Sports Medicine: Just the Facts

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CHAPTER 14 • NUTRITION 89

ergogenic aids. Those who do recommend their use
should examine the safety, efficacy, potency, and
legality of the product before discussing the product
with clients (Joint position statement: Nutrition and
athletic performance, 2000).

DIETARY SUPPLEMENTS/ENERGY BARS



  • Dietary supplements can be found as pills, powders,
    beverages, and bars. As with ergogenic aids, many
    dietary supplements are advertised with claims that
    sound appealing, but for the most part are not sup-
    ported by research.

  • Most athletes can meet their nutrient needs by con-
    suming a well-balanced diet. Athletes have increased
    caloric needs, and if caloric needs are met by the con-
    sumption of foods, most nutrient needs are met as
    well.
    •However, supplements may be necessary for athletes
    who restrict energy intake, use severe weight-loss
    practices, or eliminate food group(s) from the diet
    (Bruce et al, 2000). Also some supplements may be
    beneficial when a compact source of energy is
    required. For example, when athletes train in
    intensely, they may expend 3000–6000 kcal in train-
    ing alone. Consumption of an energy dense beverage
    or bar may help athletes meet calorie needs. Products
    that provide carbohydrate and protein are recom-
    mended. Supplementation with individual amino
    acids has not been supported by research.

  • When choosing supplements, look for the U.S.
    Pharmacopoeia (USP) seal. The USP establishes stan-
    dards for quality and purity of supplements. Also, it is
    generally recommended that supplements provide no
    more than 150% of the daily value of nutrients.


SUMMARY



  • A balanced diet that provides the proper amounts of
    all required nutrients is essential for peak perform-
    ance and a healthy lifestyle. This is especially impor-
    tant for the athlete who might be training intensely or
    competing on successive days. The three primary
    energy systems used during running are the power,
    speed, and endurance systems. The energy systems
    used and energy requirements will vary for each indi-
    vidual depending on such factors as mode of activity,
    intensity, duration, height, weight, and gender. To aid
    in peak performance it is recommended that the ath-
    lete pay special attention to preevent, event, and
    postevent nutrient consumption. This will help ensure
    adequate hydration, glucose intake, and recovery.
    Finally, the use of such methods as glycogen loading


and creatine intake may help increase performance
and power output for both long-distance runners and
sprinters, respectively.

REFERENCES


Alaimo K, McDowell MA, Briefel RR, et al: Dietary intake of
vitamins, minerals, and fiber of persons ages 2 months and
over in the United States. Third National Health and Nutrition
Examination Survey, Phase 1, 1988–91. Adv Data1–28, 1994.
Below PR, Mora-Rodriguez R, Gonzalez-Alonso J, et al: Fluid
and carbohydrate ingestion independently improve perform-
ance during 1 h of intense exercise. Med Sci Sports Exerc
27:200–10, 1995.
Bergeron M, Volpe S, Gelinas Y: Cutaneous calcium losses
during exercise in the heat: A regional sweat patch estimation
technique. Clin Chem44S, 1998.
Briefel RR, McDowell MA, Alaimo K, et al: Total energy intake of
the US population: The third national health and nutrition exam-
ination survey, 1988–1991. Am J Clin Nutr62:1072S–80S,
1995.
Bruce CR, Anderson ME, Fraser SF, et al: Enhancement of 2000-m
rowing performance after caffeine ingestion. Med Sci Sports
Exerc32:1958–63, 2000.
Bruce CR, Anderson ME, Fraser SF, et al: Enhancement of 2000-m
rowing performance after caffeine ingestion. Med Sci Sports
Exerc32:1958–63, 2000.
Burke LM, Read RS: Dietary supplements in sport. Sports Med
15:43–65, 1993.
Burke LM: Nutrition for post-exercise recovery. Aust J Sci Med
Sport29:3–10, 1997.
Burke LM: Nutritional needs for exercise in the heat. Comp
Biochem Physiol A Mol Integr Physiol128:735–48, 2001.
Butterfield GE, Calloway DH: Physical activity improves protein
utilization in young men. Br J Nutr51:171–84, 1984.
Carrithers JA, Williamson DL, Gallagher PM, et al: Effects of
postexercise carbohydrate-protein feedings on muscle glyco-
gen restoration. J Appl Physiol88:1976–82, 2000.
Coleman E: Carbohydrate—the master fuel. Nutrition for Sport
and Exercise. Gaithersburg, MD, Aspen, 1998, p 21.
Convertino VA, Armstrong LE, Coyle EF, et al: American
College of Sports Medicine position stand: Exercise and fluid
replacement. Med Sci Sports Exerc28:i–vii, 1996.
Coyle EF, Coggan AR, Hemmert MK, et al: Muscle glycogen uti-
lization during prolonged strenuous exercise when fed carbo-
hydrate. J Appl Physiol61:165–72, 1986.
Coyle EF, Jeukendrup AE, Wagenmakers AJ, et al: Fatty acid oxi-
dation is directly regulated by carbohydrate metabolism during
exercise. Am J Physiol273:E268–75, 1997.
Davis JM, Jackson DA, Broadwell MS, et al: Carbohydrate
drinks delay fatigue during intermittent, high-intensity cycling
in active men and women. Int J Sport Nutr7:261–73, 1997.
Deuster PA, Day BA, Singh A, et al: Zinc status of highly trained
women runners and untrained women. Am J Clin Nutr
49:1295–1301, 1989.
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