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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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10.1 Precompetition, during-event, and postcompetition nutrition
Achievable CSCS
10. Nutrition strategies for maximizing performance

Precompetition, during-event, and postcompetition nutrition

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What athletes eat and drink before and during competition can affect performance. What they eat after competition has a larger effect on recovery. If the time between events is less than 24 hours, recovery nutrition can also influence performance in the next event or game.

This chapter focuses on pre-, during-, and postcompetition nutrition. It also provides guidelines for athletes who want to lose or gain weight. Any discussion of weight is incomplete without addressing disordered eating and eating disorders. Strength and conditioning professionals need to recognize signs and symptoms of eating disorders and take an active role on the treatment team.

Precompetition nutrition

Precompetition meals help you:

  • Provide fluid to maintain hydration
  • Provide carbohydrates to maximize blood glucose and stored glycogen
  • Reduce hunger

Glycogen is the main energy source during high-intensity exercise. When glycogen stores become depleted, muscular fatigue increases.

When planning precompetition nutrition, consider timing, meal composition, sport type, and your personal preferences. To reduce the risk of stomach upset, meals closer to the event should be smaller and made up of simpler foods. Precompetition meals and beverages should be familiar, low in fat (to support digestion), and moderate in protein (to promote longer-lasting satiety).

Athletes can choose either high- or low-glycemic carbohydrates before competition because research doesn’t show that one option is consistently better. Although rapidly absorbed carbohydrates (e.g., glucose) can cause a spike and then a drop in blood glucose, levels usually stabilize within 20 minutes, and this drop does not negatively affect performance.

Aerobic endurance sports

Precompetition meals are especially important for aerobic endurance athletes who perform long-duration activity, particularly in the morning after an overnight fast. When you wake up, blood glucose and liver glycogen stores are low, which reduces carbohydrate availability for exercise. A precompetition meal can help restore glycogen and improve time to exhaustion.

One study examined whether a precompetition carbohydrate meal combined with a carbohydrate-electrolyte sports drink before and during exercise improved aerobic endurance capacity. The results showed that a high-carbohydrate meal before exercise increased endurance running capacity by 9% compared to a placebo drink.

Some endurance athletes who are not chronically adapted to a low-carbohydrate diet may begin exercise with depleted glycogen stores. In that situation, the body may increase muscle protein breakdown to help meet energy needs. Eating a high-carbohydrate diet before exercise can reduce muscle protein breakdown while also providing energy for the immune and nervous systems.

Guidelines to minimize stomach discomfort

To reduce the likelihood of gastrointestinal discomfort during competition, athletes should:

  • Try new foods in practice sessions before competition.
  • Consume smaller amounts of food and liquids as competition nears.
  • Avoid high-fat and high-fiber foods, as they slow digestion and may cause cramps.
  • Be cautious with sugar alcohols, which can cause bloating and cramping.
  • Stay adequately hydrated before exercise.
  • Consume carbohydrates strategically based on timing before the event.

Carbohydrate loading

Carbohydrate loading increases muscle and liver glycogen stores, which can delay fatigue during long-duration aerobic exercise. Several methods exist, but all involve high carbohydrate intake in the days leading up to an event. Studies show carbohydrate loading can increase glycogen stores by up to 20% in men, but it may be less effective in women due to differences in total carbohydrate intake.

Carbohydrate loading is most useful for endurance athletes such as marathon runners, cyclists, and cross-country skiers who are at risk of glycogen depletion. A high-carbohydrate diet for several days before competition, combined with a taper in exercise, can maximize stored glycogen.

Precompetition food and fluid recommendations

Guidelines on carbohydrate intake based on timing before competition:

  • 1 hour before: 0.5 g carbohydrate per kg body weight
  • 2 hours before: 1 g carbohydrate per kg body weight
  • 4 hours or more before: 1-4 g carbohydrate per kg body weight, 0.15-0.25 g protein per kg body weight

Athletes should keep a record of food intake and performance responses to fine-tune their precompetition nutrition strategy.

