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MODULE 3: NUTRITIONAL
CONSIDERATIONS FOR EXERCISING
INDIVIDUALS / ATHLETES
COMPONENTS OF ENERGY
EXPENDITURE
What is metabolism?
Total amount of energy required for each of our
  physiological actions.
Difference between RMR and BMR?
BMR requires extreme fasting conditions,
 extended periods of rest, tight environmental
 control.

70% of energy we expend each day goes toward
  non movement related physiological activity.
Thermic effect of food
TEF is used for digestion, absorption and
  assimilation of ingested food/nutrients.

Act of eating increases metabolism BUT IT
  DEPENDS ON WHICH MACRONUTRIENTS we
  ingest.

Protein has highest TEF ,
Fat has lowest.
PHYSICAL ACTIVITY
High variable

sedentary - 10 to 15%

Highly active - 30 %
ESTIMATION OF ENERGY NEEDS
Measuring oxygen consumption can help
 measure energy cost

Direct mathematical relationship between
  amount of oxygen we breathe in and amount
  of energy required by the body

Burning of fuel mixture (CHO + Fat) provides
  4.82 calories per litre of Oxygen.
Putting it into perspective....
 At rest, we burn 3.5 ml of oxygen / kg body weight /
   minute

 Person = 70 kg

 Oxygen consumption per hour ---
 3.5 x 70 x 60 = 14.7

 Oxygen consumption per hour ---
 14.7 x 24 = 352
 Therefore, Calories burnt = 3.52 x 4.82 = 1700 kcal
When exercise is added : breathing harder and
 faster ---- more oxygen --- therefore more
 calories burnt.

Oxygen consumption and energy expenditure
 are closely related!
ESTIMATION OF ENERGY
EXPENDITURE
Indirect calorimetry
Estimation of EE via measurement of oxygen
  consumption and carbon dioxide production.
Direct calorimetry
Direct mesurement of heat output by the body,
  used as index of energy expenditure.
Double labeled water
The Doubly Labelled Water (DLW) method uses the natural
  occurring stable isotopes of water (D2O and H218O) to
  assess energy expenditure
The DLW method is entirely safe and non-restrictive, requires
  only periodic sampling of body fluids and is well suited for
  measurement of energy expenditure in free-living or
  hospitalized patients.
The basis of the DLW method is to follow the decline in
  enrichment of the stable isotopes of oxygen (oxygen-18,
  18O) and hydrogen (deuterium, 2H) in body water after
  initial labeling of the body water pool.
As oxygen-18 is lost from the body in the form of water
  and carbon dioxide (CO2), whereas deuterium is lost
  only as water, the difference in loss from the body
  reflects the CO2 production during the period. Because
  CO2 production is the result of fat, carbohydrate and
  protein oxidation, it is an index of energy expenditure.
Bioelectrical impedance analysis

•   This procedure involves sending a very small current through
    the body—800 mA at 50 kHz, which is unable to be felt—and
    measuring its resistance.


•   The underlying theory to this procedure is :
    Lean tissue offers less resistance to a current as it contains
    more water and electrolytes than adipose tissue


•   This is an affordable and non-invasive method. Another
    advantage of this procedure is that no special training or skill is
    required
Several factors may influence its results such as
It quickly estimates the REE based on its estimation
   hydration state of the subject, prandial/fasting state,
   exercises, diuretics use, menstrual period,
PREDICTIVE EQUATIONS
Mifflin-St Jeor (1990) in kcal/day

Male: (10 x W) + (6,25 x H) – (5 x A) + 5
Female: (10 x W) + (6,25 x H) – (5 x A) – 161

W = Weight in Kg
H = Height in cm
A = Age in years
Owen Equation
Men
RMR (kcal/day) = 879 +10.2 (weight in kg)


Women:
RMR (kcal/day) = 795 + 7.2 (weight in kg)


Harris and Benedict (1919) in kcal/day

Male 66.4730 + 13.7516(W) + 5.0033(H) – 6.7550(A)


Female 655.0955 + 9.5634(W) + 1.8496(H) – 4.6756(A)
Physical activities records:
Low cost method that estimates EE from an
extremely detailed registry off all physical
activity studies is limited due to various existing
codes
perform daily




Dietary questionnaires
ENERGY AVAILABILTY
A new concept that is being promoted is that of
energy availability—that is, the energy that is left for
 body functions once the energy cost of training is
taken into account

There is evidence that the body can tolerate a certain level
of reduction in energy intake, but energy availability
lower than 30 kcal (126 kJ) per of lean body mass is
associated with impairments of metabolic, hormonal,
and reproductive function.
Definition of energy availability     Total energy intake—energy cost of training




