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Sports Nutrition For many athletes eating right can be challenging. This can be an even bigger challenge for student athletes who live in dorms and residential housing on or near campus. Frequently, very busy schedules prevent many athletes from preparing and eating wellbalanced nutritious meals. Sometimes nutritious foods are available in university residential settings, but athletes who are not well educated about nutrition make poor food choices and therefore, may suffer from marginal nutrient imbalances and deficiencies that over time adversely affect their performance in athletics and in the classroom. Athletes need regular well-balanced, well-prepared nutritious meals and snacks to maintain the high energy demands of training, competition and the rigor of an academic program. Sickness, injury and general feelings of fatigue can be significantly improved when an athlete takes a personal, active interest in his or her diet. The information contained in this section addresses many topics related to general sports nutrition. Athletes should be aware that a healthy, well-balanced diet can make an essential contribution toward academic and athletic excellence!! Some Basics According to the American Dietetic Association and the American College of Sports Medicine, there is currently no research indicating that athletes need a diet different from the Dietary Guidelines for Americans, which advocates 55%-58% of energy intake from carbohydrates, 12%-15% of energy intake from protein, and 25%-30% of energy from fats (American Dietetic Association, 2000). Before exercise, a small meal or snack should be eaten to provide enough fluid to maintain hydration, be low in fat and fiber to facilitate gastric emptying and minimize gastrointestinal discomfort, and be high in carbohydrates to maintain blood glucose levels (American Dietetic Association, 2000). It is important to replace fluid and nutrient losses during exercise to avoid dehydration and maintain blood glucose levels. The dietary goal of eating after exercise is to provide enough energy and carbohydrates to replace muscle glycogen stores. Click here for detailed information about nutrition and performance. (NCAA) Here is a list of topical issues and questions that may be of interest to many athletes and others who work with athletes. Nutrition Health Do the dietary habits of athletes affect their performance? YES, one of the most important ways of improving athletic performance and maintaining a healthy life style is achieved through following a balanced diet. What an athlete eats is important for health, growth, body weight and composition, to prevent injury, and ultimately to optimize performance (American Dietetic Association, 2000). Sound nutrition is based on the wise selection of foods and beverages according to the stage of the life cycle of the individual and the individual’s nutritional needs (Anderson and McMurray, 1997). What are some factors that prevent athletes from achieving a high level of nutritional health? Many factors prevent athletes from achieving a high level of nutritional health. According to Burke (1995), an athlete may not be adequately nourished for the following reasons: 1. Poor understanding of sports nutrition principles. 2. Belief in misconceptions and myths. 3. Failure to recognize individual nutritional requirements related to a personal training program, personal characteristics such as age, sex, and type of physique. 4. Conflict between achieving good nutrition while trying to diet to lose body fat. 5. Lack of practical nutrition knowledge and skills. 6. Inadequate time and opportunities to obtain or consume appropriate foods due to a busy schedule. 7. Poor money management that leads to inadequate food supplies. 8. Frequent travel, eating "on the road." Dietary Needs Why do athletes need a balanced diet? According to the American Dietetic Association and the American College of Sports Medicine, optimal nutrition enhances performance and recovery (2000). By eating a variety of foods athletes can obtain all the nutrients they need to support the development and growth of all body tissues, maintain healthy immune function, optimize metabolism, and maintain healthy growth and weight control. For athletes meeting energy requirements is the priority. Inadequate energy intake compromises performance and health (American Dietetic Association, 2000). Injury and tissue maintenance: Physical activity can lead to tissue damage. Time needed to recover from injuries to muscles, tendons, and ligaments varies considerably according to the extent of the damage sustained at the time of the injury. Adequate dietary intakes will help provide the necessary building constituents that are needed for tissues to fully recover. The process of rebuilding injured tissue is sometimes slow and there are no miraculous nutrients yet known to science that cause instant recovery. The secret is to eat a balanced diet over time to ensure the injured tissue receives a high level of nutrients for optimal recovery via the bloodstream. Immune function: According to Huffman-Goetz (1997), intense exercise and overtraining depresses the immune system, and moderate exercise enhances the immune function. A diet rich in vital nutrients, especially anti-oxidants such as vitamins C & E provides support for the immune system of athletes who are following a heavy training program. What are the United States dietary guidelines? According to the Dietary Guidelines for Americans (4th ed., 1995 & 6th ed., 2005) individuals should: 1. Eat a variety of foods. 2. Balance food intake with physical activity to maintain or improve weight. 3. Choose a diet rich in grains, vegetables, and fruits. 