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Genetics\tand\tindividualized\tdifferences,\texercise\tenvironments,\tand\tlife\tstress\talso\tcan\taffect\tthe\nathlete’s\tmicrobiome\tand\ttolerance\tof\tspecific\tnutrients.\tIt\tappears\tthat\texercise\tis\tlinked\twith\nmodifying\n\tthe\tbrain-gut-microbe\taxis,\tdiet\tmicrobe\thost\tmetabolic\tinteractions,\tneuroendocrine\tand
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neuroimmune\tinteractions.\tThere\tis\tevidence\tto\tsuggest\tthat\tstress,\tboth\tphysiologic\tand\temotional,\ncan\tmodulate\tthe\tcomposition\tof\tgut\tmicrobiota\tand\tvice\tversa;\tthe\tmicrobiota\tcan\tact\tlike\tan\nendocrine\torgan\tsecreting\tserotonin,\tdopamine,\tor\tother\tneurotransmitters\tand\tcontrol\tthe\nhypothalamic-pituitary-adrenal\n\t(HPA)\taxis\tin\tathletes\t(
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] |
hypothalamic-pituitary-adrenal\n\t(HPA)\taxis\tin\tathletes\t(\nClark\tand\tMach,\t2017\n).\tSee\t\nChapter\t30\n\tfor\nmore\tinformation\tabout\tthe\tHPA\taxis.\nAlthough\ta\tdirect\trelationship\tbetween\texercise\tand\tgut\tmicrobial\tcomposition\tor\tfunction\thas\tnot\nbeen\testablished,\tthere\tare\tseveral\tmechanisms\tby\twhich\tphysical\tactivity\tmight\tmodify\tthe
|
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] |
microbiota\tand\timpact\timmune\tstatus,\tgut\tfunction,\tthe\tincidence\tof\tupper\trespiratory\tinfections\n(URI),\n\tmood,\tand\tsports\tperformance\t(\nClark\tand\tMach,\t2017\n;\t\nFoster\tet\tal,\t2017\n;\t\nHart,\t2018\n;\nO’Sullivan\tet\tal,\t2015\n).\tIt\tis\testimated\tthat\t20%\tto\t60%\tof\tathletes\tare\timpacted\tby\tthe\tstress\tof
|
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excessive\texercise,\tespecially\tendurance\ttraining\tand\tinadequate\trecovery\tand\t20%\tto\t50%\tof\nathletes\tsuffer\tfrom\tgastrointestinal\tsymptoms,\twhich\thave\tbeen\tshown\tto\tincrease\twith\texercise\nintensity\t(\nClark\tand\tMach,\t2017\n;\t\nLamprecht\tet\tal,\t2012\n).\t(see\t\nClinical\tInsight\n.)
|
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;\t\nLamprecht\tet\tal,\t2012\n).\t(see\t\nClinical\tInsight\n.)\nTraining\tand\tdietary\tprograms\tthat\taim\tto\tbalance\tthe\tsystematic\tstressors\tthat\tathletes\nexperience,\ttogether\twith\tpersonalized\tdiet\tplans\tto\timprove\tperformance,\tcan\treduce\texercise-\nrelated\tstress\tsymptoms\tand\timprove\tgut\tmicrobiota,\tinflammation,\tand\tperformance.\tOne\tstudy
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demonstrated\tthis\twith\tthe\tIrish\tinternational\trugby\tfootball\tteam\tduring\n\tWorld\tCup\ttraining\tcamp.\nThe\tstudy\tfound\tthat\twhen\tmonitoring\tdiet\tand\texercise\tunder\textreme\ttraining\tcondition\tand\ncomparing\tto\tcontrols,\tprofessional\tathletes\thad\tlower\tlevels\tof\tinflammatory\tcytokines\tand
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increased\tfecal\tmicrobial\tdiversity\tsuggesting\tthat\texercise\tplays\ta\tprotective\tand\tpositive\trole\tin\nnourishing\tthe\tmicrobiota\t(\nO’Sullivan\tet\tal,\t2015\n).\nIn\torder\tto\tfind\tsolutions\tfor\tpotential\n\tnutrient\tdeficiencies,\tdietitians\tmust\tintegrate\nanthropometric,\tbiochemical,\tand\tdietary\tdata\tand\tfeedback\tfrom\tathletes\tto\tdetermine\thow
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additional\tfactors\tsuch\tas\talterations\tin\tgut\tmicrobiota,\tfood\tallergies\tor\tintolerances,\tdietary\npreferences\tor\taversions,\tand/or\tdisease\tprocesses\tmay\taffect\tthe\toverall\tabsorption,\tassimilation,\ndigestion,\tmetabolism,\tand\ttransport\tof\tspecific\tmacronutrients,\n\tmicronutrients,\tor\tfluids,\tand\nultimately\taffect\tperformance\tpotential.
|
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ultimately\taffect\tperformance\tpotential.\nA\tsports\tdietitian\talso\tneeds\tto\tbe\table\tto\tcritically\tevaluate\thealth\tclaims,\tadvise\ton\tspecial\ndietary\tmodifications,\tand\trecommend\tevidence\tinformed\tnutritional\tsupplements\tto\tenhance\nphysical\tperformance\tand\texercise\ttraining\tresponses.\nNutritional\trequirements\tof\texercise\nEnergy
|
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Nutritional\trequirements\tof\texercise\nEnergy\nThe\tmost\timportant\tcomponent\tof\n\tsuccessful\tsports\ttraining\tand\tperformance\tis\tto\tensure\tadequate\ncalorie\tintake\tto\tsupport\tenergy\texpenditure\tand\tmaintain\tstrength,\tendurance,\tmuscle\tmass,\tand\noverall\thealth.\tEnergy\tand\tnutrient\trequirements\tvary\twith\tage,\tgender,\tweight,\theight,
|
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training/sport\ttype,\tfrequency,\tintensity,\tand\tduration.\tOther\tinfluencing\tfactors\tinclude\ttypical\tdiet,\nhistory\tof\trestrictive\tand\tdisordered\teating;\n\tand\tendocrine\tand\tenvironmental\tconditions\tsuch\tas\nheat,\tcold,\tand\taltitude.\tData\tsuggests\tthat\ta\tnegative\tenergy\tbalance\tis\tcommon\tin\tendurance
|
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] |
athletes,\tweight\tmaking\tand\testhetic\tsports\t(wrestling,\tgymnastics,\tskating,\tdancing),\tand\tathletes\nwith\ta\tlarger\tbody\tsize,\tespecially\tduring\thigh-volume\ttraining\t(\nRogerson,\t2017\n).\tEstimating\tenergy\nintake\tis\talso\tchallenging\tto\taccomplish,\tespecially\n\tin\tsports\tthat\tare\tless\twell\tstudied\t(\nPowers\tet\tal,\n2018\n).