Example of low energy availability   Calculations: Body fat = 10% or 5 kg
Athlete = 50 kg, distance runner,    Lean body mass (LBM) = 45 kg
10% body fat                         Energy availability = 2250 -1000 = 1250 kcal
Training programme = 1000            = 1250/45 kg
kcal/day
Energy intake = 2250 kcal            = 28 kcal/kg LBM


Example of adequate energy           Calculations: Body fat = 10% or 6 kg
availability                         Lean body mass (LBM) = 54 kg
Athlete = 60 kg distance runner,     Energy availability = 3250 -1000 = 2250 kcal
10%                                  = 2250/54 kg
body fat
Training program = 1000 kcal/day     = 42 kcal/kg LBM
Energy intake = 3250 kcal
•    POWER EVENTS OF HIGHER WEIGHT CATEGORY (80 KG AND
     ABOVE)


•    ENDURANCE EVENTS


•    TEAM EVENTS, ATHLETICS AND
       POWER EVENTS OF
       MIDDLE WEIGHT CATEGORY (65KG)


•    EVENTS OF LIGHT WEIGHT
    CATEGORY


•    SKILL GAMES
MARATHON, LONG DISTANCE RUNNING,


WALKING, HOCKEY, WEIGHT LIFTING,


WRESTLING, JUDO, ROAD CYCLING,


ROWING , SWIMMING, FOOT BALL, THROWING EVENTS


BASKETBALL, GYMNASTICS, TABLE TENNIS,


YATCHING, BOXING, VOLLEY BALL, SKILL


GAMES SHOOTING, ARCHERY , EQUESTRAIN,
Functions of macronutrients- in brief
MICRONUTRIENTS

• Micronutrients include vitamins and minerals.
• They do not provide energy.
• They are needed in small quantities.
• Deficiencies and excesses of the
  micronutrients can affect health
Functions of micronutrients- (brief)
VITAMIN          METABOLIC ROLE
A                Antioxidant function
Thiamin          Carbohydrate metabolism
Riboflavin       Mitochondrial electron transport

Niacin           Multiple metabolic pathways

Pyridoxine       Amino Acid synthesis
Folate           Red blood cell synthesis
Cyanocobalamin   Red blood cell synthesis
Ascorbic Acid    Antioxidant, Tissue repair
D                Calcium homeostasis, Immunity
MINERALS   PROPOSED BENEFIT
           SUMMARY OF RESEARCH FINDINGS



Calcium    Important for forming bone and teeth,
           clotting blood, and transmitting nerve
           impulses.
Zinc       Associated with immunity
Selenium   Antioxidant.
Iron       Helps to transport oxygen around the body

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Module 3 mcc sports nutrition credit course - nutritional considerations for exercising individuals and athletes

