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Chapter 5- Nutritional Considerations A. Six Classes of Nutrients 1. Carbohydrates (CHO) 55-70% of caloric intake  Body’s most efficient energy source  Sugars (Should account for <15% of caloric intake)  Simple (sugars) and complex (starch and fiber)  Monosaccharides  single sugars (fruits, syrup and honey)/Glucose  Disaccharides  2 sugars combined (milk sugar, table sugar)  Starches-Complex CHO (Rice, potatoes, breads)  Broken down into Sugar  Fiber (Structural part of plants and is not digestible in humans) 25 grams/Day  Soluble  Gums, pectin  Oatmeal, legumes, and some fruits  Insoluble  Cellulose  Grain breads and bran cereal 2. Protein (12-15% of daily caloric intake)  Required for growth, maintenance, and repair of the body  Aid with enzyme, hormone, and enzyme production  Amino Acids  Basic units that compose protein  20 amino acids compose the majority of body protein  Most can be produced by the body while others (essential) must be consumed  Animal products contain all essential amino acids  Incomplete sources (i.e. plants sources) do not contain all essential amino acids  Most diets are rich in protein and often athletes consume twice the amount that is recommended  Excess protein is converted to fat and may result in dehydration and potential kidney damage  Increased physical activity results in increased need for protein in the diet  Protein Supplements  Approximately 1-1.5g/kg body weight of protein should be consumed for increasing muscle mass  Often times exceeded with normal diet and supplementation is not necessary  3. Fat (Most concentrated source of energy)  Saturated (fatty acids derived from animal products)  Unsaturated (plant derivatives - liquid at room temperature)  Cholesterol (consume <300mg/day)  Omega-3 fatty acids (unsaturated fat) aids in reduction of heart disease, stroke, hypertension)  Found in cold-water fish  4. Vitamins (13) serve as regulators in many body processes  Fat soluble  Vitamins A, D, E , K  Found in fatty portion of foods and oils  Water soluble Chapter 5- Nutritional Considerations  Vitamin C, B-complex vitamins (B6, B12,) Thiamin, Riboflavin, Niacin, Folate, Biotin, Pantohenic acid  Help to regulate metabolism but cannot be stored  Vitamin C  to prevent common cold and slow aging  May cause kidney stones and diarrhea  Vitamin E  Protects cell membranes from damage  Little evidence to support enhancing performance or life expectancy  B-complex vitamins  Aid in release of energy from CHO, fat, and protein  If additional energy is required, increased caloric intake is necessary  5. Minerals (20 minerals) have essential roles in the body  Phosphorus  the second most abundant mineral in the body  85% of it is found in the bones.  It's main purpose is for building strong bones and teeth, but this mineral is used by practically every cell in the body.  Copper  essential mineral  Usually found in foods containing iron.  The liver and brain contain the largest amounts of copper in the human body  Necessary for the growth, development, and maintenance of bone, connective tissue, brain, heart, and many other body organs.  It is involved in the formation of red blood cells, the absorption and utilization of iron, and the synthesis and release of life-sustaining proteins and enzymes.  Deficiency: hemoglobin production is decreased and copper deficiency anemia can result.  Insufficient amounts can lead to inefficient utilization of iron and protein, diarrhea and stunted growth. Various enzyme reactions require copper.  Zinc  It fuels everything from manufacturing DNA, wound healing, maintaining a strong immune system, to fighting colds, flu's, and other infections.  Zinc is critical for proper functioning of the male reproductive system; the human body does not produce zinc on its own, so it must be obtained from outside sources.  The mineral zinc can be found in both animal and plant food sources, but the richest source of zinc comes from animal food sources.  Iodine  two thirds of the body's iodine is in the thyroid gland.  It plays a major role in thyroid health (thus controlling metabolism),  Commonly derived from the diet in the form of iodized table salt (one teaspoon of salt = 300 mcg of iodine).  Sea salt is not iodized and is not a good source of iodine, and most salty snacks do not contain iodized salt either.  Iodine deficiency is most common in people living in undeveloped countries  Severe iodine deficiency often occurs in people that are afflicted with thyroid disease or a hyperthyroid disorder, or those who have developed a goiter.  