|
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kcal/kg/day\tor\troughly\t1800\tto\t2400\tcalories\ta\tday.\tHowever,\tenergy\trequirements\tfor\tathletes\ntraining\t90\tminutes\ta\tday\tmay\trequire\t45\tto\n\t50\tkcal/kg/day,\tand\tin\tcertain\tsports\teven\tmore\t(\nThomas\net\tal,\t2016\n).\nFor\texample,\tthe\t50-kg\tathlete\tengaging\tin\tmore\tintense\ttraining\tof\t2\tto\t3\thours/day\tfive\tto\tsix
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times\ta\tweek\tor\thigh-volume\ttraining\tof\t3\tto\t6\thours\tin\tone\tto\ttwo\tworkouts\tper\tday\t5\tto\t6\tdays\ta\nweek\tmay\texpend\tup\tto\tan\tadditional\t600\tto\t1200\tcalories\ta\tday\tabove\tand\tbeyond\tresting\tenergy\nexpenditure,\tthus\trequiring\t50\tto\t80\n\tkcal/kg/day\tor\troughly\t2500\tto\t4000\tkcal/day.\tFor\telite\tathletes
|
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] |
kcal/kg/day\tor\troughly\t2500\tto\t4000\tkcal/day.\tFor\telite\tathletes\nor\tathletes\twith\tlarger\tbodies,\tdaily\tcalorie\tneeds\tcan\treach\t150\tto\t200\tkcal/kg,\tor\troughly\t7500\tto\n10,000\tcalories\ta\tday,\tdepending\ton\tthe\tvolume\tand\tintensity\tof\tdifferent\ttraining\tphases.\nEstimation\tof\tenergy\trequirements
|
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Estimation\tof\tenergy\trequirements\nResting\tmetabolic\trate\t(RMR)\tor\tresting\tenergy\texpenditure\t(REE)\tcan\tbe\tmeasured\tusing\tindirect\ncalorimetry\n\tor\testimated\tby\tusing\tpredictive\tequations.\tIndirect\tcalorimetry\tinvolves\tusing\ta\nhandheld\tdevice\tsuch\tas\tthe\tMedGem\tcalorimeter\tor\tmetabolic\tcart\ttypically\tused\tin\texercise
|
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physiology\tor\tresearch\tsettings\tto\tmeasure\ta\tperson’s\toxygen\tconsumption\tto\tdetermine\tRMR\tor\nbasal\tmetabolic\trate\t(BMR).\tMeasuring\tRMR\tor\tBMR\tis\tmore\taccurate\tthan\tusing\tprediction\nequations.\nPredictive\tequations\tare\tused\n\tto\testimate\tRMR/BMR\twhen\ttechnical\tequipment,\tsuch\tas\ta
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] |
to\testimate\tRMR/BMR\twhen\ttechnical\tequipment,\tsuch\tas\ta\nmetabolic\tcart,\tis\tnot\tavailable.\tThe\tCunningham\tequation\thas\tbeen\tshown\tto\tbe\tthe\tbest\tpredictor\nof\tRMR\tor\tREE\tfor\tactive\tmen\tand\twomen\tfollowed\tby\tthe\tHarris-Benedict\tequation.\tDeLorenzo\ndeveloped\tan\tequation\tthat\talso\thas\tbeen\tshown\tto\tbe\taccurate\tspecifically\twith\tmale\tstrength\tand
|
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power\tathletes\tsuch\tas\tthose\tin\twater\tpolo,\tjudo,\tand\tkarate\n\t(\nAcademy\tof\tNutrition\tand\tDietetics
|
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] |
[AND],\t2014\n;\t\nJagim\tet\tal,\t2018\n).\tIf\tthe\tsports\tdietitian\thas\tbody\tcomposition\tdata\tincluding\tpercent\nbody\tfat,\tthe\tREE\tcan\tbe\tcalculated\tas\tshown\tin\t\nBox\t22.1\n.\nBOX\t22.1\nCalculating\tRMR\tfrom\tBody\tComposition\tData\nRMR\t(calories/day)\t=\t500\t+\t(22\tx\tLBM\tin\tkilograms)\nRMR\t=\tresting\tmetabolic\trate\t\nLBM\t=\tlean\tbody\tmass
|
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] |
RMR\t=\tresting\tmetabolic\trate\t\nLBM\t=\tlean\tbody\tmass\nOnce\tREE\thas\tbeen\tcalculated,\tthe\ttotal\n\tenergy\texpenditure\t(TEE)\tcan\tbe\testimated\tusing\tenergy\nexpenditure\tfrom\tphysical\tactivity.\tBecause\tmetabolic\tequipment\tis\texpensive,\trequires\tconsiderable\ntraining\tto\tuse,\tand\tis\tnot\tpractical\toutside\tresearch\tsettings,\tindirect\tmethods\tcan\tbe\temployed\tand
|
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include\theart\trate\tmonitors,\tpedometers,\tor\taccelerometers.\nOther\tindirect\tmethods\tare\tto\tuse\ta\tdaily\tactivity\tfactor\tas\ta\tbase\tto\twhich\tis\n\tadded\tcalories\nexpended\tin\texercise,\twhich\tare\tcalculated\tby\tmultiplying\tthe\tcalories\texpended\tper\tminute\tof\nexercise\ttimes\tthe\tamount\tof\ttime\tspent\tin\tthat\tactivity,\tknown\tas\t\nmetabolic\tequivalents\t(METs)
|
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] |
metabolic\tequivalents\t(METs)\nof\ttask\t(\nPowers\tet\tal,\t2018\n).\tOne\tMET\tis\tdefined\tas\tthe\tamount\tof\toxygen\tconsumed\twhile\tsitting\nquietly\tin\ta\tchair\tat\trest\tand\tequivalent\tto\t3.5\tmL\tO\n2\n\tper\tkg\tbody\tweight\tx\tmin,\twhile\tthe\tenergy\n\tcost\nof\tan\tactivity\tis\t(mL\tO\n2\n/kg/min)\tx\t3.5\t(\nJetté\tet\tal,\t1990\n)\tA\trecent\tstudy,\thowever,\tsuggests\tthat\tthe
|
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] |
Jetté\tet\tal,\t1990\n)\tA\trecent\tstudy,\thowever,\tsuggests\tthat\tthe\nstandardized\tMET\tvalue\toverestimated\tobserved\tresting\toxygen\tconsumption\t(VO\n2\n)\tin\t114\thealthy\nmen,\tresulting\tin\tunderestimations\tof\tthe\tmaximal\tMET\tand\tenergy\tcost\tof\trunning\t(\nÁzara\tet\tal,\n2017\n).
