VOLUME #117 / FEBRUARY 2014 1-2. AROUND THE GLOBE: POWERBAR NEW YORK CONFERENCE BY LOUISE CATO, ACCREDITED SPORTS DIETITIAN 3-4. SHARING OF WISDOM: DIY SPORTS DRINKS BY ALAN MCCUBBIN, ADVANCED SPORTS DIETITIAN 5. SUPPLEMENTS UNDER THE MICROSCOPE: CREATINE BY ALISON GARTH, ADVANCED SPORTS DIETITIAN 6. MEMBERS IN THE MEDIA 7. SDA HQ UPDATE www.sportsdietitians.com.au A VOLUME #117 / FEBRUARY 2014 AROUND THE GLOBE: POWERBAR NEW YORK CONFERENCE By Louise Cato Accredited Sports Dietitian I was offered the opportunity to attend the PowerBar New York conference in November 2013, and not being one to turn down a trip to the Big Apple/home of peanut butter M&M’s, I enthusiastically accepted. The PowerBar New York conference featured an all-star cast of speakers including Australia’s own Louise Burke and John Hawley, as well as an international flavour with Trent Stellingwerth, Stu Phillips, Luc Van Loon, Andy Jones, Melinda Manore and Nanna Meya adding their own expertise. Run alongside the New York Marathon (there were several very sore conference delegates the next day!), the conference focused on sports nutrition and training adaptations for the endurance athlete. strategies need to be individualised to the athlete and practised in advance to the event. Nanna Meya covered clinical issues in endurance athletes, inclusive of both gut and bone issues. Gluten free and paleo diets have become ‘trendy’ amongst athletes, and many report better health and performance on gluten free diets. Whether this is a true performance benefit or whether these athletes have simply replaced a general poor diet with one of better nutritional quality is unsure. The Female Athlete Triad and its components of low energy availability, altered hormonal function and reduced bone mineral density has been recognised for a while now, and although a male equivalent has yet to be formalised, there are a few studies documenting a possible interaction between low bone mineral density and low energy availability/altered sex steroid hormones in male athletes. Trent Stellingwerth’s presentation focused on dietary periodisation strategies that may assist elite endurance athletes in increasing training intensity without increasing volume and injury risk. Undertaking training in a fasted state or periodically depleting CHO-availability may actually help to promote muscular endurance adaptations. Luc van Loon explored new concepts in the cornerstones of nutrition for muscle protein synthesis (amount, type and timing of protein ingestion). Recent thinking suggests protein ingestion prior to or during exercise may be beneficial to endurance athletes undertaking extended duration sessions (five to six hours) which will extend the duration of muscle protein synthesis. Nutrition recommendations to support muscle reconditioning include: provide sufficient protein (20 – 25g) with each main meal, co-ingest some protein during prolonged exercise, ingest 20 – 25 g protein immediately after exercise, and consume protein prior to sleep. Louise Burke (AIS) spoke on nutrition challenges and practical challenges in preparation for marathon events, including a case study example of the Olympic 50 km event. Strategies for optimal carbohydrate and fluid intake were considered, as well as possible supplementation protocols. The bottom line is nutrition www.sportsdietitians.com.au 1 VOLUME #117 / FEBRUARY 2014 John Hawley spoke on the use of caffeine as an ergogenic aid in endurance sports and practical recommendations including: • The use of low doses (2 -3 mg/kg body mass); • The potential of caffeine gum as a delivery vehicle, which shows improved absorption and bioavailability compared to capsule formation of caffeine; • Ingestion protocols should vary depending on the intensity and duration of the event (ie pre-event ingestion and consumption during exercise individualised to the athlete and event); and • Individual response to caffeine (responder vs non-responder) should be considered when formulating individual protocols. Not only did PowerBar provide top notch presentations, there was plenty of time for discussion, socialising, dinner at some great New York venues, and conference games in Central Park. There were certainly a few eyebrows raised at how competitive a dodgeball game can get! In summary it was a fantastic conference with lots of great take home messages for working with endurance athletes, and I recommend the PowerBar conference to anyone who gets the opportunity to attend one. (Surely we’re due for a southern hemisphere conference soon…?) Carbohydrate is usually seen as the predominant macronutrient of interest for endurance runners, however Stu Phillips discussed the importance of protein for endurance