Nutritional Status of an Elite Flat Water Kayak Paddler
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
2021-4272-AJSPO – 24 MAY 2021 1 Nutritional Status of an Elite Flat Water Kayak 2 Paddler 3 4 Background: Sports performance, besides the mental and emotional features 5 of the athlete, results from the intertwined relationship between training 6 load, rest/recovery and nutrition. Nutritional deficits or excesses can be 7 deleterious for sports performance. Objective: To describe the nutritional 8 profile of a highly performing kayaker, analysing the adequacy of nutritional 9 habits for training and competition. Methods: An elite kayaker specialized 10 in flat-water races. World Champion, European Champion and Silver 11 medallist in the London Olympic Games, performed 10-12 workouts per 12 week. The nutritional data were obtained by daily register during seven 13 consecutive days. Results: Daily average intake: Energy, 3174±306 kcal; 14 carbohydrate, 4.4±1.2 g.kg-1.dia-1; protein, 1.9±0.3 g.kg-1.d-1; fat, 1.3 ± 0.2 15 g.kg-1.d-1; cholesterol, 638±218 g; fibres, 23.6 ± 9.2 g. Unbalanced ratio 16 between omega-6/omega-3 fatty acids. While water-soluble vitamins are 17 within the recommendations for athletes, fat-soluble vitamins and beta- 18 carotene are below. All macrominerals respect the Dietary References 19 Intake as well as the trace elements with exception of iodine and 20 molybdenum. Conclusion: The elite kayaker has a caloric intake adequate to 21 the training requirements. However, the relative distribution of the various 22 macronutrients need to be changed by reducing fat intake and increasing 23 carbohydrate intake. The low intake of fat-soluble vitamins and beta- 24 carotene may justify supplementation. 25 26 Keywords: kayaking; nutrition; macronutrients; vitamins; minerals 27 28 29 Introduction 30 31 For almost all sports, training and competition at the highest level is 32 incompatible with energy deficits, mainly energy derived from carbohydrate 33 intake. It was sated that chronic energy deficits in active subjects reduces the 34 size of fast-twitch fibers (Henriksson, 1992), which are important for flat-water 35 elite canoeists. Carbohydrates (CHO) are the most important nutrients for 36 muscle and liver glycogen resynthesis. Glucose uptake and glycogen 37 breakdown increase with increasing exercise intensity (Helge et al., 2007). 38 Sports training at the highest level, presupposes very demanding nutritional 39 care to avoid negative overtraining situations that can, not only destroy the 40 competitive potential of the athlete, as well as can affect, in a more or less 41 prolonged way, their health status. Imbalance between training and recovery 42 will have mild to severe negative consequences on performance (Kuipers and 43 Keizer, 1988); however, it urges to introduce nutrition in the equation. Athletes 44 may experience chronic fatigue when carbohydrate intake is insufficient to 45 match energy demands of heavy training (Costill et al., 1988). The seminal 46 study from Bergstrom et al. (1967) showed a good correlation between initial 47 muscle glycogen content and work time until exhaustion at 75% VO2max. 1
2021-4272-AJSPO – 24 MAY 2021 1 After muscle glycogen depletion, the recovery of long-term work capacity is 2 associated with the carbohydrate content of the diet. 3 Several studies point to nutritional deficits and/or nutritional imbalances, 4 mainly reduced CHO intake, in young male soccer players (Rodrigues Santos 5 & Vasconcelos, 2009), male futsal players from different competitive levels 6 (Silva et al., 2012), male middle-distance runners (Rodrigues Santos et al., 7 2012), female middle-distance runners (Rodrigues dos Santos et al., 2013). One 8 case study with an elite running marathoner (Rodrigues Santos et al., 2010) 9 showed a nutritional panorama incompatible with the demands of daily 10 training. With nutritional intakes, ranging from 1316 to 3143 kcal/day, it would 11 be difficult to maintain a high-quality workout daily. This elite marathon 12 runner (ranked 4th in the World Championship) had great variations in his 13 competitive performance, which in part could be justified by any nutritional 14 deficiencies induced by the concern, sometimes pathological, of losing body 15 weight. 16 Elite flatwater kayak paddlers commonly train at least twice a day, 6 17 days/week. Training varies between on-water (i.e. in the boat) and out-water 18 (gym, run, bicycle, swimming) sessions. This type of training is very 19 demanding and any nutritional or energy deficit can compromise both the 20 performance and the athlete's health status. 