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  • 7/31/2019 Internasional-nutrion & Performence Athletes

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    Issue

    Sept. / Oct. 2

    www.nsca-lift

    TrainingPerformance

    Journal Sports NutriFeatuBody Composit

    Its Affects on the S

    Performance Spec

    Dawn Weatherwax-Fa

    CSSD, LD, ATC, LAT, C

    Do Athletes Mainta

    Healthy, Well-Bala

    Diets Really

    Nutritional SupplemDonovan T. Santas, CS

    Ten Simple T

    to Rememb

    Optimal Nut

    Amanda Carlson

    RD, C

    NSCAs

    Sponsored by

    Sports Nutritionspecial issue

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    about thisPUBLICATION

    NSCAs

    Performance TrainingJournal

    NSCAs Performance Train-

    ng Journal is a publication

    of the National Strength and

    Conditioning Association

    NSCA). Articles can be ac-

    essed online at www.nsca-lift.

    org/perform.

    All material in this publica-

    on is copyrighted by NSCA.

    Permission is granted for

    ree redistribution of each is-

    ue or article in its entirety.

    Reprinted articles or articles

    edistributed online should be

    ccompanied by the follow-

    ng credit line: This article

    originally appeared in NSCAs

    Performance Training Journal, a

    publication of the National

    Strength and ConditioningAssociation. For a free sub-

    cription to the journal, browse

    o www.nsca-lift.org/perform.

    Permission to reprint or redis-

    ribute altered or excerpted

    material will be granted on a

    ase by case basis; all requests

    must be made in writing to the

    ditorial ofce.

    NSCA Mission

    As the worldwide authority on

    trength and conditioning, we

    upport and disseminate re-earchbased knowledge and

    s practical application, to im-

    prove athletic performance and

    tness.

    Talk to us

    Share your questions and com-

    ments. We want to hear from

    ou. Write to NSCAs Perfor-

    mance Training Journal Edi-

    or, NSCA, 1885 Bob Johnson

    Drive, Colorado Springs, CO

    0906, or send email to kcin-

    [email protected].

    The views stated in the NSCAs

    Performance Training Journal

    re those of the authors, and

    o not necessarily reect the

    positions of the NSCA.

    nscas performance training journal www.nsca-lift.org volume 7 issue 5

    Editorial Ofce1885 Bob Johnson Drive

    Colorado Springs, Colorado 80906

    Phone: +1 719-632-6722

    Editor

    Keith Cinea, MA, CSCS,*D,

    NSCA-CPT,*D

    Assistant Editor

    Brian Newman, MS, CSCS

    Sponsorship Information

    Richard Irwin

    email: [email protected]

    Editorial Review PanelScott Cheatham, DPT, OCS, ATC,

    CSCS, NSCA-CPT

    Jay Dawes, MS, CSCS,

    NSCA-CPT,*D

    Meredith Hale-Grifn, MS, CSCS

    Michael Hartman, MS, CSCS,*D

    Mark S. Kovacs, MEd, CSCS

    David Pollitt, CSCS,*D

    Matthew Rhea, PhD, CSCS

    David Sandler, MS, CSCS,*D

    Brian K. Schilling, PhD, CSCS

    Mark Stephenson, ATC, CSCS,*D

    David J. Szymanski, PhD, CSCS,*

    Chad D. Touchberry, MS, CSCS

    Joseph M. Warpeha, MA, CSCS,*

    NSCA-CPT,*D

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    t

    able

    of

    CO

    NT

    ENTS

    Body Composition & Its Affects

    on the Sports Performance

    SpectrumDawn Weatherwax-Fall, RD, CSSD, LD,

    ATC, LAT, CSCSTake a closer look at body composition and its

    affect on performance. Included are recommended

    guidelines and a discussion on different methods for

    predicting body composition.

    Do Athletes Maintaining

    Healthy, Well-Balanced Diets

    Really Need Nutritional

    Supplements?Donovan T. Santas, CSCS,*DThis article looks at the need for athletes to appropri-

    ately supplement a well-balanced, whole food-baseddiet for optimal nutrient levels, and discusses the

    current use of supplements by athletes.

    Ten Simple Things to

    Remember for Optimal NutriAmanda Carlson, MS, RD, CSSDNutrition does not have to be complicated

    These ten simple things can help you starting better immediately.

    176

    departments

    Mind Games

    Learning from OlympiansSuzie Tuffey Riewald, PhD,

    NSCA-CPTAs an athlete, you were undoubtedly one of the 4 bil-

    lion people that watched the recent Olympic Games

    in Beijing. This article takes a look at some of the out-

    standing performances of the 08 Olympics, and how

    proper mental skills played into the performances.

    Fitness FrontlinesG. Gregory Haff, PhD, CSCS,*D, FNSCAThe latest news from the eld on milk ingestion and

    endurance performance, -alanine supplementation

    and body composition, whey protein supplementation

    and fat loss, and the effect of vitamin C and E supple-

    mentation on high intensity performance.

    In The Gym

    Nutritional Quality vs.

    Nutritional Quantity:

    Properly Fueling Athletes for

    Optimal PerformanceKyle Brown, CSCSLooking at the label does not always guarantee youare buying a nutritious product. This article discusses

    how to look beyond the label and nd foods that not

    only are healthy, but can better fuel your performance.

    Training Table

    Does Your Diet

    Pass Muster?Debra Wein, MS, RD, LDN,

    CSSD, NSCA-CPT,*DTake a look at ve basic tenets for a good diet, a

    how you can easily determine your caloric requi

    ments.

    Ounce Of PreventionRecognizing Disordered Eati

    Habits in AthletesJason Brumitt, MSPT, SCS, ATC/R,

    CSCS,*DThe prevalence of disordered eating in female at

    has been estimated to be as high as 62%, wher

    33% of male athletes may demonstrate behavio

    associated with disordered eating. The purpose

    this article is to present the signs and symptomssociated with disordered eating.

    sports nutrition

    nscas performance training journal www.nsca-lift.org volume 7 issue 5

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    about theAUTHOR

    nscas performance training journal www.nsca-lift.org volume 7 issue 5

    uzie Tuffey Riewald

    eceived her degrees

    n Sport Psychology/

    xercise Science from

    he University of North

    Carolina Greensboro.

    he has worked for USA

    wimming as the Sport

    sychology and Sport

    cience Director, and most

    ecently as the Associate

    Director of Coaching

    with the USOC where

    he worked with various

    port national governing

    odies (NGBs) to develop

    nd enhance coaching

    ducation and training.

    uzie currently works

    s a sport psychology

    onsultant to several

    NGBs.

    Suzie Tuffey Riewald, PhD, NSCA-CPT,*D

    Learning From Olympians

    As an athlete, you were undoubtedly one o the 4

    billion people that watched the recent Olympic

    Games in Beijing. People across the globe tuned in to

    witness amazing athletic perormances rom a mul-

    titude o sports. While watching these phenomenal

    athletes perorm, we cannot help but be awed by the

    physical and technical prowess o these athletes who are

    able to do things most o us do not even dream about.

    What perormance stands out in your mind?

    Many will immediately think of Michael Phelps

    when recal ling the 2008 Olympic Games. He won

    eight gold medals, setting seven world records in

    the process. e commentators talked often of his

    physique that is so suited to swimming and hisamazing technical skills.

    For some, it may be the marathoners who run sub

    ve minute miles or 26.2 miles.

    Others may remember the gymnasts who have phe-

    nomenal body control and awareness. Tey per-

    orm athletic eats that seem beyond the realm o

    the physically possible, oten times seeming to dey

    gravity.

    All of the sports; shooting, wrestling, badminton,

    equestrian, soccer, volleyball, encing, and so on o-er examples o phenomenal physical eats.

    Te physical, physiological, and technical prowess o

    the Olympians is, in many instances, quite evident. But,

    what else separates these athletes? Are there other skills

    or characteristics that they possess? Let me give a ew

    examples and you tell me the skills or characteristics

    that enable such astounding perormances:

    Chen Ruolin, a 15-year-old diver competing in her rst

    Olympic Games, stood on the 10-meter platorm get-

    ting ready or her last dive. She needed 9.5s and 10sto win the gold. In preparation or the dive, her move-

    ments indicated she was going through her dive in her

    head then she walked to the edge of the platform, did

    not hesitate, and dove. She nailed the dive and won the

    event, scoring our perect 10s and three 9.5s, despite

    the pressure-lled internal and external environment.

