Sports Medicine: Just the Facts

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CHAPTER 14 • NUTRITION 83

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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

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