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SECTION
1
The Basics of
Sports Nutrition
This section provides an introduction to sports nutrition, including a
review of general nutrition concepts; an overview of digestion and energy
metabolism; a thorough explanation of macronutrients, micronutrients,
and water and their relation to athletic performance; and, finally, a
discussion of nutritional ergogenics.
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CHAPTER
1 Introduction to
Sports Nutrition
Key Questions Addressed
■ What is sports nutrition?
■ Why study sports nutrition?
■ What are the basic nutrients?
■ How does the body produce energy?
■ What are the Dietary Reference Intakes?
■ What are enriched and fortified foods?
■ What are the basic nutrition guidelines?
■ How should athletes interpret the information on food labels?
■ What are the factors to consider when developing an individualized sports nutrition plan for athletes?
■ How can sports nutrition knowledge be converted into practical applications?
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What are minerals? within the bonds between the atoms of which they
Minerals are also a large group of nutrients. They are are made. The energy trapped within these nutrients
composed of a variety of elements; however, they lack is released when metabolic
carbon. Minerals have a role in the structural develop- pathways within the cells energy nutrients Carbohydrates,
ment of tissues as well as the regulation of bodily pro- break down the foods into proteins, and fats serve as the
body’s source of energy and are
cesses. Physical activity places their constituent parts, car- considered the energy nutrients.
demands on muscles and bon dioxide and water. Some adenosine triphosphate (ATP) The
Each of the six nutrients bones, increases the need for of the energy released is con- molecule that serves as the body’s
has a role in the health oxygen-carrying compounds served or captured and used direct source of energy for cellular
work.
and proper functioning of in the blood, and increases to make another high-energy
the human body. Physical the loss of sweat and elec- chemical called adenosine
activity places extra triphosphate (ATP). The rest of the energy is lost as
demands on the body,
trolytes from the body, all of
which hinge on the adequate heat. ATP is the body’s direct source of energy for
increasing the importance
of the nutrients’ presence intake and replacement of di- cellular work. Without a constant source of ATP,
in the diet. Many of the etary minerals. Minerals are muscles would not be able to generate force, and
nutrients are so critical categorized into major miner- thus athletes would not be able to move or perform
to optimal athletic per- any physical activity.
als (calcium, sodium, potas-
formance that the total
daily requirements are sium, chloride, phosphorus, Recommended Dietary Allowance
increased to meet the
demands placed on the
body. The six basic nutri-
magnesium, and sulfur) and
trace minerals (iron, zinc, cop-
per, selenium, iodine, fluoride,
❙ What are the Dietary
Reference Intakes?
(RDA) The average daily dietary
intake level that is sufficient to
meet the nutrient requirements of
the overwhelming majority (i.e.,
ents each have distinct, molybdenum, and manga- Several different terms are 98%) of a healthy population.
but also intertwining, used to describe the recom-
roles, making it critical
nese) based on the total quan- Dietary Reference Intakes (DRIs) A
tity required by the body on mendations for macronu- newer way to quantify nutrient
to consume adequate needs and excesses for healthy
amounts of each nutrient a daily basis. Similar to vita- trients and micronutrients.
individuals. The DRI expands on
on a daily basis. mins, minerals are found in The Recommended Dietary the older Recommended Dietary
a wide variety of foods, but Allowances (RDAs) were Allowance (RDA) and takes into
developed in 1941 by the consideration other dietary
mainly are concentrated in the quantities such as Estimated
meat and beans/alternative and milk/alternative groups. U.S. National Academy of Average Requirement (EAR),
Sciences. The RDAs were Adequate Intake (AI), and Tolerable
What is water? the primary values health Upper Intake Level (UL).
Forming a category of its own, water deserves to be professionals used to assess Estimated Average Requirement
and plan diets for individu- (EAR) The estimated daily intake
highlighted because of its vital roles within the body. level of a vitamin or mineral
The human body can survive for a much greater als and groups and to make needed to meet the requirements,
length of time without any of the macro- or micro- judgments about excessive as defined by a specified indicator
intakes. The RDAs still ex- of adequacy, of half of the healthy
nutrients than without water. The body is 55–60% individuals within a given life stage
water, representing a nearly ubiquitous presence in ist for many nutrients; how- or gender group.
bodily tissues and fluids. In athletics, water is impor- ever, a newer way to quantify Adequate Intake (AI) A reference
tant for temperature regulation, lubrication of joints, nutrient needs and excesses intake for nutrients that is used
for healthy individuals has instead of the Recommended
and the transport of nutrients to active tissues. In Dietary Allowance. When
addition to plain water, water can be obtained from been developed and termed insufficient scientific evidence is
juices, milk, coffee, tea, and other beverages, as well the Dietary Reference In- available to calculate an Estimated
as watery foods such as fruits, vegetables, and soups. takes (DRIs). The DRIs ex- Average Requirement (EAR), then
pand on the RDAs and take an AI is used. Similar to the EAR
and the Recommended Dietary
into consideration other di-
❙
Allowance (RDA), the AI values are
How does the body produce energy? etary quantities such as Esti- based on intake data of healthy
mated Average Requirement individuals.
The body derives its energy from foods ingested (EAR), Adequate Intake (AI), Tolerable Upper Intake Level
(UL) The highest level of daily
daily. Carbohydrates, fats, and proteins are known and Tolerable Upper Intake nutrient intake that poses no
as the energy nutrients because they serve as the Level (UL). DRIs are con- adverse health effects for almost
body’s source for energy. These energy nutrients are tinually being reviewed, and all individuals in the general
quite literally chemicals that have energy trapped population.
reports on various groups
of nutrients are published min, riboflavin, niacin, and enrichment The addition of
as scientific data are gath- iron. The addition of vitamins vitamins and minerals to refined/
The DRIs encompass processed products to increase
the EAR, RDA, AI, and
ered. This comprehensive and minerals to refined prod- their nutritional value.