|
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Ázara\tet\tal,\n2017\n).\nHeart\trate\tmonitoring\tto\testimate\tenergy\texpenditure\tis\tbased\ton\tthe\tassumption\tthat\tthere\tis\n\ta\nlinear\trelationship\tbetween\theart\trate\tand\tVO\n2\n.\tUsing\theart\trate\tto\tcalculate\tintensity\tis\tnot\nnecessarily\taccurate\tsince\tincreases\tmay\tbe\tdue\tto\tnot\tonly\tenergy\tdemand\tbut\talso\tfactors\tsuch\tas
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stress,\tmedications,\tcaffeine,\tand\tdehydration.\tPedometers\tmeasure\tambulatory\tdistance\tcovered,\nwhich\tis\ta\tlimitation\tof\tthe\tmethod\tbecause\tit\tdoes\tnot\tconsider\tother\ttypes\tof\tphysical\tactivities\nsuch\n\tas\tweight\tlifting,\tcycling,\tor\tyoga.\tAccelerometers\thave\tthe\tadvantage\tof\tmeasuring\tall
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activities,\tare\teasy\tto\twear,\tand\tcan\tgive\tfeedback\tfor\tlong\tperiods\tof\ttime.\tOther\tpersonal\tfitness\ndevices\thave\tbeen\tdeveloped\tin\trecent\tyears,\talthough\tno\tmethod\tis\tas\taccurate\tas\tmeasuring\ndirectly\twith\ta\tmetabolic\tcart.\tA\tmethod\tfor\tcalculating\tTEE\tusing\tactivity\tfactors\tprovided\tis\tshown\nin\t\nBox\t22.2\n.\nBOX\t22.2
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] |
in\t\nBox\t22.2\n.\nBOX\t22.2\nCalculating\tDaily\tEnergy\tRequirements\tfor\tAthletes\nCunningham\tequation\nRMR\tor\tREE\t(resting\tenergy\texpenditure\tin\tkcalories/day)\n\t=\t500\t+\t[22\tx\tlean\tbody\tmass\n(LBM)\tin\tkilograms\t(kg)]\nFor\texample:\n175-pound\t(79.5kg)\tathlete\twith\t10%\tbody\tfat\nKg\tof\tfat\t=\tfat\tweight\t=\t79.5\tkg\tx.10\t=\t7.9\tkg\tfat.
|
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] |
Kg\tof\tfat\t=\tfat\tweight\t=\t79.5\tkg\tx.10\t=\t7.9\tkg\tfat.\nLBM\t=\ttotal\tweight\t–\tfat\tweight\t=\t79.5\t–\t7.9\t=\t71.6\tkg\tof\tLBM\nREE\t=\t500\t+\t(22\tx\t71.6kg\n\tLBM)\t=\t2075\tcalories.\nTo\tdetermine\tEEPA—energy\texpended\tfor\tphysical\tactivity\nCan\tuse:\nCalories\t expended\t in\t a\t day\t using:\nhttp://www.cdc.gov/nccdphp/dnpa/physical/pdf/PA_Intensity_table_2_1.pdf\nOr\nCan\tuse:
|
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Or\nCan\tuse:\nSpecific\tcaloric\texpenditures\tfor\tdifferent\tweights\tusing:\nhttp://www.nutribase.com/exercala.htm\n.\nOr\nCan\tmultiply\tREE\tby\tthe\tactivity\tfactor\tusing:\n1.200\t=\tsedentary\t(little\tor\tno\texercise)\n1.375\t=\tlightly\tactive\t(about\t30\tminutes\tof\tmoderate\ttraining,\t1-3\tdays/week)
|
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0.07568183541297913,
0.01477030199021101,
0.04396074265241623,
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] |
1.550\t=\tmoderately\tactive\t(45\tminutes\tof\tmoderate\ttraining,\t3-5\tdays/week)\n1.725\t=\tvery\tactive\t(training\tfor\t1\thour,\t6-7\tdays/week)\n1.900\t=\textra\tactive\t(very\thard\ttraining,\tincluding\tweight\tlifting,\t2-3\tdays/week)\nOr\tMETs\t(Metabolic\tEquivalents)\nExample\tMETs\t=\t4.5.\tWeight\tof\tindividual:\t80\tkg.\nAmount\tof\tenergy
|
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] |
Example\tMETs\t=\t4.5.\tWeight\tof\tindividual:\t80\tkg.\nAmount\tof\tenergy\n\texpended\t=\t0.0175\tkcal/kg/minute\tx\t80\tkg\tx\t4.5\t=\t6.3\tkcal/min.\nWalking\tfor\t30\tminutes\tat\t4\tmph\tfor\tan\t80\tkg\tindividual\t=\t189\tkcal.\nMETs\tCalculation\tsource:\t\nhttp://www.globalrph.com/metabolic_equivalents.htm\nTo\tcontinue\tthe\texample:
|
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] |
To\tcontinue\tthe\texample:\nThe\tEEPA\tfor\tthis\t175-pound\tathlete\twho\tis\ttraining\thard\twould\tbe\tthe\tfollowing:\nREE\t(2075\tkcalories)\tx\tactivity\tfactor\t(1.9)\t=\t3942\t\ntotal\n\tkcalories\tfor\tbasal\n\tenergy\texpenditure\n(BEE)\tand\tEEPA
|
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] |
To\tcontinue\tthe\texample:\nThermic\teffect\tof\tfood\t(TEF)\t=\tthe\ttotal\tkcalories\tfor\tREE\tand\tEEPA\tx\t10%\t=\t3942\tx\t0.1\t=\t394\nkcalories\nTotal\tdaily\tenergy\trequirements\t=\ttotal\tkcalories\t(3942)\t+\tTEF\t(394\tkcalories)\t=\t4336\nkcalories.\nTotal\tdaily\tenergy\trequirements\n\t=\t4336\tkcalories
|
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] |
kcalories.\nTotal\tdaily\tenergy\trequirements\n\t=\t4336\tkcalories\nThompson\tJ,\tManore\tMM.\tPredicted\tand\tmeasured\tresting\tmetabolic\trate\tof\tmale\tand\tfemale\n\tendurance\nathletes.\t\nJ\tAm\tDiet\tAssoc\n.\t1996\tJan;\t96(1):30-4.\nMeeting\tcaloric\tneeds\tfor\tmany\tfitness-minded\tor\telite,\tintensely\ttraining\tindividuals\tcan\tbe\ta