    Unexpected tragedy struck the US mens volleyball

    team. e father-in-law of head coach Hugh McCutch-

    eon was stabbed and killed in a random act of vio

    while visiting a Beijing landmark just days befor

    start o the Games. Consequently, the team was

    out their head coach or several matches and had to

    with the emotional turmoil o los ing someone wh

    been very close to the team. Te assistant coache

    athletes had to manage their emotions and mainta

    cus on the task at hand. e end result, they won

    beating Brazil in four sets. Additionally, in the pr

    o getting to the gold medal game, the US team h

    ght through a number o 5-set matches where in

    one o them it would have been very easy just to t

    in the towel. However, they consistently rose to

    the challenge. Talk about maintaining focus throu

    emotional roller coaster.

    Michael Phelps drive for 8 gold medal could

    ended very early were it not or the perormance o

    teammates on the 4x100 meter relay. Jason Lezak

    the last swimmer on the relay team and entered th

    ter 0.6 seconds behind the world record holder in

    100 meter freestyle, Frenchman Alain Bernard ha

    insurmountable lead for all intents and purposes. L

    lost another 0.2 seconds to the French swimmer

    the rst 50 meters o the race, only to swim nea

    second aster over the nal 50 metersturning iastest relay split every recorded (46.07 seconds) w

    leading the US to victory by 0.08 seconds. How

    tacular was this eat and how much did the mental

    ponent come into play? In the individual 100

    freestyle, Lezak won the bronze with a time of 4

    a ull 1.7 seconds slower than his relay perorm

    While swimmers denitely benet rom the relay

    swimmers typically only swim several tenths o

    ond aster in the relay compared to the individual

    Clearly something else played into this phenomen

    lay perormance.

    Yes, mental skil ls certainly seemed to be a facto

    pacting perormance. In their pursuit o excellenc

    athletes used mental skills to manage their emo

    to deal with the environment, to maintain an ee

    ocus, to enhance their perormance. Do you ma

    performance expectations? Are you able to deal

    distractions? Do you have a strong determination

    commitment?

    MindGames

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    nscas performance training journal www.nsca-lift.org volume 7 issue 5

    Learning From Olympianmindgames

    Te above are just a ew examples to illustrate the psychological aspect

    perormance. Research can shed urther light. Numerous studies have

    ssessed the psychological characteristics o successul versus less success-

    ul athletes. A summary of this research (1) suggests that more successful

    thletes are characterized by higher condence, greater management o

    rousal, better concentration and ocus, an in-control attitude, positive

    houghts and imagery, greater determination and commitment, and the

    se of mental skills such goal setting, imagery, coping strategies and men-

    al preparation plans.

    ome of these skills were evident, directly or indirectly, in the athletes

    ompeting in the Olympic Games. Other skills are more dicult to ob-

    erve or infer so it would take talking to the athletes to determine what

    was going on internally.

    Enough about other athletes, now it is your turn. As we have disc

    the physical and technical strengths of elite athlete are often obvious

    as athletes, you work to develop your own physical and technical stre

    At the sur face, mental skill s of elit e athletes may be less apparent but

    inspection reveals they exist. Are you also working to develop your

    tal skills? Are you equipping yourself with the skills to manage the

    lenges inherent in sport? I not, now is the time to begin.

    References1. Williams, JM and Krane, V. Psychological characteristics of peak

    performance. In: Applied sport psychology: Personal growth to peak

    performance. J.M. Williams (Ed.), Mountain View, CA: Mayeld.

    Call 800-556-7464www.performbetter.com

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    Catalo Quality EquipmentExpert Staff Fast Shipping Educational Seminars

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    Turn To The LeadersIn Sports Performance.Agility

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    nscas performance training journal www.nsca-lift.org volume 7 issue 5

    feature

    Dawn Weatherwax-Fall

    s a Registered/Licensed

    Dietitian with a specialty

    n Sports Nutrition

    and Founder of Sports

    Nutrition 2Go. She is

    also a Board Certied

    Specialist in Sports

    Dietetics. In addition, she

    s an Athletic Trainer with

    a Certication in Strength

    and Conditioning from

    The National Strength and

    Conditioning Association.

    Therefore, she brings

    a comprehensive and

    unique understanding of

    he athletes body, and its

    nutritional needs, to those

    nterested in achieving

    pecic performance

    goals and optimal

    health. Weatherwax-

    Fall is also the author

    of The Ofcial Snack

    Guide for Beleaguered

    Sports Parents and The

    Complete Idiots Guide

    o Sports Nutrition. She

    s an Ofcial Speaker

    or the Gatorade Sports

    Science Institute and on

    he approval speaker list

    or the NCAA. She has

    also been featured on

    elevision shows including:

    Good Morning America,

    MSNBC, Geraldo Rivera,

    and Fox News.

    AUTHORabout the

    sports nutriti

    Body Composition and

    Its Affect on the Sports

    Performance SpectrumDawn Weatherwax-Fall, RD, CSSD, LD, ATC, LAT, CSCS

    Having a certain body at to muscle mass ratio is

    related to athletic perormance. Research has

    shown that correct portion o muscle mass increases

    strength, power, and agility (8,9). able 1 (see next

    page) provides recommend body at percentages or

    both men and women.

    However, to gain lean muscle it is not just about the ex-

    ercise protocol but nutritional intake and timing (2,7).

    Research shows three out o our student athletes may

    not be getting enough to eat. It also shows that 70% o

    the women and 73% o the men are not getting enough

    total calories, only 81% o the women and 90% o the

    men are consuming enough carbohydrates, and just

    68% o the women and 81% o the men are eating

    enough protein based on USDA guidelines. Intakes of

    salt, total at, saturated at, and cholesterol oten ex-

    ceed recommendations, even in diets deicient in major

    components (4).

    To help you achieve your goals, you should know your

    body composition. But body composition is much

    more than a body at percentage number. Below are

    dierent ways the measurement can be utilized.

    Knowing what percent body at assists in the type1.

    o uel mixture an athlete needs. I an athlete has

    a higher body at they usually need ewer calories

    and ewer carbohydrates. he opposite is true i

    the athlete has a low body at. hey usually need

    more calories and carbohydrates due to more lean

    weight.

    In any strength and conditioning or specialized nu-2.

    trition program there needs to be a way to measure

    its eectiveness. Body composition testing is an im-

    portant measurement tool since most athletes want

    to gain muscle, lose at, or do both.

    When you are evaluat ing body at percentage3.

    challenge is not to just evaluate the percent bod

    number but to also evaluate the lean weight nu

    Even though you may have the appropriate bod

    percentage or your sport, you may still have

    or improvement i you continue to gain lean

    When an athlete has encountered a severe i4.

    where rehabilitation will take several months,

    suring body composition on a monthly basis c

    a tool to minimize a gain in body fat. Athlete

    gain body fat quickly when activity has been

    ited and eating habits are poor. It is diicult t

    an athlete back to full go if they have lost m

    and gained body at.

    Body Composition testing can be a reassuranc5.

    Many female athletes believe when they gain w

    they are gaining fat. Also an athlete can exch

    at at the same rate they gain muscle so the scnot displaying the positive exchange.

    Because emale athletes are more vulnerab6.

    developing an eating disorder (5), having biy

    body composition tests can detect any signi

    changes. hese changes could shed light on a

    healthy behavior with ood.

    Te best ways to measure body composition are b

    drostatic weighing, Dexa Scan or Bod Pod testing.

    ever many people do not have access or the unds t

    these methods. e next best step is to use Langeold calipers. Tey are easy to use, easy to learn

    very aordable. However you want to make sure

    take the time and follow strict protocols to ensure

    racy (3). Take a minimum of three tests at each sit

    have at least two numbers that are within a millim

    If you do not, then keep retesting the site unti

    do. Te last thing you want is the body at perce

    to increase due to poor measuring techniques. L

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    nscas performance training journal www.nsca-lift.org volume 7 issue 5

    ou want to avoid going the easy route and buy

    bioempedance device. Tese devices can be

    nywhere rom 6 10% o because these tech-

    niques depend on the athletes hydration status

    6). Tese tools start o by measuring how ast

    he current runs through the body. Te more

    hydrated the athlete the lower the body at will

    egister. Te more dehydrated the athlete is the

    higher the body at will measure.

    Body Composition testing is not just about

    measuring at. It can be a very eective tool or

    menu planning, monitoring progress, improving

    urrent athletic status, part o a rehabilitation

    protocol, oering encouragement, and nding

    rregularities in behavior. Now that is a tool.

