- CSSD is the Board Certified Specialist in Sports Dietetics credential, issued by the Commission on Dietetic Registration (CDR).
- Initial certification requires 2,000 sports dietetics practice hours as an RD within the five years before you apply.
- The exam has 150 multiple-choice questions, 125 scored, and costs $350 payable when you schedule.
- Exercise and Performance Nutrition is the largest domain, with 56 of the 125 scored items.
What a CSSD Actually Is
A CSSD is a registered dietitian who has earned the Board Certified Specialist in Sports Dietetics credential. The letters stand for Certified Specialist in Sports Dietetics, and the credential signals advanced, verified practice in nutrition for athletes, active populations, and sport settings. It is not an entry-level qualification. It sits on top of the RD credential and documents that you have spent substantial time practicing in sports dietetics, then passed a specialist examination on top of that experience.
If you are still sorting out the terminology, our related explainers cover the basics from different angles: what CSSD stands for, the meaning of CSSD, and what CSSD certification involves. This article focuses on the practical question behind all of them: what is this credential, who earns it, and what does earning it involve?
Who Issues the Credential
The Commission on Dietetic Registration (CDR) is the credentialing body for the CSSD. CDR publishes the eligibility rules, the examination content outline, the candidate handbook, and the pass/fail statistics. Exam delivery is handled through Pearson VUE test centers, and testing is available year-round rather than in fixed windows. For scheduling mechanics, see our guide to CSSD exam dates and scheduling.
One practical point: CDR does not endorse any particular preparation product. It publishes a suggested-reference list (most recently updated November 2025), but those references are suggestions, not a guarantee of exam coverage or success. Treat any outside prep material, including ours, as a supplement to the official content outline rather than a substitute for it.
Who Can Become a CSSD
Eligibility is built around two things: your RD standing and your documented sports practice hours.
- RD status: You need current RD status with CDR, maintained for at least two years.
- Practice hours for initial certification: 2,000 hours of sports dietetics practice as an RD within the five years preceding your application.
- Verification: Specialty hours require verification, so keep supervisor or employer documentation organized well before you apply.
- Substitutions: Approved education and professional substitutions may cover at most 500 of the required hours.
That 2,000-hour requirement is the real gatekeeper. Many candidates are strong clinicians who simply have not yet accumulated enough sports-specific hours, and the five-year lookback means the hours must be recent. Our full CSSD requirements breakdown walks through how to count and document them.
What a CSSD Does and Who Hires One
The credential maps to a specific practice area, and the three exam domains reflect how that work is organized: performance nutrition for athletes, clinical sports nutrition problems, and the operational side of running a nutrition program. Typical settings include:
- Collegiate athletic departments that employ sports dietitians to serve teams and manage fueling operations.
- Professional sports organizations that need nutrition support for athletes across training and competition cycles.
- Military and tactical performance programs that apply performance nutrition to demanding occupational populations.
- Sports medicine and performance clinics where clinical conditions intersect with training and competition.
- Private practice and consulting serving recreational athletes, endurance communities, and youth sport.
The credential tends to matter most in roles where employers want verifiable specialty expertise rather than general nutrition knowledge. We cover the employment side in more depth in our CSSD jobs overview, and whether the investment pays off is examined in Is the CSSD Certification Worth It? and the CSSD salary guide. We deliberately avoid quoting salary figures here, since the right comparison depends on your setting, region, and role.
How the CSSD Exam Works
The exam is a closed-book, computer-based test taken at a Pearson VUE test center. Here is the structure at a glance:
| Feature | CSSD Exam Detail |
|---|---|
| Question count | 150 multiple-choice (125 scored + 25 unscored pretest) |
| Question style | Four options, one best answer |
| Testing time | 3 hours, within a 3-hour-20-minute appointment that includes a 20-minute tutorial |
| Fee | $350, payable when scheduling |
| Delivery | Pearson VUE, year-round computer-based testing |
| Tools | On-screen calculator and erasable note board; personal calculators prohibited |
| Retest | Ordinary 60-day interval; reauthorization required |
A few details deserve attention. The 25 unscored pretest items are indistinguishable from scored ones, so treat every question seriously. Unscheduled breaks count against your testing time, so plan to use the three hours efficiently rather than counting on a free pause. And because "one best answer" is the standard, expect distractors that are plausible but less appropriate for the scenario, which rewards applied judgment over rote recall.
How the Passing Standard Works
CDR uses an Angoff passing-point study with statistical equating across exam forms. In plain terms, the pass line reflects an expert judgment of minimum competence and is adjusted so different forms are comparable. CDR does not assert a fixed percentage pass mark, so be wary of any source claiming you need a specific percent correct. Our CSSD passing score guide explains what is and is not known, and the certification cost breakdown covers the full financial picture beyond the exam fee.
The Three Exam Domains
The CDR examination content outline (linked file effective November 2023) organizes the exam into three domains and publishes the scored-item allocation for each. These are official item counts, not percentage weights, and they total 125 scored items.
