HNSC Unit 10

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Physical Activity

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Increased Benefits of Physical Activity

  • more restful sleep

  • nutritional health

  • bone composition

  • immunity

  • circulation

  • self image

  • longer life and better quality

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Decreased Benefits of Physical Activity

  • cancer risk

  • CVD risk

  • type 2 diabetes

  • gallbladder disease

  • anxiety/depression

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Canada’s Guidelines

  • for adults 18-64

    • 150 min of moderate to vigorous activity per week

    • add up activities in periods of at least 10 min

    • 2 days per week of muscle and bone strengthening activities

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Fuel Use

  • at rest

    • ½ fatty acids, other ½ mostly glucose, some AAs

  • during activity

    • early minutes: majority from muscle glycogen

    • as activity continues: glucose and FAs

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Anaerobic Activity

  • no oxygen

  • maximal exercise of short duration

  • energy from glucose

  • produces lactic acid

    • muscles use some, but when exceeds, sent to liver

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Aerobic Activity

  • moderate activity

  • requires oxygen, produces carbon dioxide

  • energy from glucose and fat

  • highly trained muscles use less glucose and more fat than untrained

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Carbohydrates

  • diet strategies to maintain CHO conc.

  • take in some glucose during activity

  • eat CHO-rich foods within 2 hours post activity (boosts muscle glycogen stores)

  • CHO loading

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CHO Loading

  • regimen of moderate activity, followed by eating high CHO diet

  • allows muscles to store more glycogen (to nearly double normal muscle storage levels)

  • benefits athletes in long duration activities (>90 min)

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Fats

  • high fat diets impair performance

  • too low <20%kcals: may not take in adequate energy or nutrients

  • recommendations: 20-30% cals from fat

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Protein

  • eating protein with CHO within 2 hours post activity:

    • can enhance muscle protein synthesis

    • CHO rich diet spares protein from being used as fuel

  • protein needs:

    • higher for both endurance and strength athletes

    • no benefit beyond 1.6g/kg/day

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Vitamins and Minerals

  • supplements:

    • do not enhance performance if well nourished

    • can help if athlete is deficient

  • vitamin E

    • may protect against exercise induced, oxidative stress; no improvement in perfomance

  • iron

    • female athletes at special risk for deficiency

    • anemia can impair performance

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Sports Drinks

  • water, glucose, minerals, electrolytes

  • benefits from glucose if activity >60min

    • helps maintain blood glucose

    • ~7% sugar: if too high, delays stomach emptying

    • sugar may add unwanted calories

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Ergogenic Aids

  • products that supposedly enhance performance

    • energy giving

  • many are regulated under Natural and Non-perscription Health products in canada

  • many have side effects

  • most have been proven not effective and unnecessary

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Amino Acid Supplements

  • consumed for building larger muscles

  • extra AAs do not lead to building muscle

    • they are stored as energy after the removal of N, increasing N excretion

  • AAs compete for absorption

    • such supplements can limit the availability of other AAs

  • a well balanced diet provides sufficient essential AAs to build muscles

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Caffeine

  • endurance athletes may get the benefit of energy boost but provides no advantages during high intensity

    • mechanism of action is not understood

  • side effects:

    • dehydration, upset stomach, irritability, constriction of arteries

  • common sources: coffee, energy drinks

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Carnitine

  • non-essential nutrient needed by our cells to transport fat molecules across the mitochondrial memb.

    • this logic is used to advertise the claim that carnitine increases fat burning

    • no evidence

  • oral is not prohibited in international sports

  • body can produce all it needs

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Creatine

  • some specific evidence exists that creatine enhances performance during sport

    • many studies show no such effect

  • creatine metabolism leads to production of the toxin formaldehyde

    • long term safety is unknown

  • may cause kidney damage

  • not illegal in international competitions

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Hormone Preparations

  • anabolic steroid hormones

  • naturally produced by male testes and adrenal glands, and female adrenal

  • synthetic forms accelerate muscle growth

  • banned from the olympics and condemned by the Canadian centre for ethics and sports because they give an unfair advantage to the athletes using such products

  • side effects: liver tumors, heart disease, depression

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Human Growth Hormone

  • naturally produced during rest, especially after activity

  • synthetic forms lead to abnormal enlargement of organs or bones

  • banned by olympics and CCES

  • side effects: diabetes, heart diseases, thyroid issues, mensural issues

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