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Nutrition
for Sport and Exercise
FOU R TH E DITI O N
Marie Dunford
Former Professor and Chair
Department of Food Science and Nutrition
California State University, Fresno
J. Andrew Doyle
Associate Professor and Former Chair
Department of Kinesiology and Health
Georgia State University
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Nutrition for Sport and Exercise, Fourth © 2019, 2015, Cengage Learning, Inc.
Edition
ALL RIGHTS RESERVED. No part of this work covered by the copyright herein
Marie Dunford, J. Andrew Doyle
may be reproduced or distributed in any form or by any means, except as
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Contents
Preface xiii
About the Authors xxi
Spotlight on… The Physical Activity Guidelines for Focus on research Designing a Rsearch Study to Test
Americans 9 the Effect of a Sports Drink on Performance 24
The Dietary Guidelines for Americans provide basic Levels of evidence and grades of recommendations
dietary and exercise advice 10 put the scientific body of literature in
MyPlate, MyWins is a tool that can be used to help perspective 25
consumers implement the Dietary Guidelines 10 Spotlight on… Wikipedia 27
A food pyramid has been developed for athletes 11
Conclusions from scientific studies can be
Several other meal-planning tools are also
misinterpreted 27
available 12
Much of the nutrition-, exercise-, and health-related
The Nutrition Facts label provides specific nutrition
information on the Internet is inaccurate 29
information 14
Application exercise 15 Spotlight on supplements Use of Scientific Studies as a
Marketing Tool 29
1.3 Basic Sports Nutrition Guidelines 15
The demands of an athlete’s sport must be carefully 1.6 Exercise and Nutrition Credentials and
considered 16 Certifications 30
1.4 Dietary Supplements and Ergogenic Aids 17 There are many types of practitioners in the area of
Dietary Supplement Health and Education Act 17 exercise science 30
iii
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iv Contents
Many types of practitioners work in the area of Post-Test Reassessing Knowledge of Sports
nutrition 31 Nutrition 33
Scope of practice helps establish professional Summary and Self-Test 33
boundaries 32
Spotlight on… The Role of Enzymes 40 Spotlight on… Fitness Tracking Websites and
Applications 59
2.2 Measuring Energy 42
Estimated Energy Requirement is a daily balance of
The energy content of food is measured by
energy intake and expenditure 59
calorimetry 44
The amount of energy expended can be measured Keeping it in perspective Food Fuel Exercise 60
directly or indirectly 45 Post-Test Reassessing Knowledge of Energy 62
Focus on research Determining the Accuracy of a Wearable Summary and Self-Test 62
Device to Measure Daily Energy Expenditure 48
Focus on research Determining the Use of Spotlight on… Finding Reliable Information about Energy
ATP and Creatine Phosphate in Skeletal Muscle Systems 84
during Exercise 70 Dietary intake influences carbohydrate, fat,
and protein metabolism 87
3.3 The Anaerobic Glycolysis Energy System 71 Metabolism is influenced by the fed-fast
Spotlight on supplements Creatine Loading and cycle 87
Supplementation 72 The fed state favors nutrient storage 88
Glycolysis uses the energy contained in glucose Total energy intake is an important factor 89
to rephosphorylate ATP from ADP 72 Keeping it in perspective Understanding the
Lactate is metabolized aerobically 75 Details and the Broad Perspective of Energy
Spotlight on… Lactate Threshold 76 Metabolism 89
3.4 The Oxidative Phosphorylation 3.6 Oxygen Consumption 90
Energy System 77 Increased use of aerobic metabolism results in an
Carbohydrates are oxidized in the Krebs cycle 78 increase in oxygen consumption 90
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Contents v
Each individual has a maximal ability to consume Post-Test Reassessing Knowledge of Energy Systems and
oxygen, or V̇O2max 92 Exercise 94
Spotlight on… Alcohol Metabolism 92 Summary and Self-Test 95
Oxygen consumption is influenced by different
skeletal muscle fiber types 94
4 Carbohydrates 97
Learning Objectives 97 Glucose metabolism during exercise is controlled by
Pre-Test Assessing Current Knowledge of hormones 116
Carbohydrates 98 Exercise intensity affects carbohydrate
metabolism 116
4.1 Carbohydrates in Food 98
Carbohydrates are classified in different ways 101 4.5 Carbohydrate Recommendations
for Athletes 117
Spotlight on… Sugar Alcohols 102
Daily carbohydrate intake is based on individual
4.2 Digestion, Absorption, and Transportation of needs to meet the long-term demands of training and
Carbohydrates 103 competition 118
Glucose and fructose are absorbed by different Athletes need to plan their carbohydrate
