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Sports Nutrition for Beginners Basic Eating Tips for Active People Sabrina Candelaria, MPH, RD, LD/N Registered Dietitian- Medical Wellness Center University of Miami- Miller School of Medicine September18, 2008 URL Reference: • http://www.scandpg.org Physical activity, athletic performance, and recovery from exercise are enhanced by optimal nutrition.” Joint Position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine (2000).1 OBJECTIVES • Basic tips for balanced nutrition for exercise and weight management in active people • Proper eating tips/hydration before, during, and after exercise • Performance aids and supplements What is Optimal Nutrition? Macronutrients (CHO, Pro, Fat) Micronutrients (Vitamins & Minerals) Hydration (Fluid loss & replacement) WHAT IS THE GOAL? ENERGY BALANCE Energy Intake = Energy Expenditure FOOD FLUIDS SUPPLEMENTS BASAL METABOLISM THERMIC EFFECT OF FOODS PHYSICAL ACTIVITY **When energy intake is inadequate relative to energy expenditure, athletic performance is compromised.** Swinburn, B. and E. Ravussin. Energy balance or fat balance? Am J Clin Nutr. 1993;57 (suppl): 766S-771S. ENERGY Limited energy intake Weight Loss (LBM) Disruption in reproductive function, loss or failure to gain bone density, ↓ strength & endurance, ↑ risk of fatigue, injury, and illness IMPAIRED PERFORMANCE Creating a Healthful Plan (1) Aim to have 3 different types of foods at each meal (2) Choose whole, natural foods more often; ie- fresh fruit vs. juice, whole grain bread vs. white bread, etc. (3) Eat/think in moderation; make room for favorite foods Basic Nutrition • Minimum of 6-9 svgs of fruit & vegetable/d • Make your Carbs count= choose high fiber, whole grain choices • Limit saturated fat and concentrated sweets • Increase overall variety in diet of whole, natural, nutrient rich foods • Ensure adequate hydration Foundations of Healthy Eating • • • • • • ACTIVITY MODERATION PERSONALIZATION MODERATION VARIETY GRADUAL IMPROVEMENT www.mypyramid.gov CARBOHYDRATES & EXERCISE • MOST important in controlling energy; affects fat-burning & muscle-building • Most immediate energy source for cells (blood glucose- BG, muscle & liver glycogen) • Body prefers to burn CHO vs. Pro, Fat • Efficient fat burning requires the availability of adequate CHO DO CARBS MAKE YOU FAT? • Sedentary people → perhaps • Active people & athletes → NO! • BUT…… -Eat a variety of whole CHO foods (beans, fruit, vegetables, whole grains) -Exercise sensitizes your cells to insulin • Insulin & CHO are NOT the problem Calories & poor diet planning DO CARBS MAKE YOU FAT? BOTTOM LINE Poor dietary choices Eating more calories than you burn INCREASED BODY FAT CHOOSING THE RIGHT CARBS • Make ½ your grains WHOLE ** Unrefined, or lightly processed whole foods rich in carbohydrate, fiber, and vitamins/minerals. • 1 slice of bread • ½ cup cooked cereal, pasta or rice • *Bulk up on fruits & vegetables* CARB POINTS TO REMEMBER • Eat more WHOLE GRAIN starches (Serving= 1 slice bread, ½ c cooked cereal, rice, pasta) • Bulk up on FRUITS & VEGETABLES -Antioxidant vitamins and minerals -Phytochemicals (ie- polyphenols, phytoestrogens) -Fight cancer & cardiovascular disease Coloring Your Diet: Fruits & Veggies • 3-5 servings of vegetables 1 vegetable serving= ½ c cooked/raw, 1 c leafy, ½ c cooked legumes, ¾ c vegetable juice • 2-4 servings of fruit 1 fruit serving= 1 med piece raw fruit, ½ c berries, ¼ c dried fruit, ¾ c fruit juice CHO: AMOUNT & TIMING • Preworkout CHO: ½-2h before- small meal of CHO(25g) & Pro(14-15g) -For a quick boost→ drink a liquid CHO (sports drink, fat-free or low fat milk- cow or