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Introduction
1. Structure and function of body systems
2. Biomechanics of resistance exercise
3. Bioenergetics of exercise and training
4. Endocrine responses to resistance exercise
5. Adaptations to anaerobic training
6. Adaptations to aerobic endurance training
7. Age and sex differences in resistance exercise
8. Psychology of athletic preparation and performance
9. Sports nutrition
10. Nutrition strategies for maximizing performance
10.1 Precompetition, during-event, and postcompetition nutrition
10.2 Nutrition strategies for altering body composition
10.3 Eating disorders
11. Performance-enhancing substances and methods
12. Principles of test selection and administration
13. Administration, scoring, and interpretation of selected tests
14. Warm-up and flexibility training
15. Exercise technique for free weight and machine training
16. Exercise technique for alternative modes and nontraditional implement training
17. Program design for resistance training
18. Program design and technique for plyometric training
19. Program design and technique for speed and agility training
20. Program design and technique for aerobic endurance training
21. Periodization
22. Rehabilitation and reconditioning
23. Facility design, layout, and organization
24. Facility policies, procedures, and legal issues
Wrapping up
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10.2 Nutrition strategies for altering body composition
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10. Nutrition strategies for maximizing performance

Nutrition strategies for altering body composition

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Athletes often need to change body composition by gaining muscle, losing fat, or doing both. A good starting point is to estimate your daily calorie needs. This estimate depends on factors such as genetics, current body composition, training program, and age.

Key components of energy requirements:

  1. Basal metabolic rate (BMR): Accounts for 65-70% of daily energy expenditure.
  2. Physical activity energy expenditure: Highly variable and increases as training volume and intensity increase.
  3. Thermic effect of food: Energy used to digest, absorb, and store food (~10-15% of total expenditure).

Weight gain strategies

Athletes can gain weight by:

  • Eating more calories, increasing meal frequency, and prioritizing calorie-dense foods.
  • Ensuring sufficient protein intake (1.5-2.0 g/kg body weight) to support lean mass gains.
  • Overfeeding studies suggest high-protein diets lead to more lean mass gains, whereas low-protein diets lead to excess fat gain.
  • Creatine monohydrate supplementation can further support lean body mass increases.

Practical recommendations:

  • Increase meal frequency and add snacks between meals.
  • Choose nutrient-dense foods with higher protein and calorie content.
  • Monitor intake and adjust based on weight changes.

Estimated daily calorie needs for athletes

Activity level Male (kcal/lb) Female (kcal/lb)
Light (e.g., walking, low-intensity tasks) 17 kcal/lb 16 kcal/lb
Moderate (e.g., running, weight training, skiing) 19 kcal/lb 17 kcal/lb
Heavy (e.g., intense training, basketball, soccer) 23 kcal/lb 20 kcal/lb

Weight (fat) loss

Athletes in many sports may need to reduce body fat to improve performance in speed- and endurance-based events or to meet weight-class requirements. Weight management may also provide a psychological advantage.

Even though there are many diet plans, there isn’t a single “best” diet for all athletes. Research shows that both low-carbohydrate and low-fat diets can work, as long as total calorie intake is reduced below maintenance needs.

Key findings on weight loss diets:

  • Total calorie intake and adherence are the most important factors for successful fat loss.
  • Initial weight loss is often rapid due to water loss, particularly in low-carbohydrate diets.
  • Protein intake should be maintained to preserve muscle mass. Some sources suggest higher intakes (1.8-2.7 g/kg body weight per day), particularly during energy deficits. For exam purposes, the recommended range is 1.0-1.7 g/kg body weight per day.
  • A moderate energy deficit (~500 kcal/day) is recommended for sustainable fat loss.
  • Behavioral therapy and social support can improve long-term weight management success.

Overweight and obesity

Overweight and obesity are classified using body mass index (BMI):

  • Overweight: BMI of 25-29.9 kg/m²
  • Obesity: BMI of ≥30 kg/m²

Health risks associated with obesity:

  • Increased risk of hypertension, cardiovascular disease, type 2 diabetes, osteoarthritis, sleep apnea, and certain cancers.

