Monday, March 2, 2015

All In A Day's Nutrition

It is a well-known fact among dietitians that the general public fails to meet nutrition recommendations. Athletes, whose endurance and performance are critically affected by nutritional status and food intake, are no exception.  Surprisingly, studies have consistently shown that athletes, male and female, adolescent to collegiate to elite level, and across various athletic activities, all consistently under-consume carbohydrate foods and consume more than necessary levels of protein and fat. Additionally, intake of calcium, iron, B-vitamins, vitamin D and Vitamin A fall short of recommendations. 1, 2, 3

Most athletes seek to perform at their greatest level, yet after successive daily training sessions, this inadequacy and imbalance can lead to significant decreases in energy levels and athletic performance.  Studies have shown that most athletes have inadequate nutrition knowledge, another contributing factor; specifically, athletes are unaware of specific carbohydrate needs, carbohydrate use in the body, vitamin storage, protein (and its relation to muscle gain vs. energy), and low-fat and weight loss diets. 4 Fortunately, for the athlete who wants to perform at his/her best, intervention studies have shown that with proper knowledge and guidance, athletes increase nutrition knowledge and self-efficacy and thus make positive dietary changes which can increase or improve performance. 5, 6

It’s not enough to give an athlete a daily carbohydrate, protein, calorie and fat number to reach, based on the recommendations in the Nutrition and Athletic Performance Position Paper  from the Academy of Nutrition and Dietetics, the American College of Sports Medicine and the Dietitians of Canada 7.   

It is difficult for an athlete to translate those numbers into real food choices within a daily food plan.  What does 1.2 to 1.7 g/kg protein, 6 to 10 g/kg carbohydrate and 20-35% fat (intake from total calories) really look like?  

Below is a visual representation and breakdown of what one day’s worth of food looks like for a 140-pound, very active, 20-year-old female athlete, based on the aforementioned recommendations (2,880 calories, 384-640g carbohydrate, 77-109g protein, 42-49g fat).  It’s a lot of food and it’s a lot of carbohydrate.  

Remember, most athletes consume enough protein (optimizing protein intake by spreading it throughout the day, however, is more of a challenge but that’s another blog post) but most athletes under-consume carbohydrates.  Coincidentally, in writing this meal plan, it was most challenging to reach target carbohydrate levels—reaching protein was easy.  Looking at it this way, it is easy to see why many athletes themselves are finding it difficult to meet carbohydrate needs, especially in today’s carbo-phobic society, when even as a nutrition professional, I find that most challenging, too.   

Many foods chosen in this meal plan were selected because they provide high doses of nutrients that are typically lacking in an athlete’s diet—calcium, iron, Vitamins A and D, B-vitamins and antioxidants.  Please keep in mind that a larger athlete, such as a 200-pound active male, will have much higher needs (closer to 5,000 calories, 540-900g carbohydrate, 108-153g protein and 111–167g fat). 

Breakfast

Giant Yogurt & Cereal Bowl -- 2/3 cup 2% plain Greek yogurt, topped with 2/3 cup Bob’s Red Mill All-Natural granola, 1 tablespoon ground flax seed, 1 tablespoon slivered almonds, 2 chopped dates, 1 sliced banana and ¼ cup light vanilla soymilk (638 calories, 115g carb., 10g fat, 2g sat. fat, 27g protein)
Mid-Morning Bagel Snack

1 Pepperidge Farm Whole Wheat bagel spread with 2 tablespoons hummus and topped with ½ cup baby spinach, ¼ cup shredded carrots, 1 hard-boiled egg (chopped) and 2 tablespoons crumbled feta cheese (459 calories, 60g carb., 15g fat, 5g sat. fat, 23g protein)
NOTE: If an athlete has an afternoon workout, he/she may consume half the bagel snack mid-morning and the other half in the afternoon (prior to the workout), paired with 8 ounces 100% fruit juice.

