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SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
NUTRITION FOR SPORT AND EXERCISE
NDD30503DR. SHARIFAH WAJIHAH WAFA BTE SST WAFA &
MDM. HASMIZA HALIBHH04
MONDAY, 2:00-5:00PM
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
SYNOPSIS• This course integrates nutrition and
exercise physiology principles. It emphasizes scientific reasoning and examines research studies to provide evidence for current nutritional recommendations for sports nutrition. This course also exposes students to translate these recommendations to specific plans for the appropriate amount and type of foods, beverages and/or supplements to support training, performance and recovery.
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
COURSE LEARNING OUTCOMES
Explain the concept of energy systems and exercise and the importance of sports nutrition
Present nutritional recommendations for carbohydrate, protein, fat, vitamins and minerals to support training, performance and recovery based on current literature
Discuss in groups special topics related to weight ,body composition, supplementation, ergogenic aids and lifelong fitness among athletes obtained from literature
12
3
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
CLASSROOM ETIQUETTE
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Tentative Lecture & Exam ScheduleWeek Topic hrs Date Lecturer
1 Introduction to Sports Nutrition 1.5 5th of September Dr. Wafa
2 Energy Systems and Exercise 8th of September 2 12th of September Dr. Wafa
3 Carbohydrates 22nd of September 2 19th of September Dr. Wafa
4 Proteins 2 26th of September Mdm. Hazmiza
5 TEST 1 1.5 3rd of October Mdm. Hasmiza
6 Fats 2 10th of October Dr. Wafa
7 Vitamins 2 17th of October Dr. Wafa
8 Minerals 2 24th of October Mdm. Hasmiza
MID SEMESTER BREAK 30th OF OCTOBER 2016- 5th OF NOVEMBER 20169 TEST 2 1.5 7th of November Mdm. Hasmiza
10 Diet Planning: Food First, Supplements Second 3 14th of November Dr. Wafa
11 Water and electrolytes 221th of November Mdm Hasmiza
Weight and Body Composition 2
12 Presentation 3 28th of November Dr. Wafa
13 Disordered Eating and Exercise Patterns in Athletes 2 5th of December Mdm Hasmiza
14 Lifelong fitness and Practical Exercise 3 12th of December Mdm Hasmiza
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Assignments and Practical1. GROUP PROJECT: Designing Diet Plan for
Specific Athletes – MARKS: 20%– GOALS of the project:
• To plan two days of menus that are realistic in preparation time and meet the nutritional needs of the ATHLETE/CLIENT.
• To utilize client-specific considerations in planning the two-day menus in order to meet nutritional needs
• To incorporate nutritional needs specific to the athlete’s particular sport
– Visit To Terengganu State Sports Council on the 17th of November 2016
– Presentation on the 28th of November 2016
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Assignments and Practical2. GROUP ASSIGNMENT: Special topic in
sports nutrition- MARKS: 10%• Scrap book with 500 words per students• Pick any special topics ie supplementations.
ergogenic aids– SUBMIT BY 10TH OF NOVEMBER 2016
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Assessment
Test 1: 15%
Test 2: 15%
Group Project:
20%
Group Assignment: 10%
60%
LECTURE 1INTRODUCTION TO SPORTS NUTRITION
NDD30503DR. SHARIFAH WAJIHAH WAFA BTE SST WAFA &
HH04MONDAY (6 SEPTEMBER 2016), 2:30-3:30PM
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
INTRODUCTIONSports nutrition is the practical science of hydrating and fueling before, during, and after exercise. Executed properly, sports nutrition can help promote optimal training and performance.Done incorrectly or ignored, it can derail training and hamper performance.