4. Select foods low in saturated fats and cholesterol. 5. Select foods with little or no trans fats. 6. Choose foods with moderate sugar content. 7. Choose foods that contain moderate salt and sodium content. 8. Drink alcohol in moderation, no more than 3-5 drinks per week. (Note: this applies to those who are over 21 years of age and legally entitled to consume alcoholic drinks). What are the general nutritional needs of athletes? Individual athletes differ in their nutritional requirements because of physical size, gender, nature of the sport, climate, and time of the year/weather conditions, and body weight and composition (American Dietetic Association, 2000). Therefore, it is difficult to provide precise recommendations regarding the nutritional practices of individual athletes in specific sports. How do the energy requirements for athletes differ in individual and team sports? To maintain muscle mass, immune and reproductive functioning, adequate energy intake is required. Energy balance is defined as a state when energy intake is equals energy expenditure (American Dietetic Association, 2000). In general, an athlete's energy requirements are met by keeping a balance between energy intake and energy expenditure. The daily energy requirements of athletes will vary and depend on the body size and activity level of the athlete (Murray and Horswill, 1997; American Dietetic Association, 2000). Especially during periods of intense training it is essential to consume adequate energy to maximize training effects (American Dietetic Association, 2000). Team sports: Energy expenditures for team sports depend on the specific sport and the position of the athlete. For example a midfielder in soccer might cover an average of 810 miles per game, while a defensive player covers less ground (Ekblom, 1986). Additionally, energy needs differ between the sexes. For example, female soccer players may not cover as much ground as a male soccer player, but the relative level of intensity for female players is maintained at about 70% of oxygen uptake (VO2max), which is comparable to the intensity level of males (Rosenbloom, 2006). Short-duration, high intensity sports: Athletes who are involved in high intensity, short duration sports (of less than 20 minutes) such as track runners, swimmers, sprint cyclists, rowers, wrestlers, weight lifters and gymnasts essentially utilize glycogen as the primary energy fuel (Sherman, 1992). Therefore it is essential that these athletes consume adequate levels of carbohydrates to maintain stores of glycogen. Long duration, moderate intensity sports: Marathon runners, cyclists, and cross country skiers who need to sustain energy levels for longer periods of time need to be able to burn fat for energy in addition to using glycogen. These athletes may use from 2,600-5,000 calories in competition. According to Murray and Horswill (1997): a runner who completes a 10 mile run at a 6 min / mile pace in the morning and 8 miles at 5 min 30 secs / mile in the afternoon would require an intake of at least 3000 calories in addition to his or her basic energy needs to maintain adequate glycogen stores and energy requirements. Are there special energy considerations for female athletes? While it is important for all athletes to consume adequate amounts energy, it is even more important for female athletes. Studies suggest that female athletes consume less total energy (calories) than male athletes (Burke, et al., 2001; Loucks, 2004). This may be due in part to female athletes striving for low body weight and lower percentage of body fat. Energy intake is a special concern for female athletes because if energy intake is too low to support the demands of training and competition reproductive disorders can result from hormonal imbalances (Loucks, 2004). Inadequate energy and macronutrient intake can also lead to changes in growth, decreased bone mineralization and decreased performance. Liquid Intake How much liquid does an athlete need? Fluid intake is critical to ensure that an athlete can perform up to his/her trained or conditioned ability (American Dietetic Association, 2000). Thirst is not a good indicator of body water requirements. In general by the time you are thirsty, your body already has about a 2% body weight lose (Sawka & Montain, 2000). Since heat production is increased with ALL forms of exercise, it is essential for athletes to maintain fluid balance so the excess heat can be dissipated through the production of sweat. With the evaporation of sweat, heat is lost from the blood that circulates near the skin, cooling the body. The rate of sweat loss varies between people and with the ambient temperature and humidity. As the heat increases so does sweat production to keep the body cool. In general, the higher the heat, humidity, and intensity of the work, the greater the requirements for hydration are. GENERAL GUIDELINES: Consume enough fluids to avoid thirst. Limit consumption of caffeine and alcohol containing fluids. They act as diuretics and can increase fluid loss. Drink at least 14 to 22 oz of fluid 2 hours before exercise. Drink at least 4 to 8 oz of fluid immediately before exercise. Drink at least 6 to 12 oz of fluid every 15 to 20 minutes during exercise (whether thirsty or not). Drink at least 16 to 24 oz of fluid after exercise for each pound of body weight lost during exercise. Drink at least 8 oz of fluid with each meal. Drink at least 8 oz of fluid between meals To assure adequate hydration prior to training and competition athletes should consider ingesting an additional 250 -500 ml of fluid 30 minutes before exercise. Note: Sports drinks (such as Gatorade®) which contain electrolytes and ~ a 6% carbohydrate solution should be