Lunch:



Salmon Sandwich - 2 slices Pepperidge Farm Ancient Grains bread, 1 slice Sargento Natural baby Swiss cheese, 2 ounces Chicken of the Sea pink salmon, ½ tomato (sliced), ¼ cup shredded cabbage mixed with ¼ cup coleslaw
Pasta Salad - 1/2 cup prepared pasta salad tossed with 1 cup steamed broccoli, ¼ cup cherry tomatoes, ¼ cup steamed snow peas and 2 tablespoons shredded carrots
Homemade Trail Mix - 1 ounce Newman’s Own Spelt Pretzels mixed with ¼ cup dried cherries
paired with 1 medium orange and 1 cup baby carrots
(830 calories, 150g carb., 13g fat, 4g sat. fat, 37g protein)
Post-workout:

Cherry-Banana Smoothie - 1 cup frozen unsweetened cherries, 1-½ cups 1% milk, 1 medium banana, ½ scoop vanilla whey protein powder and 1 tablespoon honey
(390 calories, 75g carb., 1g fat, 0g sat. fat, 23g protein)



Dinner


Smothered Chicken - 3 ounces roasted chicken breast topped with 1 cup sliced fresh mushrooms and ¼ cup chopped onion (sautéed with 1 teaspoon olive or canola oil)
Paired with 1 ½ cups steamed broccoli and cauliflower (topped with 1 tablespoon Parmesan cheese), 1 medium baked sweet potato (topped with 1 teaspoon chopped pecans and a dash of cinnamon)
Strawberry Parfait: 1 cup sliced strawberries with ¼ cup low-fat vanilla yogurt and 1 Lindt Dark Chocolate Square
(550 calories, 77g carb., 14g fat, 4g sat. fat, 32g protein)


A Day's Worth of Food


Note the smoothie in the picture, intended to be a post-workout snack, eaten before dinner:
Total Day’s Nutrition: 2,867 calories, 477g carbohydrate, 53g fat, 15g sat. fat, 142g protein

1. García-Rovés, Pablo M., et. al. “Nutrient Intake and Food Habits of Soccer Players: Analyzing the Correlates of Eating Practice.” Nutrients. 6.7 18 Jul 18 2014: 2697-717. PubMed.gov. Web. 15 Jan. 2015.
2. Nogueira JA, Da Costa TH. “Nutritional Status of Endurance Athletes: What is the Available Information?” Archoivos Latinoamericanos de Nutricion. 98.4 (1998): 419-425. PubMed.gov. Web. 15 Jan. 2015
3. Beals, Katherine A., Manore Melinda M., “Nutritional Status of Female Athletes with Subclinical Eating Disorders.” Journal of the Academy of Nutrition and Dietetics. 98.4 (1998): 419-425
4. Yelverton, Jherrica. “Differences in Collegiate Athlete Nutrition Knowledge as Determined by Athlete Characteristics.” The Sport Journal. 14 Oct. 2014. Web. 20 Jan. 2015. <http://thesportjournal.org>
5. Torres-McGehee, Jour Toni M., et. al. “Sports Nutrition Knowledge Among Collegiate Athletes, Coaches, Athletic Trainers, and Strength and Conditioning Specialists.” Journal of Athletic Training. 47:2. (2012): 205-11. PubMed.gov. Web. 20 Jan. 2015.
6.  Abood, Doris A., “Nutrition Education Intervention for College Female Athletes.” Journal of Nutrition Education and Behavior. 36.3 (2004): 135-139.
7. Academy of Nutrition and Dietetics, “Position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and Athletic Performance.” Journal of the American Dietetic Association. 109.3 (2009): 509-527 Eatright.org Web. 27 Jan. 2015.


About the Author
Kym earned her Bachelor of Science degree in nutrition and dietetics and minored in food science at Dominican University, River Forest, Illinois. She completed the clinical component of her dietetic internship with Iowa State University at Great River Medical Center in Burlington, Iowa. Her previous experience working as a nutrition educator at Scott County WIC provided her with additional focused training in several areas including pregnancy, postpartum wellness, breastfeeding and infant and child nutrition. In June of 2009, Kym completed the CDR Certificate of Training in Adult Weight Management.  Kym is a member of the Academy of Nutrition and Dietetics (formerly the American Dietetic Association) and the Iowa Dietetic Association.  Additionally, she is also a member of several dietetic practice groups, including the Dietitians in Business and Communications, Food and Culinary Professionals dietetic practice group and the Sports, Cardiovascular and Wellness Nutrition dietetic practice group. She has a particular interest in culinary nutrition and enjoys cooking, baking, recipe modification, and learning about food and wine. She played varsity volleyball at Dominican University and continues to enjoy an active lifestyle jogging, biking and weight training.
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