    ReferencesACSMs Guidel ines for Exercise Testing.Prescription. American College of Sports

    Medicine,7th Edition. Philadelphia: Lippincott

    Williams & Wilkins. (2005).

    Biolo, G, Williams, BD, Fleming, RY, and Wolfe,.

    RR. Insulin action on muscle protein kinetics

    and amino acid transport during recovery after

    resistance exercise. Diabetes, 48:949 957.

    (1999).

    Heyward, VH, Wagner, DR.. Applied Body

    Composition Assessment. Champaign, IL:

    Human Kinetics. (2004).

    Hinton, P, Sanford, T, Davidson, MM, Yakushko,4.

    O, and Beck, N. Nutrient intake and dietary

    behaviors of male and female collegiate

    athletes. Inter J of Sports Nutrition and Exercise

    Metabolism, 14: 389 390. (2004).

    Kirk, G, Singh, K, and Getz H. Risk of Eating5.

    Disorders among female college athletes and

    nonathletes. Journal of College Counsel ing,

    4(2): 122 132. (2001).

    McArdle, W, Katch, F, Katch, V.6. Exercise

    Physiology. (4th Edition). Philadelphia: Lippincott

    Williams & Wilkins. (2006).

    Rasmussen B, Tipton, KD, Miller, SL, Wolf, SE,7.

    and Wolfe, RR. An oral essential amino acid-

    carbohydrate supplement enhances m

    protein anabolism after resistance exerc

    Appl. Physiol, 88:386 392. (2000).

    Spaniol FJ. Physiological predictors o8.

    speed and throwing velocity in adole

    baseball players (Abstract).Journal of Stre

    and Condit ioning Research, 16(4): 1

    (2002).

    Spaniol FJ. Predicting throwing veloc9.

    college baseball players (Abstract). Jo

    of Strength and Conditioning Research,

    286. (1997).

    Body Composition and Its Affects of the Sports Performance Spectru

    Classification Women Men

    Essential 10 12% 2 4%

    Athletes 14 20% 6 13%

    Fitness 21 24% 14 17%

    Acceptable 25 31% 18 25%

    Plus 32% plus 25% plus

    Table 1General Body Fat

    Percentage Category (1)

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    nscas performance training journal www.nsca-lift.org volume 7 issue 5

    G. Gregory Haff, PhD, CSCS,*D, FNSCA

    G. Gregory Haff is an

    ssistant professor in

    he Division of Exercise

    hysiology at the Medical

    chool at West Virginia

    University in Morgantown,

    WV. He is a member of

    he National Strength and

    Conditioning Associations

    oard of Directors. He is

    Fellow of the National

    trength and Conditioning

    ssociation. Dr. Haff

    eceived the Nationaltrength and Conditioning

    ssociations Young

    nvestigator Award

    n 2001.

    AUTHORabout the

    Fitness

    Frontlines

    Does Milk Ingestion ImproveEndurance Performance?One o the main eectors on the capacity to perorm

    prolonged exercise is the availability o carbohydrates.

    Many studies have reported that the ingestion of carbo-hydrates beore and during exercise as an ergogenic tool

    may improve performance. Many commercially avail-

    able carbohydrate supplements are ormulated in con-

    centrations of 2 10%. Interestingly milk has a similar

    concentration while containing similar electrolyte and

    macronutrient breakdowns. Recently researchers from

    Loughborough University in the United Kingdom com-

    pared the eects o water, carbohydrate + electrolytes,

    and milk + carbohydrate on exercise capacity. Eight

    healthy men were randomly assigned a treatment order

    with each subject perorming endurance trials with ourdierent supplements. Each subject ingested 1.5 mL/

    kg body mass of plain water, a carbohydrate-electrolyte

    beverage, and low fat milk (0.1%) + added glucose pri-

    or to the exercise bout and every 10 minutes during the

    bout. Te exercise bout consisted o perorming cycle

    ergometry work at 70% of VO2peak

    until volitional ex-

    haustion. Tere were no dierences in the exercise du-

    ration between the our supplements, but the inclusion

    of milk or carbohydrate appeared to result in longer

    exercise durations when compared to the water condi-

    tion. Te carbohydrate-electrolyte beverage increased

    exercise duration by 17.3 minutes, the milk condition

    increased exercise duration by 10 minutes, and the milk

    + carbohydrate resulted in 9.5 minutes more exercise

    when compared to the water condit ion. Tere was also

    no dierence in the subjective eelings experienced dur-

    ing the exercise trial between the treatments. Taken col-

    lectively the results o this study suggest that the eects

    of milk supplementation appear to be similar to that of

    carbohydrate electrolyte beverages.

    Lee, JK, Maughan, RJ, Shirreffs, SM, and Watson, P.

    Effects of milk ingestion on prolonged exercise capacity

    in young, healthy men. Nutrition 24:340 347. 2008.

    -Alanine Supplementationdoes not ImprovePerformance of BodyComposition After 10-week

    of Supplementation andResistance Training.Carnosine is a di-peptide which is synthesized in

    cle and central nervous system tissue rom histidin

    -alanine. -alanine supplementation and/or resis

    training has recently been linked to increases in m

    carnosine concentrations. It has been postulated th

    creases in carnosine improved buering capacity w

    corresponds to improvements in anaerobic and ae

    exercise performance. Very few studies have exam

    the eects o -alanine supplementation coupledresistance training on muscle carnosine concentr

    and perormance. Tereore the aim o the present

    was to examine a 10-week resistance training pro

    coupled with the consumption o 6.4 g/day o -ala

    wenty six physical education students were rand

    divided into a -alanine and a placebo supplem

    tion group. All subjects resistance trained four day

    week for 10 weeks and took 6.4 g -alanine or pla

    per day. Biopsies, perormance, and body compos

    were assessed prior to and after the 10 week inte

    tion. Tere were no signicant increases in whole strength between the -alanine (+19.67%) and th

    cebo treatments (+17.46). Additionally, no dier

    in isokinetic strength were noted between the -al

    (+12.1%) and the placebo (+12.6%). When body

    position and body mass were examined there wer

    dierences between the two treatments. Te -al

    supplemented group did express higher muscle c

    ine concentrations after the 10 weeks of supplem

    tion when compared to the placebo treatment. B

    upon these results it was concluded that suppleme

    the diet and training with -alanine does not resan ergogenic eect as indicated by markers of m

    strength and changes in body composition.

    Kendrick, IP, Harris, RC, Kim, HJ, Kim, CK, Dang

    Lam, TQ, Bui, TT, Smith, M, and Wise, JA. The ef

    of 10 weeks of resistance training combined with

    alanine supplementation on whole body strength,

    production, muscular endurance and body compos

    Amino Acids 34:547 554. 2008.

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    nscas performance training journal www.nsca-lift.org volume 7 issue 5

    FitnessFrontlines

    Whey ProteinSupplementationncreases Fat loss and

    Spares Lean Muscle inObese Subjects.Obesity is a worldwide epidemic that contrib-

    tes to a multitude o health issues. One weight

    management method is manipulating the ra-

    io o carbohydrates and protein in the diet.

    Trough manipulating the diet it is hoped that

    greater maintenance o lean body mass occurs

    while enhancing the decrease in body at . One

    otential tool in this process is the use o whey

    rotein supplementation. Based upon this line

    reasoning the present study was designed to

    xamine the eects o whey protein supplemen-

    ation on at loss and lean body mass. One hun-

    dred and ty eight subjects between the ages o

    0 50 years o age who had a bodymass index

    etween 30 42 kg/m2 were recruited or this

    nvestigation. All subjects had their dietary in-

    ake reduced by 500 kcals per day and consumed

    whey protein shake or isocaloric placebo 20

    minutes before breakfast and dinner each day

    or 12 weeks. Body fat and anthropometric mea-

    urements were taken every four weeks. Both the

    lacebo and whey protein groups signicantly

    decreased body mass. However, the whey pro-

    ein group tended to lose more body at (+1.19

    1.52 kg), which corresponded to about 6.1%

    their body at mass. Since a 5% reduction in

    at mass has been linked to a reduced disease

    isk in obese patients this nding is considered

    mportant. In addition to the at mass loss the

    whey protein group tended to maintain more

    ean body mass. Based upon these ndings the

    nclusion o whey protein supplements as part

    a weight loss plan may result in more optimal

    osses o body at when compared to simply re-

    ducing caloric intake.

    restedt, JL, Zenk, JL, Kuskowski, MA, Ward, LS,

    and Bastian, ED. A whey-protein supplement

    increases fat loss and spares lean muscle in

    obese subjects: A randomized human clinical

    study. Nutr Metab (Lond) 5:8. 2008.

