Nutrition for Enhancing Performance, Overview

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    COL Ann Grediagin, Ph.D., R.D., C.S.S.D.

    Overview: Nutrition to EnhancePhysical Performance

    2007

    HOOAH

    Bodies

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    Agenda

    Determinants of Performance

    Fueling Physical Performance

    Energy Sources

    Fluids

    Supplements

    Where to go for more info: Supporting

    Hooah Bodies Presentations.

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    Value of Supplements to Peak

    Performance

    Fluid,Training, &

    Carbohydrate

    Added benefit ofsupplements

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    Proper Nutrition is Required to Reap

    the Rewards of Training If you dont have the fuel you cant do

    the work

    If you dont do the work, you cant

    improve the system

    Supplements Cannot replaceor make-up

    for inadequate training

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    Training determines the type of

    Athlete

    Category Hours per

    workout

    Times per

    week

    Heath/fitness 0.5 - 1 3 - 5

    Recreational 11.5 3 - 5

    Well-trained 1.5 - 3 5 - 7

    Elite/World Class 2 - 6 6 - 10

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    Fueling Physical PerformanceThe Science of Sports Nutrition

    Exercise Fuel Metabolism

    Energy for activity

    Carbohydrates

    Fat

    Protein

    Fluids

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    SOURCES OF ENERGY

    Calories/gram

    Carbohydrate 4

    Protein 4

    Alcohol 7

    Fat 9

    Nancy Clark, MS, RD

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    FUEL UTILIZATION AT DIFFERENTEXERCISE INTENSITIES

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100

    Percent

    Rest 50 75 95

    Carbohydrate

    Fat

    Protein

    % of VO2max

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    Carbohydrate

    Stores

    Nancy Clark, MS, RD

    150 lb. active male

    Calories Where stored Purpose

    80 Blood Feed brain

    320 Liver Blood sugar

    1400 Muscle Fuel Muscles

    1,800 calories total CHO stores

    60,000+ calories total FAT stores

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    Training Increases Glycogen Stores

    gm glycogen/per kg muscle

    Untrained 13

    Trained 32

    Carbo-loaded 35-40

    Nancy Clark, MS, RD

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    Nutrient Requirements Vary with

    Training

    Category CHO g/kg/day PRO g/kg/day

    Heath/fitness 5 - 8 11.5

    Recreational 5 - 8 11.5

    Well-trained 8 - 10 1.52.0

    Elite/World Class 8 - 10 1.52.0

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    2.5

    2.0

    0.0

    0.5

    1.0

    1.5

    Repeated Days of Hard TrainingCompromise Glycogen Stores

    M

    USCLEGLY

    COGEN

    (gm/100gmtissue)

    10miles

    Day 1

    10miles

    Day 2

    10miles

    Day 3

    Subjects consumed an average diet that contained 40-50 % Carbohydrat

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    Recommended Diet For Well-Trained

    Athletes

    Carbohydrates (60-65 %)

    Proteins(12-15 %)

    Fats (20-25 %)

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    GLYCOGENIS MADE FROMCARBOHYDRATES

    0

    4

    8

    12

    16

    20

    24

    0 5 15 25 35 45

    RECOVERY TIME (hours)

    Carbohydrate Diet

    Protein & Fat Diet

    GLYCOGEN

    CONTENT(GM/KG MUSCLE)

    Rest/Hard exercise

    Nancy Clark, MS, RD

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    How Does Reality Stack up AgainstRecommendations?

    % CHO % Fat % Protein

    Recommended diet

    3 MREs Provide

    60

    51

    25

    36

    15

    13

    Soldiers in the Field 45 40 15

    Wrestlers (college) 45 38 17

    Runners 49 36 15

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    Carbohydrates in the Field

    One Complete MRE

    1300 calories

    51 % CHO

    36 % FAT

    13 % PRO

    Field Stripped MRE( Jerky, Potato stix, Raisin Nut mix,

    Cheese spread on crackers, Oatmealcookie)

    1300 calories

    32 % CHO

    56 % FAT

    12 % PRO

    VS.