mechanisms 103 intake before, during, and after training and
Carbohydrate is transported as blood glucose 104 competition 120
4.3 Metabolism of Glucose in the Body 106 Application exercise 125
Blood glucose is carefully regulated 106
Spotlight on… Sports Drinks, Bars, and Gels 126
Glucose can be metabolized immediately for
Muscle glycogen stores can be maximized by diet and
energy 108
exercise manipulation 129
Spotlight on… Glycemic Index (GI) 110 Training and performance may be impaired
Glucose can be stored as glycogen for if insufficient carbohydrate is consumed 130
later use 111 Carbohydrate and fiber must be consumed in
Products of glucose metabolism can be used appropriate amounts for good health 131
to synthesize fatty acids 111
4.6 Translating Daily Carbohydrate
Glucose can be produced from lactate,
Recommendations to Food Choices 132
amino acids, and glycerol by a process called
A carbohydrate-rich diet requires planning 133
gluconeogenesis 111
Diet planning for carbohydrate intake must consider
4.4 Carbohydrates as a Source of Energy practical issues 136
for Exercise 112
Spotlight on a real athlete Lucas, a Cross-Country
Exercising muscle first uses carbohydrate stored as
Runner 138
glycogen 112
Exercising muscle takes up and metabolizes blood Keeping it in perspective Carbohydrates Are for Fuel
glucose 113 and Fun 144
Exercise training increases the capacity Spotlight on… Information about Carbohydrates for
for carbohydrate metabolism 114 Athletes 145
Focus on research Can Endurance Exercise Performance Post-Test Reassessing Knowledge of Carbohydrates 145
Be Improved by Rinsing Your Mouth with a Carbohydrate Summary and Self-Test 146
Drink without Swallowing It? 114
5 Proteins 148
Learning Objectives 148 Some amino acids cannot be manufactured by the
Pre-Test Assessing Current Knowledge of body and must be provided by food 149
Proteins 149 Proteins vary in quality due to the amount and types
of amino acids present 152
5.1 Structure and Function of Protein 149
The structure of a protein determines its
Amino acids form the basic structure of proteins 149
function 153
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vi Contents
Proteins perform many functions in the body 153 Intermediate-term, daily energy deficits (“dieting”)
5.2 Digestion, Absorption, and Transportation may lead to loss of lean body mass 176
of Protein 155 Short-term, substantial energy deficits are used to
Proteins are digested in the stomach and small “make weight,” but such diets can have detrimental
intestine 155 effects 176
Proteins are absorbed in the small intestine 156 Some athletes engage in short-term, intermittent
After absorption, some amino acids are transported to fasting 176
the liver, whereas others circulate in the blood 156 Low protein intake negatively affects the immune
system 177
5.3 Metabolism of Proteins and Amino Acids 158
The body uses amino acids to build proteins, a 5.6 Translating Protein Intake Recommendations to
process known as anabolism 158 Practical, Daily Food Choices 177
The body breaks down proteins into amino acids, a Well-planned vegetarian and vegan diets are healthful
process known as catabolism 158 and nutritionally adequate 178
Protein is metabolized during endurance Protein supplements should be considered a part of
exercise 160 an athlete’s overall protein intake 179
Amino acid breakdown produces ammonia 161 Spotlight on a real athlete Lucas, a Cross-Country
The body is constantly breaking down proteins as well Runner 180
as building proteins 161 5.7 Supplementation with Individual Amino
Skeletal muscle protein synthesis and immune system Acids 182
function are influenced by many factors 163 Beta-alanine may help to buffer muscle pH in
5.4 Protein Recommendations for Athletes 165 high-intensity (sprint) exercise 182
Recommended ranges for protein intake by athletes b-Hydroxy-b-Methylbutyrate (HMB) has some
are good guidelines but should be individualized for anticatabolic properties 183
each athlete 165 Branched chain amino acids (BCAA) may help
Focus on research Establishing Dietary Protein to support immune function in endurance
Recommendations for Endurance and Strength athletes 183
Athletes 166 Glutamine supplementation does not appear to be
effective as a way to enhance the functioning of the
Timing of protein intake is important, especially after
immune system 184
exercise 170
Glucosamine/chondroitin sulfate is generally not
Spotlight on... Protein Intake Expressed as a Percentage effective for reducing joint pain 184
of Total Calories Can Be Deceiving 170 Growth hormone releasers, particularly arginine,
Application exercise 173 may be effective for stimulating the release of growth