21 With this study, we intended to ascertain the adequacy of the nutritional intake 22 of an elite flatwater kayaker, in the sense of detecting eventual nutritional 23 conditions that may compromise recovery between training efforts and 24 ultimately interfere with the athlete’s sports performance. 25 26 27 Methods 28 29 Subject: this is a case study of an elite kayak paddler, aged 35 years old, 30 with over 15 years of sport experience at the highest international level. He is a 31 former World champion, European champion and silver medallist in the 32 Olympic Games of London. He is currently committed to get position for the 33 Olympic Games in 2021 (Tokyo, Japan). Training characteristics are provided 34 in table 1. 35 Body size: height – 185 cm; body mass – 87 kg (without significant 36 alterations during the microcycle). Body weight was assessed with the same 37 device in the morning in fasting and before the first training session, without 38 clothes except for underwear. 39 The participant was informed about the benefits and risks of participating in the 40 current study prior to signing an informed consent form, which was approved 41 by the ethics board of the local university . Experimental procedures were in 42 accordance with the Helsinki Declaration and ethical principles for medical 43 research involving human subjects (Harriss et al., 2019). 44 45 2
2021-4272-AJSPO – 24 MAY 2021 1 Table 1. Training characteristics over the microcycle Day Morning Afternoon Water. 15 km. 6 x 250m Gym (Strength). 6 exercises x 6 Monday (115/120 spm), rest 5’. RM x 6 sets + Stretching Abdominals/Lumbars. Stretching Water. 15 km. 2 x 1000m / rest 8’ (250m at 85 spm, 500m at 90 spm, 250m at 95 Water. 10 km. Easy pace. 65 Tuesday spm) + 2 x 750 m / rest 8’ spm. (250m at 115 spm, 250 at 110 Stretching spm, 250m at 115 spm). Stretching Water. 15 km. 8 x 45” (110 Gym (Strength). 6 x 20 reps/rest spm) 1’15” rest. Recovery 6’. 40”, 55% Maximum Load + Wednesday 8 x 30” (115 spm), 1’30” rest. Abdominals/Lumbars. 30’ Stretching running. Stretching Water. 10 km. 6 x 10”/rest Thursday 1’50”. Maximum pace. Start Rest stopped. Stretching. Water. 15 km. 2 x 1000m / rest 8’ (250m at 85 spm, 500m at 90 spm, 250m at 95 Gym (Strength). 6 exercises x 6 Friday spm) + 2 x 750 m / rest 8’ RM x 5 sets + (250m at 115/120 spm, 250 at Abdominals/Lumbars. Stretching 110/115 spm, 250m at 115/120 spm). Str Water. 15 km. 7 x 50” at 105 spm/1’10” rest. Recovery 6’ Water. 8 km. Easy pace (65 spm) Saturday + 7 x 35” at 110 spm / 1’25” + Stretching. rest. Stretching. Water. 10 km. Easy pace. (65 Sunday Rest spm) + Stretching. 2 spm = strokes per minute; RM = repetitions maximum. Note: a specific warming-up preceded 3 every workout. 4 5 6 Nutritional Data Collection 7 8 A record of seven consecutive days of food consumption over a 9 microcycle was assessed. The record was divided as follows: breakfast, 10 morning snack, lunch, afternoon snack and supper. The results are presented in 11 the tables (2-6) include food supplements contributing to the energy intake. A 12 dossier with informative photographs with the standard quantities of the main 13 foods was delivered and the athlete informed of the correct way to fill in the 14 forms according to the quantities consumed. Mean daily food intake was 15 converted to nutrients using ESHA’s Food Processor Nutrition Analysis 16 software (Bazzano et al., 2002). For the consumption of macronutrients, we 17 take as reference the American College of Sports Medicine proposals (ACSM, 3
2021-4272-AJSPO – 24 MAY 2021 1 2000); for micronutrients we rely on the review criticism of Whiting & Barash 2 (2006) and Murray & Horswill (1998) proposals. 3 4 5 Results 6 7 Table 2 shows that the kayaker has an adequate energy intake, low 8 carbohydrate intake, high intake of cholesterol and reduced intake of dietary 9 fibres. 10 11 Table 2. Mean values (±SD) for energy and macronutrients intake Indicators Mean ± SD Minimum Maximum Energy intake (kcal) 3174 ± 306 2722 3631 Energy intake (kcal/kg) 36.0 ± 3.4 31.2 40.8 Protein (g.day-1) 163.4 ± 29.0 121.0 211.0 Protein (%) 20.8 ± 4.3 15.0 25.4 Protein (g.kg-1.dia-1) 1.9 ± 0.3 1.39 2.43 Carbohydrate (g.day-1) 383.4 ± 103.3 260.0 576.0 Carbohydrate (%) 47.8 ± 9.3 38.2 63.5 Carbohydrate (g.kg-1.day-1) 4.4 ± 1.2 2.99 6.62 Fats (%) 31.4 ± 5.2 21.6 36.4 Fats (g.kg-1.dia-1) 1.3 ± 0.2 1.0 1.53 Saturated fats (%) 11.5 ± 2.3 6.4 13.4 Monounsaturated fats (%) 11.9 ± 1.8 8.6 13.9 Polyunsaturated fats (%) 4.8 ± 1.5 3.0 7.4 Cholesterol (mg) 638 ± 218 420 1066 Dietary fibre (g) 23.6 ± 9.2 12.4 40.6 Complex CHO (%) 15. 7 ± 3.6 11.0 20.7 Sugars (%) 20.2 ± 9.2 9.7 36.4 Caffeine (mg) 5.8 ± 5.9 0 13.4 Alcohol (g) 0 0 0 Insoluble fibers (g) 14.1 ± 7.8 2.71 28.0 Soluble fibers (g) 4.0 ± 1.9 0.95 6.94 Water (ml) 1790 ± 544 1245 2665 12 13 From the table 3, it can be seen a high intake of trans fatty acids and an 14 unhealthy ratio omega6: omega3 fatty acids. 15 16 Table 3. Mean values (±SD) for some fatty acids intake Fatty acids Mean ± SD Minimum Maximum Omega-3 fatty acids (g) 1.4 ± 0.3 1.09 2.0 Omega-6 fatty acids (g) 11.6 ± 2.9 8.26 16.1 Trans fatty acids (g) 4.5 ± 4.4 0 9.77 Oleic acid (g) 33.6 ± 5.6 27.5 42.9 Arachidonic acid (g) 0.3 ± 0.2 0.09 0.57 17 18 The participant in this study has an adequate intake of hydro-soluble 19 vitamins and a reduced intake of fat-soluble vitamins. 4