    Does Vitamin C andE SupplementationEffect High IntensityPerformance duringSoccer Training?It is widely documented that exercise training

    can increase the formation of markers of oxida-

    tive stress. Vitamin C and E are two powerful

    antioxidant molecules which can aect the or-

    mation of markers of oxidative stress. Several

    studies have demonstrated the potential ability

    of vitamin C and E supplementation of markers

    o oxidative damage in humans. However, very

    ew studies have examined the eects o combin-

    ing supplementation with training and how per-

    ormance may be impacted. Tereore the pres-

    ent study was to examine the eects o vitamin

    C and E supplementation on markers of oxida-

    tive stress, muscle damage, and perormance in

    elite soccer players. en male soccer players were

    randomly divided into two matched groups; 1)

    1000 mg vitamin C and 800 mg o vitamin E

    and 2) maltodextrine. All supplements were ad-

    ministered in a double blind ashion and were

    consumed in conjunction with the subjects

    regular diets. raining loads were identical or

    the three month intervention. Tere were no

    dierences in the markers of oxidative stress be-

    tween the two treatment groups. However, the

    vitamin C and E group demonstrated signicant

    reduced markers of muscle damage in response

    to the high intensity eorts associated with soc-

    cer training. Even though less muscle damage

    was noted there were no dierences in actual

    perormance measures between the two treat-

    ment groups.

    Zoppi, CC, Hohl, R, Silva, FC, Lazarim, FL, Neto,

    JM, Stancanneli, M, and Macedo DV. Vitamin C

    and E supplementation effects in professional

    soccer players under regular training. Journal

    of the International Society of Sports Nutrition

    3:37-44. 2006.

    presented by

    www.nsca-lift.org/

    NSCASportsNutrition/

    SportsNutrition

    Program

  • 7/31/2019 Internasional-nutrion & Performence Athletes

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    feature

    about theAUTHOR

    nscas performance training journal www.nsca-lift.org volume 7 issue 5 1

    Donovan T. Santas

    was named Blue Jays

    Major League Strength

    Conditioning Coach

    n January 2003 after

    erving as minor league

    oordinator since 2001.

    He graduated in 1999 from

    he University of Wisconsin

    a Crosse with a B.S

    n Exercise and Sports

    cience, majoring in

    trength and Conditioning.

    He is member of the

    National Strength &

    Conditioning Association

    NSCA) and sits on the

    oard of the Professional

    aseball Strength &

    Conditioning Coaches

    ociety (PBSCCS). In the

    ffseason, he resides in

    ampa, Florida with his

    wife, and devotes his free

    me to conducting youth

    thlete workshops on

    trength & conditioning

    nd sports performance

    utrition.

    As a child how many times did you hear: eat your

    fruits and veggies!? As an adult, particularly as an

    athlete, eating ruits and vegetables is one o the only

    signicant ways to get some o what the body needs

    rom its ood. Why? Because organically grown, anti-

    oxidant-rich ruits and vegetables represent one o the

    only nutritious ood sources readily available. Unortu-

    nately, getting your well-balanced daily servings o nu-

    trient-rich food is a dicult task as most commercially

    processed oods are stripped o nutritional value and,

    worse yet, potential ly ull o toxins due to overuse o

    ertilizers, pesticides, and herbicides. Tis combination

    o over-processing and contamination not only lls our

    restaurants but also our supermarkets with high-calorie

    and/or high-glycemic and low-nutrient ood options.

    Tereore, you have to be more diligent than ever to

    make quality food choices. And, as an athlete, to ensure

    peak performance and to ward o chronic degenerative

    diseases, you need to appropriately supplement a well-

    balanced, whole ood-based diet or optimal nutrient

    levels.

    In the world o serious and proessional sports, supple-

    ments are arguably one o the most misunderstood

    and overwhelming topics. Adding to the confusion is

    the constant infux o the next best thing products,

    making too-good-to-be-true claims. Because athletes

    are always looking for an edge, they are often easy preyfor the billion-dollar supplement industry market-

    ing gurus. So what exactly are supplements? Are they

    replacements or whole oods, as some manuacturers

    would have you believe? By design, supplements should

    supplement, lling in the nutritional gaps o a quality

    diet. Generally, these nutritional gaps are seen as a lack

    o vitamins, minerals, and antioxidants. However or

    athletes, a lack of foods that enhance metabolism and

    prevent catabolism are also viewed as deciencies.

    The RDA and OptimalLevels of IntakeWhen examining nutritional deciencies you need

    aware o the void between the Recommended Die

    Daily Allowance (RDA) and Optimal Levels of n

    ent intake of vitamins, minerals, and antioxidants

    RDA suggests standard intake levels to meet the m

    mum nutrient requirements or the majority o he

    individuals. In contrast, optimal levels are gene

    much higher than the RDA, and are based on what

    body needs to unction relative to your activity

    and to avoid chronic degenerative diseases, like

    disease and cancer. In some cases, optimal nutrien

    els can be as much as thirty times greater than the R

    Because o strenuous physical demands, athletes co

    tently require optimal levels o most nutrients. H

    ever, to meet the optimal nutrient levels in some

    would require eating a substantial amount o oods

    in the needed nutrients. Tis is just not possible in

    situations. Consequently, adding a high-quality m

    vitamin and mineral complex to your diet can en

    optimal levels o nutrients or recovery rom intens

    tivities and to boost your bodys immune system.

    Another obstacle to lling nutritional gaps is an

    letes schedule. Many times fast food, caeine, and

    gaps between meals are the common daily routine. letes need oods that will sustain their energy over

    periods, not create roller coasters o blood sugar h

    and lows. As such, you should always try to avoid h

    glycemic carbohydrates, regardless o the time o

    Te glycemic index (GI) measures a oods imme

    eect on blood sugar (2). Te GI is based on a

    100-point scale with pure glucose at 100. Reer to

    table 1 to view ratings on representative oods. Hig

    foods of 70 or more, like white bread, potatoes,

    Donovan T. Santas, CSCS,*D

    Do Athletes MaintainingHealthy, Well-Balanced

    Diets Really NeedNutritional Supplements

    sports nutriti

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    nscas performance training journal www.nsca-lift.org volume 7 issue 5 1

    eans, and corn akes are converted to glucose

    uickly (2). While low-GI foods of 55 or less,

    uch as rolled oats, apples, pasta, and yogurt are

    onverted slowly (1). Making good quality low-

    GI carbohydrate choices throughout the day can

    maintain your energy levels naturally and elimi-

    ate the need or caeine and other stimulants.

    n addition to the GI, athletes should be acutely

    ware o the importance o protein in the build-

    ng and repair o muscle. High-quality protein

    ources contain at least twice as much protein as

    at. For example, a meat source with 10 grams of

    at and 20 grams o protein is considered high

    uality but another protein source with a 10 to

    0 ratio is considered only moderate to low qual-

    ty. So chunk light tuna in water with 15 grams

    protein and less than one gram o at is an

    xcellent source. Conversely, your typical ast-ood cheeseburger with 20 grams o protein and

    whopping 50 grams o at is a poor source.

    Although whole foods should be your primary

    ource o quality calories, due to the demands

    your schedule combined with many o the

    bstacles outlined above, the right oods will

    ot always be accessible. is makes nutritional

    upplements a necessary adjunct to your diet.

    ere are many meal replacement shakes and

    utrition bars marketed to athletes but they are

    ot all alike. Look for products that are low GI,ow fat, high ber, and protein rich. Just keep

    n mind when supplementing your meals and

    nacks that you are striving to maintain a well-

    alanced diet that consists o quality proteins,

    ow-glycemic carbohydrates and a multitude o

    ruits and vegetables.

    The Use of Supplementsby Athletes

    Despite research and supporting evidence thatupplementing a healthy diet is necessary to at-

    ain optimal nutrient levels or sports peror-

    mance, many athletes still avoid supplements

    ltogether or simply jump rom one product to

    he next with marketing trends. ere are three

    rimary reasons or this phenomenon:

    Misconceptions about dietary needs.

    Fear of banned substances.

    Lack of sports-certied products.