soy) • During workout: depends on activity, how long you are exercising • Postworkout CHO: CHO w/Pro Protein • Building blocks: AMINO ACIDS • ABSOLUTELY NECESSARY for the growth, repair, and maintenance of body tissue • Hormone secretion, water balance, transportation of nutrients, O2 transport, regulation of blood clotting • **Muscle Cells: Protein is key in the repair and construction of muscle tissue CHOOSING THE RIGHT PROTEIN • Vary your protein intake • NATURAL, WHOLE foods first • Animal Pro: 95-99% absorption & use by the body • PLANT Pro: > 80% absorption & use by the body PROTEIN SOURCES • Egg (ovalbumin) high quality protein • Fish (low fat & chol, vitamins, omega-3) *Mercury- Check FDA & EPA warnings • Red Meat (lean cuts; iron, zinc) *Key is to control amount of saturated fat • Fat-free or Low-fat dairy *Whey & casein; soy milk • Plant protein (soy products, nuts, beans/legumes) TIMING OF PROTEIN INTAKE • Consumption of protein BEFORE & AFTER exercise dramatically enhances recovery -Replenishment of muscle glycogen -Synthesis of new muscle protein • Pre-exercise: small meal with protein • Post-exercise: small meal of lean protein combined with a high GI CHO -Jumpstarts glycogen replenishment HIGH PROTEIN DIETS: DANGERS • Low CHO and high Pro intake leads to loss of muscle during weight loss • Metabolic rate decreases due to muscle loss • High in saturated fat & cholesterol • Low in fiber • May lead to DEHYDRATION • Avoid: diets that drastically limit CHO or completely OMIT CHO altogether Fat Acceptable Macronutrient Distribution Range (AMDR) for Total Fat: 20% - 35% of total energy intake (Moderate) Limited Saturated Fat- <10% of energy In agreement with ADA Position: Athletes NOT to restrict dietary fat intake because very low fat diets (< 15%) have not been proven to enhance performance. FAT FACTS • Triglycerides, cholesterol, phospholipids • Saturated fat in the diet is used by the liver to produce blood cholesterol • Excess Chol leads to fatty plaques; high Chol levels lead to CVD • Omega-3 FA (lower inflammation, BP, and control cognitive function) FAT & EXERCISE • FAT stores are nearly impossible to entirely deplete; most efficient storage • 1g Fat= 9 kcals • Broken down ONLY in presence of O2 • Takes ~20-40m of exercise before FAT is used for energy • Strength training & aerobic exercise improve the body’s ability to burn fat for energy CHOOSING THE RIGHT FATS • Reduce the bad fats in your diet -Saturated Fat (whole milk, fatty meats) -Select leaner cuts of meat -Limit egg yolk intake (NO more than 1/day) -Limit/avoid processed snack foods -Avoid trans-fats (hydrogenated) 20% - 35% of total energy intake LOW FAT DIETS: DANGERS WOMEN • Menstrual dysfunction • Essential fatty acid deficiency • Fat-soluble vitamin deficiency (A,D,E,K) • Impairment of micronutrient intake (calcium, iron, zinc) • Inability to maintain antioxidant system • Compromised bone health MEN • Low serum testosterone levels (reproductive dysfunction) • Essential fatty acid deficiency • Fat-soluble vitamin deficiency (A,D,E,K) • Impairment of micronutrient intake (calcium, iron, zinc) • Inability to maintain antioxidant system • Compromised bone health Micronutrients: Vitamins & Minerals • Enable metabolism of energy, CHO, Pro, Fat • Hemoglobin and nucleic acid synthesis • Tissue repair (antioxidants) • Nerve conduction • Muscle contraction Lukaski, H. Vitamin and Mineral Status: Effects on Physical Performance. Nutrition, 20: 632-644, 2004. Micronutrients: Vitamins & Minerals • If energy intake is adequate, physically active individuals will have vitamin and mineral needs comparable to those of healthy, moderately active individuals. Therefore, the