2021-4272-AJSPO – 24 MAY 2021 1 Table 4. Mean values (±SD) for vitamin intake Recommendations for athletes Vitamins Mean ± SD (Murray and Horswill, 1998) Thiamine (mg) 3.4 ± 0.9 1.5 mg Riboflavin (mg) 2.7 ± 0.4 1.7 – 1.8 mg Niacin (mg) 35.7 ± 8.4 19 – 20 mg Vitamin B6 (mg) 3.2 ± 0.8 2 mg Vitamin B12 (µg) 7.0 ± 1.2 2 µg Folate (µg) 351.1 ± 138.9 200 µg Pantothenic acid (mg) 7.5 ± 1.3 4 – 7 mg Vitamin A (µg) 388 ± 135 1000 µg Vitamin A Carotene (µg) 165 ± 110 6000 µg Vitamin C (mg) 302 ± 224 60 mg Vitamin D (µg) 3.1 ± 0.9 10 µg Vitamin E (mg ET) 7.9 ± 2.3 10 mg Vitamin K (µg) 36.4 ± 27.3 70 – 140 µg 2 3 Table 5 shows that macrominerals intakes are all within or exceed the 4 international references for athletes. 5 6 Table 5. Mean values (±SD) for macrominerals intake Macrominerals Mean ± SD DRI* Calcium (mg) 848.1 ± 1 800 - 1200 mg Magnesium (mg) 431.4 ± 76.8 350 mg Phosphorus (mg) 1772 ± 140 800 - 1200 mg Potassium (mg) 4523 ± 1309 1875 – 5625 mg Sodium (mg) 3089 ± 1142 1100 – 3300 mg Chloride (mg) 856 ± 606 2300 mg 7 *Dietary reference intakes. Washington, DC, 1997, 1998, 2000 and 2002. 8 All trace minerals with exception of iodine and molybdenum are within the nutritional 9 references. 10 11 Table 6. Mean values (±SD) for trace elements intake Trace Minerals Mean ± SD DRI * Copper (g) 1.8 ± 0.5 0.9 g Iron (mg) 21.1 ± 4.4 8 mg Manganese (mg) 3.2 ± 1.0 2.3 mg Selenium (µg) 179.3 ± 22.7 55 µg Zinc (mg) 19.9 ± 5-7 11 mg Boron (mg) 3.4 ± 1.7 NA Iodine (µg) 66.5 ± 8.1 150 µg Molybdenum (µg) 12.6 ± 9.9 45 µg 12 *Dietary reference intakes. Washington, DC, 1997, 1998, 2000 and 2002. 13 5
2021-4272-AJSPO – 24 MAY 2021 1 Discussion 2 3 The nutritional needs for elite athletes must be considered individually and 4 adjusted to the requirements of training and competition. Elite kayakers usually 5 practice twice a day with each workout lasting between 1.5 and 2 hours. This 6 type of training is very demanding at several levels, with the binomial 7 recovery/nutrition being of fundamental importance. Energy and carbohydrate 8 and protein needs must be met during exhaustive training to maintain body 9 weight, resynthesize muscle glycogen, and provide sufficient protein to build 10 and repair muscle tissue. The average value of the daily energy supply for our 11 kayaker is 36.0 ± 3.4 Kcal/kg/day that is in line with the values found for 12 strength-type sports (e.g. bodybuilding, judo, and weight lifting) but clearly 13 below the values found for long-lasting endurance sports (e.g. triathlon, 14 cycling, marathon) (Erp-Baart et al., 1989a). The first line of analysis concerns 15 the verification of the combined effect of training and nutrition on body weight 16 variations. During the study, the athlete's body weight remained stable with 17 slight daily variations not exceeding 100 g. These results are an index of the 18 adequacy of caloric intake to caloric expenditure. Intense and systematic 19 training develops superior energy efficiency (De Feo et al., 2003) increasing 20 the ability to support the same training load with a lower expenditure of 21 energy. It seems that some athletes are able to adjust their energy intake to the 22 volume and intensity of training, hence the variations seen in the caloric intake 23 of many elite athletes (Rodrigues Santos et al., 2010; 2102; 2013). While 24 energy intake appears to match caloric expenditure, the relative contribution of 25 the various macronutrients does not seem to be the most adequate. The low 26 values of CHO ingestion, either as a percentage of total energy intake or when 27 relative to body weight, are very low in relation to the recommendations for 28 athletes. When training is intensified, low CHO intake reduces muscle 29 glycogen concentration and increases muscular fatigue (Costill et al., 1988) 30 reducing the ability to cope with exhaustive loads. Recommendations for CHO 31 intake ranges of 5 to 7 g/kg/day for general training. For endurance athletes 7 32 to 10 g/kg/day of CHO are suggested (Burke et al., 2001). We can hypothesize 33 that at least in some workouts this kayaker has a suboptimal level of glycogen 34 stores with deleterious effect on training intensity and mood for hard training. 