athletes, in particular for its satiety properties and role in weight management. Increasing % total energy contribution from protein in an energy restricted diet appears to ‘rescue’ fat-free tissue losses i.e. preserve some lean tissue mass. Protein is also seen to have adaptive advantages for endurance athletes through promotion of the synthesis of mitochondrial proteins and connective tissues. www.sportsdietitians.com.au 2 VOLUME #117 / FEBRUARY 2014 SHARING OF WISDOM: DIY SPORTS DRINKS By Alan McCubbin, Advanced Sports Dietitian and SDA President Sports nutrition products: they’re convenient and perfectly packaged for easy consumption during exercise. But for a variety of reasons, there are many athletes who’d prefer to make their own sports nutrition products from scratch. For some, it’s for philosophical reasons. Some for reasons relating to their health (eg. those fructose malabsorption). And for some it’s about saving money. So here are some of the basic principles behind sports nutrition products, and some ideas of what clients can make themselves that I’ve gathered from various sources over the years. Most of these are oriented towards endurance sports nutrition, because these athletes make up the majority of my clientele. Sports Drinks There are five basic ingredients in sports drinks: the first is obviously water. Second is carbohydrate – this is usually a combination of glucose, fructose, sucrose or maltodextrin. Most sports drinks these days use a combination of maltodextrin and fructose – the maltodextrin chosen to reduce the sweetness, and the fructose to provide multiple transportable carbohydrates. You can buy all of these ingredients in their pure form: • • Glucose is usually sold as dextrose. I think Glucodin powder is frightfully expensive – instead you can buy dextrose from homebrew stores for as little as $5/kg. Pure fructose powder is available in supermarkets, sold under the name of “fruit sugar”. It’s quite expensive though, and I’ve only seen it sold in 250g boxes. Instead I tend to use sucrose. www.sportsdietitians.com.au • Sucrose (regular sugar) is 50% glucose and 50% fructose, so used strategically it can provide multiple transportable carbohydrates much cheaper than using pure fructose. • Most dietitians know of maltodextrin as Polyjoule. But like Glucodin, Polyjoule is about the most expensive way to buy this product. Again homebrew stores will sell you maltodextrin (sometimes labelled as “corn syrup”) for $5-8/ kg, and some supplement stores will also sell it. The third ingredient in sports drinks is sodium. Apart from its role in hydration, adding salt to your sports drink dampens down the sweetness of your carbohydrate source. So if your drink is too sweet, just add a bit of extra salt to it. Fourth is a source of acidity such as citric acid. This provides the characteristic “tang” of sports drinks and soft drinks. For a DIY sports drink, you can use lemon or lime juice which also doubles as the final element, flavour. So how much of each ingredient? The carbohydrate will depend on how much you want. Commercial sports drinks are typically around 6% carbohydrate. Earlier studies showed that increasing the carbohydrate much beyond 6% started to reduce the rate of gastric emptying, but more recently it was shown that combining glucose and fructose allows the carb content to increase to at least 9% before any such effect. Regardless, if it’s not causing gut problems (remember that the real carbohydrate concentration when combined with gels, bars, etc. is significantly higher anyway) then is the 6% really that important? You can be pedantic about sodium concentrations, but I tend not to be too particular with this when I’m training. Whatever tastes good! The lemon or lime juice is about flavour so again add as much or as little as you like. 3 VOLUME #117 / FEBRUARY 2014 Here’s an example of a couple of recipes I make up when I’m riding. The first one is a milder flavour (and fructose free) but if I’m wanting multiple transportable caborhydrates, then I’ll go for the second recipe because it contains fructose. EDITOR’S NOTE: If any other members have some recipes for sports foods / drinks you’d be happy to share, we’d love to hear from you! Recipe One Please email alison@alisonwalshnutrition.co In a 700mL water bottle add: Thanks. • 6 level Tablespoons maltodextrin powder (or substitute some for equal amounts of glucose (dextrose) powder to make it sweeter) PS. A contribution to FUEL gives valuable CPD points! • One pinch of salt (¼ teaspoon or less) • Squeeze of lemon or lime juice for taste (optional) • 700mL water Nutrition Carbohydrate: 69g (or 9.9 grams per 100mL), all glucose (once digested) Sodium: Approx. 