Sports Medicine: Just the Facts

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CHAPTER 93 • WEIGHTLIFTING 543

b.Current recommendations are for competitors to
consume 150 to 300 mL every 15–20 min of
exercise. These recommendations can lead to
problems for slow competitors who spend a lot
of time on the course and as a result can con-
sume large volumes of fluid and possibly
develop hyponatremia. On the other hand, elite
athletes may consume less than 200 mL of fluid
during a standard endurance event (Convertino
et al, 1996).
c. Noakes proposes that “back in the pack” com-
petitors be urged to drink ad libitum(no more
than 400–800 mL/h) instead of the traditional
drink as much as possible/force hydration
model. In his opinion, this method will maintain
competitors’ vascular status and minimize their
risk for dilutional hyponatremia (Noakes, 2003).


  1. Which fluids should be consumed by athletes
    while training or competing?
    a. Competitions lasting less than 1 h—water is the
    best replacement fluid.
    b.Competitions lasting greater than 1 h—a carbo-
    hydrate/electrolyte replacement beverage is
    more appropriate.

  2. A 4–8% carbohydrate solution is optimal
    with 10% carbohydrates being the maximum
    recommended amount. This will maximize
    the quick absorption of carbohydrates and
    minimize potential side effects.


REFERENCES


American College of Sports Medicine: American Dietetic
Association and Dietitians of Canada: Joint position statement
nutrition and athletic performance. Med Sci Sports Exerc
2130–2138, 2000.
Burns J, Keenan AM, Redmond AC: Factors associated with
triathlon-related overuse injuries. J Orhop Sports Phy Ther
33(4):177–184, 2003.
Convertino VA, Armstrong LE et al: Position stand exercise and
fluid replacement. Med Sci Sports Exerc 28:I–vii, 1996.
DiMarco NM, Samuels M: Nutritional considerations, in
O’Connor FG, Wilder RP (eds.): Textbook of Running
Medicine, New York, NY, McGraw Hill, 2001, pp 477–489.
Fieseler: The ultramarathoner, in O’Connor FG, Wilder RP
(eds.): Textbook of Running Medicine, New York, NY, McGraw
Hill, 2001, pp 469–477.
Hellemans J: Maximizing Olympic Distance Triathlon
Performance—A Sports Medicine Perspective.
Mayers LB, Noakes TD: A guide to treating ironman triathletes
at the finish line. Phys Sportsmed28(8), 2000.
Noakes T: Hyponatremia in distance runners: Fluid and sodium bal-
ance during exercise. Curr Sports Med Rep1(4):197–207, 2003.


Paluska SA: Caffeine and exercise. Curr Sports Med Rep
2(4):213–219, 2002.
Thompson MJ, Rivara FP: Bicycle-related injuries. Am Fam Phys
63(10):2007–2014, 2001.
Williams MM, Hawley JA et al: Injuries amongst competitive
triathletes. N Z J Sports Med: 2–6, 1988.

BIBLIOGRAPHY


Armstrong LE et al: Position stand—heat and cold illneses
during distance running. Am Coll Sports Med, 1996.
Bouchama A, Knochel JP: Medical progress: Heat stroke. N Engl
J Med346(25):1978–1988, 2002.
Cianca JC, Roberts WO, Horn D: Distance running: Organization
of the medical team, in O’Connor FG, Wilder RP (eds.):
Textbook of Running MedicineNew York, NY, McGraw Hill,
2001, pp 489–504.
Collins K, Wagner M et al: Overuse injuries in triathletes. A study
of the 1986 Seafair Triathlon. Am J Sports Med17(5):675–680,
1989.
Grange JT: Planning for large events. Curr Sports Med Rep1(3):
156–161.
Korkia PK, Tunstall-Pedoe DS, Maffulli N: An epidemiological
investigation of training and injury patterns in British triath-
letes. Br J Sports Med 28(3):191–196, 1994.
Martinez JM, Laird R: Managing triathlon competition. Curr
Sports Med Rep2(3):142–146, 2003.
Noakes T: Fluid replacement during marathon running. Clin J
Sports Med13(5):309–318, 2003.

93 WEIGHTLIFTING


Joe Hart, MS, ATC
Christopher D Ingersoll, PhD, ATC,
FA C S M

BASIC MUSCLE PHYSIOLOGY

SKELETAL MUSCLE CONTRACTION

•Several bundles of muscle fibers, called fascicles,
comprise a skeletal muscle. A muscle fiber is com-
posed of several myofibrils bundled together.
Myofibrils contain a series of sarcomeres arranged
end-to-end (Lorenz and Campello, 2001).


  • Sarcomeres are the functional and contractile compo-
    nent of skeletal muscle through a dynamic interaction
    between the proteins actin and myosin.

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