UL for each macronutri- effort to develop all compo- ucts is termed enrichment. fortification The process of adding
ent, vitamin, and mineral nents of the DRIs is under Fortification is the ad- vitamins or minerals to foods or
based on recent research the auspices of the Standing dition of a vitamin or min- beverages that did not originally
and epidemiological data Committee on the Scientific eral to a food or beverage in contain them.
of healthy populations.
Evaluation of Dietary Ref- which it was not originally
As more information and
data are discovered, these erence Intakes of the Food present. The first successful fortification program
recommendations will be and Nutrition Board, the In- was the addition of iodine to salt in the 1920s to
updated and revised. stitute of Medicine, and the prevent goiter and other iodine deficiency condi-
National Academy of Sci- tions. In general, fortification is not required by the
ences of the United States, FDA, with the exception of folic acid in grains and
along with Health Canada.1 The definitions of the vitamin D in milk. Other fortification programs
various DRIs are reviewed in Table 1.1. are designed to enhance the quality of a product,
such as the addition of vitamin A to milk and other
TABLE
1.1 Review of the Nutrient Intake Descriptors
Descriptor Definition
Dietary Reference Intake (DRI) Umbrella term for all nutrient classifications, including RDA, EAR, AI, and UL.
Recommended Dietary Average daily dietary intake level that is sufficient to meet the nutrient requirements of nearly
Allowance (RDA) an entire (i.e., 98%) healthy population. The established RDAs can vary based on life stage,
including age; gender; and, if appropriate, pregnancy and lactation.
Estimated Average Daily intake level of a vitamin or mineral estimated to meet the requirements, as defined by a
Requirement (EAR) specified indicator of adequacy in half of the healthy individuals within a life stage or gender
group.
Adequate Intake (AI) Intake recommendation when insufficient scientific evidence is available to calculate an EAR/
RDA. AI values are based on intake data of healthy individuals. However, the results of
studies regarding the nutrient in question are not conclusive enough or more study is
required before an EAR/RDA can be established.
Tolerable Upper Intake Level The highest level of daily nutrient intake that poses no adverse health effects for almost all
(UL) individuals in the general population. At intakes above the UL, the risk of adverse effects
increases.
dietary limits. For more information about enrich- The four interrelated themes and the key rec-
ment and fortification, visit the FDA’s website at ommendations from the 2010 Dietary Guidelines
www.fda.gov. report are as follows (www.dietaryguidelines
.gov):3
❙
1. Balance Calories to Manage Weight
What are the basic nutrition guidelines? ■ Prevent and/or reduce overweight and obesity
American or have hypertension, diabetes, or ■ Choose foods that provide more potassium,
chronic kidney disease. The 1500 mg recom- dietary fiber, calcium, and vitamin D, which
mendation applies to about half of the U.S. are nutrients of concern in American diets.
population, including children, and the ma- These foods include vegetables, fruits, whole
jority of adults. grains, and milk and milk products.
■ Consume less than 10% of calories from Recommendations for specific population
saturated fatty acids by replacing them with groups:
monounsaturated and polyunsaturated fatty ■ Women capable of becoming pregnant
■ Limit the consumption of foods that contain a. Consume 8 to 12 ounces of seafood per
refined grains, especially refined grain foods week from a variety of seafood types.
that contain solid fats, added sugars, and so- b. Due to its high methyl mercury content,
dium. limit white (albacore) tuna to 6 ounces per
■ If alcohol is consumed, it should be consumed week and do not eat the following four
in moderation—up to one drink per day for types of fish: tilefish, shark, swordfish, and
women and two drinks per day for men—and king mackerel.
only by adults of legal drinking age. c. If pregnant, take an iron supplement, as
3. Increase Intake of the Following Foods and recommended by an obstetrician or other
Nutrients healthcare provider.
Individuals should meet the following recom- ■ Individuals aged 50 years and older
mendations as part of a healthy eating pattern a. Consume foods fortified with vitamin B12,
while staying within their calorie needs. such as fortified cereals, or dietary supple-
■ Increase vegetable and fruit intake. ments.
■ Eat a variety of vegetables, especially dark 4. Build Healthy Eating Patterns
green, red, and orange vegetables and beans ■ Select an eating pattern that meets nutrient
ing refined grains with whole grains. and assess how they fit within a total healthy
■ Increase intake of fat-free or low-fat milk and eating pattern.
milk products, such as milk, yogurt, cheese, ■ Follow food safety recommendations when
or fortified soy beverages. preparing and eating foods to reduce the risk
■ Choose a variety of protein foods, which in- of foodborne illnesses.
clude seafood, lean meat and poultry, eggs, Although the Dietary Guidelines listed here
beans and peas, soy products, and unsalted were developed with the American population’s
nuts and seeds. health in mind, athletes can benefit from imple-
■ Increase the amount and variety of seafood menting the guidelines in their daily nutrition
consumed by choosing seafood in place of planning. By selecting a variety of nutrient-dense
some meat and poultry. foods, as dictated in the guidelines, athletes can
■ Replace protein foods that are higher in solid meet their energy, macronutrient, and micronutri-
fats with choices that are lower in solid fats ent needs for a high level of sport performance.
and calories and/or are sources of oils. The MyPlate food guidance system can be used
■ Use oils to replace solid fats where possible. to further plan an athlete’s daily food intake by
practically applying the information in the Di- the MyPlate icon. The selected messages are in-
etary Guidelines. tended to help consumers focus on key nutrition
behaviors. The selected messages, which correlate
What is the MyPlate food guidance system? with the four interrelated themes and key rec-
The USDA released the MyPlate food guidance ommendations of the 2010 Dietary Guidelines,
system in 2011 (www.ChooseMyPlate.gov). The include:
USDA’s Center for Nutrition Policy and Promo- ■ Enjoy your food, but eat less.
tion, established in 1994, developed the MyPlate ■ Avoid oversized portions.
system to improve the nutrition and well-being of ■ Make half your plate fruits and vegetables.