    As mentioned previously, many athletes are not

    aware o the dierence between the Recom-

    mended Dietary/Daily Allowance (RDA) and

    optimal levels. Nor do they know the extent of

    over processing and its nutrient-depleting aect

    on foods. Also, safety is always a top concern

    for athletes. Among those who understand the

    need or supplementation, many are scared o

    by ear o banned substances. Unortunately,

    this ear is not unwarranted as quality control

    in manuacturing o nutritional supplements

    has only been loosely regulated since the imple-

    mentation o the US Dietary Supplementation

    and Health Education Act of 1994. As a result

    o the act, there are currently no US regulations

    that enorce minimum standards o practic

    requirements for pre-market approval, no

    market surveillance, and no site licensin

    product licensing required or the manua

    ing o dietary supplements in the US (3)

    leaves quality and content basically unregu

    resulting in a supplement market ooded

    ineective products due to lack of prope

    mulation & dissolution properties and pro

    with contents that do not match labeled

    dients.

    In December 2007 the results o a study

    seen by Inormed-Choice, a nonprot coa

    of dietary supplements, and conducted by

    a British company, were released to the

    (1), O 52 supplements purchased and test

    HFL, a quarter of the supplements cont

    traces o steroids and 11.5% had banned s

    lants. Tis study came out only ve years

    Do Athletes Maintaining Healthy, Well-Balanced Diets Really Need Nutritional Suppleme

    Representative

    Food

    Glycemic

    Index Rating

    Glucose 100

    Sucrose

    (table sugar)61

    Fructose(fruit sugar)

    19

    Cake Doughnut 76

    Bran Mufn 60

    Corn akes 92

    Apple 38

    Baked Potato 85

    Spaghetti 44

    Banana 52

    Carrots 47

    Orange Juice 52

    Bagel, white 72

    Skim Milk 32

    Spinach,

    leafy greens0

    Peanuts 14

    Table 1Glycemic Index of

    Selected Foods

    A high GI Value is 70 or mor

    An intermediate GI value is

    56 to 69.

    A low GI value is 55 or less.

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    nscas performance training journal www.nsca-lift.org volume 7 issue 5 1

    Do Athletes Maintaining Healthy, Well-Balanced Diets Really Need Nutritional Suppleme

    he International Olympic Committee (IOC)

    ampled 240 supplements purchased in America,

    evealing 18.8% contained steroids.(1) We can

    ever be sure i the companies are intentionally

    dding banned substances in hopes o boosting

    roduct eectiveness, or i the machinery is just

    ot properly cleaned between dierent produc-

    ions. Regardless, the results are products that

    nsuspecting athletes assume are sae additions

    o their training and recovery programs, but

    ould cause positive banned-substance tests.

    Over the last decade banned substance testing

    as increased at all levels o competition, in-

    luding high school, collegiate, and proessional

    ports. Tis elevated level o testing has made

    upplement use a buyer-beware business and

    rompted numerous sports organizations to

    nstitute certication standards. For example,he National Football League (NFL) and Ma-

    or League Basebal l (MLB) have both adopted a

    ertication program or supplements that relies

    n the independent testing company NSF. NSF

    Certied or Sport nutritional supplements

    re tested or accuracy in labeling as well as

    anned substances. Under NFL and MLB poli-

    ies, teams can not supply players with uncerti-

    ed products; however, players are free to make

    ndividual purchases o uncertied products at

    heir own risk.

    Use o only certied products greatly eases ath-

    letes anxiety over choosing supplements but it

    also greatly limits supplement options. Current-

    ly, there are as ew as 20 certied products listed

    on the MLB approved list and only three mul-

    tivitamins. Ideally, athletes should not deviate

    from certied products; however, due to limited

    availability you might elect to take uncertied

    products. In that case, it is wise to consume only

    those products that have voluntarily ollowed

    the Good Manufacturing Process that reects

    the pharmaceutical model and are considered

    pharmaceutical grade as opposed to merely FDA

    regulated.

    Although athletes should always take a food-

    rst approach to their diet, less than adequate

    ood sources and demanding schedules have cre-

    ated a need or quality supplementation to en-hance perormance, speed recovery, and prevent

    chronic degenerative disease. Yet the quality and

    saety o nutritional products will continue to

    be a major concern until more stringent produc-

    tion standards are imposed across the supple-

    ment industry. Until then, you should make a

    concerted eort to use only those products rom

    companies that are willing to sel impose more

    stringent regulations and meet certication re-

    quirements to set themselves apart rom the rest

    of the market. Nonetheless, you should always

    closely monitor your diet and make whole

    choices that consist o a balance o ruit

    vegetables, low-glycemic carbohydrates,

    high-quality protein.

    ReferenceAssociated Press.1. Study: Quarter of D

    Supplements Tested Contain Steroids, Ba

    Stimulants. [Press release] (Thursday, Dece

    06, 2007).

    Brand-Miller, J, Foster-Powell, K.2. The

    Glucose Revolution. New York, NY: Mar

    Company. (2006).

    MacWilliam, L.3. Nutrisearch Comparative G

    to Nutritional Supplements. Vernon, BC Ca

    Northern Dimentions. (2007).

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    about theAUTHOR

    nscas performance training journal www.nsca-lift.org volume 7 issue 5 1

    Kyle Brown is a health

    nd tness expert

    whose portfolio includes

    verything from leading

    workshops for Fortune

    00 companies and

    ublishing nutrition

    rticles in top ranked

    tness journals, to training

    elebrity clientelefrom

    ro athletes to CEOs

    o multiplatinum

    ecording artists. Kyles

    nique approach to

    ealth and tness

    mphasizes nutrition and

    upplementation as the

    oundation for optimal

    wellness. After playing

    water polo for Indiana

    University, as well as in

    ondon, Kyle became

    nvolved in bodybuilding

    nd tness for sport

    pecic training. Kyle

    the creator and Chief

    Operating Ofcer for FIT65Complete Nutritional

    hake (www.t365.com).

    Nutritional Quality vs.

    Nutritional Quantity:

    Properly Fueling Athletesfor Optimal Performance

    Kyle Brown, CSCSn theGym

    So many athletes are hung up on nding that magic

    pill, powder, or potion to give them a compet itive

    edge. Tey spend hundreds o dollars monthly on the

    latest ad supplements, yet their nutritional oundation

    is pathetic at best. Tey use exercising or hours a day

    as a justication for their sub par nutritional intake of

    processed carbohydrates and convenience oods. Teir

    bodies may look t on the outside, which further justi-

    es this rationalization. However, i more athletes put

    the same eort into being properly ueled as they do

    into training or their sport, their perormance would

    increase exponentially (1).

    Tere is a really big dierence between nutritional qual-

    ity and nutritional quantity. Nutritional quantity is

    what most people focus on. ey think they know what

    is healthy because they look at the nutrition facts panel

    or the number o calories, grams o protein, carbohy-

    drates, and fat. ey rst look at the calories and if it

    is some relatively low number like 200 or less they will

    think it is acceptable. Next, they look to see if the pro-

    tein is over 10 grams, the at is less than ve grams, and

    the carbohydrates are less than 10 grams. I it meets

    these rough criteria they will deem the product as

    healthy. Instead, they should be ocusing on the nu-

    tritional quality of the product. What ingredients make

    up the calories, grams o protein, carbohydrates, and at

    and how will their bodies utilize these ingredients?e key is to look at the history of nutritional degenera-

    tion (what did we do beore we messed everything up)

    and what the rest of the animal kingdom is doing suc-

    cessfully. Most humans disassociated themselves from

    the source o where ood comes rom and are ignorant

    to how ood serves as a source o uel in their bodies.

    For example, protein is not just for building muscles

    but it provides you with sustained energy (2).

    Te basic premise is that certain oods are

    mal or human consumption. We ate a particular

    or roughly all but the last 10,000 years o our

    2.7 million years o human existence and our b

    have not adapted to processing these new man

    or genetically modied convenience oods. On

    other hand, our bodies adapted to an omnivore d

    healthy lean meats, veggies, a little ruit, healthy

    and nuts and seeds (3).

    Now that we are in the 21st century, how do we a

    this prehistoric optimal way o eating into our ch

    modern day lifestyle? A good rule of thumb is

    does not spoil quickly, do not eat it. Look for

    raw, organic oods that can be sourced by nature

    laboratory. As an athlete, if you put the same re

    and eort into ueling your body as a race car crew

    into ueling its car or a racehorse team does into

    ishing its horse, you will have the competitive edg

    are looking for.

    ReferencesCoyle, EF. Fat metabolism during exercise: 1.

    concepts. Sports Science Exchange #59, 8(6) 199

    Ha, E, Zemel, MB. Functional properties of whey, 2.

    components, and essential amino acids: Mechan

    underlying health benets for active people (re

    Journal of Nutritional Biochemistry. May;14(5):2

    2003

    Cordain L.3. Implications of Plio-Pleistocene Ho

    Diets for Modern Humans. In: Early Hominin Diets

    Known, the Unknown, and the Unknowable. Ung

    (Ed.), Oxford University Press, Oxford, pp 363

    2006.