Most athletes consume a sufficient amount of hormone 184
protein, but some consume a low or excessive Nitric oxide (NO)/arginine alpha-ketoglutarate
amount 173 (AAKG) reduces oxygen cost of exercise and improves
Some practical problems are associated with exercise tolerance 185
consuming an excessive amount of protein 174 Keeping it in perspective The Role of Protein for
5.5 Effect of Energy Intake on Protein Intake 175 Athletes 185
Long-term, substantial energy deficits typically result Post-Test Reassessing Knowledge of Proteins 186
in low protein intake 175
Summary and Self-Test 186
Long-term, small energy deficits are characteristic of
a pattern of eating for some athletes 175
6 Fats 188
Learning Objectives 188 Spotlight on… Trans Fatty Acids 192
Pre-Test Assessing Current Knowledge of Fats 189 Two essential fatty acids cannot be manufactured by
the body 193
6.1 Fatty Acids, Sterols, and Phospholipids 189
Omega-3 fatty acids have many beneficial
Fatty acids vary due to their chemical
effects 194
compositions 190
Omega-3 fatty acids may have a role in recovery from
Most fats in food are in the form
strenuous exercise 195
of triglycerides 191
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Contents vii
Sterols, such as cholesterol, and phospholipids are Total daily fat intake depends on total energy,
types of fat found in foods 195 carbohydrate, and protein intakes 211
Some fats lower the risk for heart disease 196 Reducing caloric intake by reducing dietary fat intake
6.2 Digestion, Absorption, and Transportation over several weeks or months may help athletes
of Fats 197 achieve a loss of body fat 212
Fat is digested primarily in the small intestine 197 Inadequate fat intake can negatively affect training,
After being absorbed, the fatty acids are resynthesized performance, and health 213
into triglycerides 197 Spotlight on… Must an Athlete’s Diet Be a “Low-Fat”
The transportation of fats into the blood is a slow Diet? 214
process 198 6.6 Translating Daily Fat Recommendations to Food
6.3 Storage and Metabolism of Fats 199 Choices 215
Fat can be easily stored in the body 199 The amount and type of fat in foods varies 215
Fat is an important source of energy for The typical American diet is usually too high in fat for
many athletes 199 an athlete in training 216
6.4 Fats as a Source of Energy during Spotlight on a real athlete Lucas, a Cross-Country
Exercise 203 Runner 219
It is important to know the relative (percentage) There are ways to modify the typical American diet so
and absolute amount of fat utilized as a it is lower in fat 220
fuel 204 Some foods are made with fat substitutes 222
The body adapts to endurance exercise training by Keeping it in perspective Fat Is for Fuel and Fun 222
improving its ability to metabolize fat 207
6.7 Fat-Related Dietary Supplements 223
Focus on research Determining the Effect of High-Fat Caffeine is a central nervous stimulant that helps to
Diets on Fat Metabolism during Exercise and Endurance delay fatigue 223
Exercise Performance 208
Application exercise 223
6.5 Fat Recommendations for Athletes 211 Post-Test Reassessing Knowledge of Fats 225
Summary and Self-Test 226
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viii Contents
Hyponatremia, or plasma sodium being too low, is a Keeping it in perspective Fluid and Electrolyte Balance Is
serious electrolyte disturbance that can be fatal 260 Critical 262
Application exercise 260 Spotlight on… Finding Reliable Information about Water
Increasing fluid levels above normal is and Electrolytes 263
hyperhydration 261 Post-Test Reassessing Knowledge of Water and
Spotlight on a real athlete Hyponatremia in a Boston Electrolytes 263
Marathon Runner 261 Summary and Self-Test 263
8 Vitamins 265
Learning Objectives 265 Vitamin B12 and folate are two vitamins associated
Pre-Test Assessing Current Knowledge of Energy 266 with red blood cell function 287
8.1 Classification of Vitamins 266 Spotlight on supplements Vitamin C and Colds 288
A recommended daily intake has been established Spotlight on supplements Applying Critical Thinking Skills
for each vitamin 267 to Evaluating Dietary Supplements 288
Moderate to rigorous exercise may increase the need Spotlight on supplements Quercetin 289
for some vitamins, but the increase is small 273 Many vitamins are associated with growth
Poor food choices by athletes and sedentary people and development, including vitamins A and D 290
often lead to low vitamin intake 274
8.3 Sources of Vitamins 293
It is important to guard against both vitamin
Each person must decide the best ways to obtain
deficiencies and toxicities 275
an adequate amount of vitamins 294
8.2 The Roles of Vitamins in the Body 276 The vitamin content of a diet can vary tremendously