50mg per 100mL Recipe Two In a 700mL water bottle add: • 2 level Tablespoons maltodextrin powder • 4 level Tablespoons white sugar • One pinch of salt (less than ¼ teaspoon) • Squeeze of lemon or lime juice for taste (optional) • 700mL water Nutrition Carbohydrate: 69g (or 9.9 grams per 100mL), 2:1 glucose:fructose ratio Sodium: Approx. 50mg per 100mL In the next edition of FUEL, I will share with you some of my tips and recipes for DIY Sport Snacks (energy bars and gels), so stay tuned! www.sportsdietitians.com.au 4 SUPPLEMENTS UNDER THE MICROSCOPE CREATINE By Alison Garth Advanced Sports Dietitian The current sporting climate is a timely reminder that Sports Dietitians need to be at the forefront of supplementation practices and be proactive with recommending appropriate supplements. This year, we are introducing a monthly supplement review to FUEL to keep members up-to-date on the most recent information regarding the ever-evolving supplement world. Although some of this information may be “old hat” to some, we thought that a quick update is useful for everyone. This month, we’re going to kick off the series looking at Creatine. What is creatine? Creatine is a naturally occurring compound found in skeletal muscle (and the brain) that is sourced exogenously (from dietary intake of meat/fish) and via endogenous synthesis. There is large individual variation in creatine levels due to gender, age and dietary habits (vegetarians have lower levels of muscle creatine than meat eaters). Creatine and performance Creatine has a role in the regulation of cellular energy demand. Creatine acts indirectly to maintain phosphocreatine stores to help supply the body with ATP. Research has shown that muscle creatine levels can be increased by up to ~20% with creatine supplementation. Increased creatine stores can thereby enhance fatigue resistance and lead to performance improvements during high-intensity, brief duration (<30 second) activities separated by a short recovery period. It should be noted individual responses to creatine are varied with some athletes having minimal benefit to supplementation. Athletes that may benefit from creatine supplementation • Athletes undertaking resistance training programs to increase lean mass (e.g. football codes, body building). • Athletes undertaking repeated brief, high intensity efforts with short recovery periods (e.g. throwers, sprinters) • Athletes participating in sports with intermittent work patterns (e.g. team sports, racquet sports) Recommended dosing strategy Typical dosing strategies involve both a loading and maintenance phase (note, saturated muscle takes approximately 4 weeks to return to baseline levels). Each dose should be taken with a www.sportsdietitians.com.au generous portion of carbohydrate (~50-100g) to enhance uptake and storage of creatine in the muscles. • Loading: 4 x 5g/day (~1 heaped teaspoon per dose) • Maintenance: 3g/day (~1 flat teaspoon per dose) Alternatively, you can load the muscles more slowly (over ~28days) starting off with a maintenance dose that is maintained throughout the supplementation period. This approach maybe useful if there are concerns about an increase in body mass or the athlete has a history of soft tissue injury. Potential side effects • Acute loading is typically associated with a small weight gain (~600-1000g) which may be counterproductive to athletes competing in sports where power-to-weight ratio is important • Anecdotal reports of muscle cramps, strains and tears but little evidence to substantiate an increased risk of these events Literature worth a read There is a HUGE amount of literature regarding creatine supplementation available on PubMED but here are just a few from the International Journal of Sports Nutrition and Exercise Metabolism (IJSNEM) to get you started - you can access IJSNEM articles free with your SDA membership. • Branch JD. Effect of creatine supplementation on body composition and performance: a meta-analysis. Int J Sport Nutr Exerc Metab 2003;13:198–226. • Burke DG, Chilibeck PD, Davidson KS, Candow DG, Farthing J, Smith-Palmer T. The effect of whey protein supplementation with and without creatine monohydrate combined with resistance training on lean tissue mass and muscle strength. Int J Sport Nutr Exerc Metab. 2001 Sep;11(3):349-64. • Preen D, Dawson B, Goodman C, Beilby J, Ching S. Creatine supplementation: a comparison of loading and maintenance protocols on creatine uptake by human skeletal muscle. Int J Sport Nutr Exerc Metab. 