35 It is important to highlight that the brain has an increased need for CHO during 36 recovery from strenuous exercise (Nybo et al., 2003). However, as the protein 37 intake is high, it can contribute not only to tissue repair but also to glycogen 38 synthesis through gluconeogenesis. For 50 g of glucose produced, 34-40 g 39 come from glycogenesis, 8-14 g from protein deamination and 2-3 g from 40 glycerol (Fromentin et al., 2013). Protein intake in the range of 1.3 – 1.8 g.kg- 1 41 .day-1 maximize muscle protein synthesis in athletes (Phillips & Van Loon, 42 2011). The average values of protein ingested in this study seem be adequate 43 not only for muscle repair and accretion as well as for energetic purposes. Fat 44 intake is high although within dietary references for athletes (Rodriguez et al., 45 2009); the problem is that the high fat intake is made at the expense of CHO. 46 Regarding the type of fats, there is an average high intake of saturated fats 6
2021-4272-AJSPO – 24 MAY 2021 1 (SFs) and a reduced intake of polyunsaturated fats (PUFs). Intake of 2 monounsaturated fats (MUFs) is adequate and reflects the Mediterranean 3 dietary pattern. What means a high intake of SFs to a highly active athlete? 4 Epidemiological studies suggest that reducing dietary SFs reduces the risk of 5 cardiovascular events and myocardial infarction (Hooper et al., 2015). In our 6 view, epidemiological approaches lose consistency in the high-performance 7 sports field. The focus should be on the effects of the imbalance between the 8 intake of SFs in relation to the intake of PUFs. Reduced intake of PUFs namely 9 the two essential fatty acids (EFAs), alpha-linolenic acid (ω3) and linoleic acid 10 (ω6) can negatively affect the production of prostaglandins, which help 11 regulate blood viscosity, inflammatory processes, blood cholesterol and fat 12 levels, and water balance (Oesterling et al., 1972). It is well known that 13 exhaustive exercise is a remarkable producer of inflammation outbreaks. Since 14 the body does not synthesize EFAs, they must be provided by the food. The 15 Western diets, namely Mediterranean diet, provide a high amount of ω6 fatty 16 acids. This nutritional condition favors the formation of eicosanoids that arise 17 from the oxidation of arachidonic acid and related PUFs by cyclooxygenase, 18 lipoxygenase and cytochrome P450 enzymes and via non-enzymatic free 19 radical mechanisms (Dennis & Norris, 2015). Eicosanoids are related to the 20 pro-inflammatory response. Non-steroid anti-inflammatory drugs, prostanoids 21 and dietetic fish oil ω3 fatty acid supplementation control the action of 22 eicosanoids (Norris & Dennis, 2012). Therefore, the high intake of ω6 fatty 23 acids to the detriment of ω3 can accentuate the inflammatory processes 24 naturally induced by exercise and delay recovery between efforts. Although 25 there is no consensus among nutritionists, a daily intake of 9 g of ω6 and 6 g of 26 ω3 is recommended, which gives a ratio of 1.5-1.0 (Erasmus, 1993). In this 27 study, the average intake of ω6 exceeds the recommendations while those of 28 ω3 is far below the recommendations. The ratio ω6:ω3, circa 8:1, can hinder 29 the buffering of inflammatory processes. Other studies present a similar 30 scenario (Rodrigues dos Santos et al., 2010; 2012; 2013). In order to rebalance 31 this particular aspect of the diet, the athlete must increase the consumption of 32 cold water fish such as salmon, mackerel and sardines, however there is no 33 evidence of the relationship between the consumption of food rich in ω3 and 34 sports performance. Huffman et al. (2004) showed that supplementation with 35 ω3 fatty acids did not improve endurance performance during a maximal bout 36 of exercise. A more balanced diet is desirable since nutrition does not make a 37 champion but can prevent it from being. Our subject has a high average 38 consumption of trans fatty acids. These fatty acids, processed or natural 39 occurring, are related to several diseases (Souza et al., 2015). In an athlete with 40 a very high level of training, the clinical perspective does not apply, however, 41 the intake of foods rich in trans fatty acids should be reduced as much as 42 possible and not exceed 2 g/100g fat per day (Leth et al., 2006). Cholesterol is 43 mainly synthesized from dietary saturated fats and there is no scientific 44 evidences to validate the hypothesis that dietary cholesterol increases blood 45 cholesterol. Therefore, previous recommendations from the American Heart 46 Association restricting dietary cholesterol to 300 mg/day were removed 7