During-event nutrition

Nutrition during competition is most important for:

  • Aerobic endurance events lasting more than 45 minutes
  • Intermittent sports
  • Multiple-event competitions

Fluids and carbohydrates can directly affect performance. Providing amino acids may help reduce muscle damage.

Hydration

Hydration during competition helps prevent overheating, dehydration, and heat illness. Athletes should hydrate several hours before exercise so there’s time for fluid absorption and urine output. During exercise, they should drink enough to prevent body weight loss greater than 2%.

The optimal sports drink should contain:

  • Sodium: 460-690 mg/L (20-30 mmol/L)
  • Potassium: 78-195 mg/L (2-5 mmol/L)
  • Carbohydrate concentration: 5-10%

Sports drinks with more than 8% carbohydrate may slow gastric emptying and increase stomach discomfort. Fluid intake guidelines also vary by age and body size:

  • Children (40 kg/88 lb): 150 ml (5 oz) of cold water or a flavored beverage every 20 minutes during activity.
  • Adolescents (60 kg/132 lb): 250 ml (9 oz) every 20 minutes if they do not feel thirsty.

Aerobic endurance athletes should consume 30-90 g per hour of multiple carbohydrate types (e.g., sucrose, fructose, glucose) during prolonged exercise.

Tennis players and other intermittent-sport athletes should aim for 200-400 ml of fluid per changeover while consuming carbohydrates to support performance.

Carbohydrate consumption during exercise

Consuming carbohydrates during prolonged aerobic endurance exercise can improve performance, reduce immune suppression, and delay fatigue. Sports drinks provide carbohydrates, but during high-intensity exercise they typically can’t match carbohydrate use unless the athlete drinks more fluid than is practical.

Studies suggest that:

  • Consuming glucose and fructose together can increase carbohydrate oxidation rates.
  • Rinsing the mouth with carbohydrates (without swallowing) may improve performance by 2-3%.
  • Adding protein to a carbohydrate beverage may delay time to exhaustion and reduce muscle damage, though the performance effects are inconclusive.

Intermittent high-intensity sports

Team sports such as soccer, tennis, basketball, and football involve repeated bouts of high-intensity activity. Fatigue in these sports is commonly linked to glycogen depletion and dehydration, so both fluids and carbohydrates are important for maintaining performance.

Studies have shown:

  • Soccer players who consumed carbohydrate-electrolyte beverages improved performance in match-related parameters.
  • Consuming carbohydrates before intermittent shuttle runs reduced the decline in skill performance compared to a placebo.
  • Athletes consuming multiple carbohydrate types (glucose, fructose, maltodextrin) had better carbohydrate oxidation.

Fructose and gastrointestinal distress

Fructose (found in fruit and many sports drinks) is sometimes linked with stomach upset during exercise. Some athletes experience bloating, gas, or abdominal discomfort because fructose can be absorbed more slowly in the intestine. Combining fructose with glucose or maltodextrin may improve absorption and reduce symptoms.

Summary of hydration recommendations

Athletes should develop individualized hydration strategies based on their training and competition conditions. General guidelines include:

  • During high activity in hot weather: Consume 460-690 mg sodium/L, 2-5 mmol potassium/L, and 5-10% carbohydrate concentration.
  • Children (40 kg/88 lb): Drink 150 ml (5 oz) of water or flavored beverage every 20 minutes.
  • Adolescents (60 kg/132 lb): Drink 250 ml (9 oz) every 20 minutes.
  • Aerobic endurance athletes: Consume 30-90 g of multiple carbohydrate types per hour.
  • Tennis players: Drink 200-400 ml per changeover and consume carbohydrates during prolonged matches.

Strength and power sports

Carbohydrates are an important energy source during resistance training and are especially relevant for strength and power sports. Research shows that weightlifting and strength-based exercise can use substantial amounts of muscle glycogen. Because many studies have measured only a few sets, athletes in strength and power sports - or positions that rely heavily on muscle power (e.g., hammer throwers, offensive linemen in American football) - may experience meaningful glycogen depletion across a full competition or training demand.