Americans. The MyPlate system (see Figure 1.2 ) is ■ Switch to fat-free or low-fat (1%) milk.
a revision of the MyPyramid that was released in ■ Make at least half your grains whole grains.
2005. The new icon was developed for two main ■ Compare sodium in foods such as soup, bread,
purposes: (1) to improve the effectiveness in moti- and frozen meals—and choose foods with lower
vating consumers to make healthier food choices numbers.
and (2) to incorporate the latest nutrition science ■ Drink water instead of sugary drinks.
information into the new system. MyPlate and the Graphically, the MyPlate food guidance system is
Dietary Guidelines for Americans complement each a useful and intuitive way for athletes to eat well and
other and can provide basic guidelines and practical improve their health. The MyPlate icon provides a
applications for healthful eating to improve health visual representation of a balanced, nutritious meal.
and well-being. The icon is a plate split into four sections, each rep-
On the ChooseMyPlate.gov website, seven se- resenting a different type of food (protein, whole
lected messages are reviewed in association with grains, fruits, and vegetables). The sections vary in
size depending on the recommended portion of each The dairy group of MyPlate contains liquid
food an athlete should eat. A circle shape next to the milk products, yogurt, cheeses, and many foods
plate represents dairy products, especially milk. Each made from milk. The key concept for the dairy
of the food groups are further described in print and category is to consume three cups of fat-free or
electronic format to help consumers make positive low-fat (1%) milk or an equivalent amount of
nutrition changes. The concepts and main messages yogurt or cheese per day. Foods made from milk
in each food category are described briefly in the fol- that retain calcium after processing (such as cheese
lowing paragraphs. and yogurt) are part of this food group, but foods
The key message in the grain group of MyPlate made from milk that do not contain appreciable
is that at least half of the total grains consumed calcium (such as cream cheese and butter) are not
should be from whole grain sources. The goal is to included in this group. Individuals who do not or
eat three or more ounce-equivalents of whole grain cannot consume milk and milk products should
products each day. Individuals who require more consume dairy alternative products (soy, nut or
calories will need to consume more than this amount grain milk, yogurt and cheese) and other calcium-
daily. Examples of whole grains include brown rice, rich foods daily.
bulgur, oatmeal, whole wheat breads, crackers, and A variety of different foods are part of the oils
pastas. Consumers can check the food label for the and empty calories categories of MyPlate. Please
words “whole grain” and the ingredient panel for note that these categories are not food groups.
the word “whole” or “whole grain” before the grain Although Americans are encouraged to minimize
ingredient. sources of empty calories, some essential nutri-
In the fruit group, MyPlate encourages not only ents are provided by oils. The key concept in the
consuming the recommended amount of fruit each oils category is to choose mainly monounsatu-
day, but also consuming a wide variety of fruits. rated and polyunsaturated fats contained in foods
Fruits consumed fresh, canned, frozen, dried, or as such as fish, nuts, seeds, and vegetable oils. Oils
100% juice all count toward the fruit recommen- used in liquid form, such as canola, corn, olive,
dation. However, MyPlate recommends focusing and sunflower, are considered unsaturated and
on whole fruits versus fruit juices. This recommen- are commonly used in cooking. Other foods that
dation is made because fruit juices tend to be more are composed primarily of oils include items such
calorie dense and contain little fiber compared to as mayonnaise, salad dressing, and soft marga-
whole fruits. rine. Consumers should review the Nutrition Facts
Similar to the fruit category, emphasis is placed panel of these foods to ensure that no trans fats
not only on consuming enough vegetables daily, but are present. Foods and beverages containing solid
also on choosing different vegetables throughout fats and added sugars are considered empty calo-
the week to obtain a greater variety of the nutri- ries because they provide extra calories with few
ents provided from vegetables. The vegetables are to no nutrients. Although small amounts of these
listed in five subgroups based on nutrient content: foods can be included daily, most Americans are
dark green, orange, starchy, dry beans and peas, and consuming far more than is healthy and therefore
other vegetables. The main consumer message with should focus on limiting their intake. Examples
vegetables and fruits is to “make half of your plate of empty calories include butter, shortening, des-
vegetables and fruits.” serts, and sodas.
The protein foods group includes items made Physical activity is not depicted in the MyPlate
from meat, poultry, fish, dry beans or peas, eggs, icon but is encouraged as part of a healthy lifestyle.
nuts, and seeds. The key concept for this group is to The key message is to become less sedentary and
make choices that are low fat or lean when selecting to engage in regular physical activity. Physical ac-
meat and poultry. The dry beans and peas, including tivity includes movement that uses energy. Adults
soy products, are part of this group as well as the veg- should engage in at least 2 hours and 30 minutes
etable group. Dry beans and peas are naturally low of aerobic physical activity at a moderate level each
in fat and nutrient dense. Nuts, seeds, and some fatty week or 1 hour and 15 minutes of aerobic physical
fishes contain higher fat content, but these fats are activity at a vigorous level each week. For example,
from healthy oils and should be chosen frequently moderate or vigorous activities include walking
as a substitute for meat or poultry. briskly, hiking, gardening/yard work, golf (walking
❙ How should athletes interpret the composition, and physical activity level.