The causes of obesity are complex and multifactorial, involving genetic, environmental, social, and behavioral factors. Treatments may include:

  • Dietary therapy
  • Increased physical activity
  • Behavior modification
  • Pharmacotherapy or surgery (in severe cases)

A realistic goal for overweight or obese individuals is to lose 10% of their initial weight within six months.

Low-carbohydrate diets

Low-carbohydrate diets are popular for short-term weight loss due to:

  • Rapid water weight loss when glycogen stores are depleted.
  • Higher protein intake, which can increase satiety and thermogenesis.
  • Increased fat oxidation, particularly in active individuals.

However, long-term adherence can be challenging. Athletes should balance carbohydrate intake carefully to avoid declines in training quality and performance.

Calculating BMI

BMI estimation formulas:

  • Metric formula: BMI = weight (kg) ÷ height (m)²
  • Imperial formula: BMI = weight (lb) ÷ height (in)² × 703

Classification of adult BMI and associated disease risk

Classification BMI (kg/m²) Disease risk
Underweight <18.5 Low*
Normal weight 18.5-24.9 Average
Overweight 25-29.9 Increased
Obesity I 30-34.9 High
Obesity II 35-39.9 Very high
Extreme obesity III ≥40 Extremely high

*BMI may overestimate body fat in athletes with high muscle mass and underestimate it in older individuals.

Rapid weight loss

Rapid weight loss (RWL) is defined as losing weight faster than what is achievable through caloric restriction alone.

Common RWL methods:

  • Fasting
  • Dehydration (diuretics, sauna, excessive clothing)
  • Self-induced vomiting or laxative abuse
  • Extreme calorie restriction

Risks of rapid weight loss:

  • Loss of lean body mass
  • Fatigue and mood swings
  • Dehydration, dizziness, and suppressed immune function
  • Electrolyte imbalances, kidney failure, and in severe cases, death

Coaches and strength professionals should recognize signs of disordered weight loss behaviors and refer athletes for appropriate care.

Key components of energy requirements

  • BMR: 65-70% of daily energy expenditure
  • Physical activity: highly variable, increases with training
  • Thermic effect of food: ~10-15% of total expenditure

Weight gain strategies

  • Increase calories, meal frequency, and choose calorie-dense, high-protein foods
  • Protein intake: 1.5-2.0 g/kg body weight for lean mass gains
    • High-protein diets favor lean mass; low-protein diets increase fat gain
  • Creatine monohydrate supports lean body mass gains

Practical recommendations for weight gain

  • More frequent meals and snacks
  • Nutrient-dense, high-protein, high-calorie foods
  • Monitor and adjust intake based on weight changes

Estimated daily calorie needs for athletes

  • Light activity: Males 17 kcal/lb, Females 16 kcal/lb
  • Moderate activity: Males 19 kcal/lb, Females 17 kcal/lb
  • Heavy activity: Males 23 kcal/lb, Females 20 kcal/lb

Weight (fat) loss

  • Total calorie intake and adherence are most important for fat loss
  • Initial rapid weight loss often due to water loss (esp. low-carb diets)
  • Maintain protein intake: 1.0-1.7 g/kg body weight per day (exam range)
    • Higher protein (1.8-2.7 g/kg) may help preserve muscle during deficits
  • Moderate energy deficit (~500 kcal/day) for sustainable loss
  • Behavioral therapy and social support aid long-term success

Overweight and obesity

  • Overweight: BMI 25-29.9 kg/m²; Obesity: BMI ≥30 kg/m²
  • Health risks: hypertension, CVD, type 2 diabetes, osteoarthritis, sleep apnea, cancers
  • Causes: genetic, environmental, social, behavioral factors
  • Treatments: diet, physical activity, behavior modification, meds/surgery (severe)
  • Goal: lose 10% of initial weight in 6 months

Low-carbohydrate diets

  • Rapid water weight loss from glycogen depletion
  • Higher protein increases satiety and thermogenesis
  • Increased fat oxidation in active individuals
  • Long-term adherence is difficult; low carbs may impair training/performance

Calculating BMI

  • Metric: BMI = weight (kg) ÷ height (m)²
  • Imperial: BMI = weight (lb) ÷ height (in)² × 703