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    about theAUTHOR

    nscas performance training journal www.nsca-lift.org volume 7 issue 5 1

    Debra Wein is a faculty

    member at the University

    f Massachusetts Boston

    nd adjunct lecturer

    t Simmons College.

    Debra is the President

    nd Co-founder of

    ensible Nutrition, Inc.

    www.sensiblenutrition.

    om), a consulting rm

    stablished in 1994 that

    rovides nutrition services

    o athletes, individuals,

    niversities, corporate

    wellness programs and

    onprot groups. Debra is

    ertied as a Specialist in

    ports Dietetics (CSSD)

    hrough The American

    Dietetic Association.

    Her sport nutrition

    andouts and free weekly

    mail newsletter are

    vailable online at www.

    ensiblenutrition.com.

    Kathy Palmer has a

    egree in exercise science

    rom the University of

    MA Boston, performed

    er internship at

    ufts Universitys Friedman

    chool of Nutrition in the

    Children In Balance Dept

    nd has worked with

    ensible Nutrition

    ince 2005.

    Does Your Diet Pass Muster?

    Debra Wein, MS, RD, LDN, CSSD, NSCA-CPT,*D and Kathy PalmerTrainingTable

    In order to achieve top perormance, athletes require

    an appropriate quantity o energy (calories) and vari-

    ous nutrients (carbohydrates, proteins, at, vitamins,

    and minerals) as well as the correct balance or qualityo these nutrients.

    Te ve tenets o good nutrition include

    Adequacy . A diet which contains enough of the

    essential nutrients.

    Balance . A diet which contains a good proportion

    o nutrients. No overemphasis o one ood group or

    another.

    CalorieControl . A diet which contains the correct

    amount o calories to maintain ideal body weight.

    Moderation . A diet which enables you to eat any

    ood in reasonable-size portions.

    Variety . A diet which contains dierent types of

    ood to prevent boredom.

    o be sure you are achieving adequacy and calorie con-

    trol, you need to be sure that your caloric intake is ap-

    propriate. able 1 lists the dierent calorie needs or

    sedentary and active individuals for each age group. For

    more specic target and suggested energy intake levels

    or each age/gender group or go to Te Center or Nu-

    trition Policy and Promotion, Energy Levels For Pro-posed Food Intake Patterns (1).

    o maintain your current weight, choose the amount

    suggested. To lose weight, decrease your calorie intake

    by 300 500 calories each day. For weight loss above

    20 pounds, calories can be limited urther as long as the

    total number o calories is not too extreme. o increase

    your weight, add an additional 300 500 calories daily.

    Once you have decided on an appropriate calorie lev-

    el, reer to table 2 or specic amounts o servings to

    choose rom each ood group.

    To track your intake over time or to simply look up the

    nutritional content o a specic ood, reer to any o

    these sites:

    www.mypyramid.go v

    www.thedailyplate.co m

    www.prevention.co m

    www.sparkpeople.co m

    www.caloriek ing.co m (monthly or yearly ee)

    AGECALORIE RANGE

    Sedentary / Active *

    Children

    2 3 years 1,000 / 1,400

    Females

    4 8 years 1,200 / 1,800

    9 13 1,600 / 2,200

    14 18 1,800 / 2,400

    19 30 2,000 / 2,400

    31 50 1,800 / 2,200

    51+ 1,600 / 2,200

    Males

    4 8 years 1,400 / 2,000

    9 13 1,800 / 2,600

    14 18 2,200 / 3,200

    19 30 2,400 / 3,000

    31 50 2,200 / 3,000

    51+ 2,000 / 2,800

    *Sedentary means a lifestyle that includes only the

    light physical activity associated with typical day-

    to-day life. Active means a lifestyle that includes

    physical activity equivalent to walking more than

    3 miles per day at 3 to 4 miles per hour, in additio

    to the light physical activity associated with typica

    day-to-day life. For more strenuous activi ty, add

    the total calories burned during your activity to

    that total.

    Table 1Calorie Requirements by Age (1)

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    1 5

    Table2

    DailyAmountofFoodfromE

    achCalorie

    Group

    DoesYourDie

    tPassMuster?

    trainingtable

    CALORIELEVEL

    1000

    1200

    1400

    1600

    1800

    2000

    2200

    2400

    26000

    2800

    3000

    3200

    Fruits

    1cup

    1cup

    1.5

    cups

    1.5

    cups

    1.5

    cups

    2cups

    2cups

    2cups

    2cups

    2.5

    cup

    s

    2.5

    cups

    2.5

    cups

    Vegetables

    1cup

    1

    .5cups

    1.5

    cups

    2cups

    2.5

    cups

    2.5

    cups

    3cups

    3cups

    3.5

    cups

    3.5

    cup

    s

    4cups

    4cups

    Grains

    3ozeq

    4ozeq

    5ozeq

    5ozeq

    6ozeq

    6ozeq

    7ozeq

    8ozeq

    9ozeq

    10oze

    q

    10ozeq

    10ozeq

    MeatandBeans

    2ozeq

    3ozeq

    4ozeq

    5ozeq

    5ozeq

    5.5

    ozeq

    6ozeq

    6.5

    ozeq

    6.5

    ozeq

    7ozeq

    7ozeq

    7ozeq

    Milk

    2cups

    2cups

    2cups

    3cups

    3cups

    3cups

    3cups

    3cups

    3cups

    3cups

    3cups

    3cups

    Oils

    3tsp

    4tsp

    4tsp

    5tsp

    5tsp

    6tsp

    6tsp

    7tsp

    8tsp

    8tsp

    10tsp

    11tsp

    Discretionary

    calorieallowance

    165

    171

    171

    182

    195

    267

    290

    362

    410

    426

    512

    648

    NOTE:Ifyourequirecaloriesbeyond3200,

    simplyfindtwotablestha

    tequalyourcaloricrequirementandeattherecommendedservings.

    Forinstance,

    for4000

    calories,

    doublethesuggestedser

    vingsforthe2000calorierecommendations.

    R

    eference

    CenterforNutritionPolicyandPromotion,

    EnergyLevelsForProposedFoodInta

    ke

    1

    .Patterns.

    http://www.cnpp.usda.gov/Pu

    blications/MyPyramid/DevelopmentMate

    rials/

    FedlRegNoticeSept2003/table2.p

    df,accessedSeptember7,

    2008.

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    nscas performance training journal www.nsca-lift.org volume 7 issue 5 1

    Recognizing Disordered

    Eating Habits in Athletesason Brumitt is an

    nstructor of physical

    herapy at Pacic

    University in Hillsboro,

    Oregon. He is a board

    ertied sports physical

    herapist, an athletic

    rainer, and a certied

    trength and conditioning

    pecialist with distinction.

    He may be reached at

    brumitt72@hotmail .com.

    AUTHORabout the

    Jason Brumitt, MSPT, SCS, ATC/R, CSCS,*D

    Ounce of

    Prevention

    Recent publications in the sports medicine litera-

    ture have highlighted the prevalence and severity

    o eating disorders. Let untreated, eating disorders will

    cause serious detrimental health eects and possibly

    lead to death. Many coaches, athletic trainers, and ad-

    ministrators may be amiliar with the classic eating dis-

    order diagnoses of anorexia nervosa (AN) and bulimia

    nervosa (BN), but may be less amiliar with the signs

    and symptoms associated with disordered eating. An

    athlete may possess signs o disordered eating that over

    time evolve into AN, BN, or a third condition knownas an eating disorder-not otherwise specied (1).

    Disordered eating is also associated with the emale ath-

    lete triad, a medical condition consisting o low energy

    availability, amenorrhea, and osteoporosis (2). While a

    majority o the literature explores the prevalence o e-

    male eating disorders or the emale athlete triad, male

    athletes may also be at risk. e prevalence of disor-

    dered eating in emale athletes has been estimated to

    be as high as 62%, whereas as a surprising 33% o male

    athletes may demonstrate behaviors associated with

    disordered eating (1). Te purpose o this article is to

    present the signs and symptoms associated with disor-

    dered eating. Due to the severity o these conditions,

    recognition of at risk athletes by a coach and/or an ath-

    letic trainer with the subsequent referral of the at-risk

    athlete to an appropriate medical provider is crucial.