Source: Courtesy of USDA.
information on food labels?
The nutrition guidelines presented in this text are
a combination of the current research in sports nu- of the food label and associated regulations can be
trition and the practical application of that knowl- found at www.fda.gov.
edge. A large part of the practical portion is athletes’
awareness of how the foods they eat contribute to Who created the food label regulations?
their total daily needs. The food label (see Figure 1.4 ) The Food and Drug Administration (FDA) is the
provides athletes with credible and reliable nutrition governing body responsible for ensuring the safety
information about various food and beverage prod- of foods sold in the United States, which includes
ucts, ultimately empowering them to make wise food overseeing the proper la-
choices on a daily basis. However, some athletes find beling of foods. In 1990, Food and Drug Administration
the food label confusing and difficult to interpret. Congress passed the Nutri- (FDA) The governing body
responsible for ensuring the
This section will provide a brief overview of the food tion Labeling and Educa- safety of foods sold in the
label, the components that pertain directly to sports tion Act (NLEA) based on United States. This includes
nutrition, and how to apply the label information to the demand for consistent oversight of the proper labeling
individual scenarios. A full report and explanation consumer information and of foods.
The food label may also in- nutrient content claims Nutrition-
clude FDA-approved nutri- related claims on food labels that
highlight certain characteristics of
ent content claims or health the food.
claims that highlight certain health claim A description placed
characteristics or potential on a food label that describes
benefits of the food. Finally, potential health benefits of a food
the list of ingredients and or nutrient.
Nutrition Facts panel must
be shown on the label. Each is discussed in the fol-
lowing sections.
you usually eat. The numbers that you Amount Per Serving
will be looking at are based on this Calories Per Serving: Having the number of calories
Calories 90 Calories from fat 10
quantity. and the number of calories from fat next to each other
% Daily Value*
makes it easy to see if a food is high in fat.
Total Fat 1g 2%
Saturated Fat 0g 1%
Trans Fat 0g
Cholesterol 0mg 0% % Daily Values: These percentages are based on
List of Nutrients
Sodium 160 m g 7% the values given below in the footnote for a 2000-calorie
Total Carbohydrate 15g 5% diet. Thus, if your caloric intake is different, you will
Dietary Fiber 2g 8% need to adjust these values appropriately.
Sugars 2g
Protei n 4g
Vitamin A 0% • Vitamin C 0%
Calcium 0% • Iron 4%
Consistent Information
and most spices; and multiunit packages. Smaller to be “one serving,” when in fact there could
packages may require a modified Nutrition Facts be multiple servings included in a container, as
panel, as shown in Figure 1.6 . stated on the Nutrition Facts panel. Because
Starting just below the Nutrition Facts heading the nutrition information is presented for one
on each food label, the following required compo- serving, athletes will need to multiply the nutri-
nents are all applicable to athletes: tion information listed on the Nutrition Facts
■ Serving size and servings per container: Ath- panel by the number of servings consumed to
letes need to understand what counts as one obtain an accurate estimate of total nutrient
serving. Often, athletes consider one package intake.
■ Calories and calories from fat: Reviewing the
calorie content of foods eaten throughout the
day will enable athletes to ensure adequate total
energy consumption. To obtain the percentage of
calories from fat, the “calories from fat” can be
divided by the total “calories” and then multi-
plied by 100. Athletes should aim for a diet that
includes no more than 30–35% of total calories
from fat, indicating it is low to moderate in fat.
Calculating the percentage for each food cho-
sen throughout the day can help athletes make
healthy choices.
Figure 1.6 Nutrition Facts panel on small packages. Food
■ Total fat, saturated fat, and trans fat: Fat is im-
products that have small packages can use an abbreviated portant in an athlete’s diet; however, it should be
version of the Nutrition Facts panel. consumed in moderation. Athletes can compare
different brands or types of food to find low- or generally consumed in suboptimal quantities in
moderate-fat options. Saturated and trans fats the United States and therefore deserve special
are detrimental to heart health; therefore, ath- attention.
letes should attempt to minimize their intake of ■ Daily Values footnote and calorie conversion:
these fats. The concept of Daily Values will be discussed
■ Cholesterol: Cholesterol is not a required nutri- in the following section. The calorie conversion
ent in the diet. Cholesterol is made in the body information is a handy reference for athletes so
and therefore does not need to be consumed that they can perform their own calculations
daily. If it is consumed, athletes should keep based on individual needs and goals.
intake to a minimum because dietary cholesterol Many food manufacturers provide additional
has been shown to increase blood cholesterol allowable information on their food labels in an ef-
levels, thus increasing the risk for cardiovascular fort to educate the public and to sell their products.
disease. As consumers become more aware of the health
■ Sodium: Classified as an electrolyte, sodium is benefits of specific foods and food categories, they
an essential nutrient for athletes because it is become more interested and demanding of food-
lost in sweat. Sodium has also been linked to labeling information. As information about the
high blood pressure. Athletes should consume health benefits of nutrients becomes available, the
enough to meet their needs but avoid excessive allowable nutrients on the Nutrition Facts panel
intake. may increase.