Classification of adult BMI and disease risk

  • Underweight: <18.5 (Low*)
  • Normal: 18.5-24.9 (Average)
  • Overweight: 25-29.9 (Increased)
  • Obesity I: 30-34.9 (High)
  • Obesity II: 35-39.9 (Very high)
  • Extreme obesity III: ≥40 (Extremely high)
    • *BMI may overestimate fat in muscular athletes, underestimate in elderly

Rapid weight loss (RWL)

  • Defined as weight loss faster than caloric restriction allows
  • Methods: fasting, dehydration, vomiting/laxatives, extreme restriction
  • Risks: loss of lean mass, fatigue, dehydration, immune suppression, electrolyte imbalance, kidney failure, death
  • Coaches should watch for disordered behaviors and refer for care

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Nutrition strategies for altering body composition

Athletes often need to change body composition by gaining muscle, losing fat, or doing both. A good starting point is to estimate your daily calorie needs. This estimate depends on factors such as genetics, current body composition, training program, and age.

Key components of energy requirements:

  1. Basal metabolic rate (BMR): Accounts for 65-70% of daily energy expenditure.
  2. Physical activity energy expenditure: Highly variable and increases as training volume and intensity increase.
  3. Thermic effect of food: Energy used to digest, absorb, and store food (~10-15% of total expenditure).

Weight gain strategies

Athletes can gain weight by:

  • Eating more calories, increasing meal frequency, and prioritizing calorie-dense foods.
  • Ensuring sufficient protein intake (1.5-2.0 g/kg body weight) to support lean mass gains.
  • Overfeeding studies suggest high-protein diets lead to more lean mass gains, whereas low-protein diets lead to excess fat gain.
  • Creatine monohydrate supplementation can further support lean body mass increases.

Practical recommendations:

  • Increase meal frequency and add snacks between meals.
  • Choose nutrient-dense foods with higher protein and calorie content.
  • Monitor intake and adjust based on weight changes.

Estimated daily calorie needs for athletes

Activity level Male (kcal/lb) Female (kcal/lb)
Light (e.g., walking, low-intensity tasks) 17 kcal/lb 16 kcal/lb
Moderate (e.g., running, weight training, skiing) 19 kcal/lb 17 kcal/lb
Heavy (e.g., intense training, basketball, soccer) 23 kcal/lb 20 kcal/lb

Weight (fat) loss

Athletes in many sports may need to reduce body fat to improve performance in speed- and endurance-based events or to meet weight-class requirements. Weight management may also provide a psychological advantage.

Even though there are many diet plans, there isn’t a single “best” diet for all athletes. Research shows that both low-carbohydrate and low-fat diets can work, as long as total calorie intake is reduced below maintenance needs.

Key findings on weight loss diets:

  • Total calorie intake and adherence are the most important factors for successful fat loss.
  • Initial weight loss is often rapid due to water loss, particularly in low-carbohydrate diets.
  • Protein intake should be maintained to preserve muscle mass. Some sources suggest higher intakes (1.8-2.7 g/kg body weight per day), particularly during energy deficits. For exam purposes, the recommended range is 1.0-1.7 g/kg body weight per day.
  • A moderate energy deficit (~500 kcal/day) is recommended for sustainable fat loss.
  • Behavioral therapy and social support can improve long-term weight management success.

Overweight and obesity

Overweight and obesity are classified using body mass index (BMI):

  • Overweight: BMI of 25-29.9 kg/m²
  • Obesity: BMI of ≥30 kg/m²

Health risks associated with obesity:

  • Increased risk of hypertension, cardiovascular disease, type 2 diabetes, osteoarthritis, sleep apnea, and certain cancers.

The causes of obesity are complex and multifactorial, involving genetic, environmental, social, and behavioral factors. Treatments may include:

  • Dietary therapy
  • Increased physical activity
  • Behavior modification
  • Pharmacotherapy or surgery (in severe cases)

A realistic goal for overweight or obese individuals is to lose 10% of their initial weight within six months.

Low-carbohydrate diets

Low-carbohydrate diets are popular for short-term weight loss due to:

  • Rapid water weight loss when glycogen stores are depleted.
  • Higher protein intake, which can increase satiety and thermogenesis.
  • Increased fat oxidation, particularly in active individuals.

However, long-term adherence can be challenging. Athletes should balance carbohydrate intake carefully to avoid declines in training quality and performance.