2021-4272-AJSPO – 24 MAY 2021 1 (Soliman, 2018). Our kayaker has a high uptake of dietary cholesterol directed 2 related to the high uptake of SFs. At first glance, this athlete's lipid outlook 3 could be worrying - high intake of SFs, dietary cholesterol, and total fat. 4 However, blood tests done regularly by this kayaker point to blood values of 5 triglycerides and cholesterol within normal laboratory values. Exhaustive daily 6 training is the best way to cancel out the possible deleterious effects of a high 7 fat diet. The recommendations for the consumption of dietary fibers is 20 to 35 8 g per day (Escudero & Gonzalez, 2006), that is, twice the consumption of our 9 athlete. For the good functioning of the digestive system, it is advisable to 10 reduce the simple sugars, processed foods and increase the foods rich in fiber. 11 This athlete does not drink any alcohol. This is a healthy behavior because 12 chronic alcohol consumption is related to unfavorable changes in the immune 13 system, the clotting process and brain integrity (El-Sayed et al., 2005). 14 Caffeine intake, between 0 and 13.4 mg, is not significant because a single cup 15 of espresso takes about 60 ml of coffee, and contains about 126 mg of caffeine. 16 After Erp-Baart et al. (1989b), when energy intake ranges between 2388 17 and 4776 kcal/day vitamin and mineral intake is sufficient. Our data only 18 partially confirm this statement. Although caloric intake is adequate, the intake 19 of water-soluble vitamins exceeds the recommendations while the intake of fat- 20 soluble vitamins is below the recommendations for athletes (Murray & 21 Horswill, 1998). Can low fat-soluble vitamin intake be problematic for this 22 athlete? The answer seems be negative. Photochemical processes from the 23 cholesterol can synthesize vitamin D. Adequate amounts of vitamin E are 24 necessary to prevent peroxidation of tissue PUFs. Vitamin E deficiency is 25 extremely rare in humans and it is unlikely caused by dietetic limitations 26 (Kemnic & Coleman, 2021). The intake of vitamin E observed in our athlete, 27 below the recommendations, is in line with the low intake of polyunsaturated 28 fatty acids. Low PUFs intake reduce the needs of vitamin E. An intake of 0.6 29 mg alpha-tocopherol equivalents per gram linoleic acid is generally seen as 30 adequate for human adults (Valk & Hornstra, 2000). Our values, 7.9±2.3 mg of 31 vitamin E for 10.5±3.0 g of linoleic acid, gives a surplus of antioxidant 32 protection. Vitamin K1 (phylloquinone) derives from green leafy vegetables 33 while vitamin K2 (menaquinone) is synthesized in the gut from the bacteria. 34 Even in a situation of low dietary intake, synthesis in the ileum from the 35 bacteria seems sufficient to respond to the body's demands (Conly & Stein, 36 1992). However, to normalize the intake of phylloquinone, the athlete should 37 be advised to eat more green leafy vegetables such as parsley, spinach, broccoli 38 and kale. These foods benefit bone metabolism and the coagulation system 39 (Sim et al., 2020). 40 The low values of vitamin A and beta-carotene intake observed in this 41 athlete should be corrected to improve immune response to exercise, 42 maintenance of epithelial cells integrity and protection against oxidative free 43 radicals attack (Bar-El Dadon & Reifen, 2017). Reactive oxygen species (ROS) 44 and reactive nitrogen species (RNS) produce both deleterious and beneficial 45 effects. Overproduction of ROS (arising either from mitochondrial electron- 46 transport chain or from excessive stimulation of NADPH) results in oxidative 8
2021-4272-AJSPO – 24 MAY 2021 1 stress (Valko et al., 2007). During training, kayakers dramatically increase their 2 oxygen consumption. Probably this causes an increase in free radicals 3 production, which are supposed to have a plethora of deleterious effects. Some 4 diseases, like cancer and cardiovascular diseases are associated with increased 5 ROS production (Halliwell, 2012). These highly reactive molecular species are 6 capable to damage some important macromolecules as DNA, proteins, 7 carbohydrates, and lipids. The first line of defense against oxidative stress is 8 enzymatic – superoxide dismutase (SOD), catalase (CAT), and glutathione 9 peroxidase/glutathione reductase (GPX) (Ighodaro & Akinloye, 2018). We can 10 consider exogenous antioxidants (tocopherol, ascorbate, ß-carotenes, 11 flavonoids) provided by the diet as the second line of defense against oxidative 12 stress. It is common practice in sport to ingest high amounts of anti-oxidant 13 substances to combat oxidative stress induced by prolonged and / or intense 14 exercise. The effects of these practices are dubious. For instance, many 15 polyphenols, such as the flavonoids, have remarkable antioxidant activity in 16 vitro but there are few, if any, compelling data that polyphenols exert 17 antioxidant effects in vivo (Halliwell et al., 2005). Some authors highlight the 18 beneficial effects of ROS. ROS have become increasingly recognized to 19 mediate some adaptive responses in skeletal muscle induced by exercise. 