cumulative info Flashcards

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1
Q

total energy expenditure

A

BMR or RMR + TEF + PA
-BMR: energy for physiological activities
RMR: BMR + small additional expenditures

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2
Q

methods to estimate metabolic rate

A

o Mifflin-st. Jeor
o Harris benedict
o WHO
o Cunningham: more accurate than others
o Thermic effect of food
▪ Elevation of metabolic rate after eating
▪ Energy required to absorb, transport, store, metabolize food
▪ 5-10% of total DEE
o Thermic effect of exercise
▪ Intensity matters
▪ Increasing energy expenditure
* Duration and intensity
* Use large muscle groups continuously
▪ Exercise can be 15-30% of total daily energy expenditure

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3
Q

Fuel Sources

A

o At rest, fats is the preferred energy source, energy expenditure is low and there is no need to replace ATP quickly.
o As activity increases, the body begins to rely more on carbohydrates and less on fats as a percentage of total energy expenditure.
o Fuel source may change over the course of a single exercise bout even if the exercise is performed at the same intensity. Carbohydrates are used as the majority energy source.
o 10-20 minute period at the beginning of exercise when carbs take over until fat oxidation can catch up.

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4
Q

CHO needs in general

A

o In general
▪ Most important for prolonged endurance events (90-120 min)
▪ Also important for sports with intermittent bouts of high-intensity
▪ 3-12 grams CHO/kg body weight recommended
* Skill sport, low intensity 3-5 g CHO/kg
* Moderate-intensity daily training 5 g CHO/kg
* Endurance athlete with moderate to high-intensity training 6-10 g CHO/kg

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5
Q

CHO needs before exercise

A

▪ Prolonged exercises (>60-90 minutes)
* 3-4 hours prior: 3-4 g CHO/kg
o Minimize fiber
o Low vs. high GI
* Avoid hunger, delay fatigue, minimize GI issues
* 1 hour prior: 1-2 g CHO/kg
o May prevent fatigue
▪ Won’t offset low stores due to poor refueling
▪ Exercise less than 60-90 minutes
* No need to alter usual intake

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6
Q

CHO needs during exercise

A

▪ Start 15-20 minutes after beginning event
* 5-10% CHO solution
▪ Calculating % CHO in beverage
* [CHO content (grams) / fluid volume (mL)] * 100
* 1 fluid ounce=30 mL
▪ Mixed sources of CHO
* Fat delays digestion
▪ Food or beverage should be primarily CHO with minimal fat or protein
▪ Benefit even with CHO mouth rinse
* Activates reward centers in brain
o Not associated with muscle CHO needs
▪ Developing a CHO intake plan
▪ Solid vs. Liquid
* Liquid: empty rapidly and replenish fluid loss
o May be large volume and difficult to carry
* Solid: compact and easy to carry, variety of choices
o Won’t replace fluid losses
o Require additional water for digestion

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7
Q

CHO needs after exercise

A

▪ Immediately after exhausting exercise
* 1.5 g CHO/kg
* High glycemic index: best if glucose & sucrose
* No confirmed optimal ratio of CHO:Protein
* If quick recovery needed (<8 hr)
o Each hour after (up to four hours)
▪ 1.0-1.2 g CHO/kg
▪ Mixed meal
* Glycogen repletion occurs faster after exercise
o GLUT-4 receptors increased

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8
Q

factors influencing protein recommendations

A

o Factors influencing protein recommendations
▪ Body weight (RDA= 0.8 g per kg of body weight)
* Protein needed to maintain muscle size and mass
▪ Activity level
* Vary season to season
* Intensity, type, and duration all factors
▪ Energy and CHO adequacy
* If inadequate, protein needs increase
* 1.8 g PRO/kg if energy intake deficient
▪ Protein quality
* High-quality protein lessens needs
* Vegetarians and vegans should increase intake by 10% (little soy in diet, little more protein)
▪ Hormones
* Times of growth increase need
▪ Illness and injury
* Every day of illness and injury you need additional 0.20.3 g/kg for 2 to 3 times the day you were sick
* 3 days= 6 days I need additional
* Days injured* 2-3= days needing additional 0.2-0.3 g/kg

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9
Q

assumptions for recommendation protein intake

A

o Assumptions for recommended intake
▪ Total energy intake is adequate
▪ Quality of protein is good
o Recommended intake
▪ AMDR: 10-35% of total intake
▪ Range generally 1.2-2.0 g PRO/kg
▪ Must consider: amount, type, distribution, and timing
▪ Match to periodized training
▪ Max protein intake rec: 2.5 g PRO/kg up to 3.5 g PRO/kg
* More protein isn’t always better

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10
Q

Protein needs before exercise

A

no benefit before for aerobic or resistance

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11
Q

protein needs during exercise

A

▪ Minor energy source unless on keto diet
▪ No need during endurance
▪ More research for resistance

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12
Q

protein needs after exercise

A

▪ Combine with carbohydrate for both glycogen and muscle protein synthesis
▪ Timing
* Up to 2 hours, 20-30 g after, will still be beneficial if missed the 2 hour window (24-48 anabolic window)
▪ Amount needed
* Resistance training young adults
* Resistance training older adults
o Need more

