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Sports Nutrition
Nutrition and Prevention
        Frederick T. Sutter, MD
     Center For Wellness Medicine
        171 Defense Highway
            Annapolis, MD
             410 224 4446
Keys to nutritional support for the young athlete:

   Hydration-timing, quantity, quality -- water is best

   Adequate calories to meet energy output plus BMR

   Rest/recovery/sleep/immune function

   Nutrients to support a training effect

   Nutrients for repair and renewal
   Whole foods --the kind that are on the perimeter of the
       supermarket -- are the best fuel

   If you want to put on muscle, sleep 8-9 hrs/night

   Protein is a key nutrient - put the effort here, the carbs
        usually will follow with ease
Protein
   Most important for muscle and connective tissue building/repair

   Do a protein diet assessment --target RDA/AI
     Males 9-13y 34 g/day; 14-18y 52 g/day; 19+y 56 g/d

     Females 9-13y 34 g/day; 14+y 46 g/day

     Range for individual athlete 0.8g/kg/day up to 1.3g/kg/day



   If intake is low, can take as a protein smoothie with various fruits, even
           some veggies, offer hummus with cut veggies as a snack or real
           peanut butter (no sugar added) on an apple

   Protein shake as a snack before/after practice or on the run-instead of
          sugary snacks
Healthy Fats
 Dietary Reference Intake: Total Fat AMDR* 25-35 g/day, males
         and females 9-18 y, 19+y 20-35 g/day
 All fats contain 9 cal/gm
 Help with satiety and sleep
 Examples of healthy fats:
   Avocado
   Coconut Oil-best MCT content good endurance fuel/easy snack,
         well tolerated, easily mobilized fuel
   Mayonnaise
   Olives
   Cold-pressed extra virgin olive oil
   Walnut oil                                 *Acceptable Macronutrient Distribution Range
Sports Drinks: Purpose
   Support hydration for the athlete-more fluid consumption due to taste

   Replace minerals/electrolytes (sodium, potassium, magnesium)

   Provide fuel to sustain effort; consider gels/ light food for events over 2 hrs

   Formulations are designed for: before, during and after event

   Recovery formulas are usually a carb and protein formula (4:1 CHO:Pro)

   They are NOT “Energy” Drinks

   Consider obesity/dental risks with continuous or overconsumption
Energy Drinks: Purpose
 Usually include carbohydrates, minerals, electrolytes and amino acids
(taurine, L-carnitine, creatine ), along with stimulants
(caffeine, guarana, ginseng, ma huang)

Frequently associated with higher caloric content- up to 270 calories per
serving

Typical caffeine servings: soft drink 24-50mg, coffee 75-150mg, energy
drinks similar range, but do not display caffeine content on label and can
provide up to 500mg per serving

   Guarana seeds have 2-10% caffeine; coffee beans have 1-2% caffeine
Read the label!
       What’s Best…                    What’s not…
•   Cane sugar                   • Artificial sweeteners:
•   Brown rice syrup               acesulfame, aspartame, s
•   Maltodextrin/maltose           ucralose
•   Sea salt/minerals            • Artificial colors
•   Na, K, Mg                    • Stimulants:
                                   caffeine, ginseng, guarana
•   Glucose                        , yerba mate’
•   Lower calories (10-70 cal)   • High Fructose corn syrup
Timing for Sports Drinks
 Before: Meal 1.5-2 hrs.; snack/drink 30-45 min.
 During:

      45-60 min.-water is best, electrolyte tabs
      60-90 min.-low cal sports drinks 5-50 Cal
      1 1/2 - 2 hrs.- 100-300 Cal plus lytes
      2+ hrs.- endurance drinks, ↑ Cal and lytes
 After exercise- fruit and protein smoothies, recovery

      drinks (4:1 Carbohydrate to protein)
Questions?
For a physician referral
        call askAAMC at
          443-481-4000
or toll-free at 800-MD-NURSE
For more information about AAMC
       visit www.aahs.org

