Nutrition for Active Youth Lisa Needham, MSc, RD Public Health Dietitian Wellington-Dufferin-Guelph Public Health Outline • Hydration • Eating Before Activity • Eating Post Recovery • Your Questions: • Eating on the Road Hydration: • Dehydration – increases the risk of life-threatening heat injury such as heat stroke. • Dehydration (loss >2% body weight) can: – compromise aerobic exercise performance – affect muscle strength – cause cramping – impair mental/cognitive performance Example: • 2 % for a 140 lb male = 2.8 lbs. • Pre-exercise = 140 lb • Post- exercise = 137 lb • Over 2% loss may already impaired performance. Before: • At least 4 hours before drink 5-7 ml/kg body weight (2-3 ml/lb) of water. – Example: 150 lb person 2-3 ml/lb x 150lbs = 300- 450 ml or about 1-2 cups fluid • This will optimize hydration and give time to excrete any excess fluid as urine prior to exercise Before continnued: • above normal state of water body content is discouraged. Be careful not too over hydrate • increase risk of having to urinate during exercise • no clear physiologic or performance advantage over normal state of body water content During: • maintain fluid balance • Sweat rates dependent on many factors such as: – Temperature – Humidity – Genetics – Metabolic efficiency. • Sweat rates can range from 0.3 to as much as 2.4 litres/hr. During continued • • • Best to maintain fluid balance. If fluid balance cannot be maintained, the maximal amounts that can be tolerated should be ingested. Optimal hydration can be facilitated by drinking 150 to 350 mL (0.5-1.5 cups or 6 to 12 oz) of fluid at 15- to 20-minute intervals, beginning at the start of exercise. approx. 600-1400 ml/hr or 2.5 - 6.0 cups/hr. Exercise over 1 hour • Beverages containing carbohydrate in concentrations of 4-8% are recommended for exercise events lasting longer than one hour. • Plain water is suitable for anything less than 1 hour. • Considerations: – Aid hydration for some – Sodium increases thirst drive. Sports Beverages • Short-term Exercise Alternatives: – Water – Diluted 100% fruit juice • More nutritious • Must be diluted 50:50 with water for best absorption • If you get cramping, return to water or sports beverages – Homemade Sports Beverage • 500 ml water + 5 tsp honey + 1/8 tsp salt • Tips: – Beverages for energy during activity should have a sugar concentration between 5 – 8 % (juice has 1520% so it must be diluted) When to Use Sports Drinks www.heidismithnutrition.com Other considerations: – Cultural norm – Not necessary • Less than 1 hour of constant activity for a player (body uses stored sugars) • Not an ideal post recovery drink or snack • little physiologic need to replace electrolytes during a single session of moderate duration (e.g., < 3- 4 hrs), particularly if sodium was present in the previous meal. – Cost. Average 2 practices, 1 game and a tournament (4 games) = 7 Bottles – Typically $21/week for 7 months = $588/season/child – 15 kids on a team = $8820 Money spent for no added benefit. • Although most athletes who drink more fluid than they lose as sweat simply excrete the excess fluid as urine, in some people it is retained. If the fluid contains sodium, it could help prevent the dilution of serum sodium levels, thereby decreasing the risk of hyponatremia. Limiting fluid intake so that it does not exceed sweat rate can also decrease the risk of hyponatremia. After exercise • Many finish sessions dehydrated. • Given adequate time intake of normal meals and beverages will restore hydration status by replacing fluids and electrolytes lost during previous exercise session. • Rapid and complete recovery from excessive dehydration can be accomplished by drinking at least: – 450-675 ml/lb weight lost during exercise. • Consuming rehydration beverages and salty meals and snacks will help replace fluid and electrolyte losses. Eating for Energy “The foods you choose on a daily basis have a profound impact on your health and your performance in sports.” “The better you fuel your body, the more energy your muscles can store, the faster you recover and therefore the harder you can train.” “Your “fuel” determines your athletic potential. Food is the foundation of your training!” Heidi Smith, BSc, RD Nutrition for The Long Run Eating Before Activity Eating Before Activity • Purpose: • To maintain blood sugar until time of