used in place of water, regardless of the length or intensity of the activity. Sport drinks improve the delivery of both carbohydrate and water to the muscles. Sport drinks can help maintain blood glucose levels and decrease the risk of dehydration (Position of the American Dietetic Association, 2000). More importantly, they help to maintain blood volume and the delivery of fuel to the brain. Mental fatigue leads to muscle fatigue, so keeping the brain wellfueled is critical to athletic performance. Are you hydrated? Water makes up to 70% of total body weight. An average 75kg human contains about 60% or 45 liters of water (Sawka and Pandolf, 1990). Athletes with lean body and low fat mass have higher water content. The fluid losses of athletes depend upon the intensity at which the athlete is exercising, an individual genetic predisposition for sweating, his or her level of fitness, the environmental and climatic conditions, and the amount and type of clothing and headgear worn by the athlete (American Dietetic Association, 2000; American College of Sports Medicine, 1996; Sawaka and Wenger, 1988). During low intensity exercise in cool and dry settings sweat loss can be less than 500 ml/h. In hot and humid conditions during intense exercise sweat loss may exceed 3 liters/hour (Sawka and Pandolf, 1990). Therefore, fluid intake should be carefully monitored to ensure that fluid needs during these conditions are met by adequate intake. With normal kidney function your hydration level is indicated by the color of your urine. When the urine is darkly colored, and the urine volume is low the athlete is in a dehydrated physical state and should consume more fluid until the urine returns to a normal, clear or very light amber color. Please note, certain medicines and vitamins may cause the color of the urine to change unrelated to hydration. If any of these have been taken, this test is unreliable. A simple test can help protect your health. Using the Hydration Chart Match your urine color to the closest color in the chart and read the hydration level. Urine color ratings of 1, 2 and 3 are considered to be well-hydrated(Armstrong, 2000). However, color ratings below 3 suggest some dehydration and therefore loss of physical and mental performance. Based on these results you can make changes to the volume and timing ofyourfluid intake. This chart should only be used as a guide. Hydration Chart 1 Optimal 2 3 Well Hydrated 4 5 Dehydrated: You need to drink more water 6 7 8 Seek Medical Aid: May indicate blood in urine or kidney disease Water consumption Table The amount of fluid required to maintain adequate hydration varies depending not only on the type of activity, but the temperature. The chart below provides guidelines of how much replacement fluid should be taken each hour. Note, hourly fluid intake should not exceed 1.5 quarts and daily fluid intake should not exceed 12 quarts. Heat Categor °F Water Consumption Table Easy Work Moderate Work Hard Work y 1 2 Water Water Water Intake Intake Intake (Quart/Hour ) (Quart/Hour ) (Quart/Hour ) ½ ¾ ¾ ½ ¾ 1 ¾ ¾ 1 ¾ ¾ 1 78°81.9 ° 82°84.9 ° 3 4 85°87.9 ° 88°89.9 ° 5 >90° At heat category 5, 1 Easy work – 1 Moderate 1 Hard work – rest. Sit or stand in the shade if possible. walking on a hard surface work – walking in walking in the sand at at less than 2 mph the sand at 2.5 mph 2.5 mph with a load with no load, calisthenics The fluid replacement volumes will sustain performance and hydration for at least 4 HOURS of work in the specified heat category. Fluid needs can vary based on individual differences and exposure to full sun or full shade. Adapted from: U.S. Army Center for Health Promotion and Preventive Medicine Health Information Operations Division (June 2004) Retrieved from http://chppmwww.apgea.army.mil/heat July 2008. Special Environmental Conditions The risk for dehydration increases significantly in hot and humid climates (American Dietetic Association, 2000; American College of Sports Medicine, 1996). When the relative humidity is high, the body cannot dissipate heat by evaporating sweat, instead the sweat just drips off the body. When the temperature and humidity are both high there is an increased risk of heat illness. In these conditions sports competitions should be postponed, rescheduled or canceled (American College of Sports Medicine, 1996). If this is not possible, every precaution should be taken to assure that the athletes are well hydrated and are monitored for heat illness. While the risk of dehydration is greatest in hot climates increase, dehydration can occur in cold climates (American Dietetic Association, 2000; Adner, 1988). In cold climates it is common for dehydration to occur due to inadequate fluid intake, respiratory fluid losses, and sweating from wearing insulating clothes during exercise. High altitudes, above 2,500 feet, can increase fluid replacement requirements. In high altitudes, fluid is lost due to mandatory dieresis, respiratory losses, and decreased appetite (American Dietetic Association, 2000). Respiratory water losses may be as high as 1,900 mL in men (Butterfield, 1996) and 850 mL in women (Butterfield, 1992). To maintain adequate hydration and proper kidney function, fluid intake should be increased to as much as 3 to 4 L per day (American Dietetic Association, 2000). What are the effects of dehydration on athletic performance? Under normal conditions the water content of the body is constant. An imbalance between fluid intake and fluid losses results in dehydration (Barr, 1999; Brouns, 1993). The volume of fluid varies widely among athletes but in general the amount of fluid needed to compensate for the fluid lost is about 50% of the sweat loss (Noakes et. al., 1988). Dehydration occurs