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Top supplements used
Multivit, Vit C, Protein products
Food items used to supplement
sports/energy dinks, sports bars
reason of supplementation
maintain health, growth, repair, immune, weight management, improve sleep and exercise performance
Supplement regulation
FDA, FTC, WADA, NCAA, MLA
Supplement safety
Informed sport, NSF
Informed sport
every single batch is tested
Informed choice
Monthly batches ae blinded tested
Muscle building suppl. recall
seteroids
Weight loss suppl. recall
prescription appetite suppressant, stimulants and laxatives
Sexual enhancement suppl. recall
active ingredients in several commonly prescribed meds.
Health concerns of suppl.
Cardio, renal, hepatic issues, seizures, exceeding ul
what is WADA prohibited list doing
adding more all the time, banded substances
WADA prohibited list
stimulants, narcotics, cannabinoids, glucocorticoids, beta blockers
NCAA permissible
“allowed” Vit and minerals, energy bars, carb/electrolyte drinks
NCAA impermissible
“not allowed” amino acids, melatonin, creatine
Supplement efficacy
how well a supplement actually works for what it claims (based on real scientific evidence, not marketing)
Hierarchy of scientific evidence
Ideas/expert opinion, case report, cross sectional studies, case control , cohort, controlled trail, meta analyses systematic review
Suppl. with strong evidence of efficacy
caffeine, creatine monohydrate, nitrate, sodium bicarbonate, beta-alanine, glycerol
Risk benefit analysis
is it safe
is it legal
is it effective
can i afford it
Reactive oxygen species (ROS)
oxygen-containing reactive molecules (some are radicals) produced during normal metabolism and increase with exercise
Radicals
molecules with an unpaired electron, making them highly reactive and able to damage cells
Reactive Nitrogen species (RNS)
nitrogen-based reactive molecules similar to ROS that can also affect cells during stress/exercise
Anitoxidant
substances that neutralize radicals and protect cells from damage (body makes some; others come from diet)
Superoxide (O2-)
a primary ROS formed during exercise; can start chain reactions of cell damage if not controlled
Superoxide dismutase
enzyme that converts superoxide into less harmful molecules (first line of defense)
Hydroxyl radical (-oh)
extremely reactive and damaging ROS; can harm proteins
Nitric oxide (NO)
a reactive nitrogen molecule that helps with blood flow and muscle function, but in excess can contribute to stress
Glutathione peroxidase
enzyme that reduces harmful peroxides using glutathione to protect cells
Catalase (Cat)
enzyme that breaks down hydrogen peroxide into water and oxygen, preventing damage
ROS pathway step 1
depolarization of the muscle from the motor neuron
ROS pathway step 2
Stretching of the muscle cell along the T tubule
ROS pathway step 3
Shear stress as the muscle in the blood vessels move
ROS pathway step 4
Cross bridge formation
ROS pathway step 5
By NOX2, signaling some positive responses to exercise
ROS pathway step 6
NAD+ regeneration
What happen to ROS with exercise
ROS builds up → hurts performance
How doe oxidants affect k+ regulation
Increase na+/k+ pump → K+ outside cell → muscle fatigue
How do oxidants impact blood flow
decrease NO → decrease blood flow → less oxygen to muscles
What does oxidative stress do to endurance
decreases endurance and muscle perfusion
how do oxidants affect metabolism
decrease fat oxidation/glucose, increase lactate → quicker fatigue
What are the pros and cons of ROS in the body in general?
Pros: cell signaling + immune defense
Cons: oxidative stress → cell damage
What are the pros and cons of ROS in the body of an athlete?
Pros: helps with training adaptations
Cons: too much → fatigue + poor recovery
Should we be intentionally increasing ROS in athletes?
No excess harms performance
Intentionally
Should we be intentionally decrease ROS in athletes?
not too much can block adaptations
Best approach for ROS?
maintain balance
Main role of antioxidants
prevent damage caused by ROS- protect cells from damage
How do antioxidants stop ROS formation
block rxn that create ROS
What does “scavenging” mean ?