Some of the B-complex vitamins are associated based on the amounts and types of food
with energy metabolism 277 consumed 296
Spotlight on… Vitamins and “Energy” 280 Vitamins are added to many foods marketed
Some vitamins have antioxidant properties that to athletes 298
help protect cells from damage 281 The dose and potency of a vitamin supplement can
Vitamins with antioxidant properties are found vary substantially from brand to brand 299
in both food and supplements 282 Keeping it in perspective The Need for an Adequate but
Focus on research Exploring Free Radical Production Not Excessive Amount of Vitamins 299
during Exercise, Muscle Damage, and Antioxidant Application exercise 300
Supplementation 283
Post-Test Reassessing Knowledge of Vitamins 300
Spotlight on… Antioxidant Vitamins and Health 286 Summary and Self-Test 301
9 Minerals 303
Learning Objectives 303 It is important to guard against mineral
Pre-Test Assessing Current Knowledge of deficiencies 313
Minerals 304 Mineral toxicities are rare but possible 315
9.1 Classification of Minerals 304 9.3 The Roles of Minerals in Bone Formation 316
A recommended daily intake has been established for Spotlight on supplements Evaluating a
many minerals 305 High-Potency Multimineral Supplement Advertised
Moderate to rigorous exercise increases the loss of to Athletes 317
some minerals 305 Bones have both structural and metabolic
Poor food choices by athletes and sedentary people functions 318
often lead to low mineral intake 311 Achieving peak bone mineral density is critical to
9.2 Mineral Deficiencies and Toxicities 312 long-term health 318
Many factors influence mineral absorption 312 Bone loss is associated with aging 320
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Contents ix
Calcium may be taken from bone to maintain calcium Several factors affect iron status in athletes,
homeostasis 320 particularly endurance and ultraendurance
Bone loss is associated with lack of estrogen 322 athletes 333
The roles of calcium and exercise in preventing or Athletes should consume a variety of iron-containing
reducing bone loss associated with aging have not foods 334
been fully established 323 9.5 The Roles of Minerals in the Immune
Focus on research Does the Disruption of the Menstrual System 335
Cycle That Occurs in Some Athletes Have Health The immune system protects the body from
Implications? 324 disease 336
It is important to meet the recommended dietary 9.6 The Adequate Intake of All Minerals 337
intakes for calcium and vitamin D 325 The key to obtaining all the minerals needed from
Many people consume an inadequate amount of food is to consume a nutrient-dense, whole-foods
calcium daily 325 diet 337
There are numerous strategies for increasing dietary The dose and potency of a mineral supplement can
calcium consumption 326 vary substantially from brand to brand 338
Phosphorus, fluoride, and magnesium are also Keeping it in perspective Minerals as Building
involved with bone health 328 Blocks 340
9.4 The Roles of Minerals in Blood Application exercise 340
Formation 328
Post-Test Reassessing Knowledge of Minerals 340
Iron is an integral part of hemoglobin 329
Blood tests can help detect iron deficiency 330 Spotlight on supplements How Beneficial Is Chromium
Athletes may develop iron deficiency and iron Supplementation for Athletes? 341
deficiency anemia 332 Summary and Self-Test 341
Iron deficiency and iron deficiency anemia negatively
affect performance 333
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x Contents
Athletes typically consume herbals and botanicals to 10.6 A Comprehensive Nutrition Plan to Support
prevent or recover from illness or injury 371 Training and Performance 373
Spotlight on supplements Should I Take a Protein Spotlight on a real athlete Annika, a Collegiate Rower 374
Supplement? 371 Focus on research How Are Nutrition Recommendations
Spotlight on supplements ESPN—Every Supplement for Athletes Determined? 376
Produces News—How Professionals Can Keep Up 372
Post-Test Reassessing Knowledge of Diet Planning for
Keeping it in perspective Where Supplements Fit into the Athletes 377
Athlete’s Training and Nutrition Plan 373
Summary and Self-Test 378
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Contents xi
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xii Contents
Regulation of body weight is a complex process that Spotlight on… Heart Disease (Atherosclerosis) 486
is not completely understood 465 Osteoporosis is characterized by low bone mineral
The treatment of overweight and obesity involves density 487
long-term changes to established food and exercise Spotlight on… Metabolic Syndrome 488
patterns 468
Spotlight on a real athlete Lena, 67-Year-Old,
