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WHAT IS YOUR SPORTS NUTRITION GAME PLAN? Ashley Armstrong, MS., RD. Sport Dietitian, Canadian Sport Institute Pacific A Bit About Me… What A Sport Dietitian Can do for YOU Develop nutrition strategies to complement annual training schedules – Recovery – Travel – Competition – Off season challenges Speed Recovery – surgery, injury, training, competition Develop hydration plans and schedule Assist with body composition/weight management – Timing matters! – Methods matter! Evaluate dietary supplements and sports foods for efficacy, safety and quality Nutrition counseling for athletes with medical conditions: Diabetes, Cardiovascular Risk, Comprised Bone Health, Abnormal Iron Status, Disordered Eating/ED, Gastrointestinal Problems; Gluten sensitivity Teach athletes how to choose, store and prep foods – Grocery Store Tours – Cooking Classes What We are NOT…. TESTING YOUR SPORTS NUTRITION IQ & DEBUNKING SOME COMMON MYTHS Multiple Choice What are the key nutrients needed for young female athletes? A. Vitamin C B. Iron C. Beta-Carotene D. Calcium/Vitamin D E. Both B and D ANSWER: E. Both B and D WHY? - Iron? - Calcium and Vitamin D? - Food sources? Multiple Choice A good meal to eat before training or competition should contain mostly: Carbohydrate B. Protein C. Fat D. All of the above A. • A good meal to eat before training or competition should contain mostly: ANSWER : A. Carbohydrate Why? – Provide you with a quick energy source – Choose a meal closer to training and competition that is low in fibre and fat as these are often difficult to digest and can cause gut upset – Some protein may be tolerated depending on how soon training is – CHOOSE WHOLE FOODS FIRST – Don’t forget about fluid Pre-Fueling 2-4 hours prior Pre-Fueling 1-2 hours prior Pre-Fueling 30-60 min prior How to build a winning snack… 1. Start with a source of carbohydrates… – Vegetables and Fruits – Grain Products 2. Choose carbs low in sugar and high in fibre Less than 8 grams of sugar (1 tsp of sugar = 4 grams) • 2 thumbs up – More than 4 grams of fibre • 4 fingers 3. Add a source of protein – Milk and Alternatives – Meat and Alternatives Portable Snack Ideas Carbohydrates + (Grains/Fruit/Vegetables) Protein (Milk Prod/Meat & Alt.) • Dried Fruit and Nuts/Soy nuts • Whole grain crackers and Babybel cheese/Cheese Strings/Laughing cow cheese • Sport Bars (>10 g protein): Luna, Cliff, Vega, Elevate Me!, Simply bars (Simply chips) • Granola bars (>5 g protein): Taste of Nature, Nature Valley Sweet & Salty, Kashi Bars • Trail Mix (dried fruit + nuts/seeds) • Home made smoothies • Tuna and whole grain crackers • Milk/Soy drink boxes and fruit (note: almond, coconut and rice beverages contain little protein) • Nut butters and crackers Multiple Choice How soon should you start to ‘refuel and recover’ after a practice? A. B. C. D. 60 minutes 40 minutes 90 minutes 15-30 minutes ANSWER = D: 15-30 minutes WHY? - It is most important to recover immediately (i.e. within 30min) to replace depleted glycogen stores - Timing is essential if you have another training session in less than 8 hrs - Use REAL FOOD FIRST for Recovery Immediate Recovery Snack/Meal TRUE OR FALSE? • Adolescence is when bone mass is built for life. TRUE OR FALSE? • Adolescence is when bone mass is built for life. TRUE: - At least 90% of peak bone mass is acquired by age 18 - During the teen years, athletes should ensure they are getting balanced nutrition, to make AND keep their bones strong throughout their lifetime! TRUE OR FALSE? • It is normal for an athlete’s menstrual periods to stop or not start at all. TRUE OR FALSE? • It is normal for an athlete’s menstrual periods to stop or not start at all. FALSE: - For all female athletes, a healthy body includes having regular menstrual cycles - Months without menstruation is NOT normal for female athletes and can mean weak bones, potential injury and even osteoporosis. TRUE OR FALSE? • Girls can expect to gain 3 to 5 lbs. a year from age 9 to 16. TRUE OR FALSE? Girls can expect to gain 3 to 5 lbs a year from age 9 to 16. FALSE: Girls can expect to gain 5 to 10 lbs a year from 9 to 16 and grow up to 10 inches. TRUE OR FALSE • You should avoid carbohydrates to lose weight? • FALSE – Our bodies need carbohydrates for energy and optimal brain function – Carbohydrate foods contain vitamins and minerals like iron, calcium, vitamin C, folic acid, potassium and magnesium, along with fibre. – Strictly avoiding carbohydrates puts you at risk for nutrient deficiencies and low energy balance – Leads to poor training sessions and poor recovery – Lead to glycogen depletion causing fatigue, delayed recovery and possibly reduction in lean mass and immune function TRUE OR FALSE • High-performance Canadian athletes generally meet their energy needs for health and performance? • High-performance Canadian athletes generally meet their energy needs for health and training? FALSE: High-performance Canadian athletes: Not consuming adequate energy or carbohydrates to meet their training needs (Lun, Erdman & Reimer, 2009) Multiple Choice If you do not eat enough to fuel your body for a practice or training, which of the following is true? A. B. C. D. Will not be able to perform at your best You will be more likely to get injured You will be more likely to get sick All of the above ANSWER: D. all of the above WHY? - Reduced energy during training - Only can perform at 60-75% of