when fluid losses are greater than 1% of body weight, and athletic ability is measurably impaired with a 2% loss of body weight. This means a 100 lb athlete who loses 2 pounds during exercise may no longer be performing up to his/her trained ability because of the excessive body fluid loss. Even slight dehydration can have noticeable and negative effects on performance during high intensity exercise. Dehydration causes fluid imbalances in the body that can lead to impaired mental focus, impaired energy metabolism, and important changes in electrolyte concentration levels. Plasma fluid volume plays an important role in maintaining a normal blood flow through the tissues. Dehydration causes a decrease in plasma volume, and as a result leads to decreased blood flow. This will lead to reduced transport of substrates and oxygen to the muscles needed for energy production. This will result in decreased energy and a marked, rapid onset of fatigue (Brouns, 1993). Typical symptoms of inadequate fluid intake during exercise include: thirst, fatigue, loss of coordination, mental confusion, irritability, dry skin, elevated body temperature, and reduced urine output. Dehydration can lead to heat illness and an increased risk of kidney stones. Athletes should stay well hydrated before and during exercise, and make sure that cool fluid is available at all times, because cool fluid leaves the stomach more quickly. Drinks can be flavored and sweetened sufficiently to encourage athletes to drink. One teaspoon of salt per liter helps to ensure complete hydration and normalize the body's sodium levels. Some commercially available sports beverages are available and can be used to sustain normal electrolyte levels (ACSM, 1996; Broad, 1996; Burke, 1995). Team sports: Athletes who are involved in team sports such as soccer have tended in the past to limit fluid intake to the half-time break. This is not adequate for maintaining optimal fluid levels in the body. Athletes should drink fluids freely on an as needed basis. Coaches and team trainers should encourage athletes to drink at all times, and attention should be given to athletes with above average sweat rates to make sure they are drinking appropriately (Broad, 1996; Burke, 1995). Short duration and high intensity sports: Athletes involved in high intensity sports can experience rapid and significant dehydration. Depending on the level of competition, efforts of less than 30 seconds do not involve significant dehydration (Horswill, 1991). However, participation involving extreme efforts of greater than 30 seconds in duration can cause rapid weight loss from fluid depletion (Horswill, 1994). Long duration moderate intensity sports: Athletes who compete in long distance running, cycling, and skiing events that last longer than 30 minutes generally have access to fluids at regular intervals. Sometimes runners restrict fluid intake when experiencing gastrointestinal problems that are already due to dehydration, and increase the effects of dehydration. Athletes need to practice in training drinking habits that will be effective in maintaining adequate body fluid levels during competition. Carbohydrate Intake What are the carbohydrate (CHO) requirements of athletes? Carbohydrates are classified as either "simple" or "complex". Some common simple carbohydrates include glucose, fructose, and sucrose, and are typically associated with sweet foods and ripe fruits. The complex carbohydrates are either digestible (starches) or indigestible (fiber). The digestible complex carbohydrates are ultimately "digested" to the simple carbohydrate glucose when they are consumed. While the ultimate "fuel" for muscles is glucose, complex carbohydrates usually carry with them other nutrients, such as B vitamins, which are necessary for muscles to get energy from the foods we’ve eaten. Carbohydrate (CHO) in the form of glycogen is the body's main fuel for high intensity activity (American Dietetic Association, 2000). Glycogen is the storage form of glucose and it is needed for both endurance and strength events. CHO is stored as long chains of glucose units in the liver and in the muscles in the form of glycogen. The glycogen content of the liver is about 100 grams. This quantity can change depending on the amount of glycogen broken down from the supply of blood glucose and the amount of glucose supplied to the liver after food intake. Muscle and liver glycogen levels are relatively small, because the body has a limited capacity to store it, and are reduced during training and competition (Brouns, 1993; Murray and Horswill, 1997). General recommendations for carbohydrate consumption for athletes range from 6 to 10 g/kg body weight (American Dietetic Association, 2000). However, this amount varies depending on total energy expenditure, type of sport, sex of the athlete, and environmental conditions. What are the effects of carbohydrate on athletic performance? Dietary carbohydrates increase the amount of CHO available to the working muscles. When the levels of CHO are reduced exercise intensity and length of activity decrease, and fatigue rapidly increases. Costill (1988) recommended that athletes ingest 9-10 grams CHO/kg of body weight per day to restore and maintain muscle glycogen levels. Athletes should consume a diet in which at least 60% of the total energy is supplied by carbohydrate and no more than 10% of these calories in the form of simple carbohydrates (Costill, 1993). Good sources of carbohydrates include pasta, bread, cereal, legumes (beans), fruits, and vegetables. Pre-exercise carbohydrate loading has been shown to improve performance (Sherman, 1995). Providing a constant supply of carbohydrates is the best, simplest, and safest means of "carbohydrate or glycogen loading". Because glycogen is only efficiently stored when an athlete is well hydrated, it is also important to make certain that plenty of fluids are consumed while eating carbohydrates. Glycogen stores are especially important for athletes involved in team sports. Maximizing muscle glycogen stores provides greater energy reserves for performance resulting in greater endurance and delayed fatigue (American Dietetic Association, 2000). Athletes involved in short duration high intensity sports also require high carbohydrate intakes. Athletes in sports such as wrestling, sprinting and similar sports should ingest high carbohydrate diets during intense periods of training. A high carbohydrate diet allows higher training intensities (Nevill et. al., 1993). Athletes who train for long hours and compete in endurance sports should consume 65% to 70% of their energy from carbohydrate (American College of Sports Medicine, 1991). Before long duration activities athletes should include at least 3 days of intake which includes 800g carbohydrate per day (or 6-10 g CHO/kg/body weight/day) and a week of tapered workouts that ends in complete rest the day before the competition. This carbohydrate loading plan maintains high glycogen stores in the body (Food and Nutrition Board, 1989). In addition, ingesting glucose during prolonged activity can increase carbohydrate oxidation, resulting in increased performance (Baile, et al. 2000). Are there gender differences for carbohydrate requirements? There may not be as big a difference as was once thought. New research has shed light on how women store and utilize carbohydrates. When the smaller body size of the female athlete is taken into account and the relative and absolute intakes of carbohydrates for females were matched to males, the gender differences in glycogen storage disappeared (Tarnopolsky et al., 2006; Rosenbloom, 2006). In another study, it was shown that men and women utilized carbohydrates at similar levels when fed glucose during prolonged exercise (Baile, Zacher, & Mittleman, 2000). So, as long as female athletes consume an adequate percentage of total energy intake from carbohydrates, the storage and utilization of glycogen should be similar to that of male athletes. A concern for female athletes is the effect of the menstrual cycle on performance. It has been observed that the performance of female athletes is affected by the phase of the menstrual cycle she is in (Campbell, Angus, & Febbriao, 2001). However, when females consumed glucose during exercise, the difference in performance due to menstrual phase disappeared. So carbohydrate consumption is especially important for female athletes. How can an athlete ensure optimal levels of carbohydrate (CHO) before an athletic event? Pre-exercise / competition CHO intake: The importance of dietary intake of CHO for athletes before exercise or competition has not been well established (American Dietetic Association, 2000). The majority of energy released during muscle work is derived from CHO and fat (Brouns, 1993). Depending on the level of intensity of the exercise one of the fuels may become the major energy deliverer. During the resting period most of the energy is derived from fat. The possible energy supply ratio is in the order of 90% fat to 10% CHO. During more intense sport activity glucose is mobilized from the liver and the muscle glycogen pool to deliver energy. Fatty acid mobilization increases until a steady metabolic state has been achieved (Newsholme and Start, 1973). At higher exercise intensities CHO is the most important fuel source (Brouns, 1993). When CHO stores in muscle and liver are increased athletes are able to perform longer and at higher intensity levels. The amount of glycogen available in the muscle is an important factor in performance. As soon as the muscle glycogen stores have been depleted the ability to perform repeated high intensity, contractions will be reduced (Maughan and Greenhaff, 1991). Depletion of glycogen stores results in fatigue and decreased performance. Exercise intensity and duration: Endurance athletes, such as distance runners, cyclists, and swimmers, who train at a high level of energy output on a daily basis, require 65% to 75% of total calories from carbohydrates or 4.5 -6.0 g carbohydrate/kg/body wt/day to optimize performance. High carbohydrate diets can also increase time to exhaustion with short-term intense exercises (Wilkinson and Liebman, 1997). Glycogen depletion should be prevented by a high CHO diet during training and periodic rests to allow the muscle to rebuild glycogen stores (Superko, 1989). Tiredness associated with over training can be caused by lowered glycogen stores (Hubinger et. al., 1995). Foods rich in complex carbohydrates and a great variety of grains, legumes, fruits and vegetables will allow sufficient glucose absorption and maintenance of glycogen stores (Wilkinson and Liebman, 1997). Additionally, drinking a sport drink with carbohydrates during exercise can help stave off fatigue by maintaining blood glucose levels and improve performance (American Dietetic Association, 2000). During periods of sustained exercise, athletes should consume 0.7 g carbohydrate/kg body weight to extend endurance performance American Dietetic Association, 2000; Coggan, 1991). Type of CHO intake: CHO intake should be light (approximately 300 Kcal), and obtained from CHO foods that the athlete has tried during the training period and found to be easily digested. CHO should have a low fiber content and taken with a moderate amount of protein to maintain good blood sugar levels and plenty of fluids. Pre-exercise CHO supplementation should contain 1-5 g CHO/kg body weight. Liquid carbohydrate intakes