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DTN3SPN Sports Nutrition:


Nutrition across the lifespan

La Trobe Univers ity CRICOS P rovider Code Num ber 00115M


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https:/ / youtu.be/ MTn1v5TGK_w


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In today’s class:
• Nutritional requirements for:
• Adolescent
• Adult
• Masters

• Challenges across the lifespan


Learning
objectives

La Trobe Univers ity CRICOS P rovider Code Num ber 00115M


latrobe.edu.au

Learning objectives
The ILO’s covered in today’s lecture:

• Analyse and integrate evidence in providing appropriate nutritional advice to

athletes and active individuals within their scope of practice.

• Evaluate and assess the nutritional demands of athletic performance in a variety

of sports and life stages

• Evaluate and integrate the role of nutritional factors and environmental factors

affecting physical performance


The Junior athlete
• Ensuring athlete is reaching all nutritional requirements

• Supporting the development process


• Easily influences how they may be as an adult athlete
• Understanding skeletal growth and maturation
• Skeletal growth – increase in total body size
• Maturation – consolidating muscle and bone growth which sets
them up for adulthood
• Athletes will have higher macronutrient (and some micronutrient)
requirements to support growth.

• Opportunity to develop a good relationship with food


• Food = fuel
The Junior athlete
• Skeletal growth
• Supporting an increase in bone growth & mass
• Growth spurts occurring during childhood, but slowing down from puberty
• Usually see more growth in legs than trunk
• During puberty – trunk growth spurt occurs

• Calcium becomes an important mineral during this lifespan


• At birth – 30g calcium
• After 20 years of life – 1500g calcium
• 50-80% of bone mineral is accrued very rapidly during 2-4 years of
pubertal growth
• Highlights the importance of meeting calcium requirements during
puberty
The junior athlete
• Slowing of skeletal growth and delayed maturation can occur in sports that
have a strong focus on ‘leanness’
• Gymnastics – female athletes are ‘peaking’ at 14-16y.o
• The short stature of female gymnasts may be due to delayed maturation

• Disordered eating/eating disorders – not just in elite athletes


• As young as 2 y.o can understand language which relates to body image
• Programs targeting how you speak to young children
• http://www.confidentbody.net/
The junior athlete –
Nutrition requirements
• Lack of evidence understanding the nutrition requirements for young athletes
• Generally using modified adult requirements

• Able to use the NRV’s as a guide to macro and micronutrient requirements


• Exception – adolescence going through growth spurt
• Higher energy and fat requirements
• Reduced CHO requirements (as compared to adults at the same
workload)
• Micronutrients – higher amounts of iron, zinc and calcium
Energy requirements
• Adequate intake supports normal growth

• Meeting the needs of training and competition

• Chronic negative energy balance during growth results in:


• Short stature
• Delayed puberty
• Menstrual irregularities
• Poor bone health
• Increased incidence of injuries
• Risk of developing eating disorders

• Searching for energy requirements for children and adolescence?


• Very few studies have measure energy expenditure for various sports
• Estimates are often extrapolated from adults
• Children are less energy efficient than adults and more inefficient with motor
skills
• Energy requirements are generally underestimated.
Protein requirements
• Higher requirements to support growth and development

• Sport specific protein requirements are non-existent due to lack of


evidence

• Baseline protein requirements = 1.2 – 1.5g/kg BW to support growth and


development along with recovery from their specific sport

• (Generally) if food intake is matching their energy expenditure, than


protein requirements are being met.

• Increase in young vegetarian athletes


• Important to understand why they are doing this
• Need to rule out controlling of weight
Carbohydrate requirements
• Some research suggests that CHO utilisation is 20% lower than adults (however, oxidation is
significantly higher than adults)

• Potentially higher CHO requirements due to preserving of endogenous CHO supply

• Important to ensure that the young athletes are adequately fuelled for the
training/competition

• CHO intake will likely be higher due age group (likely to have more takeaways/fruit/soft
drinks)

• Keen focus on oral health and food intake


Calcium, iron and zinc
requirements
Calcium:
Age EAR RDI
All
1-3 yr 360 mg/day 500 mg/day
4-8 yr 520 mg/day 700 mg/day
Boys
9-11 yr 800 mg/day 1,000 mg/day
12-13 yr 1,050 mg/day 1,300 mg/day
14-18 yr 1,050 mg/day 1,300 mg/day
Girls
9-11 yr 800 mg/day 1,000 mg/day
12-13 yr 1,050 mg/day 1,300 mg/day
14-18 yr 1,050 mg/day 1,300 mg/day
Calcium, iron and zinc
requirements
Iron:
Age EAR RDI
All
1-3 yr 4 mg/day 9 mg/day
4-8 yr 4 mg/day 10 mg/day
Boys
9-13 yr 6 mg/day 8 mg/day
14-18 yr 8 mg/day 11 mg/day
Girls
9-13 yr 6 mg/day 8 mg/day
14-18 yr 8 mg/day 15 mg/day
Calcium, iron and zinc
requirements
Zinc:
Age EAR RDI
All
1-3 yr 2.5 mg/day 3 mg/day
4-8 yr 3.0 mg/day 4 mg/day
Boys
9-13 yr 5 mg/day 6 mg/day
14-18 yr 11 mg/day 13 mg/day
Girls
9-13 yr 5 mg/day 6 mg/day
14-18 yr 6 mg/day 7 mg/day
Hydration
• Children & adolescent athletes are at higher risk of dehydration

