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Celiac Disease Nutrition Guide, 3rd Ed. (Single Copy)

Celiac Disease Nutrition Guide, 3rd Ed. (Single Copy)

This easy to read “survival guide” outlines essential information for people diagnosed with Celiac disease.

Nutrition and Athletic Performance

Volume 109, Issue 3, Pages 509-527 (March 2009) 

This position paper has expired and it has been reaffirmed to be updated. It is being updated as an evidence-based position paper using the Academy evidence analysis process. 

Abstract

It is the position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine that physical activity, athletic performance and recovery from exercise are enhanced by optimal nutrition. These organizations recommend appropriate selection of foods and fluids, timing of intake and supplement choices for optimal health and exercise performance. This updated position paper couples a rigorous, systematic, evidence-based analysis of nutrition and performance-specific literature with current scientific data related to energy needs, assessment of body composition, strategies for weight change, nutrient and fluid needs, special nutrient needs during training and competition, the use of supplements and ergogenic aids, nutrition recommendations for vegetarian athletes and the roles and responsibilities of sports dietitians. Energy and macronutrient needs, especially carbohydrate and protein, must be met during times of high physical activity to maintain body weight, replenish glycogen stores and provide adequate protein to build and repair tissue. Fat intake should be sufficient to provide the essential fatty acids and fat-soluble vitamins, as well as contribute energy for weight maintenance. Although exercise performance can be affected by body weight and composition, these physical measures should not be a criterion for sports performance and daily weigh-ins are discouraged. Adequate food and fluid should be consumed before, during, and after exercise to help maintain blood glucose concentration during exercise, maximize exercise performance and improve recovery time. Athletes should be well hydrated before exercise and drink enough fluid during and after exercise to balance fluid losses. Sports beverages containing carbohydrates and electrolytes may be consumed before, during, and after exercise to help maintain blood glucose concentration, provide fuel for muscles and decrease risk of dehydration and hyponatremia. Vitamin and mineral supplements are not needed if adequate energy to maintain body weight is consumed from a variety of foods. However, athletes who restrict energy intake, use severe weight-loss practices, eliminate one or more food groups from their diet, or consume unbalanced diets with low micronutrient density, may require supplements. Because regulations specific to nutritional ergogenic aids are poorly enforced, they should be used with caution, and only after careful product evaluation for safety, efficacy, potency and legality. A qualified sports dietitian and in particular in the United States, a Board Certified Specialist in Sports Dietetics, should provide individualized nutrition direction and advice subsequent to a comprehensive nutrition assessment.

Errata

Page 511, 6th sentence in "Energy Metabolism" paragraph:
Current sentence: Creatine phosphate is an ATP reserve in muscle that can be readily converted to sustain activity for 3-5 minutes.

Corrected sentence: Creatine phosphate is an ATP reserve in muscle that can be readily converted to sustain activity for 3-4 seconds.

Page 519, 1st sentence in "During Exercise" paragraph:
Current sentence: Current research supports the benefit of carbohydrate consumption in amounts typically provided in sport drinks (6% to 8%) to endurance events lasting 1 hour or less (103-105), especially in athletes who exercise in the morning after an overnight fast when liver glycogen levels are decreased.

Corrected sentence: Current research supports the benefit for carbohydrate consumption in amounts typically provided in sport drinks (6% to 8%) to endurance events lasting 1 hour or more (103-105), especially in athletes who exercise in the morning after an overnight fast when liver glycogen levels are decreased.