7 Nutrition for Fitness and Athletics

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    Objectives Introduction et Definition of

    terms Nutrition for training Nutrition for competition Eating disorders and

    exercise2

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    1. L ist the goals for nutrition duringtraining and competition

    2 . C ompare balanced diet forsedentary and active individuals3 . Discuss the positive and negative

    aspects of high carbohydrate diet4 . Explain glycemic index anddescribe a training situation whenfat intake can be too low

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    5 . C ompare theory of carbohydrateloading for endurance athletes to its usefor bodybuilders

    6 . Develop a pre-event meal plan and aplan for feeding and drinking forathletics

    7 . Judge the value of commercially sportsdrinks8 . Differentiate, identify, prevent or

    manage eating disorders in exercisesettings 4

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    Proper nutrition and exercise arenatural partners for health,

    fitness and athletics performance But they also have the potential

    to be taken to an extreme:Spending money on needless nutritional supplements Being harmful as with eating disorders

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    Nutrition1. The study of foods, their nutrients, and

    other chemical components; theiractions and interactions in the body;and their influence on health anddisease .( F oods &Culture Encyclopedia)

    2. The process of taking in andassimilating nutrients .( Sports science and Medicine )

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    F itnessThe state of being physically active on aregular basis to maintain good physicalcondition .

    A thleteA person trained to compete in sports or

    exercises involving physical strength,speed, or endurance

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    F irst situation = Training :I ndividuals typically spend moretotal time training than competing

    S econd situation= competitionN o amount of dietary manipulationthe day of or the day before acompetition can make up for otherwise poor nutritional habits

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    Five Goals are :

    1. P rovide caloric and nutrientrequirements

    2 . Incorporate nutritional practices thatpromote good health3 . A chieve and maintain optimal body

    composition and competition weight

    4 . P romote recovery from trainingsessions and physiological adaptations5 . T ry variations of precompetition and

    competition fuel and fluid intake todetermine the bodys responses

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    B ased on A merican C ollege of Sports MedicineF or Sedentary Individuals F or active individuals

    C alories: Balanced intake andexpenditure

    C alories: Balanced intake andexpenditure

    Proteins: 10-30%(0.8 g/kg/d ); adults 19+ 10-35%(1.2-2 g/kg/d ) ; adults 19+Fat: 20-30% (65 g p .2000 kcal; 80 g p .2500 kcal

    20-35% (0.8 1g / kg )

    C arbohydrate: 4 5-65% ( 4.5 g/kg/day ) 58-68% (8-10 g/kg/day

    Vitamins and Minerals

    DRI/RD A of vitamins and minerals

    DRI/RD A of vitamins and minerals

    F luids : 2700-3700 ml or 2200-3000 ml Baseline values plus 5-7 ml /Kg 4hand 3-5 ml /kg 2hr prior to exerciseas during exercise, 1.5 l / each lostKg, postexercise

    DRI= Dietary Reference Intake /RDA=Recommended Dietary Allowance 10

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    Revised by the U S Department of A griculture

    Healthy nutrition balanced with physicalactivity

    Moderation in consumption of certain foods C onsumption of different foods in correct

    proportions C onsuming a variety of foods Gradually improving ones diet Goal to consume 2000 kcal/day

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    The number of calories requiredper day is the most obvious

    distinction between active andinactive individuals

    The amount depends on:

    the individuals sizeI ntensity, duration and frequency of the workouts

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    S ome figures of expenditures per dayduring training

    Elite distance runners 900-2400 Kcal

    C yclists 6000 Kcal

    Swimmers 125 0-37 5 0 Kcal

    Male B asketball and footballplayers

    9000- 11 000 Kcal

    T riathletes ( female and male) 3 5 00-6400 Kcal

    C ross-country skiers 4000- 55 00 Kcal

    T rack and field athletes (male) 3 5 00-4700 Kcal

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    * C alorie levels are based on the Estimated EnergyRequirements (EER) and activity levels from theInstitute of Medicine Dietary Reference Intakes

