Fueling for Endurance




     Kathy G. Wise, RD/LD, LWC, CWP
        Director, Health & Wellness
           Mercy Medical Center
Training for the Run

 Endurance athletes spend
 months training for a
 marathon or triathlon with
 a performance goal in
 mind.
Endurance Athlete
   ACSM defines an endurance athlete as one who
    trains and competes for 90 minutes or longer
Physiologic and Metabolic
Changes of the Endurance Athlete
 CatabolicHormone fluctuations
   Muscle protein degradation
   Glycogen depletion
   Depression of the immune system
 Changes occur during and after
  endurance exercise
Catabolic Hormones
   Catabolic hormones
       Cortisol
       Epinephrine
       Nor epinephrine
       Glucagon
 Released in response to vigorous workout
  periods and during the recovery process
 Necessary for promotion of glucose, protein
  and fat as fuel
Catabolic Environment for Fueling
   Cortisol is released to stimulate glucose
    production by the liver and metabolize fat,
    protein and carbohydrate
   Strenuous exercise results in net protein loss and
    decreased protein synthesis
   Fat and protein breakdown and glycogen
    depletion occur
   Catabolic hormones remain elevated for 30 to 60
    minutes following a vigorous workout
The Endurance Athlete
 Physiologic and Metabolic Changes of the
  Endurance Athlete put the athlete at high
               risk of bonking
The Endurance Athlete
• The body of an endurance athlete is like race car
  with two fuel tanks




   Tank A is the body’s fat stores

                    Tank B is the body’s carbohydrate stores
Limited Fuel Tank




 The body can only store 2,000 calories of stored glycogen
Draining the Tank
   When we exercise for less than 90 minutes,
    tank B has sufficient stores to power us through
    the activity.


   However, when we
    exercise for more than
    90 minutes, we need
    to have a nutritional
    plan to prevent the low
    fuel light from turning
    on.
Four Key Areas
     Fueling Before Exercise

     Fueling During Exercise

     Fueling After Exercise

     Daily Fueling
Fueling Before Exercise
 Three or four hours, eat 300-600 calories,
  primarily of carbohydrate (2-3g/kg body
  weight)
 Moderate in protein
 Low in fat
 Minimize the amount of fiber in this meal
  to prevent stomach discomfort during
  exercise
 Adequate fluids to replace sweat losses
Pre-exercise Meal
 Oatmeal with milk, fruit and nuts
 Turkey sandwich with fruit
 Cottage cheese with crackers
 and fruit
 Toast with peanut butter
Fueling During Exercise
 Mid-exercise foods can include:
  Gels
  Energy beans
  Energy beverages
  Honey
  Bananas
  Oranges
Fueling Frequency
   Fuel your body every 45-60 minutes during a
    long workout.
   ACSM guidelines recommend 30-60 grams of
    carbohydrate (120-240 calories) per hour.
   Provide the body with fluids and electrolytes.
   If the workout is less than 90 minutes, but at a
    high intensity, you may want to drink an energy
    drink instead of water or bring an energy gel with
    you.
Fueling After Exercise
Post workout goal is recovery fuel
 Replenish glycogen stores
 Optimize protein synthesis to repair
  damaged muscle tissue and stimulate the
  development of new tissue
 Replace fluids and electrolytes that were
  lost in sweat
Window of Opportunity
Within 30 to 60 minutes of exercise
 300-400 calories
 Carbohydrate (75-100 grams)
 Protein (at least 10 grams)
 The carbohydrate-to-protein ratio:
       3:1 ratio in long, high-intensity workouts
       Resistance 2:1 ratio
       Endurance 3:1 ratio
       Longer distance running/multi event 4:1
   Fuel again 2 hours post exercise
Post Exercise Fuel
Carbohydrate and Protein Partners
 Carbohydrates
       Raise insulin levels
       Promotes uptake of glucose which turns off the
        catabolic hormones
       Promotes muscle repletion of glycogen
   Protein
       Complete protein supplies the necessary amino
        acids for protein synthesis and muscle repair
Post Exercise Fuel
Utilize High Glycemic Index
  Carbohydrates and Protein Combos
Post-exercise foods can include:
     Chocolate milk
     A high-density nutrition bar
     Smoothie with yogurt and fruit
     Natural peanut butter and jelly sandwich
     Greek yogurt and low fat granola
     Fruit and a low fat cheese stick
Daily Fueling
 The fourth way to prevent your low-fuel
  light from turning on is to eat a diet
  consistently high in carbohydrates.
 Include:
       Whole grains
       Fruits
       Vegetables
       Lean protein
       (not in cookies and chips)
Pre-Event Meal
   Exercise performance can be affected by diet