Symptoms of iodine deficiency may manifest as extreme fatigue, weight gain, facial puffiness, constipation, slowing of both physical and mental processes, and lethargy. Chapter 5- Nutritional Considerations  Fluorine  Trace Mineral not technically an essential mineral  because the body can live without it  significant role in keeping teeth and bones healthy and strong  been added to toothpaste and some drinking water supplies  Iron (energy metabolism and oxygen transport)  Iron is a mineral essential for life.  It is present in every living cell and is necessary for the production of hemoglobin (primary component of red blood cells), myoglobin (major protein of muscle cells), and certain enzymes.  Iron, along with calcium, are the two major deficiencies of American women (one of the reasons due to menstruation and bleeding)  Can cause weakness, inability to concentrate, the susceptibility to infection, impaired performance, and in general, ill health.  Other people at risk of iron deficiency include dieters, vegetarians and athletes.  Calcium and copper must be present for iron to function properly, and ascorbic acid (vitamin c) enhances absorption.  Iron is necessary for proper metabolizing of B vitamins.  Magnesium (energy supplying reactions)  Magnesium plays an important role in at least 300 fundamental enzymatic reactions and for that reason is of vital importance in our health.  Magnesium is found in dairy products, fish, meat and seafood, as well as in legumes, apples, apricots, avocados, bananas, whole grain cereals, nuts, dark green vegetables, and cocoa, while hard water and mineral water may also supply it in fair quantities  Calcium (bone formation, clotting, muscle contractions)  Young adult requires 1000mg/day  Calcium is the most abundant mineral in the body.  Primary function is to build and maintain skeletal tissue.  Ninety-nine percent of the body's calcium supply resides in the bone and teeth.  Osteoblasts are bone-forming cells in which calcium phosphate is deposited.  Ameleoblasts are the tooth- forming cells that deposit calcium to form teeth  Maintaining the stability of fibrin, which allows blood to clot  Required for the transmission of nerve impulses.  Controls the flow of fluid through cell membranes.  Also has a vital role in muscle contraction and relaxation.  Sodium and Potassium (nerve conduction)  Sodium known as salt  too much sodium  increased risk of heart disease, stroke and high blood pressure, the development of kidney stones and other types of ailments  the body needs more than 100 milligrams per day to function properly  Sodium is an electrolyte  With chloride and potassium, helps control the electrical charges that occur between cells.  These electrical charges are used by cells to communicate with one another. The electrical charges are also what give our five senses the ability to see, smell, touch, hear and taste.  Approximately 30% of the sodium mineral inside the body is stored in the bones and the balance is found in body fluids. Chapter 5- Nutritional Considerations  Sodium is a main component of blood plasma and approximately 60% is contained in the fluids that surround cells.  About 10% of the body's sodium is stored inside the cells. This division helps maintain a proper balance of water inside as well as outside these cells.  Its presence in the circulatory system helps the body keep blood pressure and the overall volume of blood flow within normal ranges.  Sodium helps keep the blood from clotting, which can be a very dangerous situation.  In the blood, sodium together with potassium helps maintain the blood's delicate pH balance.  Sodium also helps carry important nutrients to the cells.  In the digestive system, sodium assists in the process of metabolizing foods into energy.  It protects the stomach lining by preventing the acids inside the stomach from burning it  Potassium is the third most abundant mineral in the body  considered an electrolyte  The human body has about a 4 1/2 ounce supply and most of it is located inside muscle cells.  Studies have shown that potassium may help to prevent high blood pressure and may enhance the effect of antihypertensive medications.  Both physical and mental stress can lead to a deficiency in potassium.  Alcohol, coffee, and sugar deplete potassium levels in the body.  