exercise • Recommendation: • Aim for a small meal or snack 2 -3 hours before you exercise Eating Before Activity • Misconception: • This is not the “fuel” for the coming activity! – It takes the body 24-48 hours to store the CHO that is converted to glycogen for muscle fuel • You are actually burning glycogen that you stored 1 – 2 days earlier! • Exception: Early Morning Activity • Have just enough CHO to raise blood sugars and give you energy before exercise. – Example: Small glass of juice and a piece of toast Food Energy • Carbohydrates (CHO) • Most useful form of energy so include it regularly • Choose high quality carbohydrates like: – Whole grain breads, whole wheat pasta, brown rice, fruits and vegetables. • Protein (PRO) • Building blocks for muscle • Necessary for repairing tissues after exercise • Choose lean proteins like: – Chicken, fish and alternatives, like beans, most often • Fat • Concentrated energy source • Choose the right kinds of fat: – Mono- and poly- unsaturated fats • Avoid: – Hydrogenated / trans fats Canada’s Food Guide Eating Before Activity • Recommendations: – – – – – – – High CHO Moderate fibre Low sugar Choose low fat foods Choose familiar foods Maintain adequate fluids Include PRO if eaten > 2 hours before exercise Composition of Pre-exercise Meals and Snacks Heidi Smith BSc, RD, Nutrition for the Long Run Eating Before Activity Time Before Exercise Composition Food Ideas Balanced Meal Sandwich with low fat toppings, cheese and fruit, trail mix, peanut butter and crackers, soup and salad, pasta with meat sauce, French toast, egg on toast, pizza with low fat cheese (no pepperoni) 1 – 2 hours prior High CHO, moderate PRO, low fat Cereal with skim milk, low fat yogurt and fruit, yogurt shake 1 hour prior High CHO, low Crackers, fruit, toast, ½ - 1 bagel with PRO (<10 g), low cream cheese fat 2 – 4 hours prior (preferable) Pre-Exercise Snack Ideas Heidi Smith BSc, RD, Nutrition for the Long Run Avoid: – High sugar – cereals, candy, chocolate, pop – High fibre – beans, gassy vegetables, prunes – High fat – full fat dairy, chocolate, high fat meats, deep fried – Fast foods – cheeseburgers, hotdogs, tacos, wings, french fries Eating During Activity Eating During Activity Only when exercising > 60 minutes • Guidelines: – CHO is the only fuel your body needs during exercise – Choose: • • • • • • Low fibre (< 5 g / serving) Low fat & PRO (with high intensity exercise) Convenient Small amounts over time Have at least 0.5 – 1 L fluid with any foods eaten Try foods at practice before using during a game Example Snacks: • • • • • • • • • 1 medium Banana ¼ cup Raisins ¼ cup Dried Apricots 4 (20g) Arrowroots 10 Saltines 12 Pretzels (low fat) 4 (28g) Graham Crackers 1 (26g) Low Fat Granola Bar 500 ml Homemade Sport Drink* Eating During Activity • Start eating after 60 – 90 minutes of exercise • Aim for 40 – 60 g of CHO per hour of exercise Serving Size (g) Calories (kcal) Carb. (g) Sodium (mg) Fibre (g) Protein (g) Fat (g) Banana 1 medium 108 28 1.2 2.8 1.2 0.6 Raisins ¼ cup 124 33 5 1.6 1.3 0.2 Dried Apricots ¼ cup 79 20 3 3 1.2 0.2 Arrowroots 4 (20g) 88 14 74 0.04 1.6 2.8 Saltines 10 crackers 118 20 356 0.8 3.0 2.8 Pretzels (low fat) 12 pretzels 100 23 400 0.9 3.0 2.1 Graham Crackers 4 (28 g) 119 21 185 0.9 2.0 2.8 Low Fat Granola Bar 1 (26 g) 110 20 40 1.2 1.1 2.5 Homemade Sport Drink* 500 ml 100 25 250 0 0 0 * 0.5 L water, 5 tsp honey, 1/8 tsp salt Common Foods Used During Exercise Heidi Smith BSc, RD, Nutrition for the Long Run Recovery Meals Recovery Meals • Suggested Post Workout Snacks Calories (kcal) Carbohydrate (g) Protein (g) 2 cups chocolate milk (1% / soymilk) 340 56 17 1 cup milk / soy milk, 1¼ cup cereal 275 53 13 Banana and 175 ml low fat yogurt 250 48 13 Peanut butter and jam sandwich 350 50 12 Snack Post Workout Snack Ideas Heidi Smith, BSc, RD, Nutrition for the Long Run Recovery Meals • Recovery Window – 2 hours after exercise • Tips for Faster Recovery – Drink enough water during exercise – Snack about 15-30 min after exercise – Aim for a combination of high CHO and moderate PRO Day to Day: • Eat healthy day to day to: – Support growth and development needs – To meet vitamin and mineral needs – To maximize energy levels – To reduce risk of chronic disease – To maintain a healthy body weight Canada’s Food Guide to Healthy Eating •Healthy foods support: •Growth •Strength •Stamina •Suggested servings: •Depends on age and gender Variety is key! Your Questions Eating on the Road Eating on the Road • Plan Ahead: • Grocery shop for healthy car snacks and beverages • Choosing Fast-Foods: – Ask for nutrition information – Choose grilled chicken instead of burgers – Choose low sugar, caffeine free beverages like water, milk, 100% fruit juice – Avoid up-sizing and control your portions – Choose whole wheat bread at sub shops and remember that cheese and sauce calories add up fast! Eating on the Road • Words to look for: – Choose: • Grilled, steamed, broiled, boiled, baked, marinara, poached – Avoid: • Fried, sautéed, au gratin, alfredo, cream or butter • Ask for: • Sauces on the side, healthier side dishes (side salads, rice, baked potato) Case Study: Derrick Eating Healthy while Being Active Derrick’s Weekly schedule Practices: Monday 5-6 pm Tuesday 7-8 pm Game night 6:30-7:30pm Tournament Weekend: Saturday: Game 1: 8:30am Game 2: 2pm Sunday: Game 1: 11am Game 2: 4pm Eating Pattern with practice 5:00pm Breakfast: • 2 toast, 2 eggs, 1 cup milk, apple (or Bowl of cereal, Toast with PB, apple, yogurt). Lunch: • Ham and cheese sandwich, cut up veggies, yogurt, 1 cup milk, banana Pre-activity snack (as soon as school ends) cheese and crackers or small bowl cereal. (try at least 1 hour before) During: water Recovery snack: Orange smoothie 1 cup Dinner: 2 chicken fajita wrap with mixed veg., 1 cup milk Popcorn and fruit for snack Eating Pattern with game/practice 7:00 pm Breakfast: 2 toast, 2 eggs, 1 cup milk, apple (or Bowl of cereal, Toast with PB, apple, yogurt). Lunch: Ham and cheese sandwich, cut up veggies, yogurt, 1 cup milk, banana Dinner at least 2 hrs before: 2 chicken fahita wraps with mixed veg., water During: water Recovery snack: Orange smoothie 1 cup (3/4 cup vanilla yogurt., ½ cup OJ, 2 tbsp skim milk powder) 1 cup milk, popcorn for snack Eating Pattern for Tournament! 8:30 am Saturday Game Pre-activity snack (as soon as you wake up) • Small glass of juice and a toast ( if less than an hour to game time) • Bowl of cereal and milk, piece of fruit, yogurt (2 hours before game time) Recovery snack 9:00am: • Orange smoothie 1 cup (1/2 cup OJ, vanilla yogurt (3/4 cup, 2 tbsp skim milk powder) Breakfast 10-11am: • PB and jam sandwich, 1 cup milk, apple 2:00 pm Saturday Game Lunch 12:30pm Pre-activity snack optional if hungry an hour before game (eg. Piece of fruit) Recovery snack: • 3:00 pm Banana and 175 ml low fat yogurt Dinner 5pm: • Roast beef, potatoes, mixed vegetables, milk and frozen yogurt and berries. Eating Pattern for Tournament! 11:00 am Sunday Game Pre-activity snack (as soon as you wake up) • Small glass of juice and a toast. Recovery snack 12pm: • Orange smoothie 1 cup Lunch 12:30pm • Ham and cheese sandwich, 1 cup milk, apple Eating for Competition Day 5:00pm Sunday Game • Pre-meal or pre snack: • was lunch meal or if hungry piece of fruit. During – water Recovery snack 6pm: • 1 cup milk, 1¼ cup cereal Dinner 7pm: • Chicken Fahita wrap, mixed veg, water, piece of fruit References American College of Sports Medicine. Position stand on exercise and fluid replacement. Med Sci Sports Exerc 1996;28:i-vii. Amrstrong, LE, Casa DJ, Millard-Dtaffoird M, Moran, DS, Pyne SW, Roberts, WO. American College of Sports Medicine position stand. Med Sci Sports Exerc 2007;39: 556-572. Dietary Reference Intakes: Water, Potassium, Sodium, Chloride, and Sulfate. (2004). Institute of Medicine of the National Academies. Palmer, MS, Spriet L. Sweat rate, salt loss, and fluid intake during an intense on-ice practice in elite junior male players. Appl Phys nutr Metb. 2008;33:267-271. Sawka, MN, Burke, LM, Eichner, ER, Maughan, RJ, Mountain SJ, Stachenfeld, NS. American College of Sports Medicine Position Stand. Exercise and Fluid Replacement. Med Sci Sports Exerc. 2007; 39; 377-390. Speedy DB, Noakes TD, Rogers IR, et al. Hyponatremia in ultradistance triathletes. Med Sci Sports Exerc 1999;31:809-15. Vrigens DMG, Rehrer NJ. Sodium-free fluid ingestion decreases plasma sodium during exercise in the heat. J Appl Physiol 1999;86:18471851. Questions? Thank you for listening! "A great diet cannot make an average athlete elite, but a poor diet can make an elite athlete average.” Dave Kostill Lisa Needham, RD Public Health Dietitian Wellington-Dufferin-Guelph Public Health