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    GLYCOGENIS MADE FROMCARBOHYDRATES

    0

    4

    8

    12

    16

    20

    24

    0 5 15 25 35 45

    RECOVERY TIME (hours)

    Carbohydrate Diet

    Protein & Fat Diet

    GLYCOGEN

    CONTENT(GM/KG MUSCLE)

    Rest/Hard exercise

    Nancy Clark, MS, RD

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    What About

    Protein ??

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    Recommended Protein Intake

    vs. Average Intake

    0

    0.2

    0.4

    0.6

    0.8

    1

    1.2

    1.4

    Protein--gm/kg

    bodyweight

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    0

    50

    100

    150

    200

    250

    0.9 1.4 2.4

    Sedentary

    Strength

    Whole Body Protein Synthesis(Tarnopolsky 1992)

    Protein

    synthesis

    mg.kg-1.h-1

    Protein Intake (g.kg-1.d-1)

    a

    a a

    b

    a

    b Unlike letters P

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    Fluidsstill central to

    physical performance

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    Voluntary Fluid IntakeOften Inadequate

    0

    200

    400

    600

    8001000

    1200

    1400

    Fluid Intake Sweat Loss

    102 Runners and 91 Canoeists

    290-620 ml/h

    690-1270 ml/h

    (Adapted from Noakes et al., EJAP 57:210-19, 1988)

    Eff t f D h d ti

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    0%1%

    2%

    3%

    4%5%

    6%

    7%

    8%9%

    2 %

    3 %

    4-6 %

    > 6 %

    ImpairedThermal

    Regulation

    ReducedMuscular

    Endurance

    ReducedStrength

    andEndurance,

    HeatCramps

    Severe HeatCramps, Heat

    Exhaustion, Heat

    Stroke, Coma,Death

    Effects of Dehydration onPhysical Performance

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    Summary of nutritional

    supplements that have the mostimpact on Physical Performance

    Carbohydrate

    Fluids

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    Sleuthing SupplementSafety and Efficacy

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    The Reality of Desire

    50% of elite-level athletes are willing

    to take a substance that would

    guarantee them an Olympic gold

    medal, even if they knew that taking

    the substance would be fatal within ayear.

    (The Ergogenics Edge, Melvin Williams, 1998)

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    The Primary Issues:

    Are they safe?

    Do they work?

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    Frequently Used Supplements

    Sports Drinks

    Caffeine

    Amino Acids (Protein Powders)

    Creatine

    Ephidrine/Ephedra

    Where can you find accurate, helpful information?

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    Hooah Bodies Presentations

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    COL Grediagins Internet Quick Picks for

    Supplement Safety and Efficacy

    US Army Center for Health Promotion and Preventive

    Medicine (Warfighters Guide to Dietary Supplements)

    http://chppm-www.apgea.army.mil/dhpw/Wellness/dietary.aspx

    National Institutes of Health Office of Dietary Supplements

    http://dietary-supplements.info.nih.gov

    US Food & Drug Administration Center for Food Safety &

    Applied Nutrition Dietary Supplements http://www.cfsan.fda.gov/~dms/supplmnt.html

    Gatorade Sports Science Institute

    http://www.gssiweb.com

    http://chppm-www.apgea.army.mil/dhpw/Wellness/dietary.aspxhttp://dietary-supplements.info.nih.gov/http://www.cfsan.fda.gov/~dms/supplmnt.htmlhttp://www.gssiweb.com/http://www.gssiweb.com/http://www.cfsan.fda.gov/~dms/supplmnt.htmlhttp://dietary-supplements.info.nih.gov/http://dietary-supplements.info.nih.gov/http://dietary-supplements.info.nih.gov/http://chppm-www.apgea.army.mil/dhpw/Wellness/dietary.aspxhttp://chppm-www.apgea.army.mil/dhpw/Wellness/dietary.aspxhttp://chppm-www.apgea.army.mil/dhpw/Wellness/dietary.aspx
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    The greater our knowledge

    increases, the more our ignorance

    unflolds.

    John F. Kennedy

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    And Your Questions Are