If an athlete begins with low carbohydrate stores, muscle glycogen will be depleted further, which can impair performance. Strength and power athletes can help maintain glycogen by consuming carbohydrates before and during competition. Carbohydrate intake after exercise also supports recovery by replenishing muscle glycogen.

Postcompetition nutrition

Postcompetition meals support three main goals:

  • Rehydration
  • Glycogen replenishment
  • Muscle repair

Timing matters because postcompetition nutrition helps prepare the body for the next bout of activity. Needs vary by sport, intensity, duration, and individual factors such as body weight and age.

After competition, athletes should:

  • Replace fluid and electrolyte losses by consuming water and carbohydrate-electrolyte solutions.
  • Replenish glycogen stores with carbohydrates.
  • Repair muscle tissue by consuming protein.

Carbohydrate replenishment

Many athletes assume carbohydrates must be consumed immediately after exercise. Research suggests immediate intake isn’t always required because glycogen replenishment can continue for up to 24 hours, as long as total carbohydrate intake is sufficient. However, after strenuous endurance events that cause muscle damage (e.g., marathons), glycogen resynthesis may be slower if muscle cells are damaged.

In one study on glycogen resynthesis, athletes consumed high-glycemic meals over a 24-hour period. One group ate carbohydrate-rich meals immediately after exercise, while another group delayed intake for 2 hours. Delaying carbohydrate intake slightly reduced glycogen resynthesis rates but did not completely impair recovery.

Athletes should aim to consume:

  • 1.0-1.85 g carbohydrate per kg body weight per hour post-exercise.
  • Regular carbohydrate intake every 15-60 minutes for up to 5 hours post-exercise.

Protein for recovery and muscle repair

Protein after exercise supports muscle repair and adaptation. Research shows that adding protein to carbohydrates post-exercise increases glycogen storage when carbohydrate intake is too low. Protein also stimulates muscle protein synthesis, which is central to recovery and growth.

Key protein recommendations:

  • Consume 20-40 g of high-quality protein per meal post-exercise. Effective dosing is typically 20-30 g, with ~40 g recommended for older or larger athletes.
  • Include leucine-rich protein sources (e.g., dairy, meat, eggs), as 2-3 g of leucine effectively stimulates muscle protein synthesis.
  • Eat protein-rich meals every 3-4 hours to maximize muscle repair and recovery.

High-intensity intermittent sports

Athletes in high-intensity intermittent sports (e.g., basketball, hockey, soccer) may have limited recovery time between games. In tournaments, athletes may play multiple matches in one day, so recovery strategies need to start immediately.

Recovery in high-intensity intermittent sports should focus on:

  1. Rapid glycogen replenishment: Consuming 1.2 g carbohydrate per kg body weight per hour post-exercise enhances recovery.
  2. Adequate protein intake: A combination of protein and carbohydrates supports muscle repair and may reduce soreness.
  3. Hydration: Replacing fluids and electrolytes lost through sweat supports performance.

Strength and power recovery

Strength and power athletes need both carbohydrates and protein after exercise. A single resistance training session can significantly reduce glycogen stores, which can reduce force production and increase muscle weakness.

Recommendations for strength and power recovery:

  • Consume carbohydrates post-exercise to replenish glycogen and support muscle recovery.
  • Prioritize high-quality protein intake to stimulate muscle protein synthesis.
  • Leucine-rich protein sources support greater protein synthesis and muscle growth.

Concurrent training considerations

Concurrent training combines endurance and strength training. Strength training alone typically produces greater strength gains, while concurrent training improves endurance performance but may limit strength development.

Guidelines for concurrent training:

  • Consume carbohydrates post-endurance exercise to reduce muscle breakdown.
  • Prioritize protein intake post-exercise to support muscle recovery and adaptation.
  • Spread protein intake throughout the day to maximize muscle protein synthesis.

