Background and Study Aim. Elite artistic gymnastics demands a precise balance of strength, endurance, and technique, all of which are influenced by physiological and nutritional factors. Evaluating these relationships is essential for developing evidence-based training and health strategies. The aim of this study was to examine how body composition, cardiovascular health, and dietary habits influence apparatus-specific performance among elite male artistic gymnasts in Pakistan. Materials and Methods. A total of 153 elite male gymnasts (mean age 18.7 ± 4.1 years) were recruited from national training centers. Participants averaged 36.6 ± 7.6 hours of weekly training and had an average training history of 11.5 ± 3.2 years. Data collection included body composition analysis (BMI, fat-free mass), cardiovascular indicators (hemoglobin concentration, LDL cholesterol levels), and dietary intake assessed through validated food frequency questionnaires. Gymnasts were evaluated on their competitive performance in three apparatuses: floor, vault, and rings. Results. Body mass index demonstrated a negative correlation with floor performance (r = -0.18, p < 0.05), while fat-free mass positively influenced performance on the rings (r = 0.24, p < 0.01). Hemoglobin levels were positively associated with better scores across all apparatuses (r = 0.25, p < 0.01). Elevated LDL cholesterol was linked to poorer performance on the rings. Nutritionally, athletes in the highest performance quartile consumed more energy, protein, calcium, magnesium, and vitamin D. Adequate protein intake (1.4-1.6 g/kg/day) and hydration (>3 L/day) were associated with improved performance. Conclusions. The findings underscore the critical role of individualized nutrition, cardiovascular screening, and body composition monitoring in enhancing gymnastic performance. This is the first comprehensive study of its kind in the Pakistani context, providing evidence to guide targeted interventions in high-performance training environments.
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