Potassium assists in muscle contractions  It is critical to maintaining a normal heartbeat or heart rhythm.  Potassium also functions in the conduction of nerve impulses and enables the body to convert glucose into energy, which is then stored in reserve by the muscles and liver. 6. Water Most essential nutrient  most abundant in body (60% of body weight)  Essential for all chemical processes  Lack of water (dehydration) can lead to illness and death  Body has mechanisms to maintain homeostatic levels of hydration (kidneys and solute accumulation  A 6% carbohydrate solution appears to be optimal for Fluid Replacement OTHER  Requirements vs. Recommendations  RDA (Recommended Daily Allowance) vs. DRI (Dietary Reference Intake)  Food Labels  Aids consumers in determining levels of nutrients in foods  Creatine Supplementation  Naturally occurring substance in body produced by kidneys, pancreas and liver  Found in meat and fish  Role in metabolism  Two types (Free Creatine and Phosphocreatine)  Phosphocreatine is stored in skeletal muscle  Positive effects  increase intensity of workouts  lactic acid buffer  stimulates protein synthesis Chapter 5- Nutritional Considerations        decreases total cholesterol and total triglycerides and improves HDL-LDL ratio  increases fat free mass  Negative effects  weight gain  muscle cramping  gastrointestinal disturbances and renal dysfunction  Not a banned substance, however, distribution by NCAA institutions is banned Caffeine  Not detrimental to performance  Enhances fat utilization and endurance performance  Makes calcium more available allowing muscles to work more effectively  may cause slight headaches (Withdraw) Alcohol- 21 years of age!!!!  Provides energy for the body & has little nutritional value  Central nervous system depressant  decreases coordination, slows reaction time, decreases mental alertness  increases urine production (diuretic effect) Organic, Natural, of Health Foods  Claim to be safer and nutritionally superior due to absence of pesticides and fertilizers  All foods are organic due to presence of carbon  More expensive no increased benefit physiologically  Processing (preservatives) helps to maintain nutritional value Herbs  Safe to ingest as natural medicines we few side effects (occasional allergic reaction)  Offer nutrients that nourish brain, glands and hormones  Don’t need to consume with food - contain own digestive enzymes  Work with the body’s functions (whole body balancers)  Caution must be exercised as there is no governmental control or regulation Vegetarianism  While practiced intelligently (not a fad) a vegetarian diet can result in deficiencies  Diet must be carefully planned  Total vegetarian (vegan)  all plant diet, no animal products  must be certain to consume enough calories and vit B12, calcium, zinc, and iron  Lactovegetarian  Consume plant foods and milk products  Must watch iron and zinc levels  Ovolactovegetarian  Consume plant foods, milk products and eggs  Iron is still a concern  Semivegetarian  Still primarily plants but all other products are consumed except red meat. Pre-event meal  Traditional steak and eggs  Long term food consumption is more important than immediate consumption  Purpose should be to provide competitor with nutrients/energy and fluids for competitions  taking digestibility into consideration  Liquid Supplementation  Extremely effective and successful Chapter 5- Nutritional Considerations        225-400 calories per serving Successful in reducing pregame symptoms of dry mouth, abdominal & leg cramps, nervous defecation and nausea Food generally takes 4 hours to clear stomach and upper GI tract  Liquid supplements clear stomach and upper bowel before game time, settling the stomach and making available nutrients The pre-event meal should be (1) Higher in carbohydrates (2) Easily digested (3) Eaten 2 to 4 hours before an event, and (4) Acceptable to the athlete  Glycogen super compensation involves maximizing the stores of carbohydrate in muscle and liver before a competitive event.  Increase muscle and liver glycogen stores prior to major event by altering eating and training habits  Decrease training at least 48 hours prior to event  Increase CHO loading to increase glycogen stores and positively impact muscle glycogen and muscle endurance Six-day period (Glycogen Supercompensation)  Phase I (Days 1-2): hard training with reduced CHO intake  Phase II (Days 3-5): decrease training and increase CHO (potentially increasing glycogen stores 50-100%)  Phase III (Days 6-7): resume normal diet  Glycogen SupercompensationNot clearly demonstrated as being beneficial in endurance activities  Do not perform more than 2-3 times per year  Ideally for prolonged duration events Body composition analysis  Body comp is the relationship between fat tissue and lean body tissue  The percentage of total body weight composed of fat tissue versus the percentage composed of lean tissue.  