Protein at mealtimes

Beyond post-workout nutrition, protein distribution across the day matters. Resistance training increases muscle sensitivity to amino acids for up to 48 hours, so regular protein intake supports ongoing repair.

Daily protein recommendations:

  • Consume 20-30 g of protein per meal.
  • Eat protein every 3-4 hours to maximize muscle repair.
  • Children should consume smaller protein amounts spread throughout the day.

Sport-specific protein needs

Protein recommendations for various sports:

  • Low to moderate endurance activities (e.g., jogging, triathlon): 1.0-1.1 g/kg body weight.
  • Elite endurance athletes: >1.6 g/kg body weight.
  • Strength and power sports: Higher protein intake is required, often 1.6-2.0 g/kg body weight to maximize muscle recovery.

American football

  • Daily protein needs: 1.0-2.0 g/kg body weight (higher for intense levels).
  • Sample daily intake for a 200 lb athlete:
    • 2 g protein per kg body weight.
    • 5 large egg whites or whole eggs, cooked with 1 oz cheese (38 g protein).
    • Grilled chicken sandwich (28 g protein).
    • 1 glass of milk or high-protein soy milk (8 g protein).
    • 2 tbsp peanut butter mixed in ½ cup oatmeal made with milk (20 g protein).
    • 6 oz grilled salmon (48 g protein).
    • 12 oz glass of milk + 1 scoop whey protein (37 g protein).
  • Postexercise protein needs: Not yet clarified by research, but players should follow resistance training guidelines and consume 20-25 g of a fast, high-quality, leucine-rich (2-3 g leucine) protein.
  • Postexercise protein examples: Whey protein shake + fruit, higher-protein Greek yogurt, grilled cheese sandwich with turkey or chicken.

Gymnastics

  • Daily protein needs: Varies; dietary restriction may increase protein needs.
  • Postexercise protein needs: Not yet clarified by research.

Team sports

  • Daily protein needs: Likely 1.0-2.0 g/kg body weight, depending on sport and intensity.
  • Postexercise protein needs: 2.0 g/kg body weight; follows similar recommendations as American football.

Weightlifting

  • Daily protein needs: 1.5-2.0 g/kg body weight.
  • Postexercise protein needs: 2.0 g/kg body weight.
  • Postexercise protein examples: Whey protein shake.
  • Studies suggest consuming 20-70 g of protein in close temporal proximity to resistance exercise, with 2-3 g leucine per serving.

Wrestling

  • Daily protein needs: Not well established; dietary restriction may increase needs.
  • Postexercise protein needs: No specific studies available.

Nutrition for aerobic endurance performance and recovery

Aerobic endurance athletes need adequate carbohydrates (8-10 g/kg body weight) and protein (1.0-1.6 g/kg body weight), especially for events lasting 90 minutes or longer.

Key recommendations:

  • Precompetition nutrition:
    • Athletes should consume 1-4 g carbohydrate per kg body weight at least 4 hours before competition.
    • If consuming a precompetition meal 2 hours before exercise, aim for 1 g carbohydrate per kg body weight.
  • During prolonged activity in hot conditions:
    • Sodium intake: 460-690 mg/L.
    • Potassium intake: 78-195 mg/L.
    • Carbohydrate concentration: 5-10%.
  • Postexercise recommendations:
    • Consume 1.5 g carbohydrate per kg body weight within 30 minutes postexercise.
    • Protein may help with muscle repair, but exact recommendations vary.
    • A high-carbohydrate meal immediately after exercise may accelerate glycogen synthesis.

Nutrition for strength and power athletes

Strength and power athletes may use carbohydrates before and during training to maintain energy and reduce muscle breakdown.

Recommendations:

  • Daily carbohydrate intake: 5-6 g/kg body weight.
  • Postexercise carbohydrates: As little as 3 g/kg body weight may reduce muscle breakdown.
  • Protein intake:
    • Younger athletes: At least 20-25 g of high-quality, leucine-rich protein (2-3 g leucine).
    • Older athletes: 40 g protein may be needed to maximize synthesis.

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