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
INTRODUCTION• Improve exercise performance• Decrease recovery time from strenuous exercise• Prevent exercise-associated injuries due to
fatigue• Provide the fuel required during times of high-
intensity training• Control weight• Help reduce the risk of numerous chronic
diseases– T2DM, CVD, hypertension, obesity, osteoporosis, some
cancers
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
BENEFITS OF SPORTS NUTRITIONEnables you to train longer and harder
Delays the onset of fatigue
Promotes optimal recovery and adaptation to your workouts
Enhances performance
Improves body composition and strength
Enhances concentration
Helps maintain healthy immune function
Reduces the potential for injury
Reduces the risk of heat cramps and stomach aches
Role of Nutrition in Exercise and Sport
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Role of Nutrition in Exercise & Sport
• Nutrition plays a vital role in exercise performance and training– Benefits both competitive and
recreational athletes• Good nutrition is especially important
for athletes who:– Compete in sports tournaments– Engage in strenuous PA on a daily or
more than daily basis• Examples?
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Injury Reduction• Risk of injury during exercise– Fuel & hydration status impacts level of
fatigue and ability to concentrate• Risk of injury post-exercise– Proper nutrition can help speed the
healing process for injured athletes– Surgery / Bone Injuries: requires extra
kcal & nutrients, including protein, vitamins, and minerals
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Weight Control / Body Composition
• Nutrition plays an important role in weight control and body composition– Few individuals are happy with their weight,
body fat levels, or body shape– Realistic expectations can improve health and
quality of life and reduce stress levels– Disordered eating tendencies tend to be
higher in athletes than the general population, esp. women
Essential Nutrients & Dietary
Recommendations
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Essential vs. Nonessential Nutrients
• Discovery– Evolved from observations that certain
diseases occurred in populations that consumed poor diets
– Able to show that including specific foods in the diet could correct or prevent the diseases
• Essential nutrients: food constituents that prevent disease or health problems (“indispensible”)
• Nonessential nutrients: nutrients that could be deleted from the diet with no adverse health effects (“dispensable”)– E.g. physiologically essential nutrient for the body but
classified as a nonessential nutrient?
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Conditionally Essential Nutrients
• Conditionally essential: some “essential” nutrients are synthesized by the body from precursors, and interactions between nutrients could alter requirements
• Potentially affected by:– Some disease states– Genetic defects– Stress– Illness– Aging
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Conditionally Essential Nutrients
• Criteria to establish the conditional essentiality of a nutrient:1. The plasma concentration of the nutrient
declines into the subnormal range, although the body should be able to synthesize the nutrient.
2. Chemical, structural, or functional abnormalities appear that are associated with low blood concentrations of the nutrient.
3. Dietary supplementation of the nutrient returns plasma concentrations to normal and corrects the abnormalities seen when blood concentrations are low.
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Desirable & Beneficial Nutrients
• Nonessential nutrients that are important for good health and disease prevention– New nutrient category: “desirable or beneficial
for health” (Carpenter and Harper, 2006)– Examples: fibre, phytochemicals,
carotenoids, amino acid derivatives– Are NOT classified as essential or
conditionally essential nutrients
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Desirable & Beneficial Nutrients
• Nonessential nutrients that are important for good health and disease prevention– New nutrient category: “desirable or
beneficial for health” (Carpenter and Harper, 2006)
– Examples: fibre, phytochemicals, carotenoids, amino acid derivatives
– Are NOT classified as essential or conditionally essential nutrients
Recommended Dietary Allowances &
Dietary Reference Intakes
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Dietary Reference Intake (DRIs)
DRIs
EAR RDA AI UL
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Nutrition Recommendations• Yardsticks used as standards for measuring
healthy people’s energy and nutrient intakes
• Used to:– Assess nutrient intakes– Make recommendations on amounts to consume
• Standards in Malaysia are the Dietary Reference Intakes (DRI)– Estimated Average Requirements (EAR)– Recommended Dietary Allowances
(RDA)/Recommended Nutrient Intake– Adequate Intakes (AI)– Tolerable Upper Intake Levels (UL)