    Signs and Symptomsof Disorder Eating

    Athletes who have eating disorders may demonstrate

    many physical or psychological characteristics (1 3).

    Tese behaviors include changes in eating habits (un-

    necessary dieting, not eating, secretive or ritualistic

    eating habits), changes in exercise behaviors (excessive

    exercise or unnecessary exercise), depression, restless-

    ness, substance abuse, and issues related to body image

    (critical about ones own body appearance and eelings

    o being at) (1).

    Appropriate Responses toSuspected Disordered Eatin

    What should be done i you suspect that an athlet

    an eating disorder? e National Athletic Tra

    Association published this year a posit ion state

    regarding the identication and management o

    letes with disordered eating. Te authors o the

    tion statement recommend rst that the athlete w

    suspected o having an eating disorder be approa

    and questioned by an authority gure. Te auity gure, such as a coach, athletic trainer, or te

    should have a good relationship with the athlete.

    than likely the athlete will deny having an eating

    der. I the signs and symptoms still suggest a pro

    he or she should be reerred to an appropriate phys

    or a medical evaluation (1).

    Additional ReadingEach athletic program should implement a disord

    eating management protocol in order to help

    tate the appropriate care for at risk individuals (1).

    tool that may help an athletic department design

    implement policies and procedures is the Nationa

    letic Trainers Association position statement on

    tiying and managing athletes with disordered e

    (1). Tis publication may be accessed or ree at: h

    www.pubmedcentral .nih.gov/art iclerender.cgi?to

    ubmed&pubmedid=18335017.

    ReferencesBonci CM, Bonci LJ, Granger LR, Johnson CL, M1.

    RM, Milne LW, Ryan RR, Vanderbunt EM. Na

    athletic trainers association position state

    preventing, detecting, and managing disordered e

    in athletes.J Athl Train. 43(1): 80 108. 2008.

    Nattiv A, Loucks AB, Manore MM, Sanborn2.

    Sundgot-Borgen J, Warren MP; American Colle

    Sports Medicine. American College of Sports Med

    position stand. The female athlete triad. Med Sci S

    Exerc. 39(10): 1867 1882. 2007.

    Nattiv A, Callahan LR, Kelman-Sherstinsky A. The fe3.

    athlete. In: Ireland ML, Nattiv A, eds. The Female A

    Philadelphia, PA: WB Saunders: 223 235. 2002.

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    feature

    about theAUTHOR

    nscas performance training journal www.nsca-lift.org volume 7 issue 5 1

    manda is the director

    f performance nutrition

    nd research at Athletes

    erformance (www.

    thletesperformance.com)

    nd Core Performance

    www.coreperformance.

    om). She earned her

    achelors degree in

    Nutritional Science from

    he University of Arizona

    nd Masters degrees in

    oth Sports Nutrition and

    xercise Physiology from

    lorida State University.

    manda works directly

    with the AP Performance

    Nutrition Team to

    elp create year-long

    ystems of success

    or all AP athletes and

    oordinates the companys

    erformance research.

    manda delivers both

    ducational seminars and

    ndividual consulting to

    variety of professional

    nd elite sports

    rganizations, state and

    ational conferences. Sheontributes to sports and

    tness based publications,

    its on various advisory

    oards for sports nutrition

    ducation development

    nd position papers, and

    as edited sports nutri tion

    ooks and educational

    exts.

    Amanda Carlson, MS, RD, CSSD

    Ten Simple Things

    to Remember for

    Optimal Nutrition

    nutriti

    Nutrition is something that aects everyone. Ev-

    eryone needs uel and everyone needs nutrients.

    Yet everyone eats for completely dierent reasons. As

    an athlete on the eld or as an athlete competing in

    the game o lie, putting thought behind what goes

    into your mouth can do wonders or health, but most

    importantly perormance. Te thought process behind

    choosing the right oods or combinations o oods seems

    to be the most paralyzing or most athletes. Tere are so

    many dierent opinions, ways o doing things, answers

    to weight loss, answers to weight gain everywhere you

    turn that it can become conusing to a point where act-

    ing on good intentions seems to halt. By no means do

    I want to downplay the complexity o nutrition, but

    what does all the science matter i behavior does not

    change? In working with athletes over the years, we

    break down our methodology into 10 Rules to Live

    by that can be simplied to ve categories: eat clean,

    eat oten, hydrate, recover, mindset. Tese ve catego-

    ries will allow us to assist out clients in streamlining

    their healthy eating eorts.

    10 Rules to Live By:ComeBacktoEarth.1. Tis simply means to choose

    the least processed orms o oods, specically car-

    bohydrates, when building the majority o your

    meals. ypically the less processed the oods and

    the closer the ood that you are eating is to its natu-ral state, the better it will be fore you. An easy way

    to do this on the carbohydrate side o things is to

    simply look at the label and the amount of ber

    that is in the product. I the product has at least

    three grams o ber or more per serving, it is a good

    choice. I it does not have that amount o ber, put

    it back and nd something that does. According to

    the American Heart Association, Americans eat an

    average o 15 grams o ber per day, which is ar

    below the 2005 Dietary Guidelines for Amer

    o 14g per 1,000 calories consumed) that is rec

    mended (5). e total intake of carbohydrat

    general should be based on size and activity l

    ypically this will range rom anywhere bet

    3 10g of carbohydrates per kg body weight

    the lower end (three grams) representing the

    training recreational athlete to the upper end (

    representing the endurance athlete in a heavy t

    ing phase. In the real world, i you eel energ

    recover ully, are at a healthy perormance we

    and are perormingyou are probably eating

    right amount o carbohydrate.

    EataRainbowOften.2. Te vitamins and min

    that our bodys need naturally come rom the

    that we eat, specically ruits and vegetables.

    ing a variety o ruits and vegetables in a mult

    o colors will help to ensure that you are ge

    the variety o nutrients that you need. Gon

    the days o the 5 a Day campaign. It has

    replaced with simply, More Matters. Some o

    best ruits based on their total anti-oxidant ca

    ity per size are blueberries, blackberries, rasp

    ries, strawberries, granny smith apples, sweet

    ries, and black plums. In terms of vegetables

    Harvard school o public health is a bit more

    eral in its guidelines by recommending to reac

    stewed tomatoes, dark leafy greens, and anytthat is rich in yellow, orange, and red color.

    sounds so simplistic, but still the average Ame

    only consumes about three out o the ve t

    recommended servings per day. Te athlete n

    the nutrients in these oods to enhance reco

    serve as intermediates in energy production,

    an improved immune system.

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    nscas performance training journal www.nsca-lift.org volume 7 issue 5 1

    Ten Simple Things to Remember for Optimal Nutriti

    TheLessLegstheBetter.. Protein is a criti-

    cal part o the diet or the athlete and the

    active person, specically the type and the

    amount. When ocusing in on the type o

    protein, typically the less legs the animal has

    beore you actually consume it, the better

    the source. Fish, turkey, and chicken rank

    high. You need to be more selective with

    dairy, red meat, and pork products. Low-fat

    dairy, lean cuts of pork and beef, and grass

    fed four legged animals are best. For people

    who are active in both strength and endur-

    ance training, more protein is needed; how-

    ever, the constant debate always appears as

    to how much protein people need. Research

    suggests 1.2 to 1.7g/kg for both strength

    training and endurance athletes (7). Meet-

    ing the upper level o protein needs while

    decreasing calories is important to main-

    tain muscle mass while trying to lean out.

    Protein also has a higher thermic eect

    meaning more calories burned, which can

    urther help the leaning out eort (8). Pro-

    tein can help to increase the satiety o meals

    and should also be included as part o your

    recovery meal or snack. Splitting the total

    protein intake over the course of the day

    by including some in each meal will help to

    ensure absorption and utilization.

    EatFatsThatGiveSomethingBack.. Di-

    ets too low in at can be detrimental to ac-

    tive people; however, diets too high in fat

    (as with anything) will lead to increased

    at accumulation. It is recommended that

    20 30% o the total calories come rom

    at. Te best types o ats to include are raw

    nuts, seeds, olive oil, nut butters, and atty

    sh. Te orgotten ats in the US are the

    essential atty acids, specically the ome-

    ga-3 atty acids. Tese atty acids help withdecreasing infammation and due to their

    essential nature, must come rom the diet.

    You should consume sh high in omega 3

    two to three times per week. ose who do

    not consume sh regularly may want to

    consider supplementing with sh oil.