at the lower end of this range are better tolerated than solid meals and higher intakes when consumed close to competition. Carbohydrate loading: Depletion of muscle glycogen can cause a decrease in exercise energy output. The use of CHO loading to maximize muscle glycogen stores at the beginning of exercise or competition could be beneficial for athletes who participate in continuous exercise for more than 90-120 minutes (Wilkinson and Liebman, 1997). The classic method of CHO loading recommended by Bergstrom et. al., (1967), includes glycogen depletion from a long low intensity workout, followed by loading. The athlete should eat a CHO rich diet (pasta, potatoes, bread other grains or starchy vegetables) in which 90% of the total k/cal are from CHO, for 2-3 days to allow the muscles to become saturated. This involves CHO intakes of 500 to 600 g per meal. The classic method of loading occurs when the athlete depletes the muscle reserves of glycogen by engaging in a strenuous workout (endurance runners, a 2-3 hour steady run) and then eats a very restricted, low CHO diet for 3 days, followed by a CHO loading phase of 2-3 days in which a very high CHO diet, in which more than 90% of total k/cal are consumed from CHO. For many athletes a low CHO diet for 3 days may cause hypoglycemia, irritability, and extreme chronic fatigue. A modified version involves "tapering down" of exercise during the 6 day prior to the event. Daily CHO intake is slowly increased from an initial level of approximately 350 to 550g or 70% of total k/calories during the last 72 hours preceding competition (Hoffman et. al., 1991). This method will increase muscle glycogen stores 20-40% above normal (Coyle, 1995). Although CHO loading can increase high intensity exercise time and duration it will not be effective until at least after the first hour of exercise has been completed for example, at 8-10 miles in the marathon (Coleman, 1991). CHO loading may initially create a feeling of heaviness or stiffness in the muscles that have been depleted of glycogen before an event and in some individuals may contribute to muscle cramping and premature fatigue (McArdle et. al., 1991). Timing of CHO intake: Pre exercise/competition: Ingestion of a CHO snack or beverage 15 minutes to 1 hour before exercise can lead to hypoglycemia during exercise (Costill et. al., 1977; Koivisto et. al., 1981). Consumption of a glycogen replacement drink during long periods of exercise has been found to improve work performance. In general, a pre-exercise/competition meal should be consumed at least 2-3 hours before the session to allow adequate time for complete gastric emptying and minimize gastrointestinal discomfort (Wilkinson and Liebman, 1997). CHO intake during exercise: According to Coggan et. al., (1991) CHO intake during exercise should be sufficient to provide a minimum of 45-60 g of total CHO to sustain high performance energy levels. Blood glucose concentrations are maintained during moderate / intense exercise by supplying glucose at a rate of 45g/hour (Coggan et. al., 1987: Murray et. al., 1989). CHO supplementation during prolonged endurance exercise or at least 30 minutes before the onset of fatigue are effective in delaying fatigue (Coyle, 1992). Post exercise CHO intake: The timing and composition of the post exercise meal will depend on whether muscle glycogen stores were depleted (American Dietetic Association, 2000). The type of CHO taken after exercise can influence the rate of muscle glycogen re-synthesis and muscle recovery. This effect is mediated by glycemic and insulinemic responses to different CHOs (American Dietetic Association, 2000; Febbraio et. al., 1994; Burke, 1993). Fructose intake is associated with lower blood glucose and insulin levels compared to sucrose (American Dietetic Association, 2000; Febbraio et. al., 1994). In order to maximize the rate of muscle glycogen synthesis it is recommended that athletes check the glycemic index (GI) of different CHO foods (Wilkinson and Liebman, 1997). CHO diets with a high GI that are eaten within a 24 hour period after prolonged exercise allow for greater glycogen synthesis compared to the CHOs with low GI (Burke et. al., 1988). The rate of glycogen re-synthesis is more rapid in the first 2 hours following exercise. Increasing CHO consumption from 188g to 648 g/day will result in greater muscle glycogen re-synthesis during the 24 hour post-exercise period (Costill et. al., 1981). According to Wilkinson and Liebman (1997), eating fructose post exercise compared to glucose induces more liver glycogen synthesis but less muscle glycogen synthesis. High CHO foods and beverages such as fruits or beverages or commercially available CHO drinks with a high GI are good choices for promoting post-exercise glycogen re-synthesis (Wilkinson and Liebman, 1997). Fat Intake What are the fat requirements of athletes? In most normal circumstances fat provides a secondary source of energy for athletes. The importance of fat as a source of energy depends on the duration and intensity of the activity added to the availability of CHO (Brouns, 1993). Fat is stored in the body in fat cells as triglycerides. Most of the fat cells are found under the skin, and around the internal organs (Brouns, 1993). The optimal level of body fat depends on the sex and age of the athlete as well as heredity (American Dietetic Association, 2000). Body fat values (indexes) for athletes range from 5% to 12% in men and 10% to 20% in women and vary between sports and positions in the specific sports (Position of the American Dietetic Association, 1989). Athletes should strive to have a fat intake that does not exceed 25% of total calories (Position of the American Dietetic Association, 2000). There