Calculating BMI

BMI estimation formulas:

  • Metric formula: BMI = weight (kg) ÷ height (m)²
  • Imperial formula: BMI = weight (lb) ÷ height (in)² × 703

Classification of adult BMI and associated disease risk

Classification BMI (kg/m²) Disease risk
Underweight <18.5 Low*
Normal weight 18.5-24.9 Average
Overweight 25-29.9 Increased
Obesity I 30-34.9 High
Obesity II 35-39.9 Very high
Extreme obesity III ≥40 Extremely high

*BMI may overestimate body fat in athletes with high muscle mass and underestimate it in older individuals.

Rapid weight loss

Rapid weight loss (RWL) is defined as losing weight faster than what is achievable through caloric restriction alone.

Common RWL methods:

  • Fasting
  • Dehydration (diuretics, sauna, excessive clothing)
  • Self-induced vomiting or laxative abuse
  • Extreme calorie restriction

Risks of rapid weight loss:

  • Loss of lean body mass
  • Fatigue and mood swings
  • Dehydration, dizziness, and suppressed immune function
  • Electrolyte imbalances, kidney failure, and in severe cases, death

Coaches and strength professionals should recognize signs of disordered weight loss behaviors and refer athletes for appropriate care.

Key points

Key components of energy requirements

  • BMR: 65-70% of daily energy expenditure
  • Physical activity: highly variable, increases with training
  • Thermic effect of food: ~10-15% of total expenditure

Weight gain strategies

  • Increase calories, meal frequency, and choose calorie-dense, high-protein foods
  • Protein intake: 1.5-2.0 g/kg body weight for lean mass gains
    • High-protein diets favor lean mass; low-protein diets increase fat gain
  • Creatine monohydrate supports lean body mass gains

Practical recommendations for weight gain

  • More frequent meals and snacks
  • Nutrient-dense, high-protein, high-calorie foods
  • Monitor and adjust intake based on weight changes

Estimated daily calorie needs for athletes

  • Light activity: Males 17 kcal/lb, Females 16 kcal/lb
  • Moderate activity: Males 19 kcal/lb, Females 17 kcal/lb
  • Heavy activity: Males 23 kcal/lb, Females 20 kcal/lb

Weight (fat) loss

  • Total calorie intake and adherence are most important for fat loss
  • Initial rapid weight loss often due to water loss (esp. low-carb diets)
  • Maintain protein intake: 1.0-1.7 g/kg body weight per day (exam range)
    • Higher protein (1.8-2.7 g/kg) may help preserve muscle during deficits
  • Moderate energy deficit (~500 kcal/day) for sustainable loss
  • Behavioral therapy and social support aid long-term success

Overweight and obesity

  • Overweight: BMI 25-29.9 kg/m²; Obesity: BMI ≥30 kg/m²
  • Health risks: hypertension, CVD, type 2 diabetes, osteoarthritis, sleep apnea, cancers
  • Causes: genetic, environmental, social, behavioral factors
  • Treatments: diet, physical activity, behavior modification, meds/surgery (severe)
  • Goal: lose 10% of initial weight in 6 months

Low-carbohydrate diets

  • Rapid water weight loss from glycogen depletion
  • Higher protein increases satiety and thermogenesis
  • Increased fat oxidation in active individuals
  • Long-term adherence is difficult; low carbs may impair training/performance

Calculating BMI

  • Metric: BMI = weight (kg) ÷ height (m)²
  • Imperial: BMI = weight (lb) ÷ height (in)² × 703

Classification of adult BMI and disease risk

  • Underweight: <18.5 (Low*)
  • Normal: 18.5-24.9 (Average)
  • Overweight: 25-29.9 (Increased)
  • Obesity I: 30-34.9 (High)
  • Obesity II: 35-39.9 (Very high)
  • Extreme obesity III: ≥40 (Extremely high)
    • *BMI may overestimate fat in muscular athletes, underestimate in elderly

Rapid weight loss (RWL)

  • Defined as weight loss faster than caloric restriction allows
  • Methods: fasting, dehydration, vomiting/laxatives, extreme restriction
  • Risks: loss of lean mass, fatigue, dehydration, immune suppression, electrolyte imbalance, kidney failure, death
  • Coaches should watch for disordered behaviors and refer for care