    Macronutrients Report, 2002 . SEDEN TA RY = less than 30 minutes a day of moderate

    physical activity in addition to daily activities . MOD . A CT IVE = at least 30 minutes up to 60 minutes a

    day of moderate physical activity in addition to daily

    activities . A CT IVE = 60 or more minutes a day of moderate

    physical activity in addition to daily activities . Moderate activity is define here as any that burns 3 . 5

    7 Kcal/min .16

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    S leep: 65 kcal Walking: 250 kcal

    Gymnastics: 350 kcal Tennis: 4 50 kcal C ycling: 500 kcal S wimming: 650 kcal S occer: 850 kcal Racing: 1000 kcal

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    Source: Pamplona-Roger,G.D.(2005).Enjoy it, p.160.

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    T he higher the intensity of exercise,the more important glycogen is a fuel

    T raining increases the ability to storeand spare carbohydrates .

    x B ut partial depletion of glycogen in 60-90 min of heavy endurance work

    x Depletion can be complete in 120 minutes

    L ink between fat and CH Ometabolism . Muscle glycogen is necessary to avoid

    fatigue18

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    RDA for the averagesedentary individual = 4 .5 g/kg/d

    High amount of C HO in

    training: 8-10 g/kg/d; 58-68% of the total energy .

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    N ot considering simple or complex C HObased on the traditional classification

    according to the chemical structure But impact on glucose and insulin levels,

    hence the concept of G lycemic index .

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    Is a measure that compares the elevationin blood glucose caused by the ingestion

    of 50 g of anyC

    HO food with theelevation caused by 50 g white bread(considered as reference food ).

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    C lassificationG Irange

    Examples

    H igh G I ( H G I)85 orgreater

    white sugar, syrup, honey, bread(white andwheat); raisins, watermelons, cranberry juice;F rench fried; carrots, sweet corn(fresh), Kraftmacaroni and cheese, angel food cake

    MediumG I(M G I) 60-85

    Rice; pasta (spaghetti and macaroni),bread(whole grain and rye); oatmeal(cooked);grapes, orange juice, bananas, mangos,

    yams/sweet potatoes, sweet corn(frozen),potatoes chips, peas, popcorn, baked beans,kidney beans, lentils, ice cream (low fat), peanutbutter sandwich, instant noodles, powerbar(chocolate) .

    Low G I ( LG I) under60

    F ructose; brown rice; apples/apple juice; pears;

    prunes; grapefruits; strawberries, tomatosoup/sauce; beans; lentils; peanuts; milk(skim, 22

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    GL = product of the amount of availableC HO (g ) and the GI divided by 100

    The higher the GL, the greater theelevation in blood glucose and insulin

    In general, LGI meals are recommendedfor pre -event meals, especially if theevent does not allow for fuel intakeduring competition

    HGI suggested during prolonged,moderate exercise

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    Sports drinks

    Sports bars

    Sports gels

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    May be more useful, because

    many individuals are nothungry after an intense boutof exercise

    But are willing to drink liquid

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    W ith appropriate amounts of CH Oand electrolytes:

    A id in the maintenance of homeostasisP revent injuriesDelay fatigueOptimize performance

    CH O may be in the form of :G lucoseG lucose polymer( maltodextrin )F ructose or sucrose ( glucose + fructose)

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    C oncentration (%) of CH O:Varies from less than 1 to 17%

    In general less than 4 % is most useful forworkouts lasting < 1 hourOf 4-8% is optimum for use during

    workouts longer than60

    minutesGreater than 8% is best for recoverysituations when glycogen replenishmentis the primary goal .S ee Tab . 6. 4 .160 27

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    Provide readily available C HO Fail into 2 generic categories:

    High carbohydrate (>60% of total calories ) withminimal fat and protein; suitable before, duringand after exerciseMinimal to moderate carbohydrate (20-55% of total calories ) with balanced fat and protein (22-40% of each )

    A mount of vitamins and minerals: from5% to 100% of suggested daily values

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    Products with consistencysyrup or pudding

    20-28g

    (80-160kcal

    )of

    CHO, 0% fat,

    only one (A ccel Gel ) with20% of proteins

    S ome contain electrolytes ( esp . potassium )

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    A mount remain controversial RDA varies among countries for adults per

    Kg/d: U SA 0.8 g , A ustralia 1g ; N etherlands1g for female and 1.2 g for males

    A ssumption to increase protein intake forphysically active individuals: increase in

    calories to match those expended will alsoinclude an increase in protein to sufficientlycover any additional exercise -inducedneeds .