is no evidence to support consuming a diet with less than 15% of calories from fat. Diets that are higher carbohydrates and lower in fat are important for optimizing athletic performance. Eat a reasonably low fat diet with plenty of carbohydrates to fuel activity. Are there gender differences in fat intake requirements? Fat consumption is often limited in female athletes wishing to lower body weight. However, fat plays an essential role in maintaining menstrual function. Fat intake for female athletes should be 20-25% of total energy consumption. What are the effects of fat intake on athletic performance? Fat is an energy source that provides essential fatty acids and carries fat soluble vitamins (vitamins A, D, E, and K). In highly trained athletes the total fat stored in the adipose tissue is 5% to 15% in males and 10% to 25% in females (Brouns, 1993). Total fat intake is likely to be higher in athletes (such as linemen football players) who consume high levels of energy (more than 4000 kcal) in order to maintain muscle mass than among the general population (Wolinsky, 1997). Team sports: A football player who weighs 100 kg (220lb) and 10% body fat has about 66,000 k/cal of stored fat energy to fuel him for days of moderate to intense training. Since fat is transported and oxidized slowly by active muscle its contribution to energy production during exercise is limited (Murray and Horswill, 1997). According to Murray and Horswill (1997), during short duration high intensity sports, fatty acid oxidation provides energy for cellular functions and muscle contraction. Athletes can benefit from fat oxidation during low intensity phases of interval training. Long duration moderate intensity sports: Fat metabolism as an energy source increases as exercise intensity decreases. During ultra-endurance exercise, such as distance runners and cyclists, fat metabolism becomes the principal source of energy (Murray and Horswill, 1997). Protein Intake What are the protein requirements of athletes? Protein is one of the most essential nutrients in our body. It has a wide range of physiological functions that are required for achieving optimal physical performance. Protein forms the structural basis of muscle tissue, is a major source of energy for muscle contraction, and is also the major component of enzymes and blood in the muscle, and makes up about 45% of the human body. The requirement for protein is dependent on total energy intake, the amount of training an athlete does, and the intensity of that training. Of these factors, the most important one is total energy (calorie) intake. Increasing energy intake from carbohydrate improves protein utilization, while lowering energy intake to a level below the amount needed causes increased protein losses and breakdown. Therefore, one of the best ways to make certain protein status is OK is to make certain enough total energy is consumed to maintain activity and growth requirements. The timing of protein ingestion is important as well as the amount to support muscle synthesis. It’s essential to consume protein before, during, and after exercise to stimulate muscle synthesis (Tipton & Wolfe, 2004). Muscle is approximately 70% water and only about 20% protein. Therefore, increasing muscle mass requires extra water, extra energy in the form of carbohydrates (to maintain the needs of that extra muscle), and a little extra protein. In fact, for an athlete increasing muscle mass at an extraordinarily high rate of 1 kg/week (2.2 lbs of extra muscle per week); only 4 extra ounces of meat per day would be needed. The RDA for protein is 0.8 grams/kg of body weight/day. Adequate energy intake primarily from carbohydrates should ensure a positive protein balance in the muscle. Most experts agree that additional protein can be easily obtained through a balanced diet. High sources of protein include meat, poultry, fish, and eggs. However, vegetarians can obtain adequate protein by combining non-meat items. For instance, combining legumes (beans) and cereals (rice or corn) creates a protein combination of high quality. However, animal proteins provide numerous other nutrients (including iron and zinc) that are more difficult to obtain elsewhere unless the diet is very carefully planned. Are there gender differences for protein requirements? Little is known about gender differences in protein consumption and utilization, perhaps because most athletes consume adequate amounts of protein regardless of gender (Rosenbloom, 2006). What are the effects of protein on athletic performance? Team sports: In team sports athletes should not have difficulty meeting their protein needs through eating a variety of protein rich foods. When athletes wish to increase the muscle mass the protein intake should be adjusted accordingly (Murray and Horswill, 1997). Short duration high intensity sports: Protein consumption for strength trained athletes may be as high as 1.6 – 1.7 g/kg of body weight (American Dietetic Association, 2000). Athletes who restrict nutrient intake to lose weight for competition such as boxers, figure skaters and wrestlers, may have inadequate protein intake and this can be a limiting factor on performance (Murray and Horswill, 1997). Low intake of protein over a long period adversely affects muscle mass. Long duration moderate intensity sports: According to Murray and Horswill (1998), the endurance athlete might have a higher protein requirement to maintain nitrogen balance than the anaerobically trained athlete. The American Dietetic Association recommends protein intakes between 1.2 – 1.4 g/kg of body weight for endurance athletes (2000). This amount should easily be consumed as part of a balanced diet without the use of supplements. Micronutrients