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Goals of the DRI Committee1. Setting Recommended Intake Values (RDA, AI)
2. Facilitating Nutrition Research and Policy (EAR)
3. Establishing Safety Guidelines (UL)
4. Preventing Chronic Disease
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Goal 1: Setting Recommended Intake
Values• RDA: based on solid experimental evidence and reliable
observation– nutrient intake goals for individuals– derived from EAR– meets requirement of 97-98% of individuals in
a life stage and gender group
• AI: also as scientifically based as possible, but setting them requires some educated guesses– established whenever scientific evidence is
insufficient to generate an RDA
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Goal 2: Facilitating Nutrition Research &
Policy• EAR: nutrient requirements for given life stages
and gender groups that researchers and nutrition policymakers use in their work– Public health officials may also use them
to assess nutrient intakes of populations and make recommendations
– EAR values form the scientific basis upon which the RDA values are set
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Establishment of DRIs
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Goal 3:Establishing Safety Guidelines• UL– Identify potentially hazardous levels of
nutrient intake– Useful to consumers who take
supplements or consume foods or beverages to which vitamins or minerals have been added
– Public health officials rely on UL values to set safe upper limits for nutrients added to our food and water supply
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
The Naive View vs. Accurate View of Optimal Nutrient Intakes
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Goal 3:Establishing Safety Guidelines
• People’s tolerances for high doses vary– Caution is in order when nutrient intakes
approach UL values
• Some nutrients do not have UL values– Does not imply that it is safe to
consume it in any amount– Only means that insufficient data exists
to establish a value
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Goal 3:Establishing Safety Guidelines
• People’s tolerances for high doses vary– Caution is in order when nutrient intakes
approach UL values
• Some nutrients do not have UL values– Does not imply that it is safe to
consume it in any amount– Only means that insufficient data exists
to establish a value
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Goal 4:Preventing Chronic Disease
• The DRI committee takes into account chronic disease prevention, wherever appropriate– healthy ranges of intake for
carbohydrate, fat, and protein
• Acceptable Macronutrient Distribution Ranges (AMDR)
–45%-65% from carbohydrate–20%-35% from fat–10%-35% from protein
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Understanding the DRIs• Government funded
• Based on recent scientific research whenever possible
• Optimal intakes NOT minimal requirements– Generous margin of safety– Meet needs of virtually all healthy people within a
specific gender and age group
• Based on specific indicators of nutrient adequacy– Normal growth and development– Optimal blood nutrient concentrations– Reduction of certain chronic diseases and disorders
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Understanding the DRIs• Daily intakes to be achieved on average, over
time– Assume intakes will vary from day-to-day– Set high enough to ensure that nutrient body stores will
meet nutrient needs (from 1 day to 3 months based on the nutrient)
• Apply to healthy persons only – Health maintenance and disease prevention– Not restoration of health
• Separate recommendations gender, age, lifecycle– Differences between men, women, pregnant and
breastfeeding women, children and other life stage groups
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
RDA vs. Energy Requirements
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Setting Energy Requirements• Estimated Energy Requirements (EER)– The average dietary energy intake predicted to maintain
energy balance in a healthy adult of a certain age, gender, weight, and level of physical activity with consistent good health
– Value is not generous– Is set at the average of the population’s estimated energy
requirements– Enough food energy is critical to support health and life– Too much energy causes unhealthy weight gain
• The DRI committee did not set a UL for energy
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
Setting Energy Requirements• Estimated Energy Requirements (EER)– The average dietary energy intake predicted to maintain
energy balance in a healthy adult of a certain age, gender, weight, and level of physical activity with consistent good health
– Value is not generous– Is set at the average of the population’s estimated energy
requirements– Enough food energy is critical to support health and life– Too much energy causes unhealthy weight gain
• The DRI committee did not set a UL for energy
Malaysian Dietary Guideline
SCHOOL OF NUTRITION AND DIETETICS . FACULTY OF HEALTH SCIENCES
14 Key Messages