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    Two situations: resistance training andendurance training

    Resistance training = a systematicprogram of exercises involving theexertion of force against a load, used todevelop the strength, endurance,and/or hypertrophy of the muscularsystemEndurance training with the objective

    to develop the energy production 31

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    Resistance training :P rimary goal of a large increasein muscle mass: ex . W eightlifters, power lifters,bodybuilders, football players,sprinters, increase protein in

    the muscle fibersC onsensus : 1. 2g-2g/kg/d forstrength and speed athletes with10-30% of total calories(A C SM,2000 ) 32

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    Endurance T raining : W hy?Sports anemia(pseudoanemia )

    during the initial 2-3 weeks of training programI ncreased amino-acid oxidationas fuel, from 5 % - 15 % of thetotal calories usedMore negative net muscleprotein balance has been shown

    in endurance training 33

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    Small increase of 1.2-1. 4g/kg/d isrecommended for high -intensity, long -duration aerobic endurance training

    Harmfulness of to much protein(>3 g/kg/d ) to the fitness of athlete

    May have negative effects as increased blood

    lipid levels, kidney damage, dehydration(therefore need to increase water intake)Calcium loss (increased calcium excretion)Up to 2g/kg/d seems not to be harmful.

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    Up from the RD A of 0.8 g/kd/d forsedentary adults, strength, speed, andultraendurance athletes may need toconsume 1.2-2 g/kg/d of protein, .

    N ot exceed 15% of the total energy .

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    With endurance training more fat can beutilized as a fuel

    High -fat diet (60-70% FA T) must allowcontinuation of training levels andprogression in training adaptation

    through periodic tests or time trials

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    H igh-fat diets (60-70%) are obviously farabove the recommended daily intake forhealth

    20-35

    % dietary fat for sedentary andmoderately active individuals remains thebest advice

    Less than 20%, risk of inadequate intakes of

    vitamin E, -linolenic acid, and linoleic acid, andadverse changes in HDL and triglycedes W ell trained athletes doing endurance

    training should not drop below 30%

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    Most fats should come frompolyunsaturated and

    monosaturated fatty acidsources : fish, nuts,vegetables oil .

    65 -80g per day is areasonable level for a totalcaloric input of 2000-2500

    kcal/day 38

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    It has noperformanceadvantage for mostindividuals

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    A re important for the production of energy

    N o evidence that vitaminsupplementation improvesperformance, speeds up recovery, orreduces injuries, in an adequately

    nourished individual If deficiencies are present,

    supplementation to normal

    physiology levels can improve 40

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    M any functions :Essential constituents of all cells andimportant for: bone density, enzyme function,

    muscle contraction, oxygen transport, insulinregulation, fluid, and acid -base balance, andA TP composition

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    A mong 15 microminerals, only 5(zinc, chromium, copper, selenium,and iron ) have been shown to beaffected or potentially beneficialfor exercise training orperformance

    S upplementation above normallevels (without deficiencies ) doesnot increase exercise performance

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    Include calcium, chlorine, magnesium,phosphorus, potassium, sodium andsulfur

    S upplementation of C a and Mg does notincrease exercise performance

    Phosphate loading (for several days

    before the event ) may improveperformance by delaying the onset of anaerobic metabolism effects

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    Exercisers should ingest the RD A / A Iamounts and only those amounts, unlesswith deficiency .

    For those who strictly limiting theircaloric intake, a generic vitamin -mineral,

    one -a -day pill can be recommended .