■ Total carbohydrates, dietary fiber, and sugars:
Carbohydrates are the master fuel for all ath- How can the Percent Daily Value be useful to athletes?
letics and should compose a majority of an ath- The Percent Daily Value (%DV) is listed on the
lete’s diet. Dietary fiber plays a role in weight food label for a variety of macronutrients, vita-
management and disease prevention and aids mins, and minerals. The %DV can be used to de-
in the maintenance of blood sugar levels that termine how a particular product meets an athlete’s
deliver a consistent dose of energy to the body. needs as well as to compare the nutrient content
The “dietary fiber” section on the Nutrition of two different products. For example, the DV
Facts panel represents the total quantity of for cholesterol is less than 300 milligrams. The
fiber present in a product but does not distin- %DV represents what percentage of the daily to-
guish between soluble and insoluble fibers. The tal is provided in one serving of a product. If the
“sugar” category is a combination of naturally product provides 100 milligrams of cholesterol,
occurring and refined sugars. Because there is the %DV will be 33%, because 100 is one-third
no distinction, an athlete should review the of 300. The overall concept is that athletes can
ingredients list for the presence of fruits and tally up the percentages of all foods consumed
fruit juices (naturally occurring sugars often throughout the day and aim for a grand total of
accompanied by many other nutrients) or any 100%, indicating that all needs have been met.
refined sugar product (providing calories and However, the caveat is that the %DV is based on
carbohydrates but devoid of other nutritional the needs of an individual following a 2000-calo-
value). There is no Percent Daily Value (%DV, rie diet. Many athletes require substantially more
discussed in the following section) for sugars than 2000 calories daily, and therefore obtaining
because there are no RDA values or Daily 100% of all nutrients may not necessarily be ad-
Reference Values (DRVs) established specific equate. The Daily Values footnote, listed on most
to sugars. Nutrition Facts panels, presents additional infor-
■ Protein: The total quantity of protein, another mation for those following a 2500-calorie diet;
indispensable nutrient for athletes, is provided however, even the 2500-calorie goals may not be
on the Nutrition Facts panel. enough for most athletes. In general, athletes may
■ Vitamins and minerals: Only two vitamins (vi- find it easier to know their individual daily needs
tamins A and C) and two minerals (calcium and evaluate a product based on their own goals
and iron) are required on the food label. Of versus the %DV goals. Tables 1.2 and 1.3 summarize
course, all vitamins and minerals are important the reference amounts used to develop the %DV
for athletes; however, these four nutrients are for macronutrients and micronutrients.
TABLE TABLE
1.2 Daily Values on Food Labels 1.3 Daily Values for Athletes Older Than
4 Years
Food Component 2000 Kcal Intake
Fat 65 g Food Component Daily Value
Saturated fat 20 g Protein 50 g
Protein 50 g Vitamin A 5000 IUa
Cholesterol 300 mg Vitamin D 400 IU
Carbohydrates 300 g Vitamin E 30 IU
Fiber 25 g Vitamin K 80 μgb
Sodium 2400 mg Vitamin C 60 mg
Source: Data from U.S. Food and Drug Administration. Available at: Folate 400 μg
http://www.fda.gov/Food/GuidanceRegulation/ Thiamin 1.5 mg
GuidanceDocumentsRegulatoryInformation/LabelingNutrition/ Riboflavin 1.7 mg
ucm2006828.htm.
Niacin 20 mg
Vitamin B6 2 mg
Vitamin B12 6 μg
Whether or not the %DV can be useful for an Biotin 300 μg
athlete’s individual needs, it can be used to com- Pantothenic acid 10 mg
pare the nutrient density of various products. As Calcium 1000 mg
Phosphorus 1000 mg
an example, athletes who need to consume more
Iodine 150 μg
iron can look at the %DV of several brands of
Iron 18 mg
cereal and know that the brand with the highest
Magnesium 400 mg
%DV for iron contains the greatest total quantity
Copper 2 mg
of iron, therefore making that brand the best choice.
Zinc 15 mg
The benefit of this type of comparison is that ath-
Chloride 3400 mg
letes are not required to memorize how much iron
Manganese 2 mg
they need in a day; they merely need to look for
Selenium 70 μg
the product with the highest percentage (highest
Chromium 120 μg
%DV). See Figure 1.7 for an example of this type
Molybdenum 75 μg
of comparison. aIU = international units
bmg = micrograms
How can nutrient content claims be useful to athletes?
Note: Some DVs are based on old DRI values and thus may not
In addition to the Nutrition Facts section, the NLEA reflect current recommendations.
of 1990 included guidelines for food manufactur- Source: Data from U.S. Food and Drug Administration. Available at:
ers to place nutrition-related claims on food labels. http://www.fda.gov/Food/GuidanceRegulation/
These claims highlight certain characteristics of the GuidanceDocumentsRegulatoryInformation/LabelingNutrition/
ucm064928.htm.
food and are called nutrient content claims. Foods
can be labeled with claims such as “low fat,” “re-
duced sugar,” or “high in fiber” only if they meet
certain criteria. The definitions of the approved carbohydrates. Because of the growing trend of con-
nutrient content claims are presented in Fortifying sumers choosing low-carbohydrate foods in hopes of
Your Nutrition Knowledge. These nutrition descrip- losing weight, food manufacturers are placing terms
tor statements allow athletes to quickly identify the such as “low carb” and “net carbs” on food labels.