Focus on research How Does Exercise Affect the Formerly Lightly Active, Now Has Physical
Processes That Regulate Energy Balance? Are the Effects Limitations 489
Different in Men and Women? 470 Many cancers are related to lifestyle 490
Spotlight on… Overweight and Obesity 473 Spotlight on… Osteoporosis 490
13.3 Diet, Exercise, and Chronic Disease 474 Chronic disease risk can be assessed with a number of
Diet and exercise are associated with the prevention screening tools 491
and treatment of hypertension 474 Spotlight on… Lifestyle-Related Cancers 491
Diabetes is a group of diseases characterized by a Spotlight on... Finding Reliable Information about Chronic
high blood glucose level 475 Diseases 492
Spotlight on… Hypertension 475 Physical activity and fitness may reduce the adverse
Diet and physical activity play critical roles in the impact of overfatness on health 493
management of type 2 diabetes 476 The Health at Every Size movement emphasizes
Spotlight on… Type 2 Diabetes 476 improved metabolic health over weight and fat
loss 494
Spotlight on… Glycemic Index and Glycemic Load 477
Behavior change is needed to prevent and treat
Spotlight on a real athlete Lucas, 23-Year-Old, Collegiate lifestyle-related chronic diseases 494
Cross-Country Runner 478
Keeping it in perspective Everyone Is an
Cardiovascular disease is the major cause of death in
Athlete 495
the United States 480
Post-Test Reassessing Knowledge of Health, Fitness, and
Spotlight on a real athlete Vijay, 38-Year-Old, Occasional
Chronic Diseases 496
Triathlete 481
Summary and Self-Test 497
Application exercise 482
Spotlight on a real athlete Freddie, 48-Year-Old, Former
Star High School Athlete, Physically Active until His Appendices 499
Mid-20s, Sedentary for 20 Years 484
Metabolic syndrome is a cluster of metabolic Glossary 543
disorders strongly associated with abdominal obesity Index 551
and insulin resistance 486
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Preface
Sports nutrition is a natural marriage of two fields: principles are outlined. The intensity and duration of
nutrition and exercise physiology. These complemen- exercise training and the unique demands of compe-
tary academic disciplines enable us to understand the tition affect nutrition requirements and food intake.
energy expenditure that is required by exercise and Many recreational athletes require only a good basic
sport and the energy intake that is vital to support diet. Nearly all athletes have q uestions about supple-
these activities. Exercise challenges the human body ments, and the first chapter discusses basic informa-
to respond and adapt, and proper nutrition supports tion about dietary supplements.
the physiological processes that make it possible to do The first chapter also emphasizes the science be-
so. Although all people can benefit from proper nutri- hind sports nutrition recommendations. From the
tion and exercise, athletes must pay careful attention beginning, students should recognize that the recom-
to both. Training and nutrition are key elements of ex- mendations made throughout the text are evidence
cellent athletic performance. based. As part of the critical thinking process, future
Nutrition for Sport and Exercise is designed primarily chapters will reinforce some of the basic concepts in-
as a college-level text for upper-division courses in sports troduced in the initial chapter, such as the strength of
nutrition. It carefully illustrates the links among exer- the scientific evidence, research design, and consensus
cise, nutrition, and, the ultimate goals, which are recov- opinion. Each chapter includes a Focus on research
ery, optimal performance, and good health. In addition box, which examines a specific research study in de-
to explaining the rationale behind the recommendations tail. The feature provides a more in-depth look at a
made to athletes, the text helps instructors and students topic relevant to the content of the chapter and uses
translate these recommendations to specific plans for the different types of research studies to explain scientific
appropriate amount and type of foods, beverages, and/ methods used by the researchers, what was discov-
or supplements to support training, recovery, and per- ered, and the significance of the research.
formance. First and foremost, this book is scientifically A unique feature of this chapter is the informa-
sound and evidence based, but it is also filled with prac- tion on the scope of practice of dietitians, exercise
tical nutrition information and designed so faculty can physiologists, athletic trainers, strength and condition-
easily teach from the text. ing coaches, and other sports-related professionals.