|
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challenge\tregardless\tof\tthe\taccuracy\tof\tthe\tformulas\tused\tto\tpredict\tenergy\tneeds.\nFor\thigh\tschool\tand\tcollege\tathletes,\tdisruptive\tsleep\tpatterns\tand\taccommodating\tacademic,\nsocial,\tand\ttraining\tschedules\toften\tlead\tto\tskipped\tmeals,\n\thigh\tfrequency\tof\tunplanned\tsnacking,
|
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high\tfrequency\tof\tunplanned\tsnacking,\nuse\tof\tsport\tshakes\tand\tbars\tin\tlieu\tof\twhole\tfood\tmeals,\tand\tlate-night\tsnacking\twhile\tstudying\tor\nsocializing\tonline\tor\twith\tfriends.\tAdult\tathletes\twith\tfamily\tand\twork\tresponsibilities\tand\treligious\nobligations\tsuch\tas\tfasting,\tLent,\tor\tcelebrating\tRamadan\tmay\talso\thave\tadditional\tchallenges\twhen
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juggling\tdaily\ttraining\tschedules\twith\tcarpools,\twork\tdeadlines,\n\tand\taccommodating\tfamily’s\teating\nschedules,\twhich\tmay\tultimately\tcompromise\tthe\tquantity,\tquality,\tand\ttiming\tof\tmeals\tand\tgreatly\naffect\tenergy,\tstrength\tlevels,\tand\toverall\thealth.\nIn\telite\tathletes,\tconsuming\tenough\tfood\tat\tregular\tintervals\twithout\tcompromising\tperformance\tis
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demands\tcan\tbe\tbetter\tprepared\tby\tpacking\tsnacks\tand\tready-to-eat\tmeals,\twhich\tare\tessential\tfor\nkeeping\tenergy\tintakes\tadequate\tto\tsupport\toverall\thealth\tand\tperformance.\nMeeting\tthe\tdaily\tenergy\tneeds\tand\tthe\tappropriate\n\tmacronutrient\tdistribution\tfor\tactive
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influenced\tby\tweight/body\tcomposition,\tthese\tphysical\tmeasures\tare\tnot\tthe\tonly\tperformance\ncriteria\tfor\toptimal\tsports\toutcomes.\tOptimal\tweight,\tBMI,\n\tand\tbody\tcomposition\tmeasures\tfor\nathletic\tperformance\thave\tyet\tto\tbe\tdetermined,\ttherefore\tsports\tperformance\tmay\tbe\tthe\tbest
|
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indicator\tto\tdetermine\tan\tathlete’s\toptimal\tbody\tcomposition\tand\tweight\tat\ttheir\tage\tfor\tbest\nperformance\t(\nCarl\tet\tal,\t2017\n).\nRegardless\tof\tage,\tultimately,\tan\tathlete’s\toptimal\tcompetitive\tbody\tweight\tand\trelative\tbody\nfatness\tshould\tbe\tdetermined\tbased\ton\tindividual\n\thealth\tand\tlevel\tof\tperformance.\tFor\tyoung
|
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health\tand\tlevel\tof\tperformance.\tFor\tyoung\nathletes\tthere\tare\tno\testablished\trecommendations\tregarding\tbody\tcomposition\tin\tchildren\tand\nadolescents.\tFor\tmaster-level\tathletes\tolder\tthan\t40\tyears,\tchronic\ttraining\thas\tbeen\tshown\tto\npreserve\tbody\tfat\tlevels\tsimilar\tto\tthat\tof\tyoung,\thealthy\tindividuals\tin\tan\texercise\tmode-specific\nmanner\t(
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manner\t(\nMcKendry\tet\tal,\t2018\n).\nIn\tsome\tsports,\tathletes\tmay\tbe\tpressured\n\tto\tlose\tweight\tand\tbody\tfat\tto\timprove\ttheir\tpower-to-\nweight\tratio\t(as\tfor\trunning,\tdistance\tcycling,\tand\ttriathlons),\tachieve\ta\tdesirable\tbody\tcomposition\nfor\taesthetic\tsports\t(i.e.,\tgymnastics,\tfigure\tskating,\tdancing,\tcheerleading,\tand\tdiving)\tor\tcompete
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] |
in\ta\tspecific\tweight\tclass\t(as\tfor\twrestling,\tlightweight\trowing,\tsailing,\tmartial\tarts,\thorse\tracing\n[jockeys],\tand\tboxing),\tin\tspite\n\tof\thaving\tan\tappropriate\tweight\tfor\toverall\thealth\t(\nLarson-Meyer\tet\nal,\t2018\n;\t\nManore,\t2015\n).\nAthletes’\tbody-fat\tpercentages\tvary\tdepending\ton\tsex\tand\tsport\tas\tassessed\tin\tone\tstudy\tof\t898
|
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] |
male\tand\tfemale\tathletes\tfrom\t21\tsports\t(\nSchneiter\tet\tal,\t2014\n).\tWhen\tno\tstandard\texists,\texperts\nagree\tathletes\tshould\tremain\tabove\ta\tcertain\tminimal\tbody\tfat.\tWhile\tthe\testimated\tminimal\tlevel\tof\nbody\tfat\n\tcompatible\twith\thealth\tis\t5%\tfor\tmales\tand\t12%\tfor\tfemales,\toptimal\tbody-fat\tpercentages
|
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] |
for\tan\tathlete\tmay\tbe\tmuch\thigher\tto\tachieve\toptimal\tsuccess\tin\ttheir\trespective\tsports\tand\tneed\tto\nbe\testablished\ton\tan\tindividual\tbasis.\tThe\thighest\toptimal\tweight\tcan\tbe\tcalculated\tusing\ta\tvalue\tat\nthe\thighest\tend\tof\tthe\trange\tsatisfactory\tfor\thealth:\t10%\tto\t22%\tbody\tfat\tfor\tmales\tand\t20%\tto\t32%\nfor\tfemales\n\t(\nTurocy\tet\tal,\t2011\n).\nWeight\tloss
