ACE Fitness Nutrition study materials
ACE Fitness Nutrition study resources

ACE Fitness Nutrition case studies

ACE Fitness Nutrition · Put your knowledge to work in context.

The ACE Fitness Nutrition Specialist credential is a specialty certification within the American Council on Exercise (ACE) certification family, intended for fitness and health professionals who want to add nutrition coaching to an existing practice. This page is an independent study resource and is not affiliated with, endorsed by, or sponsored by ACE. The ACE Fitness Nutrition case studies are 5 cases and about 3,350 words.

1

Post-Race Confusion in a Well-Hydrated Marathoner

A 34-year-old recreational runner (68 kg) completes her third marathon on a warm, humid day (26 °C, roughly 70% humidity) in 4:35. She followed a plan she found online: about 1 L in the two hours before the start, 500 mL at each of the 16 aid stations, and two salt tablets at mile 18.

560 words, about 3 min
2

The Three-Week Plateau and the 1,200-Calorie Request

A 41-year-old woman with a desk job does two resistance sessions and four brisk walks per week. Her goal is to lose 8 kg.

695 words, about 3 min
3

Night-Shift Rugby Player Who Wants to Gain Lean Mass

A 27-year-old man, 178 cm and 82 kg, plays competitive rugby and lifts four days per week. He wants to add 3 kg of lean mass over 12 weeks.

704 words, about 4 min
4

Insulin, Skipped Meals, and a Request for Keto and Supplements

A 52-year-old man with type 2 diabetes diagnosed nine years ago has an A1c of 8.4% and takes metformin plus once-daily insulin glargine. His physician has cleared him for exercise, and he has hired you for nutrition coaching after reading that ketogenic diets 'reverse diabetes.' He asks you to design a ketogenic plan and to tell him whether to take berberine and chromium.

700 words, about 4 min
5

Collegiate Runner with Amenorrhea and a Stress Fracture

A 19-year-old female cross-country runner is 1.70 m and 51 kg and competes at the collegiate level. She has run 65–75 miles per week for eight months and has had no menstrual period in seven months; she says her doctor told her this is 'normal for runners.' She sustained a tibial stress fracture last season and is currently in a walking boot.

691 words, about 3 min