Neutralize ROS → less reactive molecules
How do antioxidants use metals?
bind to metals (iron/copper) to stop radical formation
What is lipid peroxidation prevention?
protect cell membranes from damage
Redox balance
ROS,NOx,ect = SOD catalase → oxidative stress, homeostatic range, reductive stress
Nutr antioxidants- vit
Vit ACE beta carotene
Nutr antioxidants- minerals
selenium, copper, manganese
Health risk of antioxidants overuse. general?
inhibits apoptosis → damaged cells not removed
excess vitamins → neg side effects
How do antioxidants affect training adaptations?
impair exercise - induced adaptations
why can antioxidants hurt muscle recovery?
Muscle recovery from exercise damage is mediated in part by oxidant signaling
Antioxidants can blunt (reduce or weaken):
signaling events
repair mechanisms
Training responses to exercise can be depressed:
decrease in mitochondrial biogenesis
one does of antioxi suppl can:
decrease exercise induced vasodilation, inhinit post exercise increases in HSPs
What are polyphenols
natural, antioxidant-rich micronutrients found in plants that defend against cell damage and reduce inflammation
Name food with polyphenols
colorful fruits (berries, grapes), dark chocolate, coffee, tea, nuts, and vegetables
When should polyphenols be taken?
about 1 hour prior to exercise (300 mg)
How lon should polyphenols be loaded before an event?
about 3 days prior
What performance benefits may polyphenols provide
improved muscle strength recovery and performance
Sports supplement
A product taken to support health, nutrition, or performance
Ergogenic acid
Anything used to directly enhance athletic performance
ASI- suppl. framework A
Evidence level- strong: used to id athletes using best practice protocols
ASI- suppl. framework B
Evidence leve- emerging: use within research or clinical situations
ASI- suppl. framework C
Evidence level- not supportive or none: not suggested may have case with group approval
ASI- suppl. framework D
evidence level- banned of high contamination risk: not used for athletes
Waht is the main goal when evaluating suppl in sports
to assess evidence, saftey, and effectiveness
What is creatine mainly used for
increase atp fpr high intensity performance
what activities benefit most form creatine
short high intensity efforts (<30 sec)
does creatine help endurance performance
mostly no improvement
what strength benefits does creatine provide
increase reps, increase strength, increase lean body mass
what does caffeine primarily affect
central nervous system (alertness and preformance)
what performance effect does caffeine have
increase power output, increase time trail performance
What is carnitine and what is its role in exercise
helps transports FA into mito, for energy production (b-oxidation), but it has limited evidence as an effective ergogenic aid for performance
what is carnosine main role
buffer H+ to reduce muscle acidity
what does b-alanine do
increase muscle carnosine levels
what is sodium bicarbonate used for
buffers acid to delay fatigue
What is a common nitrate source
beetroot juice
what is the nitrate→ nitric oxide pathway
nitrarte (NO3-) from foods → reduced by oral bacteria to nitrite (NO2-) → further reduced in the stomach/blood to nitric oxide (NO)
what are the benifits for nitric oxide
vasidiliation, increase blood flow, increase efficiency, decrease fatigue
Effective dose of nitric
500mg (7mg/kg)
what is HMB used for
muscle recovery and reducing breakdown
what nutr are needed for collagen synthesis
vit c + amino acids (P,K)
when should collagen be taken
15-20 g, 30-60 min before exercise + vit c
what is collagen mainly recommended for
injury recovery (not strong for prevention)
what is glycerol used for
hydration and fulid retention
what does cherry juice contain
melatonin and polyphenols
what sleep benefits may tart cherry juice provide
increase sleep duration and light increase efficiency
what should you consider when combining supplements
effectiveness, interaction, additive benefits
why is context important in suppl.
effect depends on sport, athlete, and situation
What are antioxidants?
Compounds that neutralize reactive oxygen species (ROS) to prevent cellular damage
What are polyphenols?
Plant-based compounds with antioxidant and anti-inflammatory properties
What are key antioxidant mechanisms?
Scavenge ROS, prevent ROS formation, bind metals, reduce oxidative damage
What are common antioxidant/polyphenol food sources?
Fruits (berries, cherries), vegetables, tea, coffee, cocoa, pomegranate
What role do ROS play during exercise?
Help signaling and adaptation, but excess causes fatigue and damage
Why can too many antioxidants be harmful for athletes?
They can blunt training adaptations and recovery signaling