|
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] |
for\tfemales\n\t(\nTurocy\tet\tal,\t2011\n).\nWeight\tloss\nIn\tefforts\tto\tmaximize\tperformance\tor\tmeet\tweight\tcriteria\tdetermined\tby\tspecific\tsports—whether\nto\t“make\ta\tlower\tweight”\tin\tsports\tsuch\tas\tmartial\tarts,\tsailing,\trowing,\tor\twrestling,\tor\treach\ta\nhigher\tweight\tfor\tpower\tlifting,\tfootball,\tor\tbaseball—many\tathletes\talter\tnormal\tenergy\tintake\tto
|
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either\tgain\tor\tlose\tweight\t(\nCarl\tet\tal,\t2017\n).\tAlthough\tsuch\tefforts\n\tare\tsometimes\tappropriate,\nweight\treduction\tor\tweight\tgain\tprograms\tmay\tinvolve\telements\tof\trisk,\tespecially\twhen\tthe\npressure\tto\tlose\tor\tgain\tweight\tis\texpected\tin\tan\tunrealistically\tshort\tamount\tof\ttime.\tFor\tsome
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several\tweeks.\tWeight\tloss\tshould\tbe\tachieved\tduring\toff-season\tor\tpreseason\twhen\tcompetition\tis\nnot\ta\tpriority.\tA\tweight\n\tloss\tplanning\tguide\tcan\tbe\tfound\tonline\tat\tthe\t\nAND\tSports\tNutrition\tCare\nManual.\nThe\tNational\tAthletic\tTrainers\tAssociation\t(NATA)\tsuggests\tthe\tlowest\tsafe\tweight\tshould\tbe
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0.0714220255613327,
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-0.10054152458906174,
0.005952251143753529,
0.0342848002910614,
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0.09279490262269974,
0.0592632070183754,
0.060246873646974564,
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-0.011000154539942741,
0.09726238995790482,
0.0634160116314888,
0.03768071532249451,
0.013545404188334942
] |
calculated\tat\tno\tlower\tthan\tthe\tweight\tdetermined\tby\tthe\tlow\treference\tbody\tfat\tcomposition\ndelineated\tby\tsex\tand\tage.\tThe\tlowest\tsafe\tweight\tcan\tbe\tdefined\tas\tthe\tlowest\tweight\tsanctioned\tby\nthe\tgoverning\tbody\tat\twhich\ta\n\tcompetitor\tmay\tcompete\t(\nTurocy\tet\tal,\t2011\n).\tWhen\tno\tstandard
|
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0.09476382285356522,
0.059156693518161774,
0.08764151483774185,
0.023792045190930367
] |
competitor\tmay\tcompete\t(\nTurocy\tet\tal,\t2011\n).\tWhen\tno\tstandard\nexists,\tparticipants\twould\tbe\trequired\tto\tremain\tabove\ta\tcertain\tminimal\tbody\tfat.\t(\nTurocy\tet\tal,\n2011\n;\t\nTable\t22.1\n).\nTABLE\t22.1\nBody\tFat\t(%)\tStandards\tby\tSex\tand\tAge\nBody\tFat\tStandard\nMales\nFemales\nLowest\treference\tbody\tfat\tfor\tadults\n5\n12
|
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Males\nFemales\nLowest\treference\tbody\tfat\tfor\tadults\n5\n12\nLowest\treference\tbody\tfat\tfor\tadolescents\n7\n14\nHealthy\tbody\tfat\tranges\n10-22\n20-32\nIn\t1997\tspecific\trules\tand\tguidelines\twere\timplemented\tby\tthe\tNational\tCollegiate\tAthletic\nAssociation\t(NCAA)\tto\tensure\tsafe\tweight\tcontrol\tpractices\tin\twrestling,\tapplied\tearly\tin\tthe
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] |
competitive\tseason\tand\tconducted\ton\ta\tregular\tbasis\tto\tensure\tprevention\tof\tdehydration\tand\tother\nweight-cutting\tbehaviors.\tIn\t2006\tthe\tNational\tFederation\tof\tState\tHigh\tSchool\tAssociations\tadopted\nsimilar\n\tstandards\tfor\tdetermining\tbody\tweights,\talthough\tthey\tare\tnot\taccepted\tor\tenforced\nuniversally.\nWeight\tgain
|
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] |
universally.\nWeight\tgain\nAthletes\tare\toften\tmotivated\tto\tgain\tlean\tmuscle\tmass\tfor\tpower\tand\tteam\tsports.\tAn\tathlete’s\tstage\nof\tdevelopment,\tgenetic\tfactors,\tand\ttype\tof\ttraining,\tdiet,\tand\tmotivation\tare\tall\tfactors\tthat\ninfluence\tweight\tgain\tand\tmuscle\tdevelopment\t(\nCarl\tet\tal,\t2017\n).\tThe\thealthiest\tstrategy\n\tfor\tweight
|
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] |
Carl\tet\tal,\t2017\n).\tThe\thealthiest\tstrategy\n\tfor\tweight\ngain\tis\tto\tincrease\tmuscle\tmass\tby\tconsuming\tsufficient\tcalories\tand\tmacronutrients.\tThe\trate\tof\nweight\tgain\twill\tbe\tdependent\ton\tthe\tathlete’s\tgenetic\tmakeup,\tdegree\tof\tpositive\tenergy\tbalance,\nnumber\tof\trest\tand\trecovery\tsessions\tper\tweek,\tand\texercise\ttype\t(\nHall\tet\tal,\t2012\n).