products that meet their individual needs or dietary The FDA is currently gathering evidence and develop-
goals. For example, if an athlete has high cholesterol ing a statement outlining carbohydrate food-labeling
levels, a product labeled “cholesterol free” would be guidelines. Guidelines are likely to be similar to those
easily identifiable. established for such terms as “low fat” or “reduced
Currently, there are no approved regulations on sugar.” In the meantime, athletes should recognize
nutrition descriptors or content claims regarding total that carbohydrates are the master fuel for athletics,
% Daily Value*
Total Fat 1g* 2% 2%
Saturated Fat 0g 0% 0%
Total Fat 0g* 0% 0%
Trans Fat 0g
Saturated Fat 0g 0% 0%
Cholesterol 0mg 0% 1%
Trans Fat 0g
Sodium 125mg 5% 8%
Cholesterol 0mg 0% 0% Potassium 230mg 7% 12%
Sodium 300mg 13% 15% Total
Potassium 25mg 1% 7% Carbohydrate 24g 8% 10%
Total Dietary Fiber 13g 52% 52%
Carbohydrate 24g 8% 10% Sugars 0g
Dietary Fiber 1g 4% 4% Other Carbohydrates 11g
Protein 2g
Sugars 2g
Vitamin A 0% 4%
Other Carbohydrates 21g
Vitamin C 15% 15%
Protein 2g Calcium 6% 20%
Vitamin A 15% 20% Iron 25% 25%
Vitamin C 25% 25% Vitamin D 0% 10%
Calcium 0% 15% Thiamin 25% 30%
Riboflavin 25% 35%
Iron 45% 45%
Niacin 25% 25%
Vitamin D 10% 25%
Vitamin B6 25% 25%
Thiamin 25% 30% Folic Acid 25% 25%
Riboflavin 25% 35% Phosphorus 15% 30%
Niacin 25% 25% Magnesium 15% 20%
Vitamin B6 25% 25% Zinc 8% 10%
Copper 10% 10%
Folate 25% 25%
Vitamin B12 25% 35%
Figure 1.7 Comparing iron content of two cereals. These labels are from two different breakfast cereals: (left) cornflakes and
(right) wheat bran. Comparing the iron content of both cereals is easy using the Percent Daily Values of each.
and therefore products touting a lower carbohydrate 2. Sodium and hypertension (high blood pres-
content may not be an ideal choice. sure): Low-sodium diets may help lower blood
pressure.
How can health claims be useful to athletes? 3. Dietary fat and cancer: Low-fat diets decrease
Health claims describe the potential health benefits the risk for some types of cancer.
of a food or nutrient. The FDA strictly regulates 4. Dietary saturated fat and cholesterol and the
allowable health claims on food labels and allows risk of coronary heart disease: Diets low in sat-
only health claims that have been well supported in urated fat and cholesterol decrease the risk for
the scientific literature. To date, the following health heart disease.
claims have been approved (www.fda.gov): 5. Fiber-containing grain products, fruits, and vegeta-
1. Calcium and osteoporosis: Adequate calcium bles and cancer: Diets low in fat and rich in high-
may reduce the risk of osteoporosis. fiber foods may reduce the risk of certain cancers.
6. Fruits, vegetables, ing fluoridated water may reduce the risk of den-
and grain products tal caries or tooth decay.
Food for Thought 1.2
that contain fiber, 16. Saturated fat, cholesterol, and trans fat, and re-
Reading Food Labels particularly soluble duced risk of heart disease: Replacing saturated
In this exercise, you will fiber, and the risk of fat with similar amounts of unsaturated fats may
locate various pieces of coronary heart dis- reduce the risk of heart disease. To achieve this
key information on the ease: Diets low in fat benefit, total daily calories should not increase.
food label and use it to
interpret the nutritional
and rich in soluble New health claims can be approved at any time based
value of a food. fiber may reduce the on scientific evidence, and, therefore, this list may
risk of heart disease. expand in the future.
7. Fruits and vegetables
and cancer: Diets low in fat and rich in fruits and
❙
vegetables may reduce the risk of certain cancers. What are the factors to consider
8. Folate and neural tube defects: Adequate folate when developing an individualized
status prior to and early in pregnancy may reduce sports nutrition plan for athletes?
the risk of neural tube defects (a birth defect).
9. Dietary noncariogenic carbohydrate sweeten- As mentioned earlier, one of the exciting aspects of
ers and dental caries (cavities): Foods sweetened the field of sports nutrition is individualizing eating
with sugar alcohols, D-tagatose, and sucralose plans for athletes. Each athlete is different—there is
do not promote tooth decay. not a “one-size-fits-all” type of meal plan, training
10. Soluble fiber from certain foods and risk of coro- diet, or competition hydration schedule. Certainly
nary heart disease: Diets low in fat and rich in the basic sports nutrition concepts and guidelines
these types of fiber can help reduce the risk of can be applied universally; however, each athlete will
heart disease. require a unique approach by tweaking those guide-
11. Soy protein and risk of coronary heart disease: lines to fit individual needs. For example, all athletes
Foods rich in soy protein as part of a low-fat should consume a combination of carbohydrates
diet may help reduce the risk of heart disease. and protein after exercise to initiate the repair and
12. Plant sterol/stanol esters and risk of coronary heart rebuilding process. However, one athlete may enjoy
disease: Diets low in saturated fat and cholesterol a turkey sandwich with a banana, whereas another
that also contain several daily servings of plant sta- athlete may crave an omelet, toast, and orange juice.
nols/sterols may reduce the risk of heart disease. Both of these meals meet the carbohydrate–protein
13. Whole grain foods and risk of heart disease and combination requirement but also take into consid-
certain cancers: Diets eration personal taste preferences. This individual-
high in whole grain ized approach is much more challenging and requires
The food label can be foods and other plant a greater breadth of knowledge than “cookie-cutter”
very helpful to athletes foods and low in to- plans. Sports nutrition professionals with this phi-
choosing to follow a more tal fat, saturated fat, losophy will succeed because of the recognition that
healthful diet. Athletes and cholesterol may their plans are based on solid research and current
should review all the infor-
help reduce the risk guidelines while also being practical, easy to imple-
mation on the Nutrition
Facts panel as well as the of heart disease and ment, and specific to an athlete’s sport and lifestyle.