20 Therefore, exercise-associated increases in ROS are likely to involve redox- 21 sensitive signaling effects rather than oxidative damage (Webb et al., 2017). 22 Regardless of the benefits or harms of ROS, an athlete should enrich his diet 23 with fruits, grains and vegetables that in addition to the antioxidant fight have 24 other benefits for the individual's health. 25 With the exception of chloride, all macrominerals are within or exceed the 26 DRI. The low mean chloride intake in our subject has no clinical significance 27 because, in healthy individuals, NaCl homeostasis is fine-tuned in renal 28 collecting ducts where Cl urinary excretion is balanced with dietary salt intake 29 (Rajagopal & Wallace, 2015). These low values of Cl are in line with other 30 studies with elite athletes (Siqueira & Rodrigues dos Santos, 2004; Rodrigues 31 dos Santos et al., 2010). 32 With the exception of iodine and molybdenum, all trace minerals are 33 within the references. Selenium, manganese, cooper and zinc the principal 34 minerals linked to antioxidant defense respect the recommendations. To avoid 35 persistent iodine deficits the athlete must increase the consumption of fish. 36 Low average values of molybdenum can affect the formation of the enzyme 37 xanthine oxidase, which is fundamental to transform xanthine into uric acid 38 (Rajagopalan, 1988). To correct this nutritional deficit the athlete must increase 39 the consumption of milk, legumes and whole grains. These foods are excellent 40 sources for almost all macro- and macrominerals. 41 42 43 Conclusion 44 45 The elite kayaker in this study has a nutritional intake that needs some 46 corrections. The absence of significant fluctuations in body weight points to 9
2021-4272-AJSPO – 24 MAY 2021 1 adequate caloric intake. While protein intake matches well the needs for 2 muscle repair and accretion, low carbohydrate intake does not respect the 3 recommendations for strength-endurance athletes and can put some problems 4 in relation to the best energy conditions during high intensity workouts. 5 Therefore, this athlete must reduce the fat intake and increase the supply of 6 CHO. Despite the high intake of fats, the supply of some fat-soluble vitamins – 7 A, D, E, and K does not met the recommendations. Although the intake of 8 beta-carotene is low, the adequate intake of micro minerals connected with the 9 antioxidant defense points to the potentiation of endogenous mechanisms to 10 fight oxidative stress. Based on the data in this study, the increase in the supply 11 of CHO and some vitamins and minerals is justified, either through 12 supplementation or through enrichment of the diet with specific foods that 13 cover the deficits found. 14 Dietary guidelines for health focus on unprocessed foods, fruits and 15 vegetables, plan-based fats and proteins, legumes, whole grains and nuts. 16 Emphasis should be placed on monounsaturated fats, such as olive oil, 17 avocados, and nuts, and omega-3 fatty acids. Respecting energy needs, a diet 18 with this profile is also adequate for elite athletes specialized in strength- 19 endurance sports like our kayaker. 20 21 22 References 23 24 American College of Sports Medicine. Joint Position Statement: nutrition and athletic 25 performance. American College of Sports Medicine, American Dietetic Association, 26 and Dietitians of Canada. Med Sci Sports Exerc, 32(12):2130-2150. 27 Bar-El Dadon S, Reifen R (2017). Vitamin A and the epigenome. Crit Rev Food Sci 28 Nutr, 57(11):2404-2411. doi: 10.1080/10408398.2015.1060940. 29 Bazzano LA, He J, Ogden LG et al. (2002). Agreement on nutrient intake between the 30 databases of The First National Health and Nutrition Examination Survey and the 31 ESHA Food Processor. Am J Epidemiol, 156:78-85. doi: 10.1093/aje/kwf003. 32 Bergström J, Hermansen L, Hultman E, Saltin B (1967). Diet, muscle glycogen and 33 physical performance. Acta Physiol Scand, 71(2):140-150. doi: 10.1111/j.1748- 34 1716.1967.tb03720.x. 35 Burke LM, Cox GR, Culmmings NK, Desbrow B (2001). Guidelines for daily 36 carbohydrate intake: do athletes achieve them? Sports Med, 31(4):267-299. Doi: 37 10.2165/00007256-200131040-00003. 