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13
Q

daily distribution of protein

A

o Daily distribution
▪ 0.25-0.3 g protein/kg/meal
* Roughly 25-35 g per meal
▪ 1 pre-sleep meal: 0.6 g protein/kg/meal
o To add 1 lb. muscle/week
▪ Need additional 14 g protein a day
▪ 400-500 kcal/day

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14
Q

high quality protein

A

o If protein has essential (indispensable) AA the quality of the protein is higher than the nonessential (dispensable)
o 20 amino acids needed for synthesis
▪ Essential (indispensable)
* Body doesn’t produce have to eat
* 9
▪ Nonessential (dispensable)
* Body produces them
* 11
o Conditionally indispensable
▪ Under certain conditions, times when the body cannot produce these nonessential AA

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15
Q

examples of high protein

A

Eggs
▪ Whey (fast acting protein)
▪ Beef
▪ Casein

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16
Q

recommended intake of lipids and assumptions

A

o Recommended intake
▪ Total fat AMDR: 20-35% from fat, <10% saturated fat
o Athletes recommended intake based on
▪ Overall kilocalorie needs
▪ Macronutrient balance
o Generally: 1-2 g fat/kg for athletes
▪ Represents remainder of athlete’s energy needs after determining CHO and PRO needs
▪ Generally still keeps them within the AMDR

17
Q

fluid and electrolytes needed before exercise

A

o Before exercise
▪ Show up hydrated in 24 hour period
▪ Well hydrated before
▪ 4 hours prior: 5-7 mL/kg (ACSM)
* Or 5-10 mL/kg in 2-4 hours prior
▪ 2-3 hours prior: 3-5 mL/kg
* 30 mL=1 oz
* Only needed if not adequately hydrated
o Urine color
o Pale yellow, straw, lemonade. Color
* Hyperhydration
* Electrolytes: sodium: 20-50 mEq/L

18
Q

fluid and electrolytes needed during exercise

A

▪ Goal: maintain fluid balance/prevent excessive dehydration
▪ Do NOT over drink during the event
▪ Individualized plan is needed
▪ Runners: estimated range: 0.4-0.8 L/hr (13-27 oz/hr)
▪ Events >120 minutes can use CHO solution
▪ Events < or equal to 120 minutes water is fine
▪ Electrolyte replacement
* Sodium: 20-30 mEq/L; potassium 2-5 mEq/L
* Not needed if < or equal to 2 hrs
o 1000 mg sodium per hour if salty sweat
* May enhance palatability and drive to drink
o That’s why used even in activities less than 2 hours

19
Q

fluid and electrolyte needed after exercise

A

▪ Most athletes end event dehydrated
* Aim is to correct fluid losses
▪ Regain weight lost
* 1.5 L/kg lost especially if rapid replenishment is needed
▪ Electrolytes
* Sodium in fluid will help with rehydration-stimulates thirst and improves palatability
o 15-30 mEq sodium/L if using beverages
* Include salty snack with fluids
▪ Potassium is only recommended DURING exercise

20
Q

how to determine individual requirements for fluid and electrolytes

A

▪ Assessment
* Sweat rate calculation
o 1. Record pre exercise weight
o 2. Record post exercise weight
o 3. Take pre-post
o 4. Convert lbs (from #3) to ounces (1 lb=16 oz)
o 5. Record amount of fluid (oz) consumed during exercise
o 6. Record urine volume excreted (oz) (if voiding occurred during exercise)
o 7. Add #5 to #4 and then subtract #6
o 8. Divide #7 by minutes of exercise to calculated sweat rate per minute
o 9. Multiply #8 by 60 to obtain sweat rate per hour

21
Q

goals and actions for fluid and electrolytes

A

▪ Goals
* Drink by schedule not by thirst
o But also listen to your body
o Consume 60% of usual sweat rate
* All fluids hydrate
o Includes caffeine containing beverages (up to 450 mg per day)
▪ Actions
* Establish a hydration protocol
o Include unique features of the sport
* Make beverages easily accessible
o Flavored to preferences
o Cool temperature increases consumption
* Recognize signs and symptoms of dehydration
o Thirst, irritability, discomfort
o Followed by: headache, weakness, cramps, chills
▪ Reassessment

22
Q

methods to assess hydration

A

o Body weight changes
▪ Well hydrated: <1% decrease
▪ Minimal dehydration:1-2% decrease
▪ Significant dehydration: 3-5% decrease
o Urine color
▪ Pale yellow is best
* Not the best indicator, can be changed by foods or vitamins
o Subjective feelings
▪ Thirst
* First sign of dehydration

23
Q

define dehydration, hypohydration and hyponatremia

A

o Dehydration
▪ Losses exceed intake (process)
▪ Need fluid
o Hypohydration
▪ Low body water volume (static measure)
▪ A moment in time
▪ Dehydration gets you to hypohydration
▪ More fluid can kill you
o Hyponatremia (blood Na <130 mmol/L)
▪ Results from heavy sweating or excess water
▪ Signs and symptoms
▪ Consuming too much fluid

24
Q

how to evaluate a dietary supplement

A

-is it legal, ethical, pure, safe, effective, etc.
-purity: related to lack of contamination and accurate labeling
-safety: consider ingredients and dose

25
Q

safe and effective supplements

A

o Creatine
o Caffeine
o Beet juice/nitrate
promising research
-omega-3
-probiotics
-branched chain amino acids