To understand sports nutrition, students must un- As with any integrated discipline, no one profession
derstand both nutrition and exercise physiology. For “owns” sports nutrition. However, the extent of pro-
example, carbohydrates are found in food and are fessional training and licensure can help students
used by the body to fuel exercise. The type and amount understand practice boundaries and when to refer to
of carbohydrates in foods are “nutrition” issues. The someone with the appropriate expertise, professional
influences of exercise intensity and duration on carbo- training, and/or credentials.
hydrate usage are “exercise physiology” issues. Sports Chapters 2 and 3 cover energy concepts. Extensive
nutrition requires an understanding and integration of teaching experience has convinced us that students
these issues because the timing of carbohydrate intake more easily understand the difficult area of energy
or the amount needed to delay the onset of fatigue in- when presented in a two-part approach. The first part
volves both nutrition and exercise physiology. The goal (Defining and Measuring Energy) introduces general
of this book is to integrate the principles of nutrition energy concepts—what energy is and how it is mea-
and exercise physiology in a well-organized, scientifi- sured by direct and indirect calorimetry. This leads to
cally sound, and practical sports nutrition text. a discussion of energy balance and an explanation of
factors that affect it, such as Resting Metabolic Rate,
physical activity, and food intake.
The Plan of the Text
After that foundation is established, students can
Chapter 1, Introduction to Sports Nutrition, sets more easily understand the specific energy systems
the stage. Broad terms such as a thlete and exercise needed to fuel exercise of varying intensities as pre-
are defined, and basic training and sports nutrition sented in Chapter 3, Energy Systems and Exercise.
xiii
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xiv Preface
The focus of this chapter is an explanation of the three Supplements are a complicated issue requiring an un-
major energy systems used to replenish ATP—creatine derstanding of legality, ethics, purity, safety, and effec-
phosphate, anaerobic glycolysis, and oxidative phosphor- tiveness. Although most dietary supplements have not
ylation. Oxygen consumption, fuel utilization, and the been shown to be effective, practitioners will have little
respiratory exchange ratio are described, and the safety credibility with athletes if they simply dismiss their use.
and effectiveness of creatine supplements are reviewed. Exploring the issues surrounding dietary supplements
Chapters 4, 5, and 6 cover three energy-containing helps students become better critical thinkers.
nutrients—Carbohydrates, Proteins, and Fats. These top- No sports nutrition book would be complete
ics are at the heart of sports nutrition. Each chapter without a chapter on body composition. Chapter 11,
includes a description of digestion, absorption, and me- Weight and Body Composition, is realistic—it consid-
tabolism of these nutrients and explains each as a source ers measurement techniques, error of measurement,
of energy based on the intensity and duration of exercise. interpretation of body composition results, and the re-
Current recommendations for athletes are outlined, and lationship of body composition and weight to perfor-
the effects of inadequate intake on training, recovery, and mance. The chapter begins with a review of methods
performance are discussed. Type, amount, and timing for determining body composition and the advantages
are important nutrition concepts, and these chapters end and disadvantages of each. The role of training and nu-
with a focus on the translation of current recommenda- trition in increasing muscle mass and decreasing body
tions to appropriate food and beverage choices. fat is explained. Minimum and target body weights,
Similar to Chapters 4 through 6, Chapters 7 based on a body composition that promotes health,
through 9 are nutrient focused. Water and Electrolytes are discussed for sports in which making weight or
are covered first, followed by Vitamins and Minerals. achieving a certain appearance is important. Muscle-
These chapters feature a global approach so that stu- building and weight loss supplements are also covered.
dents can relate to body systems that are influenced by Chapter 12 covers disordered eating and exercise pat-
many different factors. For example, Chapter 7 begins terns in athletes. The philosophy expressed throughout
with an overview of water and electrolytes but empha- the book is that normal eating is flexible and that food
sizes the effect that exercise has on fluid and electrolyte is eaten both for fuel and for fun. However, disordered
balance by examining water and electrolyte loss and in- eating and life-threatening eating disorders can touch
take during training and competition. The recommen- the lives of anyone who works with athletes, and these
dations for replenishment of water and electrolytes are problems cannot be ignored. This chapter follows the
a logical extension of understanding fluid homeostasis. progression of eating and activity patterns from “normal”
To avoid the encyclopedic approach that can to disordered to severely dysfunctional. Low energy avail-
overwhelm students with detailed information about ability is explained and the interrelated elements of the
vitamins and minerals, Chapters 8 and 9 are organized Female Athlete Triad and the Reduced Energy Deficiency
according to function. In the case of vitamins, their ma- in Sport (RED-S) are discussed.