|
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] |
Hall\tet\tal,\t2012\n).\nWeight\tgain\tshould\tbe\tgradual\tto\tavoid\texcess\tbody\tfat\tdeposition,\twhich\tis\tnot\tconducive\tto\noptimal\tperformance.\n\tAn\texcess\tof\t2\tpounds\tper\tweek\tmay\tresult\tin\tincreased\tbody\tfat.\tMale\nathletes\tcan\ttarget\ta\treasonable\tgain\tof\t0.5\tlb\tto\t1.0\tlb\tof\tlean\tmass\tper\tweek,\twhereas\tfemales\tcan
|
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] |
expect\ta\tgain\t0.25\tlb\tto\t0.75\tpounds\tof\tlean\tmass\tper\tweek.\tIncreased\tenergy\tintake\tshould\talways\nbe\tcombined\twith\tstrength\ttraining\tto\tinduce\tmuscle\tgrowth.\nNutrient-dense,\thigh-calorie\tfoods\tsuch\tas\tnuts\tand\tnut\tbutters\tand\n\tavocados\tare\ta\tgreat\taddition\nto\tmeals\tand\tsnacks.\tSmoothies\tand\tnut\tbutter\tsandwiches\tcan\tadd\thealthy\tfats,\tprotein,\tand
|
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] |
vitamins\tand\tminerals.\tOther\tfoods\tsuch\tas\tbeans\tand\tlentils,\tlean\tmeats,\tand\tdairy\tcan\talso\tbe\nincrementally\tadded\tto\tdaily\tcalorie\tneeds\tto\tachieve\tan\tadditional\t250\tto\t500\tcalories\tper\tday.\nWeight\tmanagement\tand\taesthetics\nDisordered\teating\nAlthough\tdrive,\tperfection,\n\tand\tattention\tto\tdetail\tare\tthe\thallmarks\tof\ttalented\tathletes,\tthey\tare
|
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] |
also\tsome\tof\tthe\tpersonality\ttraits\tassociated\twith\tthe\tdevelopment\tof\teating\tdisorders\t(see\t\nChapter\n21\n).\tDisordered\teating\tbehaviors\tamong\tathletes\tcan\tbe\tdifficult\tto\tdetect\tgiven\tthe\ttendencies\tof\nathletes\tto\tmaintain\trigid\tnutritional\trequirements,\tfollow\tintense\ttraining\tschedules,\tand\tpush\nthrough\tfatigue\tand\tpain.
|
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through\tfatigue\tand\tpain.\nDisordered\teating\tbehaviors\tspecifically\tin\tathletes\thave\tbeen\ttermed\t\nanorexia\tathletica\t(AA)\n,\nwhere\tthe\tultimate\tgoal\tis\tto\tperform\tat\tone’s\tbest\tas\topposed\tto\tthinness\tin\tand\tof\titself.\tAthletes\nwho\tare\tmore\tvulnerable\tto\tAA\tare\tthose\twho\tparticipate\tin\t“lean-build”\tsports,\tsuch\tas\tcross
|
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country\trunning,\tswimming,\tgymnastics,\tcheerleading,\tdance,\tyoga,\tand\twrestling,\twho\tmay\tthink\nthey\tneed\tto\n\tbe\ta\tcertain\tweight\tor\tbody\ttype,\toften\tfar\tless\tthan\twhat\tit\tis\trealistic\tto\tattain\tand\nmaintain\tto\tbe\tcompetitive.\tThis\tdesire\tto\tbe\tunrealistically\tlight\tor\tlean\tmay\tlead\tto\trestrictive
|
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eating,\tbingeing\tand\tpurging,\tand\texcessive\ttraining\tfar\tbeyond\twhat\tis\trequired\tfor\ttheir\tsport.\nFemale\tathlete\ttriad\nChronic\tdieting\tby\tfemale\tathletes\tcan\tlead\tto\tthe\t\nfemale\tathlete\ttriad\t(FAT)\n,\twhich\n\tconsists\tof\nthree\tinterrelated\thealth\tdisorders:\tlow\tenergy\tavailability\twith\tor\twithout\tan\teating\tdisorder,
|
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] |
osteoporosis,\tand\tamenorrhea.\tThe\tprevalence\tof\tFAT\tfor\tathletes\tparticipating\tin\tlean-requiring\nversus\tnon–lean-requiring\tsports\thas\tbeen\tshown\tto\trange\tfrom\t1.5%\tto\t6.7%\tand\tfrom\t0%\tto\t2.0%\nrespectively\t(\nGibbs\tet\tal,\t2013\n).\tFor\texample,\tit\thas\tbeen\tshown\tthat\tstudent\tand\tprofessional\n\tfemale
|
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] |
female\ndancers\tconsume\tonly\t70%\tto\t80%\tof\tthe\trecommended\tdietary\tallowance\t(RDA)\tfor\ttotal\tdaily\nenergy\tintake\t(\nMountjoy\tet\tal,\t2014\n).\nThe\tlow\tenergy\tintake\tof\t\nathletic\tenergy\tdeficit\t(AED)\n,\talso\tknown\tas\t\nrelative\tenergy\tdeficit\nin\tsports\t(RED-S)\n,\tcan\tlead\tto\tan\tincrease\tin\tbone\tfractures,\tlifelong\tconsequences\tfor\tbone\tand
|
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] |
reproductive\thealth,\timpaired\tjudgment,\tdecreased\tcoordination,\tdecreased\n\tconcentration,\nirritability,\tdepression,\tand\tdecreased\tendurance\tperformance\tin\tdeveloping\tadolescent\tgirls\tand\neven\tyoung\tmen\t(\nAckerman\tet\tal,\t2018\n).\tEvidence\tsuggests\tit\tis\tenergy\tavailability\tthat\tregulates
|
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reproductive\tfunction\tin\twomen,\tnot\texercise\tor\tbody\tcomposition,\tand\tthat\tensuring\tadequate\ncalorie\tintake\tis\timperative\tto\tthe\toverall\thealth\tof\tthe\tathletic\twoman\t(\nAckerman\tet\tal,\t2019\n;\t\nDe\nSouza\tet\tal,\t2014\n).\tLow\tenergy\tintake\tpaired\twith\tovarian\tsuppression\tor\tamenorrhea\thas\tbeen\nassociated\twith\tpoor\tathletic\tperformance.\nMuscle\tdysmorphia
|
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] |
associated\twith\tpoor\tathletic\tperformance.\nMuscle\tdysmorphia\nAlthough\tmany\tstudies\tsuggest\tfemales\tare\tmore\tsusceptible\tto\tdisordered\teating\tbehaviors\tthan\nmales,\tresults\tfrom\tdescriptive\tdata\tfrom\tproject\tEAT\t(Eating\tAmong\tTeens)\trevealed\tthat\tmales\tin\ta\nweight-related\tsport\tare\tcomparable\tto\n\tfemales\tin\tthe\tsame\tcategory.\tIn\tfact,\tas\tthe\tmedia’s
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] |
females\tin\tthe\tsame\tcategory.\tIn\tfact,\tas\tthe\tmedia’s\nportrayal\tof\tthe\tmale\tphysique\thas\tbeen\tincreasingly\tmuscular\tand\tunattainable,\tmen\thave\tbecome\nmore\tdissatisfied\twith\ttheir\tbodies\tand\tmore\tvulnerable\tto\t\neating,\texercise,\tand\tbody\timage\n(EEBI)\tdisorders\n.\nMuscle\tdysmorphia\t(MD)
|
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] |
(EEBI)\tdisorders\n.\nMuscle\tdysmorphia\t(MD)\n,\talso\tknown\tas\t“bigorexia”\tor\treverse\tAN,\tis\ta\tdisorder\tin\twhich\nindividuals\tare\tpreoccupied\twith\ttheir\tbodies\tnot\n\tbeing\tmuscular\tenough\tor\tbig\tenough.\tIt\tis\tmarked\nby\tsymptoms\tthat\tare\tsimilar\tto\tand\tthe\topposite\tof\tAN\tsymptomatology.