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    RDA =Recommended Dietary Allowance /AI =Adequate Intake

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    F ive goals are:1. Ensure adequate fuel supplies in the

    pre -event time span2. Ensure adequate fuel supplies during

    the event, regardless of its duration3. Facilitate temperature regulation by

    preventing dehydration4 . A chieve the desired weightclassification while maintaining fuel andwater supplies

    5. A void gastrointestinal discomfort during 45

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    Depending on the event, During a period of hours or

    days before competition Most manipulation focuses on

    C HO consumption

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    Or glycogen supercompensation A process of nutritional modification that

    results in an additional storage of glycogen in muscle fiber up to 3 to 4times the normal levels

    Is beneficial for individuals competing in

    endurance events of at least 60-90 minutes at 65-85% maximal oxygenconsumption ( VO 2max )

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    C lassic CHO-L oading Technique Hard exercise do deplete muscle

    glycogen stores 1 week before thecompetitive event, followed by 3 days of hard exercise (almost no C HO,< 5%) and3 days of rest (eating exclusively C HO,

    80-90%) High -fat, high -protein after the depletion

    phase: risk of high blood lipid levels,

    ketosis, feeling stiff and heavy 48

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    Individual increases thepercentage of C HO ingestedfrom 50% to 70% while graduallytapering training the weekbefore competition

    Is safe and effective

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    S hort supramximal exercise bout

    followed by approximately 90% C HO ingested for 24 hours toachieve glycogen super -compensation

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    C ombines one day of C HO -loading with fat loading

    Does not seem to work

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    Involve the meals timing and nutrientscontent

    W hat? A 200-500 kcal light meal composed

    primarily of LGI C HO accompanied byfluids is recommended

    W hen? 3- 4 hours before competition but may be

    ingested closer to the event if tolerated

    With option of a last-minute snack 52

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    C HO beverages ingested in smallamounts (200- 400 mL ) at 15-30-

    minute intervals prevent declineglucose and prevent fatigue Beverages containing 4 -8% of mixed

    C HO HGI foods are best for ingestion

    during exercise

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    Important to preservethermoregulation and avoiding both

    dehydration and dilutionalhyponatremia Develop a customized fluid

    replacement do prevent dehydration Goal: body weight loss of less than

    2% during activity .

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    A thletics view nutrition as a partner withexercise to achieve goals of successfulcompetition

    Unfortunately, in some circumstances,exercise and sport participation

    constitute a risk factor for disorderedeating

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    DefinitionDisturbances of eating habits or weight-control behavior that can result in

    significant impairment of physical healthor psychosocial functioning

    C ategoriesA norexia Nervosa( A N)Bulimia Nervosa(BN)Eating Disorders Not O therwiseSpecified(EDN O S)A

    norexiaA

    thletica( AA

    ) 56

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    A lthough technical differences

    A ll Eating Disorders involve :A restriction of food intakeOr a purging of food ingested in abingeA desire for more and more weightlossA nd a denial of having a problem

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    ED characterized by

    marked self -inducedweight loss accompaniedby reproductive hormonal

    changes and an intensefear of fatness D iagnostic criteria

    x R efusal to maintain body

    weight above normal x Intense fear weight gainx Severe body dissatisfactionx Endocrine changes

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    ED marked by an unrealisticappraisal of body weight and /or shape that is manifested byalternating bingeing andpurging behavior

    D iagnostic criteria : episodes of binge eating,purging by self -induced vomiting, use of diuretics or laxatives, vigorous exercise, andstrict food restrictionn or fasting, severe

    body dissatisfaction 59

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    ED characterized by a food intake lessthan that required to support the trainingregimen and by a body weight less than95% of normal .

    CriteriaFear of weight gain although lean

    Restricted calorie intakeExcessive or compulsive exercise above normaltraining needsMenstrual dysfunction

    Gastrointestinal complaints 60

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    C onditions of ED that do not meet thecomplete criteria for A N and BN

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    S pecific causes are unknown S eries of risk factors

    1 . D ieting at an early age2. Unsupervised dieting 3. Lack of acceptance of pubertal changes 4. Early sport-specific training 5. A large increase in training volume

    accompanied by significant weight loss 6. Traumatic events

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    Personnel working with active individuals S hould be aware of situations that might

    trigger an eating disorder A void practices that increase the risk Identify problems at an early state, and

    facilitate appropriate therapy Effective and long -lasting treatment for

    ED is some form of psychotherapy orcounseling, coupled with carefulattention to medical and nutritional

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    THE ENDTHE END