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Nutritional Considerations Chapter 5 Nutrition The Athletic Trainers Role Must possess strong knowledge base Serve as an informational resource Direct athletes away from a contradicted diet that hinders performance Basics of Nutrition Six classes of nutrients essential to the body – carbohydrates (CHO) ,fats, proteins, vitamins, minerals and water Roles: – growth, repair, and maintenance of all tissues – regulate body processes – provide energy Energy Sources Carbohydrates Intake 55 to 70% daily caloric intake Types: – Sugars (simple and complex) • Starches: complex: i.e. rice, potatoes, breads • Sugar: simple: i.e. candy, ice cream – Fiber (soluble and insoluble) • Soluble: gums, pectins, cellulose • Insoluble: oatmeal, legumes, some fruits Energy Sources Fats Represents 30% daily caloric intake Types: saturated and unsaturated • Majority are saturated fatty acids – Unsaturated, i.e. arise from plant sources – Saturated, i.e. arise from animal sources Other Fats: Sterol: cholesterol – consumed from animal products – AHA: recommends less than 300 mg per day Energy Sources Protein Extra is not needed No advantage in consuming supplements Excess supplements will be converted to fat Supplements can cause imbalances in protein levels and amino acids Regulator Nutrients Vitamins Types: fat and water soluble Fat soluble: dissolved in fats and stored in the body: A, D, E, K (oils and fatty foods) Water soluble: dissolved in watery solutions and not stored: C, B-complex – building blocks: bones, teeth, maintain connective tissue, strengthen immune system. Vitamin deficiencies are rare. Adequate supplements can be achieved from diet. Regulator Nutrients Minerals/Water 20 different minerals in the body Mostly stored in the liver and bones – Magnesium, sodium, potassium, calcium Supplements are not needed – Can be obtained through the diet Water: most essential nutrient – Used for digestion, temperature control, eliminates waste products, prevents dehydration Nutrients: the body’s fuel Carbohydrates: primary fuel source Protein: used for repair & maintenance Fat: secondary fuel source Water: most essential nutrient Vitamins: colorful foods first Minerals: supplements second Fiber: 20-35 grams per day Nutrition Distribution FAT PRO CHO Digestion Times 4 3.5 3 2.5 CHO PRO FAT 2 1.5 1 0.5 0 Hours Hydration & Fluid Replacement Our body is water 60% water 120 lb person has ~ 72 pounds of water Most individuals need ~ 8-10 cups of water per day Calculate your needs: Take your body weight divide by 2 = ounces per day. How Much is Enough? Before exercise – Up to two hours before event, drink at least 16 oz. of fluid – 5 to 10 minutes before event, drink 4 - 8 oz. of fluid During exercise – 8 oz. of fluid every 15 - 20 minutes After exercise – Drink 2 cups fluid for every pound lost Commercial Sport Drinks Look for 8% solution Polymers: Drinks have the advantage of not causing hypertonic problems – For high intense and prolonged athletic events that severely deplete glycogen “Buyer Beware” – Check food labels always before buying The Food Pyramid Designed to help Americans make better choices of food consumption See Figure 5-2 in Chapter 5 Nutrition and Physical Activity No Scientific Evidence to support that with increased physical activity, proteins, minerals, and vitamins supplements are not needed (above RDA) Exercise increases the need for energy, not proteins, vitamins, and minerals. Basics of Creatine Naturally occurring compound: synthesized by kidneys, liver, and pancreas Key role in energy metabolism Two types: free creatine and phosphocreatine (stored in skeletal muscle, produces ATP during anaerobic activity with CK) Benefits: the production of ATP thus intensity of workout Side Effects: weight gain and muscle cramping Other Forms of Supplementation and Drugs During Exercise Caffeine Alcohol Organic, Natural, or Health Foods Herbs Liquid Diets Guidelines for Choosing the Best PreEvent Meal Provide athlete with foods he/she likes Choose foods rich in carbohydrates, moderate in protein, and low in fat Avoid sugary foods right before exercise Allow plenty of time for food to digest – 3-4 hours for a large meal – 2-3 hours for a smaller meal – 1-2 hours for a snack Liquid foods leave stomach faster than solids Always eat familiar foods before competition Drink plenty of fluids before competition All Day Events Time: All day event like state meets/games, tournaments, etc. Meals: Days before event eat high carbohydrate meals and drink extra fluids Day of: Eat breakfast depending on tolerance *Snack on wholesome carbohydrate foods about every 2 hours to keep blood sugars normal *Drink fluids Weight Control and Body Composition Monitor eating habits: male % of fat: norm: 12 - 15 female % of fat: norm: 20 - 25 Overweight Vs. Obese Monitoring body composition: skinfold, hydrostatic weighing, DEXA system Methods of Weight Loss/Gain Wt. loss through diet is difficult and ineffective Must be combined with exercise Aim lean body mass (muscle), not fat. Recommended weight gain is one to two pounds per week One pound of fat is 3500 calories Eating Disorders Bulimia: (binge-purge, binge-purge) – Notice the warning signs Anorexia Nervosa: (concern of distorted body image & concern about weight gain) Treatment: athlete realizes problem exists, refer to the proper medical/psychological professionals