  • 1. MODULE 3: NUTRITIONAL CONSIDERATIONS FOR EXERCISING INDIVIDUALS / ATHLETES
  • 3. What is metabolism? Total amount of energy required for each of our physiological actions.
  • 4. Difference between RMR and BMR? BMR requires extreme fasting conditions, extended periods of rest, tight environmental control. 70% of energy we expend each day goes toward non movement related physiological activity.
  • 5. Thermic effect of food TEF is used for digestion, absorption and assimilation of ingested food/nutrients. Act of eating increases metabolism BUT IT DEPENDS ON WHICH MACRONUTRIENTS we ingest. Protein has highest TEF , Fat has lowest.
  • 6. PHYSICAL ACTIVITY High variable sedentary - 10 to 15% Highly active - 30 %
  • 7. ESTIMATION OF ENERGY NEEDS Measuring oxygen consumption can help measure energy cost Direct mathematical relationship between amount of oxygen we breathe in and amount of energy required by the body Burning of fuel mixture (CHO + Fat) provides 4.82 calories per litre of Oxygen.
  • 8. Putting it into perspective.... At rest, we burn 3.5 ml of oxygen / kg body weight / minute Person = 70 kg Oxygen consumption per hour --- 3.5 x 70 x 60 = 14.7 Oxygen consumption per hour --- 14.7 x 24 = 352 Therefore, Calories burnt = 3.52 x 4.82 = 1700 kcal
  • 9. When exercise is added : breathing harder and faster ---- more oxygen --- therefore more calories burnt. Oxygen consumption and energy expenditure are closely related!
  • 11. Indirect calorimetry Estimation of EE via measurement of oxygen consumption and carbon dioxide production.
  • 12. Direct calorimetry Direct mesurement of heat output by the body, used as index of energy expenditure.
  • 13. Double labeled water The Doubly Labelled Water (DLW) method uses the natural occurring stable isotopes of water (D2O and H218O) to assess energy expenditure The DLW method is entirely safe and non-restrictive, requires only periodic sampling of body fluids and is well suited for measurement of energy expenditure in free-living or hospitalized patients. The basis of the DLW method is to follow the decline in enrichment of the stable isotopes of oxygen (oxygen-18, 18O) and hydrogen (deuterium, 2H) in body water after initial labeling of the body water pool.
  • 14. As oxygen-18 is lost from the body in the form of water and carbon dioxide (CO2), whereas deuterium is lost only as water, the difference in loss from the body reflects the CO2 production during the period. Because CO2 production is the result of fat, carbohydrate and protein oxidation, it is an index of energy expenditure.
  • 15. Bioelectrical impedance analysis • This procedure involves sending a very small current through the body—800 mA at 50 kHz, which is unable to be felt—and measuring its resistance. • The underlying theory to this procedure is : Lean tissue offers less resistance to a current as it contains more water and electrolytes than adipose tissue • This is an affordable and non-invasive method. Another advantage of this procedure is that no special training or skill is required
  • 16. Several factors may influence its results such as It quickly estimates the REE based on its estimation hydration state of the subject, prandial/fasting state, exercises, diuretics use, menstrual period,
  • 17. PREDICTIVE EQUATIONS Mifflin-St Jeor (1990) in kcal/day Male: (10 x W) + (6,25 x H) – (5 x A) + 5 Female: (10 x W) + (6,25 x H) – (5 x A) – 161 W = Weight in Kg H = Height in cm A = Age in years
  • 18. Owen Equation Men RMR (kcal/day) = 879 +10.2 (weight in kg) Women: RMR (kcal/day) = 795 + 7.2 (weight in kg) Harris and Benedict (1919) in kcal/day Male 66.4730 + 13.7516(W) + 5.0033(H) – 6.7550(A) Female 655.0955 + 9.5634(W) + 1.8496(H) – 4.6756(A)
  • 19. Physical activities records: Low cost method that estimates EE from an extremely detailed registry off all physical activity studies is limited due to various existing codes perform daily Dietary questionnaires
  • 20. ENERGY AVAILABILTY A new concept that is being promoted is that of energy availability—that is, the energy that is left for body functions once the energy cost of training is taken into account There is evidence that the body can tolerate a certain level of reduction in energy intake, but energy availability lower than 30 kcal (126 kJ) per of lean body mass is associated with impairments of metabolic, hormonal, and reproductive function.
  • 21. Definition of energy availability Total energy intake—energy cost of training Example of low energy availability Calculations: Body fat = 10% or 5 kg Athlete = 50 kg, distance runner, Lean body mass (LBM) = 45 kg 10% body fat Energy availability = 2250 -1000 = 1250 kcal Training programme = 1000 = 1250/45 kg kcal/day Energy intake = 2250 kcal = 28 kcal/kg LBM Example of adequate energy Calculations: Body fat = 10% or 6 kg availability Lean body mass (LBM) = 54 kg Athlete = 60 kg distance runner, Energy availability = 3250 -1000 = 2250 kcal 10% = 2250/54 kg body fat Training program = 1000 kcal/day = 42 kcal/kg LBM Energy intake = 3250 kcal
  • 22.
  • 23. POWER EVENTS OF HIGHER WEIGHT CATEGORY (80 KG AND ABOVE) • ENDURANCE EVENTS • TEAM EVENTS, ATHLETICS AND POWER EVENTS OF MIDDLE WEIGHT CATEGORY (65KG) • EVENTS OF LIGHT WEIGHT CATEGORY • SKILL GAMES
  • 24. MARATHON, LONG DISTANCE RUNNING, WALKING, HOCKEY, WEIGHT LIFTING, WRESTLING, JUDO, ROAD CYCLING, ROWING , SWIMMING, FOOT BALL, THROWING EVENTS BASKETBALL, GYMNASTICS, TABLE TENNIS, YATCHING, BOXING, VOLLEY BALL, SKILL GAMES SHOOTING, ARCHERY , EQUESTRAIN,
  • 26. MICRONUTRIENTS • Micronutrients include vitamins and minerals. • They do not provide energy. • They are needed in small quantities. • Deficiencies and excesses of the micronutrients can affect health
  • 27. Functions of micronutrients- (brief) VITAMIN METABOLIC ROLE A Antioxidant function Thiamin Carbohydrate metabolism Riboflavin Mitochondrial electron transport Niacin Multiple metabolic pathways Pyridoxine Amino Acid synthesis Folate Red blood cell synthesis Cyanocobalamin Red blood cell synthesis Ascorbic Acid Antioxidant, Tissue repair D Calcium homeostasis, Immunity
  • 28. MINERALS PROPOSED BENEFIT SUMMARY OF RESEARCH FINDINGS Calcium Important for forming bone and teeth, clotting blood, and transmitting nerve impulses. Zinc Associated with immunity Selenium Antioxidant. Iron Helps to transport oxygen around the body