jor roles in energy metabolism, antioxidant protection, Whereas the focus in most of the chapters is on the
red blood cell function, and growth and development trained athlete, the final chapter gives ample coverage
are explained. The minerals chapter is organized accord- to diet and exercise for lifelong fitness and health and
ing to bone, blood, and immune system function and their roles in preventing or delaying chronic disease.
emphasizes calcium, iron, and zinc, respectively. Each Many students dream of working with elite athletes,
chapter also discusses adequate intake and the potential but, in reality, most will work with many people who are
for clinical and subclinical deficiencies and toxicities. recreational athletes or are untrained, have relatively
Vitamin- and mineral-rich foods, fortified foods, and sup- low fitness levels, eat poorly, and want to lose weight.
plement sources are covered, with special attention paid This chapter addresses the issue of declining physical
to the perceived need for supplementation by athletes. activity associated with aging and uses scenarios of for-
After a solid foundation in principles of sports nu- mer athletes to highlight chronic diseases such as obe-
trition has been laid, the text moves into comprehensive sity, type 2 diabetes, heart disease, metabolic syndrome,
diet planning. Chapter 10 is entitled Diet Planning: Food osteoporosis, and lifestyle-related cancers. The chapter
First, Supplements Second and helps students take the has been organized to reflect the primary role that over-
science-based nutrient recommendations made in the weight and obesity play in the development and pro-
previous chapters and translate them into daily food gression of many chronic diseases. It also explains the
choices, including food and fluid intake prior to, during, many mechanisms, some of which are not precise, that
and after exercise. The chapter emphasizes developing the body uses to regulate body weight.
a plan for matching dietary intake to the demands im- Nutrition for Sport and Exercise is a blend of nu-
posed by training, with consideration for the athlete’s trition and exercise physiology and both scientific
specific sport. This chapter also contains informa- and practical information. It fully integrates both
tion about caffeine, alcohol, and dietary supplements. fields of study. It is not an exercise physiology book
Copyright 2019 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-202
Copyright 2019 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Preface xv
Copyright 2019 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-202
Copyright 2019 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
xvi Preface
Copyright 2019 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-200-202
Copyright 2019 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
Preface xvii
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
xviii Preface
●● Revised the leading and actual causes of death fig- reports; new assignable labs; custom food and rec-
ures to reflect recent statistics ipe features; the latest Dietary Reference Intakes;
●● Updated information (appetite regulation signals and goals and actual percentages of essential nutri-
and obesity-promoting gut bacteria) and figure ents, vitamins, and minerals. New features include
about the regulation of body weight enhanced search functionality with filter option,
●● Updated table of comparison of weight-loss plans easy-to-use instructor page, and resources tab with
with current program information for Atkins, Or- helpful information.
nish, and Weight Watchers diets
●● Updated new prevalence information for Spotlight Acknowledgments
features on Type 2 diabetes, heart disease, metabolic
syndrome, and osteoporosis From initial conceptualization to final product, this
fourth edition has required the efforts and inspiration
of many people. The authors would like to thank those
Appendices people, both together and individually, who have ei-
●● New Appendix B entitled Healthy U.S.-Style Pattern: ther directly or indirectly helped make this book a re-
Recommended Intake Amounts ality. It takes an astonishing number of talented and
●● New Appendix C entitled Healthy Vegetarian Pat- creative people at Cengage Learning and associated
tern: Recommended Intake Amounts companies to produce a book like this, and we want
to personally thank them all.