• More recently, hyponatraemia is of higher risk


• Increased water intake with no electrolyte replacement = risk of
hyponatraemia

• Important to assess the individual situation when it comes to drink choice

• Lots of children’s sport are during the day and afternoon


• Hottest part of the day (generally)

• The use of electrolyte tablets/oral rehydration solution (ORS)


• Less sugar, more electrolytes
Working with junior
athletes
• Make food enjoyable!
• Allow children to experiment with food
• Why do/don’t you like that particular food

• Minimise negative language around children when discussing food


• Remember, children as young as 2 y.o can pick up on negative talk about food
and body image

• Higher nutritional requirements for development purposes


• Need to ensure that you are matching their energy expenditure needs
• Iron, zinc and calcium are higher
• Vitamin D is a common deficiency due to training load

• Hydration is super important for this lifespan


• Reduce risk of dehydration through the use of electrolyte powers or ORS

• Consider oral health – rinse out mouth with water post CHO intake
Masters athletes
• Nutrition recommendation and interventions for aging athletes are based
on:
• Physiological changes associated with aging
• Additional nutrient requirements due to physical activity
• Presence of any medical condition that requires specific dietary intervention

• Decreased absorption of nutrients due to the aging process

• Hormonal changes occurring


• Menopause can lead to increased weight gain
• Poor body image issues seen in this lifespan – both male and female
Masters athletes
Major physiological changes include:
Age-related change Nutritional implication
Decreased muscle mass Decreased energy requirements
Decreased aerobic capacity Decreased energy requirements
Decreased muscle glycogen stores Decreased energy requirements
Decreased bone density Increased need for Vit D and calcium
Decreased immune function Increased need for Vit B6, E and Zinc
Decreased gastric acid Increased Vit B12, folate, calcium, zinc & iron
Decreased skin capacity for synthesis Increased need for Vit B12
Energy recommendations
• Decreased energy requirements generally seen due to:
• Decrease in muscle mass – sarcopenia
• Decrease in energy expenditure
• Decrease in training loads

• Schofield equation an accurate way to determine estimated energy


requirements

• Consider the type of training intensity along with frequency


CHO requirements
• Adult recommendations can be applied for masters athletes
• Due to the ability to store adequate amounts of energy in muscles

• Periodisation is important her due to making sure that you are not
increasing the overall energy intake

• Apply the same guidelines as per type of activity being completed

• Focus on good quality carbohydrates when able


• Higher risk that this population may have insulin resistance or type 2 diabetes
Protein requirements
• Protein requirements are (at least) 25% higher than younger adults

• Absorption is significantly decreased along with protein turnover being


higher
• Due to the process of sarcopenia

• Baseline requirement – 1.0 – 1.2g/kg


• This may change to 1.2 – 1.4g/kg

• Higher protein requirements may assist with slowing down the process of
sarcopenia

• Before increasing protein intake – ensure you are checking the athlete’s
kidney health
• What blood tests should we looking out for?
Vitamins and minerals
• Decreased absorption of:
• Vitamin B6, B12, D and calcium
• B6 is involved with amino acid metabolism
• Higher amounts may be need due to increased urinary losses

• Some medication may reduce absorption of specific vitamins and minerals

• Immune system needs to be well-supported as this age group are high risk
to illness .eg. Common cold, flu


Hydration
• Decrease in total body water & decrease in plasma volume = increased risk
of heat stress

• Increased urinary rate due to inefficient renal hormones = increased rate of


losses = increased risk of hyponatraemia

• Reduced thirst sensation

• Decreased rate of thermoregulation

• Decrease in sweat production

• Younger adult recommendations for hydration to be applied EXCEPT:


• During bouts of high temperatures & humidity
Working with masters
athletes
• Ensure hydration status is checked regularly and rectified (if needed)

• Increased protein intake (1.0 – 1.2g/kg)


• Remember to check their kidney health prior to this
• Speak with a Sports Dietitian to determine this

• Understand the physiological changes occurring due to the aging process

• Take down an accurate training program to ensure nutritional needs are


being met

• Understand their current medical status and if on any medications which


could impact on nutrient absorption or ability to participate in physical
activity
Questions?
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