials: F
authors.lastname: Adami
authors.forename: Márcia de-Toledo
authors.initials: Md
authors.lastname: Blake
authors.forename: Carlos Bm
authors.initials: CB
authors.lastname: Monteiro
authors.forename: Luiz C
authors.initials: LC
authors.lastname: Abreu
authors.forename: Vitor E
authors.initials: VE
authors.lastname: Valenti
authors.forename: Fernando S
authors.initials: FS
authors.lastname: Almeida
authors.forename: Alexandre P
authors.initials: AP
authors.lastname: Luciano
authors.forename: Marco A
authors.initials: MA
authors.lastname: Cardoso
authors.forename: Jucemar
authors.initials: J
authors.lastname: Benedet
authors.forename: Francisco
authors.initials: F
authors.lastname: de Assis Guedes de Vasconcelos
authors.forename: Claudio
authors.initials: C
authors.lastname: Leone
authors.forename: Deivis Elton Schlickmann
authors.initials: DE
authors.lastname: Frainer