physical and mental capacity - Energy Intake below that needed for energy expended from exercise AND that needed for other metabolic processes in the body = susceptible to injury, illness and impaired performance Relative Energy Deficiency in Sport (RED-S) • Previously known as the “Female Athlete Triad” • Centres around energy deficiency relative to the balance between Energy Intake (calories) and Energy Expenditure (exercise) caused by: – Reduction in energy intake AND/OR – Increased exercise load Mountjoy., M. et al. (2014) RED-S (Relative Energy Deficiency in Sport) Immunity INADEQUATE ENERGY!!! Menstrual Function Endocrine TRIAD Hematological Bone Health REDS GI Metabolic Growth/D evelopme nt Psychological CV Mountjoy M et al. Br J Sports Med 2014;48:491-497 Copyright © BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine. All rights reserved. Potential Performance Effects of Relative Energy Deficiency in Sport (*Aerobic and anaerobic performance). Mountjoy M et al. Br J Sports Med 2014;48:491-497 Copyright © BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine. All rights reserved. Energy Deficiency in Athletes Nattiv, et al (2007) • Obsessive eating disorders • Clinical Mental illness • AN/BN/EDNOS • Intentional and rational but mismanaged efforts to reduce body size and fatness for athletic competition • Includes: fasting, diet pills, laxatives, diuretics, enemas, and vomiting • Inadvertent failure to increase energy intake to compensate for the energy expended in exercise Disordered Eating Continuum Who’s at Risk? Predisposing Factors in Sports: Judging criteria Aesthetic sports or those where a low body fat is desired Weight classifications, restrictions, standards Coach, family and peer pressure Sociocultural factors This is not just MEDIA Performance demands ED. It is not getting the fuel the body needs! We Live in a Body Obsessed World THE FACTS Up to 30% of athletes experiencing subclinical eating disorder (ED) symptoms: 3% in refereed sports vs. 13% in judged sports (Zucker et al, 1999) Female athletes in aesthetic sports found to be at the highest risk for ED (Sungot-Borgen & Torstveit, 2004) ED higher in adolescent elite athletes compared to controls (Martinsen & Sundgot-Borgen, 2013) More young female athletes report improvement of appearance rather than improvement of performance as a reason for dieting (Martinsen et al, 2010) Warning Signs & Symptoms of Inadequate Energy or ED • Loss of or irregular periods (failure to start menstruating by 16 years of age) • Fatigue or overall low energy • Poor performance and slow recovery times • Repetitive injury, stress fractures • Poor immunity • Cold hands and feet • Sleep difficulties • Nutrient deficiency; weak or brittle hair, nails; poor skin integrity • Drastic changes in weight in a short period of time • Excess body fat despite high volume of training or activity (especially abdominal wt.) Deutz, et al. (2000) • Mood changes, depression, lack of ability to concentrate • Drive to be thin at all costs! What the athlete may say…. • • • • • • • • Headaches Constipation Diarrhea Sleeping difficulties Breathing difficulties Dizziness Sadness Fatigue Prevention • Know the importance of fueling properly throughout the day • Be aware of the media…and then ignore it! • Explore your own believes & attitudes around weight, dieting and body image • Watch for signs and symptoms and track menstrual cycles to ensure they are regular • If warning signs are present and/or weight change is desired ALWAYS consult a health professional and sport dietitian SUMMARY: Fueling for Performance • Eat every 2-4 hours – Snacks and meals should occur at regular intervals • Balance your plate – Both meals and snacks should contain carbohydrates, protein and fat • Bring snacks to practice – Athletes should have a carbohydrate rich snack/meal within 3 hours before exercise and a balanced snack with both carbs and protein right after exercise • Plan ahead – Find easy, portable foods that can be packed, stored, or carried along • Eat on the run – Eating can be done in the car, in the change room, on the sidelines…whenever…wherever! PERFORMANCE NUTRITION FOUNDATIONS SUMMARY IRON (845mg/day) Adequate Protein (1.21.8g/kg BM/day) Vitamin D 10002000IU/day Calcium minimum 10002500mg/day (dependent on age & gender) Adequate Energy (3045kcal/kg FFM) Performance Nutrition Adequate Carbohydrate (3-10g/kg BM/day) Healthy Fats (1-2g/kg BM/day) Recommended Number of Food Guide Servings Per Day Food Group Super Foods Vegetables & Fruit General Guidelines Athletes Endurance Sports 6-8 8-10+ 10-14+ 6-7 8-14+ 15+ 3-4 4 4-6 1-2 2-3 3-4 2-3 3-4 4-5 CARBOHYDRATE Energizers/Fuel Grain Products CARBOHYDRATE Bone Builders Milk & Alternatives CARBOHYDRATE & PROTEIN Recovery/Builders Meat & Alternatives PROTEIN Essentials Fats & Oils FAT Finding a Sport Dietitian & Quality Information on Sports Nutrition • • • • • • • • • Sport Med BC College of Dietitians of British Columbia Coaching Association of Canada - www.coach.ca Dietitians of Canada – www.dietitians.ca Canadian Sport Institute Pacific http://www.csipacific.ca/content/home.asp SCAN - http://www.scandpg.org/sports-nutrition/ Sport Dietitians of Australia http://www.sportsdietitians.com.au/ http://www.powerbar.com/training http://www.nestlenutritioninstitute.org/pages/default_us.aspx Questions? [email protected] Special thanks to Nicole Springle, MAN., RD CSI ONTARIO & Jorie Janzen, RD CSC MANITOBA