ingredients list to aid in certain cancers. Several factors must be considered when calcu-
making informed food and 14. Potassium and the lating nutrient needs and developing a meal plan
beverage choices. Nutrient risk of high blood for an athlete, including the individual’s health his-
content claims and health pressure and stroke: tory, the bioenergetics of the athlete’s sport, total
claims identify products
that might be appealing to
Diets that contain weekly training and competition time, living ar-
individual athletes based good sources of po- rangements, access to food, and travel schedules.
on their nutrition goals and tassium may reduce
needs; however, these the risk of high blood Why should a sports nutrition plan
statements should not pressure and stroke. consider an athlete’s health history?
take the place of reviewing
15. Fluoridated water First and foremost, an athlete must be healthy to
the Nutrition Facts panel
and ingredients list. and reduced risk of train and compete to his or her potential. Proper
dental caries: Drink- nutrition plays a vital role in preventing deficiency
Fortifying
Your Nutrition Knowledge
What are the factors to consider when developing an individualized sports nutrition plan for athletes? 19
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Healthy: A healthy food must be low in fat and saturated fat and contain limited amounts of choles-
terol (#95 mg) and sodium (,480 mg for individual foods and #600 mg for meal-type products).
In addition, a single-item food must provide at least 10% or more of one of the following: vitamins
A or C, iron, calcium, protein, or fiber. A meal-type product, such as a frozen entrée or dinner, must
provide 10% of two or more of these vitamins or minerals, or protein, or fiber, in addition to meet-
ing the other criteria. Additional regulations allow the term healthy to be applied to raw, canned,
or frozen fruits and vegetables and enriched grains even if the 10% nutrient content rule is not met.
However, frozen or canned fruits or vegetables cannot contain ingredients that would change the
nutrient profile.
Fresh: Food is raw, has never been frozen or heated, and contains no preservatives. Fresh frozen, frozen
fresh, and freshly frozen can be used for foods that are quickly frozen while still fresh. Blanched foods
also can be called fresh.
Percent fat free: Food must be a low-fat or a fat-free product. In addition, the claim must reflect accu-
rately the amount of nonfat ingredients in 100 g of food.
Implied claims: Implied claims suggest that a nutrient is absent or present in a certain amount or sug-
gests a food may be useful in maintaining healthy dietary practices. These claims are prohibited when
they wrongfully imply that a food contains or does not contain a meaningful level of a nutrient. For
example, a product cannot claim to be made with an ingredient known to be a source of fiber (such as
“made with oat bran”) unless the product contains enough of that ingredient (in this case, oat bran)
to meet the definition for “good source” of fiber. As another example, a claim that a product contains
“no tropical oils” is allowed, but only on foods that are “low” in saturated fat, because consumers have
come to equate tropical oils with high levels of saturated fat.
Source: Reproduced from Food and Drug Administration. Food Labeling and Nutrition: Nutrient Content Claims Definitions and Approved Claims.
Available at: http://www.fda.gov/Food/GuidanceRegulation/GuidanceDocumentsRegulatoryInformation/LabelingNutrition/ucm2006828.htm.
and degenerative diseases, while also aiding in the Why should a sports nutrition plan consider
treatment of existing medical conditions. An ath- a sport’s bioenergetics and logistics?
lete’s health history must be the “team captain” in Energy metabolism is the foundation of sports nu-
the sports nutrition game plan, with sport-specific trition. Consideration of the cellular machinery
planning, training/competition schedules, living ar- and metabolic pathways responsible for making
rangements, and personal preferences rounding out the energy needed to participate in a specific sport
the starting lineup. is critical for the development of an individual-
For example, an athlete with diabetes must care- ized eating plan. For example, the calorie, mac-
fully balance his or her intake of carbohydrates with ronutrient, and micronutrient needs of a football
daily doses of insulin to prevent hyper- or hypogly- player (intermittent exertion over the course of
cemia. Whereas most athletes would not think twice several hours) will be different from the needs of
about drinking a large glass of juice in the morning a rower (continuous effort for typically less than
before a workout, a diabetic athlete consuming only 10–20 minutes). Even within one sport, such as
juice (a carbohydrate source without a protein source running, different events (100-meter sprint versus
to stabilize the digestion of food and blood sugar a marathon) will highlight various energy systems
levels) may experience blood sugar swings that can (short, intense effort versus sustained moderate
potentially affect performance. In addition to per- effort). In addition to the bioenergetics of a sport,
formance in a single workout, long-term poor blood nutrition plans for athletes must also consider the
sugar management can lead to a plethora of associated logistics of training sessions and competitions.
medical conditions later in life. An athlete’s health Some sports are very conducive to drinking and
history must be considered first and then, subse- eating during activity (biking), whereas other
quently, recommendations can intertwine with sport- sports make fluid and energy consumption dif-
specific suggestions. ficult (open water swimming). Sports nutrition
© Photodisc
professionals must devise plans that are specific
to the energy systems utilized during training and
competition as well as realistic to the nature of
an athlete’s sport.
What are the factors to consider when developing an individualized sports nutrition plan for athletes? 21
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wreaking havoc on an athlete’s good intentions and about them, their perfor-
typical nutrition habits. Athletes must be educated mance, and their capabilities
on how to make healthy choices and appropriate for change. Sports nutrition Knowing the current sports
substitutions while on the road. Creative planning, professionals should refrain nutrition research, estab-
lished dietary guidelines,
packing nonperishable foods for the trip, and learn- from developing a “dictator- and performance-enhanc-
ing to be flexible will help athletes remain optimally ship” where athletes simply ing recommendations is
fueled while traveling. sit quietly and listen to the not enough; sports nutri-
dietary changes they “need” tion professionals must be
❙
to make to improve their skilled in helping athletes
How can sports nutrition knowledge be convert the sports nutrition
performance and/or health.