    ThreeforThree.. Eating consistently main-

    tains energy levels (blood glucose), keeps

    the body in a ed state, and prevents mood

    swings and binging. Keeping the body u-

    eled will prevent extreme hunger, which

    will make healthier food selection easier.

    Combining the three main nutrients (car-

    bohydrates, protein, at) every three hours

    (hence the three for three) will keep you fu-

    eled and keep you on track. Planning out

    meals and snacks ahead of time will ensurethat you stick with your fueling regimen.

    Keeping healthy snacks, bars, and ready

    to drink meal replacements with you at all

    times will ensure you have uel on hand to

    keep you going.

    EatBreakfast Everyday.6. Tere is a lot o

    debate on this in the literature, but I still

    believe that eating breakfast everyday is

    critical and nd it to be an absent habit or

    most o us. Tere isnt enough time, Im

    not hungry in the morning, and its too

    complicated are all things that I hear come

    out o the mouths o athletes and in my

    own brain at times. Breakfast does not have

    to be buckwheat pancakes and an egg white

    omelet. Breakfast could be a blend of yo-

    gurt, fax, whey protein, and rozen berries

    or whole wheat toast, peanut butter, and a

    banana. Eating breakfast will give the body

    the uel it needs, jumpstart the metabolism,

    and set people up to consume the number

    o calories they should be eating through-

    out the day.

    Hydrate.7. Dehydration = Decreased per-

    formance. e 2007 American College of

    Sports Medicine (ACSM) position stand

    on exercise and fuid replacement states

    that the goal of drinking while exercising

    is to prevent a 2% loss in fuid and an ex-

    treme disruption o electrolyte balanc

    However, we need to ensure that we ar

    drated beore we step onto the eld o

    a training session. A case study perfo

    at Athletes Performance in 2008 on

    combine preparation athletes ound 98

    them to be dehydrated (by means o

    gravity) prior to their am training se

    is resulted in a quick review of the athhydration. When we think of hydratio

    need to think of it in terms of all da

    during training. We recommend drin

    oz to 1 oz per pound o body weigh

    day. Fluids should consist of primaril

    ter and other naturally low or non c

    beverages, ollowed by 100% ruit

    (depending upon calorie requirem

    Tis is a good range that helps people

    baseline recommended uid intake

    2.7L/day or women and 3.7L/d or

    In order to prevent dehydration durin

    ercise, it is recommended by the ACS

    create an individual approach to min

    ing fuid loss during training by wei

    in and out of sessions and tracking

    much uid is consumed. A general

    to start as recommended by the Na

    Athletic Trainers Association (NATA)

    drink 17 20oz prior to exercise, 7

    oz every 10 20 minutes during exe

    and 17 24oz or each pound lost d

    exercise (3). During times o intense

    ity, extreme temperatures, and long

    tion, a carbohydrate electrolyte bever

    optimal in addition to water because

    imperative to replace both water and

    lost rom sweat. Te fuid replaceme

    critical or those training two or more

    Eat Clean 1 2 3 4 5

    Eat Often 1 2 3 4 5

    Hydrate 1 2 3 4 5

    Recover 1 2 3 4 5

    Mindset 1 2 3 4 5

    Table 1Performance Nutrition

    Assessment

    (5 = Great; 1 = Not So Great)

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    nscas performance training journal www.nsca-lift.org volume 7 issue 5 1

    Ten Simple Things to Remember for Optimal Nutriti

    per day in order to maintain perormance at

    subsequent training bouts.

    Dontwasteyourworkout.. Even with the

    plethora o research available on the benets

    of post workout nutrition, I still see athletes

    and workout warriors skipping the recovery

    meal or snack. e mindset of many still

    involves a hesitation to consume calories

    ater just burning them. In order to opti-

    mize the benets o a training session and

    jumpstart recovery or maximal gains, it is

    critical to consume a post workout recov-

    ery meal that blends both carbohydrate and

    protein within 45 minutes ater training.

    Tis recovery meal should contain a reple-

    tion factor of 1.2 1.5g/kg bodyweight that

    combines both carbohydrate (1.0 1.2g/kg

    bodyweight) and a blend o whey and ca-sein protein (0.3 0.4g/kg bodyweight) in

    a ratio that ranges rom 2:1 to 4:1 depend-

    ing upon the intensity and duration o the

    training. By consuming this snack, meal,

    shake, or bar that hits your protein and car-

    bohydrate requirements as quickly as pos-

    sible ater training, glycogen repletion, lean

    body mass gains, perormance on a subse-

    quent training bout and immune unction

    will be optimized (2,4,6).

    Supplement wisely.. Tere are so manysupplements on the market that it becomes

    dicult to decipher which ones are needed.

    Supplements should compliment the diet

    and a mentality o ood rst supplement

    second should be employed; however, there

    are a number o situations that warrant a

    basic supplementation protocol. Tose who

    do not get the recommended three serv-

    ings of fatty sh per week should consider

    supplementing with an Essential Fatty Acid

    supplement. Tose who do not get the cal-

    cium they need, especially emale athletes,

    should consider a calcium supplement. Sup-

    plements that reach beyond that scope can

    be taken, but should be chosen only after

    an evaluation with a doctor and dietitian.

    When choosing any supplement, make sure

    that it has a Good Manufacturing Practice

    (GMP) symbol, is free of banned substanc-

    es, and has accuracy in labeling. Utilizing

    websites such as consumerlab.com, ns.org,

    and inormedchoice.org can be very help-

    ul.

    Getbackinthekitchen.10. In a world o con-

    venience, travel, and lie on the go, we turn

    to restaurants, fast food, and quick food

    or our nourishment. Restaurants, regard-

    less of the type, do not take into consid-

    eration your calorie needs or your health

    when deciding upon their menu. Eating

    out is tricky as the majority of items are

    oversized and have signicantly more at

    and calories than similar dishes made at

    home. At the end of the day, if you reallywant to maximize your body composition,

    hit your nutrient and calorie goals, and just

    eat cleaner, you are your best ally. Te more

    you can prepare your own ood, the more

    control you will have in the nourishment

    o your body.

    We simplied this further by breaking th

    Rules down into 5 categories: Eat Clean

    Often, Hydrate, Recover, and Mindset.

    category represents a very important piece

    it comes to ueling the body or perorm

    and for health. In order to stay on track, w

    our athletes and clients to gauge how the

    doing with a simple Perormance Nut

    Assessment on a daily basis (table1) . We

    them rank on a scale of 1 to 5 each of th

    categories. is daily check point serve

    time to refect on how well they are nouri

    their body despite the busy nature o lie.

    When it comes down to nutrition, there

    one answer, one magic pill, one supplem

    or one tip that will give you the results yolooking for. It involves taking the 10 tips

    and creating Perect Days (table 2) and m

    ing the consistency o implementing the s

    gies listed above into daily lie until it beco

    habit. So, how are you doing?

    Time Meal

    5:00 AM Wake-up

    5:15 Whole wheat toast w/peanut

    butter, yogurt

    6:00 7:15 Workout

    7:30 Post Workout Shake w/

    Carbohydrate and Protein

    9:30 Oatmeal w/berries and walnuts,

    egg whites scrambled with

    veggies, low fat cheese and olive

    oil

    12:30 PM Turkey sandwich on whole wheat

    with large spinach salad and low

    fat dressing

    3:30 Plum w/raw almonds

    6:30 Grilled salmon, brown rice,

    steamed veggies, large green

    salad w/low fat dressing

    9:30 Low fat cottage cheese and c

    berries

    Table 2Sample Perfect Day

    Nutritional Plan

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    Ten Simple Things to Remember for Optimal Nutriti

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    Berardi, JM, Price, TB, Noreen, EE, Lemon.

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    Casa, DJ, Armstrong, LE, Hilllman, SK, Montain,.

    SJ, Reiff, RV, Rich, BSE, Roberts, WO, Stone,

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    Coyle, E.F. Timing and method of increased.

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    51-2. 1991.

    Institute of Medicine. Dietary Reference Intakes. for Energy, Carbohydrate, Fiber, Fat, Fatty

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    (Macronutrients). National Academies Press.

    2002.

    Ivy, JL, Katz, AL, Cutler, CL, Sherman, WM, Coyle,.

    E. Muscle glycogen synthesis after exercise:

    effect of time of carbohydrate ingestion.Journal

    of Applied Physiology, 64, 1480 1485. 1988.

    Manore, A, Barr, S, Buttereld, G. Position Stand.

    of the American Dietetic Association, Dietitians

    of Canada, and the American College of Sports

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    12: 1543-1556. 2000.Phillips, S. Dietary Protein

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