38 Conly JM, Stein K (1992). The production of menaquinones (vitamin K2) by intestinal 39 bacteria and their role in maintaining coagulation homeostasis. Prog Food Nutr 40 Sci, 16(4):307-343. 41 Costill DL, Flynn MG, Kirwan JP et al. (1988). Effects of repeated days of intensified 42 training on muscle glycogen and swimmimg performance. Med Sci Sports Exerc, 43 20(3):249-254. doi: 10.1249/00005768-198806000-00006. 44 Costill DL, Flynn MG, Kirwan JP et al. (1989). Effects of repeated days of intensified 45 training on muscle glycogen and swimming performance. Med Sci Sports Exerc, 46 20(3):249-254. Doi: 10.1249/00005768-198806000-00006. 47 De Feo P, Di Loreto C, Lucidi P et al. (2003). Metabolic response to exercise. J 48 Endocrinol Invest, 26(9):851-854. doi: 10.1007/BF03345235. 10
2021-4272-AJSPO – 24 MAY 2021 1 Dennis EA, Norris PC (2015). Eicosanoid storm in infection and inflammation. Nat 2 Rev Immunol, 15(8):511-523. doi: 10.1038/nri3859. 3 El-Sayed MS, Ali N, El-Sayed AZ (2005). Interaction between alcohol and exercise: 4 physiological and hematological implications. Sports Med, 35(3):257-269. doi: 5 10.2165/00007256-200535030-00005. 6 Erasmus U (1993). The healing essential fatty acids. Richmond: Alive Books, pp. 43- 7 54. 8 Erp-Baart AM, Saris WH, Binkhorst RA, Vos JA, Elvers JWH (1989a). Nationwide 9 survey on nutritional habits in elite athletes. Part I: Energy, carbohydrate, protein, 10 and fat intake. Int J Sports Med, 10(Suppl 1):S3-S10. doi: 10.1055/s-2007- 11 1024947. 12 Erp-Baart AM, Saris WH, Binkhorst RA, Vos JA, Elvers JWH (1989b). Nationwide 13 survey on nutritional habits in elite athletes. Part II: Mineral and vitamin intake. 14 Int J Sports Med, 10(Suppl 1):S11-S16. doi: 10.1055/s-2007-1024948. 15 Escudero AE, Gonzalez SP (2006). Dietary fibre. Nutr Hosp, 21 (Suppl 2):S60-S71. 16 Frankenfield DC, Muth ER, Rowe WA (1998). The Harris-Benedict studies of human 17 basal metabolism: history and limitations. J Am Diet Assoc, 98(4):439-445. doi: 18 10.1016/S0002-8223(98)00100-X. 19 Fromentin C, Tomé D, Nau F et al. (2013). Dietary proteins contribute little to glucose 20 production, even under optimal gluconeogenic conditions in healthy humans. 21 Diabetes, 62(5):1435-1442. doi: 10.2337/db12-1208. 22 Gomez-Cabrera MC, Domenech E, Romagnoli M et al. (2008). Oral administration of 23 vitamin C decreases muscle mitochondrial biogenesis and hampers training- 24 induced adaptations in endurance performance. Am J Clin Nutr 87(1): 142–149. 25 doi: 10.1093/ajcn/87.1.142. 26 Halliwell B (2012). The antioxidant paradox: less paradoxical now? Br J Clin 27 Pharmacol, 75(3):637-644. doi: 10.1111/j.1365-2125.2012.04272.x. 28 Halliwell B, Rafter J, Jenner A (2005). Health promotion by flavonoids, tocopherols, 29 tocotrienols, and other phenols: direct or indirect effects? Antioxidant or not? Am 30 J Clin Nutr, 81(Suppl 1):S268-276. Doi: 10.1093/acjn/81.1.268S. 31 Harriss DJ, MacSween A, Atkinson G (2019). Ethical standards in sport and exercise 32 science research: 2020 update. Int J Sports Med, 40(13):813-817. doi: 10.1055/a- 33 1015-3123. 34 Helge JW, Stallknecht B, Richter EA, Galbo H, Kiens B (2007). Muscle metabolism 35 during graded quadriceps exercise in man. J Physiol, 581(Pt 3):1247-1258. 36 Henriksson J (1992). Energy metabolism in muscle: its possible role in the adaptation 37 to energy deficiency. In: Kinney JM & Tucker HN, ed. Energy Metabolism: 38 Tissue determinants and cellular corollaries. New York: Raven Press; pp. 345- 39 365. 40 Hooper L, Martin N, Abdelhamid A, Smith GD (2015). Reduction in saturated fat 41 intake for cardiovascular disease. Cochrane Database Syst Rev, 10(6):CD011737. 42 Huffman DM, Altena TS, Mawhinney TP, Thomas TR (2004). Effect of n-3 fatty 43 acids on free tryptophan and exercise fatigue. Eur J Appl Physiol, 92(4-5):584- 44 591. doi: 10.1007/s00421-004-1069-6. 45 Jackson MJ, Papa S, Bolanos J, Bruckdorfer R, Carlsen H, Elliott RM, Flier J, 46 Griffiths HR, Heales S, Holst B, Lorusso M, Lund E, Oivind Moskaug J, Moser 47 U, Di Paola M, Polidori MC, Signorile A, Stahl W, Vina-Ribes J, and Astley SB. 48 Antioxidants, reactive oxygen and nitrogen species, gene induction and 49 mitochondrial function. Mol Aspects Med 23: 209–285, 2002. 50 Kemnic TR, Coleman M (2021). Vitamin E deficiency. In: StatPearls (Internet). 51 Treasure Island (FL): StatPearls Publishing. 11