|
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AA\tand\tMD\texperience\tgrossly\tdistorted\tperceptions\tof\ttheir\tbodies,\twhich\tin\tthe\tcase\tof\tMD,\toften\nleads\tto\tmaladaptive\teating,\texercise,\tand\tsubstance\tuse\tbehaviors,\tincluding\tpreoccupation\twith\ndiet\tand\texcessively\thigh\tprotein\tintakes.\tIn\taddition\tthere\tis\tanabolic\tsteroid,\n\tdiet\tpill,\tcaffeine,\tand
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diet\tpill,\tcaffeine,\tand\nover-the-counter\tsupplement\tabuse,\tespecially\tof\tthose\treputed\tfor\tfat-burning,\tergogenic,\tor\nthermogenic\teffects.\tLast,\tthe\tathlete\texercises\texcessively,\tespecially\tweight\tlifting,\tin\tan\tattempt\tto\nincrease\tbody\tsatisfaction\tand\tattain\tthe\t“perfect”\tlean\tand\tmuscular\tphysique.\tAs\twith\tother\tEEBI,
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] |
MD\tcan\tlead\tto\tsocial,\toccupational,\tand\trelationship\timpairments\t(\nBox\t22.3\n).\nBOX\t22.3\nBody\tImage\tand\tEating\tDisorders\tin\tAthletes\nAnorexia\tathletica\nExercising\tbeyond\tthe\trequirements\tfor\tgood\thealth\nObsessive\tdieting;\tfear\tof\tcertain\tfoods\nObsessive\tor\tcompulsive\texercising;\tovertraining\nWon’t\teat\twith\tteammates,\ttries\tto\thide\tdieting
|
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Won’t\teat\twith\tteammates,\ttries\tto\thide\tdieting\nStealing\ttime\tfrom\twork,\tschool,\tand\trelationships\tto\texercise\nFocusing\ton\tchallenge\tand\tforgetting\tthat\tphysical\tactivity\n\tcan\tbe\tfun\nDefining\tself-worth\tin\tterms\tof\tperformance\nRarely\tor\tnever\tbeing\tsatisfied\twith\tathletic\tachievements\nAlways\tpushing\ton\tto\tthe\tnext\tchallenge
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] |
Always\tpushing\ton\tto\tthe\tnext\tchallenge\nJustifying\texcessive\tbehavior\tby\tdefining\tself\tas\tan\tathlete\tor\tinsisting\tthat\tthe\tbehavior\tis\nhealthy\nDesire\tto\tkeep\tlosing\tmore\tpounds\tdespite\talready\tlow\tbody\tweight\nMood\tswings;\tangry\toutbursts\nMenstrual\tperiods\tstop\nhttp://www.eatingdisordersonline.com/explain/anorexiathleticasigns.php\nMuscle\tdysphoria
|
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] |
Muscle\tdysphoria\nPrimarily\tmale\teating\tdisorder\nGetting\tbigger\tis\ton\tthe\tmind\tconstantly.\tThis\tincludes\tthinking\tabout\tdiet,\tworking\tout,\tor\nappearance\nSee\tthemselves\tas\tlooking\tsmall\tor\t“puny”\teven\tthough\tthey\ttypically\tappear\tnormal\tor\tvery\nmuscular\tto\tothers\nConstant\tconcerns\twith\tbody\tfat\tpercentage
|
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muscular\tto\tothers\nConstant\tconcerns\twith\tbody\tfat\tpercentage\nHide\tphysique\twith\tbaggy\tclothing\tsince\tnever\tfeel\t“good\tenough”\tand\tis\tsource\tof\n\tshame\nWorkouts\ttake\tprecedence\tover\tother\tsignificant\tevents\tor\ttime\tspent\twith\tfamily\tand\tfriends\nFear\tthat\tmissing\tone\tworkout\tsession\twill\tset\tthem\tback\tor\tstymie\tprogress\nWorkout\teven\twhen\tinjured
|
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] |
Workout\teven\twhen\tinjured\nCommon\tto\tabuse\tanabolic\tsteroids\tto\tenhance\ttheir\tappearance\nMissing\tworkout\tor\teating\ta\t“forbidden”\tfood\titem\tcan\ttrigger\textreme\tanxiety\tand\tcrush\tself-\nesteem\nIndividual\tmight\tadd\tadditional\n\tworkout\tsessions,\tskip\tmeals,\tor\tuse\tsome\tmeans\tto\tpunish\nthemselves\tfor\tdiet\tcheating
|
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as\t6\tyears\told\tand\tmay\taffect\tup\tto\t95%\tof\tcollege-age\tAmerican\n\tmen\twho\tare\tdissatisfied\twith\tsome\naspect\tof\ttheir\tbody\tand\tup\tto\t25%\tof\tcollege\tmen\tengaging\tin\tnegative\tbody\ttalk\t(\nEngeln\tet\tal,
|
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2013\n;\t\nMurray\tet\tal,\t2012\n).\tMany\tstudies\tsuggest\tthat\tbodybuilders\tdisplay\thigher\tMD\tprevalence\nrates\tand\tmore\tMD\tfeatures\tthan\tother\tresistance\ttraining\tathletes,\twith\tprevalence\trates\tranging\nfrom\t3.4%\tto\t53.6%\twithin\tthis\tpopulation\t(\nCerea\tet\tal,\t2018\n).\nMacronutrients
|
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] |
Cerea\tet\tal,\t2018\n).\nMacronutrients\nAccording\tto\tthe\tposition\tof\tthe\tAND,\tDietitians\tof\tCanada,\tand\tthe\tAmerican\tCollege\tof\tSports\nMedicine\t(ACSM),\tmost\trecreational\tathletes\tdo\tnot\tneed\tto\teat\ta\tdiet\tthat\tis\tsubstantially\tdifferent\nthan\tthe\tU.S.\tDietary\tGuidelines\tfor\tAmericans\tto\tattain\tand\tmaintain\toptimal\thealth\t(\nKerksick\tet\tal,\n2017
|
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] |
Kerksick\tet\tal,\n2017\n).\tIndividuals\tengaging\tin\ta\tgeneral\tfitness\tprogram\tof\tmoderate\tactivity\ttypically\tcan\tmeet\ntheir\tmacronutrient\tneeds\tby\tconsuming\ta\tnormal\tbalanced\tdiet\tof\t45%\tto\t55%\tof\tcalories\tfrom\ncarbohydrates\t(3\tto\t5\tg/kg/day),\t10%\tto\t15%\tfrom\tprotein\t(0.8\tto\t1\tg/kg/day),\tand\t25%\tto\t35%\tfrom\nfat\t(0.5\tto\t1.5\tg/kg/day).