Dietary Reference Intakes (DRIs) are appropriate guidelines. Recommended Dietary Allowance (RDA)- adequate intake level for ~ 98% of healthy people. Adequate Intake (AI)- value estimated when RDA is unable to be determined. • However, supplementation may be required for athletes with excessive losses through perspiration and urine. Dunford,M. Sports Nutrition: A Practice Manual for Professionals, 4th Edition. American Dietetic Association, 2006. Hydration for Performance: Fluid & Electrolyte Balance • Maintaining adequate hydration • Dehydration- adverse effects on performance and health • Electrolyte losses • No single recommendation for daily fluid intake (variable needs- body size, physical activity, environmental conditions) HYDRATION & EXERCISE • WATER is the medium in which all chemical reactions (energy) occur • TEMPURATURE REGULATION • FAT BURNING • MUSCLE STRENGTH & CONTROL • DISEASE PREVENTION • MENTAL PERFORMANCE • LUBRICATES JOINTS SIGNS OF DEHYDRATION EARLY • • • • • • • • • Fatigue Decreased appetite Heat intolerance Light-headedness Strong-smelling, dark urine Headaches Dry mouth Dry cough Flushed skin SEVERE • • • • • • • • • Swallowing difficulty Stumbling gait Clumsiness Painful urination Numbness in skin Spasticity (muscles) Feeling of delirium Sunken eyes Impaired vision Pre-exercise Fueling • Adequate carbohydrate-rich foods in the hours before you exercise • For activity < 1 hour: eat foods that are digested easily; high carb, low fat- banana, whole grain crackers, cereal, or toast • For activity > 1 hour: choose a snack with a little protein and fat as welloatmeal with LF milk, egg & toast, whole grain bread and peanut butter Pre-exercise Fueling • Limit high fat foods; choose smaller servings of leaner protein sources such as turkey, eggs, LF milk • Use caution with sugary foods/drinks pre-exercise (soda, candies, etc) • Leave enough time to digest: -3-4 hours for large meals -2-3 hours for a smaller meal -< 1 hour for small snacks • Don’t forget the fluids!!! REFUELING & RECOVERY • CHO stimulates insulin release • Insulin helps transport CHO into the muscle cells to replenish depleted glycogen stores • Combining CHO with protein is the best way to refuel and build muscle because it reduces cortisol production REFUELING & RECOVERY (1) Replacing fluid losses- every 1 pound of weight lost= ~16oz. fluid lost during exercise (2) Replenish glycogen stores with carbohydrate-rich foods with some protein -A glass of low fat chocolate milk -Fruit smoothie made with yogurt or milk -Bowl of whole grain cereal, low fat milk and fruit SUPPLEMENTS THE best supplement to date that has been proven to enhance performance, prevent disease, optimize overall health is……….. WHOLE, NATURAL FOOD! SPORTS FOODS • Energy bars -Power bars, Clif bars, Balance bars • Energy drinks -Gatorade, Accelerade, Powerade • Gels -Gu, AccelGel Sports Drink & Gels • Gatorade- 14g CHO, 110mg sodium/ 8oz. • Accelerade- 15g CHO, 4g Pro, 120mg sodium/ 8oz. • AccelGel- 20gCHO, 5g Pro, 100mg Sodium per pack • Gu energy gel- 25g CHO, 55g Sodium per pack TAKE HOME POINTS • Eating a healthy, balanced diet of nutrient rich foods throughout the day is the best tool for success • Moderation is key • Hydrating yourself before, during, and after is critical • Supplements and sports foods are NOT substitutes for eating whole, natural foods, and should be used appropriately RESOURCES • Clark, N. Nancy Clark’s Sports Nutrition Guidebook, 4th Edition., 2008. • www.mypyramid.gov • www.eatright.org To find a sports dietitian: Sports, cardiovascular, and wellness nutritionists Practice Group of the American Dietetic Association www.scandpg.org