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Youth Sports Injury Day: Sports Nutrition

  • 1.
  • 2. Sports Nutrition Nutrition and Prevention Frederick T. Sutter, MD Center For Wellness Medicine 171 Defense Highway Annapolis, MD 410 224 4446
  • 3. Keys to nutritional support for the young athlete:  Hydration-timing, quantity, quality -- water is best  Adequate calories to meet energy output plus BMR  Rest/recovery/sleep/immune function  Nutrients to support a training effect  Nutrients for repair and renewal
  • 4. Whole foods --the kind that are on the perimeter of the supermarket -- are the best fuel  If you want to put on muscle, sleep 8-9 hrs/night  Protein is a key nutrient - put the effort here, the carbs usually will follow with ease
  • 5. Protein  Most important for muscle and connective tissue building/repair  Do a protein diet assessment --target RDA/AI Males 9-13y 34 g/day; 14-18y 52 g/day; 19+y 56 g/d Females 9-13y 34 g/day; 14+y 46 g/day Range for individual athlete 0.8g/kg/day up to 1.3g/kg/day  If intake is low, can take as a protein smoothie with various fruits, even some veggies, offer hummus with cut veggies as a snack or real peanut butter (no sugar added) on an apple  Protein shake as a snack before/after practice or on the run-instead of sugary snacks
  • 6. Healthy Fats  Dietary Reference Intake: Total Fat AMDR* 25-35 g/day, males and females 9-18 y, 19+y 20-35 g/day  All fats contain 9 cal/gm  Help with satiety and sleep  Examples of healthy fats: Avocado Coconut Oil-best MCT content good endurance fuel/easy snack, well tolerated, easily mobilized fuel Mayonnaise Olives Cold-pressed extra virgin olive oil Walnut oil *Acceptable Macronutrient Distribution Range
  • 7. Sports Drinks: Purpose  Support hydration for the athlete-more fluid consumption due to taste  Replace minerals/electrolytes (sodium, potassium, magnesium)  Provide fuel to sustain effort; consider gels/ light food for events over 2 hrs  Formulations are designed for: before, during and after event  Recovery formulas are usually a carb and protein formula (4:1 CHO:Pro)  They are NOT “Energy” Drinks  Consider obesity/dental risks with continuous or overconsumption
  • 8. Energy Drinks: Purpose  Usually include carbohydrates, minerals, electrolytes and amino acids (taurine, L-carnitine, creatine ), along with stimulants (caffeine, guarana, ginseng, ma huang) Frequently associated with higher caloric content- up to 270 calories per serving Typical caffeine servings: soft drink 24-50mg, coffee 75-150mg, energy drinks similar range, but do not display caffeine content on label and can provide up to 500mg per serving  Guarana seeds have 2-10% caffeine; coffee beans have 1-2% caffeine
  • 9. Read the label! What’s Best… What’s not… • Cane sugar • Artificial sweeteners: • Brown rice syrup acesulfame, aspartame, s • Maltodextrin/maltose ucralose • Sea salt/minerals • Artificial colors • Na, K, Mg • Stimulants: caffeine, ginseng, guarana • Glucose , yerba mate’ • Lower calories (10-70 cal) • High Fructose corn syrup
  • 10. Timing for Sports Drinks  Before: Meal 1.5-2 hrs.; snack/drink 30-45 min.  During: 45-60 min.-water is best, electrolyte tabs 60-90 min.-low cal sports drinks 5-50 Cal 1 1/2 - 2 hrs.- 100-300 Cal plus lytes 2+ hrs.- endurance drinks, ↑ Cal and lytes  After exercise- fruit and protein smoothies, recovery drinks (4:1 Carbohydrate to protein)
  • 12. For a physician referral call askAAMC at 443-481-4000 or toll-free at 800-MD-NURSE
  • 13. For more information about AAMC visit www.aahs.org