|
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] |
fat\t(0.5\tto\t1.5\tg/kg/day).\nNutrition\tperiodization\nThe\tcomposition\tof\tthe\tathlete’s\tdiet\tis\tdependent\ton\ttraining\tphase:\tpreseason,\tseason,\toff-season;\nsport\ttype\tincluding\tintensity\tand\tduration\tof\ttraining;\n\tand\tweight\tand\tbody\tcomposition\tgoals.\nCompetitive\tathletes\tinvolved\tin\tmoderate-\tto\thigh-volume\ttraining\twill\thowever\trequire\tgreater
|
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amounts\tof\tcarbohydrates,\tprotein,\tand\tfat\tto\tmeet\tmacronutrient\tneeds\tfor\ttraining\tand\tseasonal\nrequirements\tand\tgoals,\twhether\tit\tis\tgaining\tmass,\timproving\tspeed,\tand/or\timproving\tendurance.\nSpecific\tmacronutrient\trecommendations\tshould\tbe\tused\twhen\tcounseling\n\ta\tcompetitive\tor\telite
|
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] |
a\tcompetitive\tor\telite\nathlete\tto\tmaximize\tperformance,\ta\tconcept\tknown\tas\tnutrition\tperiodization.\nNutrition\tperiodization\n\tis\ta\tterm\tto\tdescribe\tdietary\tmodification\tto\tmatch\tspecific\ttraining\npatterns\tduring\tin\tand\toff\tseasons\tas\twell\tas\tpre-\tand\tpostcompetition\tperiods,\twhich\tare\tmarked\tby
|
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] |
different\tnutritional\tneeds.\tPeriodization\tinvolves\tdifferent\ttraining\tcycles,\tincluding\tload,\trecovery\npeak,\tand\tconditioning\tthat\tare\timplemented\taccording\tto\tthe\tathlete’s\tsports\tdemands\tand\ncompetition\tschedules\t(\nKerksick\tet\tal,\t2017\n;\t\nTable\t22.2\n).\nTABLE\t22.2\nA\tNutrition\tPeriodization\tProgram\nCycle\nTraining\tGoal/Dietary\tRecommendation
|
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] |
Cycle\nTraining\tGoal/Dietary\tRecommendation\nPreseason\ntraining\nPreparation\tload\tcycles\tfollowed\tby\trecovery\tcycles\nHigher\tor\tlower\tenergy\tneeds\tdepending\ton\tweight\tgoals\nGreater\tprotein\tneeds\n\tfor\tlean\tmuscle\tmass\tdevelopment\nCompetitive\nseason\nPeak\tcycles\twith\trecovery;\tenergy\tneeds\tdepending\ton\texpenditure;\thigher\tcarbohydrate
|
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] |
needs\tto\tsupport\thigh-intensity\tcompetition;\tprotein\tand\tfat\tneeds\trelative\tto\tweight\nmaintenance,\trecovery\tand\toverall\thealth\nPostseason\ntraining\nActive\trest-transition\tcycle\tof\tconditioning\tand\trecovery;\tenergy\tto\tsupport\tbut\tnot\texceed\nneeds;\temphasis\n\ton\tmore\tlax\tdietary\tguidelines\tfor\tmental\tand\temotional\tcompetitive\nbreak
|
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break\nStrategies\tand\ttools\tfor\teating\tguides\tin\tathletes\nAccording\tto\tthe\tUnited\tStates\tOlympic\tCommittee\t(USOC),\tsports\tdietitians,\tand\tother\tsports\nnutrition\texperts,\tkeeping\tguidelines\tsimple\tfor\tathletes\tis\timperative\tfor\tcompliance.\nThe\tUSOC\tdietitians\tcreated\tthe\tAthlete’s\tPlate\tas\ta\tguide\tfor\teating\tfor\tathletes\n\tbased\ton\teasy,
|
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] |
based\ton\teasy,\nmoderate,\tand\thard\ttraining\tregimens\t(\nFig.\t22.4\n).\tThis\ttool\thelps\tathletes\twho\tplay\ta\tsport\tfor\tmore\nthan\t5\thours\ta\tweek\tmodify\tservings\tand\tportion\tsizes\tfrom\teach\tfood\tgroup\tbased\ton\ttheir\ttraining.
|
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] |
FIG.\t22.4\nThe\tAthlete’s\tPlate\tadjusted\tfor\ttraining\tand\tcompetition.\tUnited\tStates\tOlympic\tCommittee\tSport\nDietitians\tand\tUniversity\tof\tColorado\tSport\tNutrition\tGraduate\tProgram,\tMy\tPlate\tfor\tAthletes.\nCarbohydrate\nAdequate\tglycogen\tstores\tare\timportant,\tparticularly\tfor\tendurance\tathletes,\tfor\tmaintaining\thigh
|
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] |
work\trate\tand\tpreventing\tfatigue.\tCarbohydrates\tare\tone\tof\ttwo\tmain\tfuels\n\tused\tfor\tsport\tactivity.\nThe\tfirst\tsource\tof\tglucose\tfor\tthe\texercising\tmuscle\tis\tits\town\tglycogen\tstore.\tWhen\tthis\tis\tdepleted,\nglycogenolysis\n\tand\tthen\tgluconeogenesis\t(both\tin\tthe\tliver)\tmaintain\tthe\tglucose\tsupply.\tGlycogen
|
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] |
depletion\tcan\tresult\tfrom\tinadequate\tcarbohydrate\tintake\tafter\ttraining\tsessions,\tespecially\tmultiple\ntraining\tsessions,\tor\tmay\talso\tbe\ta\tgradual\tprocess,\toccurring\tover\n\trepeated\tdays\tof\theavy\ttraining\nin\twhich\tmuscle\tglycogen\tbreakdown\texceeds\tits\treplacement.\tGlycogen\tdepletion\tcan\talso\toccur
|
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