2021-4272-AJSPO – 24 MAY 2021 1 Kuipers H, Keizer HA (1988). Overtraining in elite athletes. Review and directions for 2 the future. Sports Med, 6(2):79-82. doi: 10.2165/00007256-1988706020-00003. 3 Leth T, Jensen HG, Mikkelsen AA, Bysted A (2006). The effect of the regulation on 4 trans fatty acid content in Danish food. Atheroscler Suppl, 7(2):53-56. doi: 5 10.1016/j.atherosclerosissup.2006.04.019. 6 Locke A, Schneiderhan J, Zick SM (2018). Diets for health: goals and guidelines. Am 7 Fam Physician, 97(11):721-728. 8 Murray R, Horswill CA (1998). Nutrient requirements for competitive sports. In: I 9 Wolinsky, ed. Nutrition in Exercise and Sport, pp 551-558. 3rd Edition. CRC 10 Press, Boca Raton. 11 Norris PC, Dennis EA (2012). Omega-3 fatty acids cause dramatic changes in TRL4 12 and purinergic eicosanoid signaling. Proc Natl Acad Sci USA, 109(22):8517- 13 8522. doi: 10.1073/pnas.1200189109. 14 Nybo L, Nielsen B, Blomstrand E, Moller K, Secher N (2003). Neurohumoral 15 responses during prolonged exercise in humans. J Appl Physiol (1985), 16 95(3):1125-1131. doi: 10.1152/jaaplphysiol.00241.2003. 17 Oesterling TO, Morozowich W, Roseman TJ (1972). Prostaglandins. J Pharm Sci, 18 61(12):1861-1895. Doi: 10.1002/jps.2600611202. 19 Phillips SM, Van Loon LJC (2011). Dietary protein for athletes: from requirements to 20 optimum adaptation. J Sports Sci, 29 (Suppl 1): S29-S38. doi: 21 10.1080/o2640414.2011.619204. 22 Rajagopal M, Wallace DP (2015). Chloride secretion by renal collecting ducts. Curr 23 Opin Nephrol Hypertens, 24(5):444-449. doi: 10.1097/MNH.0000000000000148. 24 Rajagopalan KV (1988). Molybdenum: An essential trace element in human nutrition. 25 Ann Rev Nutr, 8:401-427. 26 Ristow M, Zarse K, Oberbach A, Klo¨ting N, Birringer M, Kiehntopf M, Stumvoll M, 27 Kahn CR, and Blu¨ her M. Antioxidants prevent health-promoting effects of 28 physical exercise in humans. Proc Natl Acad Sci USA 106: 8665–8670, 2009. 29 Rodrigues dos Santos JA, Amorim TP, Gadelho SFNA, Silva DJL (2013). [Nutritional 30 intake of female middle-distance runners]. (Article in Portuguese). Rev Bras 31 Fisiol Exerc, 12(6):336-348. doi: 10.33233/rbfe.v12i6. 32 Rodrigues dos Santos JA, Silva DJL, Colaço PJ (2010). [Nutritional status of an elite 33 Portuguese male marathoner]. (Article in Portuguese). Rev Bras Fisiol Exerc, 34 9(3):184-192. Doi: 10.33233/rbfe.v9i3. 35 Rodrigues dos Santos JA, Silva DJL, Gadelho SFNA (2011). [Nutritional intake of 36 middle-distance runners]. (Article in Portuguese). RBNE (Revista Brasileira de 37 Nutrição Esportiva), 5(29):402-416. 38 Rodrigues dos Santos JA, Vasconcelos CEGC (2009). [Nutrition and body 39 composition in young Football players]. (Article in Portuguese). Rev Bras Fisiol 40 Exerc, 8(3):113-120. doi: 10.33233/rbfe.v8i3. 41 Rodriguez NR, Di Marco NM, Langley S (2009). American College of Sports 42 Medicine position stand. Nutrition and athletic performance. Med Sci Sports 43 Exerc, 41(3):709-731. doi: 10.1249/MSS.0b013e31890eb86. 44 Silva DJL, Silva NRM, Rodrigues dos Santos JA (2012). [Assessment of nutritional 45 intake in futsal. Study with Portuguese male players of the 1st, 2nd and 3rd 46 divisions]. (Article in Portuguese) Revista Brasileira de Futsal e Futebol, 47 4(11):23-37. 48 Sim M, Lewis JR, Prince RL et al. (2020). The effects of vitamin K-rich green leafy 49 vegetables on bone metabolism: a 4-week randomised controlled trial in middle- 50 aged and older individuals. Bone Rep, 12:100274. doi: 10.1016/j.bonr.2020.100 51 274. 12
2021-4272-AJSPO – 24 MAY 2021 1 Siqueira JE, Rodrigues dos Santos JA (2004). Perfil nutricional de fundistas na 2 semana que antecede a competição. Rev Port Cien Desp, 4(Suppl 2):S255. 3 Soliman GA (2018). Dietary cholesterol and the lack of evidence in cardiovascular 4 disease. Nutrients, 10(6):780. doi: 10.3390/nu10060780. 5 Souza RJ, Mente A, Maroleanu A et al. (2015). Intake of saturated and trans 6 unsaturated fatty acids and risk of all-cause mortality, cardiovascular disease, and 7 type 2 diabetes: systematic review and meta-analysis of observational studies. 8 BMJ, 351:h3978. doi: 10.1136/bmj.h3978. 9 Valk EE, Hornstra G (2000). Relationship between vitamin E requirement and 10 polyunsaturated fatty acid intake in man: a review. Int J Vitam Nutr Res, 70(2): 11 31-42: doi: 10.1024/0300-9831.70.2.31. 12 Valko M, Leibfritz D, Moncol J et al. (2007). Free radicals and antioxidants in normal 13 physiological functions and human disease. Int J Biochem Cell Biol, 39(1):44-84. 14 Doi: 10.1016/j.biocel.2006.07.001. 15 Webb R, Hughes MG, Thomas AW, Morris K (2017). The ability of exercise- 16 associated oxidative stress to trigger redox-sensitive signalling responses. 17 Antioxidants (Basel), 6(3):63. doi: 10.3390/antiox6030063. 18 Whiting SJ, Barabash A (2006). Dietary reference intakes for the micronutrients: 19 considerations for physical activity. App Physiol Nutr Metab, 31:80-85. 13
You can also read