Domain 1: Exercise and Performance Nutrition (56 scored items)
The largest domain by a wide margin, and the heart of the specialty. Expect questions that ask you to apply nutrition strategy to training, competition, and recovery for varied athlete types.
- Energy and macronutrient needs across training phases and sport demands
- Fueling, hydration, and electrolyte strategies before, during, and after activity
- Body composition goals and the nutritional approaches used to pursue them
- Evaluating supplements and ergogenic aids against evidence and safety
Domain 2: Clinical Sports Nutrition (49 scored items)
Nearly as large as Domain 1. This is where medical conditions and athletic demands collide, and scenarios often require you to balance both.
- Medical nutrition therapy for athletes with metabolic, gastrointestinal, or other conditions
- Recognizing and responding to disordered eating and low energy availability
- Nutrition considerations around injury, rehabilitation, and illness
- Screening, assessment, and referral decisions within a care team
Domain 3: Nutrition Operations and Resource Management (20 scored items)
The smallest domain, but easy to underprepare for because it feels less like classic nutrition science.
- Planning and running nutrition services for teams and programs
- Food service coordination, budgeting, and resource decisions
- Program evaluation, communication, and working within an organization
Domains 1 and 2 together account for 105 of the 125 scored items, so the exam is overwhelmingly about performance and clinical practice. Candidates who neglect Domain 3 still leave 20 scored items on the table. For a deeper look at each area, read our complete guide to the three CSSD domains, and use the CSSD cheat sheet for quick-reference review.
What the Published Pass Data Shows
CDR publishes pass/fail statistics. The latest unambiguously dated period we use is July-December 2025:
| Group | Pass Rate | Examinees |
|---|---|---|
| Overall | 81% | 152 |
| First-time | 77% | 77 |
| Recertification | 92% | 50 |
Two cautions apply. First, these are small candidate pools, so a handful of results can move the percentages noticeably. Second, CDR's own table repeats January-June 2025 on two rows with conflicting figures, which is why we anchor on the clearly dated July-December 2025 period instead of guessing at the ambiguous rows. The takeaway: most examinees pass, first-timers pass somewhat less often than recertifying specialists, and the exam is clearly passable for well-prepared candidates without being a formality. For interpretation, see CSSD pass rate: what the data shows and how hard the CSSD exam really is.
Keeping the Credential Current
The CSSD runs on a five-year specialist cycle. Standard renewal means you maintain RD status, submit an eligibility application documenting 1,500 sports specialty hours within the preceding five years (with permitted substitutions, capped at 500 hours), pay the fee, and pass the specialist exam again.
The Longitudinal Assessment Pilot
CDR also runs a separate 2026-2028 longitudinal-assessment pilot as an alternative to the traditional renewal exam. Key facts:
- It is restricted to eligible CSSDs whose certification expires between January 31, 2029 and June 30, 2030.
- Participants pass quarterly assessments over three years instead of sitting the renewal exam.
- They maintain RD status, document 1,000 specialty hours within the preceding five years, and pay $350.
- Successful completion earns 75 CPEUs toward RD maintenance.
Sequencing Your Preparation by Domain
Because the exam is so heavily concentrated in two domains, a sensible plan front-loads them. Here is one way to sequence roughly eight weeks, adjusting to your own background. For fuller strategy, see our CSSD study guide and the overview of CSSD training options.
Domain 1: Exercise and Performance Nutrition
- Start here because it carries 56 scored items
- Work through fueling, hydration, body composition, and supplement evaluation scenarios
- Review the official content outline and suggested references
Domain 2: Clinical Sports Nutrition
- Focus on low energy availability, disordered eating, and injury nutrition
- Practice referral and care-team judgment questions
- Revisit Domain 1 topics that overlap clinically
Domain 3: Operations and Resource Management
- Cover program planning, food service, and budgeting concepts
- These 20 items are winnable with focused review
Timed Mixed Practice
- Simulate the three-hour, 150-question format
- Practice with only the on-screen calculator you will have on test day
When you are ready to test your recall under realistic conditions, take a CSSD practice test to see where your weak domains are, and return to the main practice site to retake mixed sets as exam day approaches.
Frequently Asked Questions
A CSSD is a registered dietitian who holds the Board Certified Specialist in Sports Dietetics credential from the Commission on Dietetic Registration. It documents advanced sports dietetics practice and a passed specialist exam. For more on the name, see What Is CSSD?
Yes. You need current RD status with CDR, maintained for at least two years, and you must keep RD status to maintain the specialty.
2,000 hours of sports dietetics practice as an RD within the five years preceding your application. Approved education and professional substitutions may cover at most 500 of those hours, and the hours require verification.
The exam fee is $350, payable when you schedule. It is delivered year-round as a computer-based test at Pearson VUE test centers. See our cost breakdown for the broader expense picture.
CDR does not assert a fixed percentage pass mark. The passing standard comes from an Angoff passing-point study with statistical equating across exam forms, so beware of sources that quote a specific percent-correct cutoff.