2003; 13(1):97-111 5 VOLUME #117 / FEBRUARY 2014 MEMBERS IN THE MEDIA Meal Myths Emily Eaton, Accredited Sports Dietitian Read more: http://au.news.yahoo.com/thewest/lifestyle/health/a/20729971/ Fry an egg on the road? Nah, just a bad yolk that cracks another myth Kate Pumpa, Accredited Sports Dietitian Read more: http://www.canberratimes.com.au/act-news/fry-an-egg-on-the-road-nah-just-a-bad-yolk-that-cracks-another-myth20140117-310rx.html#ixzz2re2K8iIh Parents blamed for allowing overweighed children too much television time Lorna Garden, Accredited Sports Dietitian Read more: http://www.couriermail.com.au/news/queensland/parents-blamed-for-allowing-overweighed-children-too-muchtelevision-time/story-fnihsrf2-1226800145092 How to kick bad food habits Tara Diversi, Accredited Sports Dietitian Read more: http://www.goodfood.com.au/good-food/cook/how-to-kick-bad-food-habits-20140101-305vm.html Sticking to healthy eating in 2014 Lorna Garden, Accredited Sports Dietitian Read more: http://blogs.abc.net.au/queensland/2014/01/sticking-to-healthy-eating-in-2014.html www.sportsdietitians.com.au 6 VOLUME #117 / FEBRUARY 2014 SDA HQ UPDATE 2014 CONFERENCES BOARD PLANNING DAY Have you been planning your 2014 Conference attendance over the break? Here are some important dates where SDA will be present. If you’re planning on attending any of these conferences, let us know as we’d love your help on our SDA Stand. We always look forward to getting the SDA Board together for the annual strategy and planning week-end. This time, there were three new faces around the table (Mike, Louise & Simone Austin). 13-14 February Supplements Symposium – Canberra, ACT 10-12 April ESSA Conference – Adelaide, SA 15-17 May DAA Conference - Brisbane, QLD 15-18 October SMA Conference – Canberra, ACT 2014 EDUCATION COURSES Our first Nutrition for Exercise & Sport Course kicks off in Sydney on 22 February. We’re planning 13 across the country in 2014. If you’re interested in presenting at one of these, please email Liza. You can check the dates and locations on our website under Education > Public Courses. Registrations for our 2014 Sports Nutrition Course are now open to members. Scheduled for 9-12 May in Canberra, ACT, this will be the only SNC for the year. Remember that part of the application process now includes a letter of recommendation from a mentor or supervisor. STATE COORDINATORS This year, we took the opportunity to further upskill Board members in Finance, Risk & Governance training with a one day workshop delivered by the Australian Institute of Company Directors (AICD). Outcomes from this session included establishing a Finance, Audit & Risk Committee and helping the board understand various levels of risk that could impact the business and having appropriate plans in place to mitigate those. Day two was spent refining our Vision and Values, given our agreed focus activities to better engage committee athletes as our target audience. The 2014 list of projects include extending our Research Grant Initiative; continuing to develop the knowledge, skills and attributes of our members to be exceptional sports dietitians; contributing content to major sporting magazines and websites (eg. BikeExchange, Australian Triathlon Magazine & Runner’s World); confirming brand raising activities and channels to promote these and scope and develop a new website. Hope 2014 is off to a great start – looking forward to another outstanding year supporting you. Team SDA SDA extends our special thanks to our state coordinators, who are always busy behind the scenes planning interesting state branch meetings. These events are easy PD points (5 points just for attending) so keep an eye on the Members Information > State Info & Meeting section for dates & venues for 2014. Here are the contact details for your state: SDA VISION: Accredited Sports Dietitians are recognised as an integral part of a committed athlete’s team helping them to achieve their health & performance goals. WA Felicity Willis willisfelicity@hotmail.com SA/NT Steph Gaskell gask09@hotmail.com VIC Kath Shone katherineshone@yahoo.com.au SDA VALUES: TAS Gaye Rutherford gayerutherford@bigpond.com Empower people through collaboration to achieve ACT Louise Cato louise.cato@gmail.com Educate ourselves to learn and share NSW Zahra Munas / Jo Slater zmunas@mail.com / joslater_@hotmail.com Strive for excellence to be the best we can be QLD Lara Cambridge laramccambridge@hotmail.com www.sportsdietitians.com.au Integrity in everything we deliver 7 VOLUME #117 / FEBRUARY 2014 CONTACT US Please contact us at info@sportsdietitians.com.au for any of the following: • Comments and feedback • Change of contact details • Enquiries regarding membership POSTAL ADDRESS: Sports Dietitians Australia Sports House Level 2, 375 Albert Road South Melbourne, VIC 3206 Phone: +61 3 9926 1336 Fax: +61 3 9926 1338 Website: www.sportsdietitians.com.au www.sportsdietitians.com.au 8