Changes in body weight are caused almost entirely by a change in caloric balance, which is a function of the number of calories taken in and the number of calories expended.  Weight can be lost by  increasing caloric expenditure through exercise  by decreasing caloric intake through reducing food intake  Most effectively- by using a combination of moderate caloric restriction and a moderate increase in physical exercise during the course of each day.  Ideal body weight = age-related height/weight chart  Inaccurate due to broad ranges and failure to take individual body types into consideration  Health and performance may be best indicators of physical fitness  Averages  Female 20-25% body weight = fat  Male 12-15% body weight = fat  Should not fall below 3% and 12 % for males and female respectively  Results in loss of essential fat padding for organs  Overweight = excess body weight relative to size and stature  Overfat = excessively high percentage of total body weight is fat  Obesity = extreme amount of excessive fat  Female >30% and male >20% percent body fat Factors that determine amount of fat  Number of cells  Proliferation or Hyperplagia of fat cells occurs from birth to puberty Chapter 5- Nutritional Considerations      Size of cells  Increase/decrease over time until adulthood relative to caloric balance  Change of weight = change in size not number  Adipose cell stores triglycerides (liquid fat)  Moves in and out of cells according to energy demands  Moderate, long term activity uses greatest amount of fat  One pound of fat = 3500 calories, stored as triglycerides  BMI (body mass index) is a ratio of height and weight  Utilized to measure health risks associated with obesity  BMI >25 indicate excess body fat  BMI 25-30 indicates overweight  BMI >30 indicates state of obesity  Caloric balance = Calories consumed - Calories expended  Positive caloric balance results in weight gain and vice versa for negative caloric balance  Should not drop below 1000-1200 calories for women and 1200-1400 for men Approximately 2500 calories is required per pound of lean body mass, an increase 500-1000 calories per day  A 1-2 pound per week gain/ lost is adequate  Bulimia is an eating disorder that involves periodic binging and subsequent purging. Anorexia nervosa is a form of mental illness in which a person reduces food intake and increases energy expenditure to the extent that the loss of body fat threatens health and life. Female Athlete Triad  Combination of eating disorder, amenorrhea (absences of a menstrual cycle) and osteoporosis OVERVIEW  The classes of nutrients are carbohydrates, fats, proteins, vitamins, minerals, and water.  Carbohydrates, fats, and proteins provide the energy required for muscular work and also play a role in the function and maintenance of body tissues.  Protein supplementation is not necessary.  Vitamins are substances found in foods, which have no caloric value but are necessary to regulate body processes.  Antioxidants are nutrients that protect the body against various destructive agents.  Minerals are also involved in regulation of bodily functions and are used to form important body structures.  Water is the most essential nutrient and should be used with sports drinks in fluid replacement. REVIEW QUESTIONS 1. What is the value of good nutrition in terms of an athlete's performance and injury prevention? 2. Have each member of the class prepare a week's food diary; then compare it with other class members' diaries. 3. What are the daily dietary requirements according to the food pyramid? Should the requirements of the typical athlete's diet differ from those on the food pyramid? If so, in what ways? 4. Describe the advantages and disadvantages of supplementing iron and calcium. 5. Is there some advantage to pre-event nutrition? 6. Are there advantages and/or disadvantages in the vegetarian diet for the athlete? 7. Discuss the importance of having an athlete monitor body composition. 8. Explain the most effective technique for losing weight. 9. Contrast the signs and symptoms of bulimia and anorexia nervosa.