CHAPTER 14 • NUTRITION 83
Resource Manual for Exercise Testing and Prescription.
Philadelphia, PA, Lipincott Williams & Wilkins, 2001.
Durstine J, Davis P: Specificity of exercise training and testing,
in Roitman J, Haver E, Herridge M (eds.): ACSM’s Resource
Manual for Guidelines for Exercise Testing and Prescription.
Philadelphia, PA, Lipppincott Williams & Wilkins, 2001.
Franklin B: Normal cadiorespiratory responses to acute aerobic exer-
cise, in Roitman J, Haver E, Herridge M (eds.): ACSM’s Resource
Manual for Guidelines for Exercise Testing and Prescription.
Philadelphia, PA, Lippincott Williams & Wilkins, 2001.
Franklin B, Whaley M, Howley E (eds.): Benefits and risks asso-
ciated with exercise: ACSM’s Guidlines for Exercise Testing
and Prescription. Philadelphia, PA, Lippincott Williams &
Willliams, 2000a.
Franklin B, Whaley M, Howley E (eds.): General principles of
exercise prescription: ACSM’s Guidelines for Exercise Testing
and Prescription. Philadelphia, PA, Lippincott Williams &
Wilkins, 2000b.
Franklin B, Whaley M, Howley E (eds.): Health screening and
risking stratification, in Franklin B, Whaley M, Howley E (eds.):
ACSM’s Guidelines for Exercise Testing and Prescription.
Philadelphia, PA, Lippincott Williams & Williams, 2000c.
Franklin B, Whaley M, Howley E (eds.): Physical fitness testing
and interpretation: ACSM’s Guidelines for Exercise Testing
and Prescription. Philadelphia, PA, Lippincott Williams &
Wilkins, 2000d.
Fredette D: Exercise Recommendations for Flexibility and Range
of Motion, in Roitman J, Haver E, Herridge M (eds.): ACSM’s
Resource Manual for Guidelines for Exercise Testing and
Prescription, Philadelphia, PA, Lipppincott Williams &
Wilkins, 2001.
Holly R, Shaffrath J: Cardiorespiratory Endurance, in Roitman J,
Haver E, Herridge M (Eds.): ACSM’s Resource Manual for
Guidelines for Exercise Testing and Prescription. Philadelphia,
PA, Lippincott Williams & Wilkins, 2001.
Humphrey R: Musculoskeletal anatomy, in Roitman J, Haver E,
Herridge M (eds.): ACSM’s Resource Manual for Guidelines
for Exercise Testing and Prescription. Philadelphia, PA,
Lipincott Williams & Wilkins, 2001.
Pollock M, Gaesser G, Butcher J et al: The recommended quan-
tity and quality of exercise for developing and maintaining car-
diorespiratory and muscular fitness and flexibility in healthy
adults: Medicine & Science in Sports and Exercise. American
College of Sports Medicine Position Stand, 1998. Med Sci
Sports Exerc30(6):975–991.
Rupp J: Exercise physiology, in Roitman J, Bibi K, Thompson W
(eds.): ACSM’s Health Fitness Certification Review.
Philadelphia, PA, Lipincott Williams & Wilkins, 2001.
Stephens M, O’Connor F, Deuster P: Exercise and nutrition:
AAFP Home Study—a self-assessment program. American
Academy of Family Physicians, Leawood, KS, 2002.
Whaley M, Kaminsky L: Epidemiology of physical activity,
physical fitness and selected chronic diseases, in Roitman J,
Haver E, Herridge M, (eds.): ACSM’s Resource Manual for
Guidelines for Exercise Testing and Prescription. Philadephia,
PA, Lipincott Williams & Wilkins, 2001.
Wygand J: Exercise programming, in Roitman J, Bibi K,
Thompson W, (eds.): ACSM’s Health Fitness Certification
Review. Philadelphia, PA, Lippincott Williams & Wilkins, 2001.
14 NUTRITION
Nancy M DiMarco, PhD, RD, LD
Eve V Essery, BS, PhDc
INTRODUCTION
- Athletes who eat a healthy diet and practice good
lifestyle habits perform at peak output, recover more
quickly, and reach goals faster. - This chapter focuses on fuel utilization during exercise,
the general dietary needs of competitive individuals,
carbohydrate loading for glycogen resynthesis, mainte-
nance of muscle mass, beneficial ergogenic aids, and
some dietary supplements, including energy bars.
FUEL UTILIZATION
- Duration, frequency, and intensity of exercise deter-
mine the amount of energy expended during activity,
and the type of activity performed determines the pre-
dominant energy pathway used (Romijn et al, 1993;
Weber, 1996). - Three energy pathways are used for muscular work,
including two anaerobic and one primarily aerobic
pathways (Powers and Howley, 1990):
1.The power pathwayis used during high intensity
events lasting no longer than 4 s. Adenosine tri-
phosphate(ATP) and creatine phosphate within the
muscle provide the readily available energy for
activity. Examples of activities that use the power
pathway include the lean and jerk in weight lifting
or a fast break in basketball.
2. The speed pathwayis used for events lasting 4 to
60 s. The major substrates used in this pathway are
glucose and muscle glycogen, which are rapidly
metabolized anaerobically through the glycolytic
cascade. Typical events include track events of less
than 400 m or swimming events less than 100 m.
Approximately 25–35% of muscle glycogen stores
are used during a single 30-s sprint or resistance
exercise bout. Further, if an individual is partici-
pating in repeated sprints, muscle glycogen is
depleted with each sprint.
3. Neither the power nor the speed pathways can pro-
vide sufficient energy for the muscles to contract at a
very high rate for events lasting longer than ~2 min.
4. The endurance pathwayis used for events lasting
longer than 2 min. The major substrates for this path-
way include glycogen (from the muscle and liver),
fat (from the muscle, blood, and adipose tissue), as