converted into practical applications? knowledge into practical,
Instead, athletes should be daily guidelines for food
One of the biggest challenges facing all health promo- active participants in their and beverage intake.
tion professionals is helping people make permanent meal planning and goal set-
behavior changes. When working with individuals, ting. Food selections should
possessing “book” knowledge is only one part of the be based on an athlete’s
equation; professionals must know how to assess a likes and dislikes versus which foods are “best” for
person’s readiness for change, engage in active listen- them—if an athlete does not enjoy the foods in the
ing, and then provide the appropriate information established meal plan, ad-
or guidance. This process is particularly applicable herence will be poor. Goals
to counseling athletes on dietary changes to improve should be realistic and man-
performance. Not only should meal plans be based ageable to plant the seeds for Food for Thought 1.3
on individual needs, but the construction of the plans success and accomplishment
You Are the Nutrition
also must take into consideration the athlete’s pre- that will motivate athletes to Coach
paredness for change. One tool that that can be used continue working on healthy Practically apply the
to counsel athletes is the Transtheoretical Model,4 eating behaviors. Listen to concepts from this chapter
which assesses a person’s readiness for change. athletes—know their goals, to several case studies.
The skill of active listening can be a powerful tool questions, and concerns—
for helping athletes initiate change. Athletes want and then build an individual-
to know that a sports nutrition professional cares ized plan that is mutually acceptable and productive.
Key Points of Chapter ■ Foods and beverages are composed of six nutrients
■ Sports nutrition can be defined as the conversion that are vital to the human body for producing energy,
of nutrition knowledge into a practical daily eating contributing to the growth and development of tissues,
plan focused on providing the fuel for physical regulating body processes, and preventing deficiency
activity, facilitating the repair and rebuilding process and degenerative diseases. The six nutrients are
following hard physical work, and optimizing athletic carbohydrates, proteins, fats, vitamins, minerals, and
performance in competitive events, while also water.
promoting overall health and wellness. ■ The body derives its energy from carbohydrates, fats,
■ In this text, the term athlete refers to any individual and proteins, which are collectively known as the
who is regularly active, ranging from the fitness energy nutrients. Their breakdown within the cells of
enthusiast to the competitive amateur or professional. the body provides the energy to make ATP, which is
the body’s direct source of energy for not only sport
■ Sports nutrition professionals must have a command
performance, but also all biological work.
of general nutrition and exercise science, understand
how nutrition and physical training are intertwined, ■ The Dietary Reference Intakes were developed to
and practice the practical application of sports nutrition expand on the Recommended Dietary Allowance
knowledge. values and to set new recommendations for nutrients
that did not have an RDA. The DRIs identify the
■ The area of sports nutrition is a growing field, with
reference amount of a specific nutrient needed
many opportunities for a rewarding and exciting career.
for individuals to prevent deficiency conditions in ■ Sports nutrition professionals should listen closely
generally healthy individuals. The DRIs include the to the goals, questions, and concerns of athletes
RDA, EAR, AI, and UL for each vitamin, mineral, and and then build an individualized nutrition plan that is
macronutrient. mutually acceptable and productive. Athletes should
■ Processing of foods often destroys or removes be active participants in their meal planning and goal
vitamins. Enrichment is a process by which vitamins setting.
are restored to foods after processing. Fortification is
another way to improve the nutrient value of foods. It Study Questions
involves adding vitamins or minerals to foods in which 1. What is sports nutrition? Is it applicable only to
the vitamins or minerals were not originally present. competitive athletes? Defend your answer.
■ The 2010 Dietary Guidelines for Americans emphasize 2. What are the six nutrient categories? Which nutrients
the fact that nutrition choices and physical activity are termed the “energy nutrients”?
interact to improve health and prevent chronic 3. What is the difference between Dietary Reference
conditions. The guidelines focus on making smart Intake (DRI) and Recommended Dietary Allowance
choices from all food groups, balancing food intake (RDA)? What do EAR, AI, and UL stand for?
with physical activity to maintain weight, and choosing
nutrient-dense foods. 4. What do the terms enriched and fortified mean? How
are they different?
■ MyPlate, along with the 2010 Dietary Guidelines for
Americans, encourages individuals to make better 5. What information can be learned about a food from
food choices. The MyPlate icon provides a visual its food label?
representation of a balanced, nutritious meal. 6. What is the MyPlate food guidance system? In what
■ The food label allows athletes to obtain credible and ways does it apply to sports nutrition?
reliable nutrition information about various food and 7. When developing an individualized nutrition plan
beverage products, ultimately empowering them to for an athlete, what factors must be taken into
make wise food choices on a daily basis. consideration?
■ Developing an individualized sports nutrition plan
for athletes involves considering the individual’s References
health history, the bioenergetics and logistics of the 1. Institute of Medicine Food and Nutrition Board. Dietary Reference Intakes:
athlete’s sport, total weekly training and competition A Risk Assessment Model for Establishing Upper Intake Levels for Nutrients.
Washington, DC: National Academies Press; 1998.
time, living arrangements, access to food, and travel
2. U.S. Department of Agriculture. ChooseMyPlate.gov. Available at: http://
schedules.
www.choosemyplate.gov. Accessed June 7, 2011.
■ When working with athletes, possessing “book” 3. U.S. Department of Health and Human Services, U.S. Department of
knowledge is only one part of the equation; Agriculture. Dietary Guidelines for Americans 2010: executive summary.
professionals must know how to assess a person’s Available at: http://www.dietaryguidelines.gov. Accessed February 2, 2011.
readiness for change, engage in active listening, and 4. Prochaska JO, Velicer WF. The transtheoretical model of health behavior
then provide the appropriate information or guidance. change. Am J Health Promotion. 1997;12(1):38–48.
References 23