We thank Krista Mastroianni, Product Manager,
Instructor and Student Resources for her belief in this book. We also thank Carol Samet,
Instructor Companion Site Senior Content Project Manager at Cengage Learning,
Everything you need for your course is in one place! and Mary Stone, Project Manager at MPS Limited, who
This collection of book-specific lecture and class tools both shepherded the manuscript through the many
is available online at www.cengage.com. Access and production stages to final product. Thanks to Thomas
download PowerPoint presentations, images, instruc- Griffin, Senior Media Producer, for his development of
tor’s manual, and more. the MindTap Reader and Marina Starkey, Product As-
sistant. We also extend our gratitude to Michael Cook
Nutrition MindTap for his guidance on the book design and cover, and to
The Nutrition for Sport and Exercise MindTap brings photo researcher Christine Myaskovsky at Cengage
course concepts to life with interactive learning, study, Learning for her hard work in securing all the photo-
and exam preparation tools that support the printed text- graphs in the book.
book. The MindTap includes an interactive eReader, and We are particularly appreciative of those who re-
interactive teaching and learning tools, including quiz- viewed the text. Their time, effort, and suggestions
zes, flashcards, and more. It also contains built-in met- have helped make this a much better book. We appre-
rics tools that monitor student engagement in the course. ciate your insights and your suggestions.
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Copyright 2019 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
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accomplish this, General Liprandi gathered up his troops behind the
defiles at Tchorgun on the Tchernaia. Here, having previously
reconnoitred our position, he divided his forces on the morning of the
25th of October, directing one body by the great military road, the
other by Kamara, and debouching upon the plain near the Turkish
redoubts. The redoubts were armed with two or three heavy ship-
guns, and each manned by about 250 Turks. The Russians coming
on with the dawn, some 12,000 strong, with from thirty to forty field-
guns, attacked the redoubts with horse artillery, and carried them in
succession; the Turks firing a few shots, and then flying in disorder
under a fire of artillery and the swords of the Cossacks. Sir Colin
Campbell, aroused by the firing, instantly drew up the 93rd in front of
the village of Kadakoi; and the affrighted Turks rallied for a moment
on the flanks of that “living wall of brass,” to use the language of a
French writer, presented by the Highlanders. But the redoubts being
taken, the enemy’s artillery advanced and opened fire; and the
cavalry came rapidly up. As the 93rd was within range, Sir Colin
Campbell drew them a little backward behind the crest of the hill.
The British cavalry lay to the left of the Highlanders, and a large
body of Russian cavalry menaced both. The larger section went
towards the encampment of the British cavalry, and were met at
once by the heavy brigade, under General Scarlett. A brief but
brilliant encounter followed: for a moment the Greys and Enniskillens
in the first line seemed swallowed up, in another they reappeared
victorious. The long, dense line of the Russian horse had lapped
over their flanks; but the second British line, consisting of the 4th and
5th Dragoons, charging, the Russians were broken and rapidly made
off. While this was proceeding, a body of some 400 cavalry rode at
the Highlanders, who, not deigning to form square, mounted the
crest of the hill, behind which they had taken shelter, fired in line two
deep, and sent the enemy flying.
But the fighting was not yet over. Seven guns taken in the
redoubts yet remained in the possession of the enemy; and Lord
Raglan sent an order to Lord Lucan to prevent the enemy from
carrying off the guns, if possible. The order was wrongly interpreted
as a peremptory order to charge, and in that sense it was repeated
by Lord Lucan to Lord Cardigan, who obeyed it and charged into the
very centre of the enemy’s position, with a desperate sacrifice of
men, but not without inflicting severe blows upon the enemy. Nor
was the loss of life entirely a waste. To the Russians the incident
proved the unmeasured daring of the foe they had to face; to the
British troops it showed the lengths to which discipline and fidelity
can be carried. The light cavalry brigade mustered 607 sabres that
morning; in the twenty minutes occupied by the charge and the
return, they lost 335 horses, and had nearly as many officers and
men killed or wounded. The heavy dragoons and the Chasseurs
d’Afrique covered the retreat of the bleeding remnant of this daring
band. It was now nearly noon: the fourth division, under Sir George
Cathcart, and the first division, under the Duke of Cambridge, had
come up; and the Russians abandoned all the redoubts, except the
furthest one to the right. Nothing more was done that day. Looking to
the extent of the position previously occupied. Lord Raglan
determined to contract his line of defence to the immediate vicinity of
Balaklava and the steeps in the right rear of the British army.
Next day the enemy sallied forth from Sebastopol, 7000 or 8000
strong, and attacked the right flank of the British army; but, steadily
met by the second division under Sir De Lacy Evans, supported by
the brigade of Guards, a regiment of Rifles, two guns from the light
division, and two French battalions, the Russians were gallantly
repelled, and then chased down to the slope, with a loss of some
600 killed and wounded, and 80 prisoners.
FOOTNOTES