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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 their performance, while their postcompetition meal has a greater impact on their recovery. If the time period between events is less than 24 hours, their recovery nutrition also influences performance in the next event or game. This chapter focuses on pre-, during-, and postcompetition nutrition while also providing guidelines for athletes who want to lose or gain weight. Additionally, discussions on weight are incomplete unless they include information on disordered eating and eating disorders. It is imperative that strength and conditioning professionals recognize signs and symptoms of eating disorders and take an active role in the treatment team.

Precompetition nutrition

Precompetition meals help provide fluid to maintain adequate hydration and carbohydrates to maximize blood glucose and stored glycogen levels while keeping hunger at bay. Glycogen is the main form of energy used during high-intensity exercise; once these stores become depleted, the athlete will experience muscular fatigue.

Athletes should consider the timing, meal composition, sport type, and their own preferences when planning precompetition nutrition. To minimize the potential for stomach upset, meals closer to the event should be smaller, with simpler foods. Precompetition meals and beverages should be familiar, low in fat to enhance digestion, and moderate in protein, which promotes longer-lasting satiety.

Athletes can choose between high- or low-glycemic carbohydrates before competition since research does not indicate one is more beneficial than the other. Though consuming carbohydrates that increase blood glucose rapidly (e.g., glucose) leads to a spike and subsequent drop in blood sugar, levels generally 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 engage in long-duration activity, particularly in the morning after an overnight fast. Upon waking, blood sugar levels and liver glycogen stores are low, decreasing available carbohydrates for exercise. A precompetition meal can help restore these glycogen stores and improve exercise time to exhaustion.

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

However, some endurance athletes who are not chronically adapted to a low-carbohydrate diet start exercise with depleted glycogen stores, leading to the breakdown of muscle protein for energy. A high-carbohydrate diet before exercise can mitigate muscle protein breakdown while 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 helps increase muscle and liver glycogen stores to delay fatigue during long-duration aerobic exercise. Various methods exist, but all involve high carbohydrate intake leading up to an event. Studies show that carbohydrate loading increases glycogen stores by up to 20% in men but may be less effective in women due to differences in total carbohydrate intake.

Carbohydrate loading is most beneficial for endurance athletes such as marathon runners, cyclists, and cross-country skiers who risk glycogen depletion. A high-carbohydrate diet for several days before competition, combined with a tapering of 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 their food intake and performance responses to optimize their precompetition nutrition strategy.

During-event nutrition

Proper nutrition during competition is essential for aerobic endurance events lasting more than 45 minutes, intermittent sports, and multiple-event competitions. Fluids and carbohydrates can directly affect performance, while providing amino acids may help minimize muscle damage.

Hydration

Hydration during competition is necessary to prevent overheating, dehydration, and heat illness. Athletes should hydrate several hours before exercise to allow time for fluid absorption and urine output. During exercise, they should consume enough fluids to prevent weight loss exceeding 2% of body weight.

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 delay gastric emptying and cause stomach discomfort. Fluid intake guidelines also differ based on the athlete’s age and weight:

  • 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 of multiple carbohydrate types (e.g., sucrose, fructose, glucose) per hour during prolonged exercise.

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

Carbohydrate consumption during exercise

Consuming carbohydrates during prolonged aerobic endurance exercise can enhance performance, reduce immune suppression, and delay fatigue. Though sports drinks provide carbohydrates, they cannot keep up with the athlete’s carbohydrate utilization during high-intensity exercise unless excess fluid is consumed.

Studies suggest that:

  • Consuming glucose and fructose together can increase carbohydrate oxidation rates.
  • Rinsing the mouth with carbohydrates (without ingestion) 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 like soccer, tennis, basketball, and football involve repeated bouts of high-intensity activity. Fatigue in these sports results from glycogen depletion and dehydration. The provision of both fluids and carbohydrates is essential for maintaining performance.

Studies have shown:

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

Fructose and gastrointestinal distress

Fructose, found naturally in fruit and sports drinks, is sometimes associated with stomach upset during exercise. Some athletes experience bloating, gas, or abdominal discomfort due to slow intestinal absorption. 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 specific training 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 a crucial energy source during resistance training and are particularly important for strength and power sports. Research indicates that athletes performing weightlifting and strength-based exercises utilize significant amounts of muscle glycogen. Since most studies have examined only a few sets of exercises, athletes competing in strength and power sports or positions reliant on muscle power (e.g., hammer throwers, offensive linemen in American football) may experience substantial glycogen depletion.

Athletes with already low carbohydrate stores will further deplete muscle glycogen, which can impair performance. Strength and power athletes can maintain their glycogen stores by supplementing with carbohydrates before and during competition. Additionally, carbohydrate intake post-exercise can enhance recovery and replenish muscle glycogen stores.

Postcompetition nutrition

Postcompetition meals help athletes rehydrate, replenish glycogen stores, and repair muscle tissue. The timing of postcompetition nutrition is important for preparing the body for the next bout of activity. Each athlete’s postcompetition needs vary depending on their sport, intensity, duration of play, and personal characteristics such as 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

Though athletes often believe they need to consume carbohydrates immediately post-exercise, research indicates that immediate intake is not always necessary. Some studies suggest that glycogen replenishment can continue for up to 24 hours, provided that sufficient carbohydrate intake occurs. However, in cases of strenuous endurance events that result in muscle damage (e.g., marathons), glycogen resynthesis may be delayed if the athlete has experienced muscle cell damage.

In a study examining glycogen resynthesis, high-glycemic meals were given to athletes over a 24-hour period. One group received carbohydrate-rich meals immediately post-exercise, while another group delayed intake for 2 hours. The results indicated that delaying carbohydrate consumption 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 consumption after exercise supports muscle repair and adaptation. Research shows that combining protein with carbohydrates post-exercise increases glycogen storage when carbohydrate intake is suboptimal. Additionally, protein stimulates muscle protein synthesis, which is essential for 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 often play multiple matches in one day, requiring immediate recovery strategies.

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 aids muscle repair and reduces soreness.
  3. Hydration: Replacing fluids and electrolytes lost through sweat supports optimal performance.

Strength and power recovery

Strength and power athletes require both carbohydrates and protein post-exercise for optimal recovery. A single resistance training session can significantly reduce glycogen stores, impairing force production and increasing 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 (combining endurance and strength training) can impact muscle adaptations. Strength training alone leads to 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

In addition to post-workout nutrition, athletes should focus on protein distribution throughout the day. Resistance training increases muscle sensitivity to amino acids for up to 48 hours, making regular protein intake essential.

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 must ensure adequate intake of carbohydrates (8-10 g/kg body weight) and protein (1.0-1.6 g/kg body weight), particularly 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 should supplement with 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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