Needs (vitamins and minerals) What are the vitamin and mineral requirements of athletes? Vitamins and minerals play an important role in the metabolism of protein, carbohydrate and lipids and in muscle function. Vitamins serve as a cofactor with specific enzymes that regulate metabolic pathways and the synthesis of specific tissues (Murray and Horswill, 1997). Some studies recommend increased amounts of vitamins and minerals to balance the extra energy and metabolic demands that athletes experience, however this has been the source of some debate. (Refer to nutrition web sites for detailed information.) Are there gender differences for micronutrient requirements? All athletes need to consume at least the recommended daily allowance (RDA) of vitamins and minerals. According to Akabas and Dolins (2005), many female athletes fail to consume optimal amounts of some vitamins and minerals. Two micronutrients of special concern are calcium and iron. Calcium is essential not only for strong bones, but for muscle contractions and maintaining cells and connective tissue in the body as well. Consuming adequate amounts of calcium can help alleviate muscle cramps. Iron deficiency anemia reduces performance by limiting the amount oxygen that can be delivered to the muscles, which can reduce aerobic performance (Ekblom, 1997). Do athletes benefit from increased vitamin and mineral intakes? Some research does not support the rationale that athletes who are in heavy training need to increase vitamin requirements (Vander Beek, 1985; Fogelholm et. al., 1993; Murray and Horswill, 1997; Akabas & Dolins, 2005). According to Murray and Horswill (1997), recommendations for increasing vitamin intake in athletes have been established for individuals with inadequate levels of these nutrients. For example, athletes recovering from illness and injury may be deficient in trace elements and may need to increase their intake of vitamins and minerals. Team sports: According to Sobal, (1994) many athletes in team sports perceive the need to supplement their diets and therefore add vitamin and mineral supplements at mealtimes. However with a balanced diet, most team athletes can maintain optimal levels of micronutrients. Short duration, high intensity sports: According to Fogelholm (1993), athletes who consume a diet which contains a variety of food sources should satisfy their nutritional needs and therefore they should not need vitamin supplements (American Dietetic Association, 2000); however, during competition some athletes may develop deficiencies in the vitamins A & C, the B vitamins, thiamin, vitamin B6, riboflavin, and niacin (Fogelholm, 1993). Long duration, moderate intensity sports: Nieman et al. (1989) and Gabel et al. (1995) have suggested that most endurance athletes should supplement their diet with vitamins. However, the American Dietetic Association (2000) and Murray and Horswill (1997) suggest that as long as the athlete is meeting the adequate dietary needs by eating a wide variety of foods, the vitamin intake should be sufficient. Special Nutritional Situations The Vegetarian Athlete Diets for vegetarian athletes should be formulated to take into consideration the effects of both vegetarianism and the type of sport performed. While vegetarianism does not necessarily mean reduced energy intakes, the elimination of meat and dairy from the diet as well as high intakes of low-energy dense foods may place the vegetarian athlete at an increased risk for low energy, protein, and micronutrient intakes (American Dietetic Association, 2000). Monitoring body weight and composition is the preferred way to determine fi energy needs are being met. To help avoid deficiencies vegetarian athletes should consult with a Registered Dietician to ensure optimal nutrient intake levels. Weight Management Athletes may want to decrease or increase their weight for a variety of reasons. Body weight not only affects an individual’s appearance, it can influence an athlete’s speed, endurance and power (American Dietetic Association, 2000). If weight change is desired, it should start slowly before the competitive season. Weight can be gained by incorporating 500-1,000 kcals per day into the diet (American Dietetic Association, 2000). Increased energy intake should be done in conjunction with increased strength training to maximize muscle development. How quickly an athlete gains weight will depend on genetics. Athletes who wish to lose weight should do so with the guidance of a Registered Dietician in order to optimize health and performance. Athletes who restrict energy intake or use severe weight loss strategies are at greatest risk for nutrient deficiencies (American Dietetic Association, 2000). Athletes should consume at least the RDAs/RDIs for all nutrients from food. Healthy diet with reduced energy intake can promote weight loss of approximately 1 to 2 lbs/week. However, many factors play a role in how quickly weight loss will occur, including genetics, type of sport played, and foods eaten. Some weight management strategies include setting and monitoring goals (American Dietetic Association, 2000; Manroe, 1996). Some strategies to accomplish this include: Setting realistic weight and body composition goals Focusing on healthful habits such as stress management and making healthy food choices, focus less on the scale Monitoring progress by measuring changes in performance and energy level, and general overall well-being Developing lifestyle changes that will maintain a healthy weight for you, not your sport Not skipping meals or letting yourself get too hungry Making sure dietary intake goals are realistic; don’t deprive yourself Identifying dietary weaknesses and make a plan to deal with the