   Pre-event meal is an
    integral part of
    training
   Pre-event meal cannot
    compensate for a poor
    training diet
Pre-Event Meal
 Focus on Carbohydrate
 Prevent weakness and fatigue
       Low blood sugar
       Inadequate muscle glycogen stores
 Ward off hunger
 Minimize GI distress
 Guarantee optimal hydration
 Familiar and tested
Optimal Pre-Event Meal
 Carbohydrate and fluids
 Consumed 2 to 3 hours prior to event
       Allow time for digestion and absorption
 400 to 500 calories
 Low in fat
 Low in fiber
 Moderate protein
Liquid Meals
 Liquid carbohydrate can be consumed
  when time is limited prior to event
 Sources
       Sports drinks
       Juices
       Low-fat, low fiber smoothies or shakes
       Liquid yogurt
       AVOID carbonated drinks
Morning Event Fueling
   The night before:
       High carbohydrate meal
   Early morning:
       Light breakfast
          Cereal and non-fat milk

          Fresh fruit or juice with toast or bagel (limit
           fat)
          Pancakes or waffles (limit fat)

          Non-fat or low-fat fruit yogurt

          Liquid meal
Afternoon Event
   The night before:
       High carbohydrate meal
   Breakfast:
       High carbohydrate meal
   Lunch:
       Jelly sandwich with a little peanut butter
       Fruit with low fat yogurt
       Nutrition bar
Good Carbohydrates
Higher Glycemic Carbohydrates
 potatoes, yams, root vegetables
 beans, peas, corn, carrots
 wheat bread, cereal, bagels
 bananas,
 macaroni, spaghetti, brown rice
 apples, oranges, bananas, dried fruits
  such as raisins
Good Proteins
Animal or Plant Complete Proteins
 Lean beef
 Chicken
 Fish
 Eggs
 Low Fat Cheese, cottage cheese
 Greek yogurt
 Nuts, peanut butter
 Tofu and soy products
Good Carbohydrate-Protein Combos
 Low fat or fat free milk
 Low fat chocolate milk
 Low fat yogurt with fruit
 Beans, legumes, green peas
 Soy milk, Almond milk
Performance Foods for Vegetarians
   Plant-based protein foods: legumes, tofu,
    texturized vegetable and soy protein, quinoa,
    nuts and seeds
   Plant-based iron-rich foods: legumes, nuts,
    seeds, whole and enriched grains, dark green
    leafy vegetables, dried fruit
   Calcium-rich foods: dairy products, dark green
    leafy vegetables, fortified tofu, fortified soy milk
    and fruit juices, legumes, nuts
   Vitamin B12 sources: dairy products, eggs,
    nutritional yeast, fortified foods (soy milk, cereal,
    meat analogues)
Strategies for Vegetarian Athletes
   Meet daily needs for protein and essential amino acids by
    eating a variety of plant-based protein sources

   Include plant-based iron-rich foods in meals and snacks to
    facilitate oxygen transport in the body and promote optimal
    respiratory function during exercise

   Consume foods high in vitamin C with iron-rich foods to
    boost iron absorption

   Select foods high in calcium and vitamin D to build strong
    bones and reduce risk of stress fractures

   If you are vegan (avoids all animal products), choose
    vitamin B12-fortified foods or take a vitamin B12
    supplement daily
Energy Bars
 High-carbohydrate bars make great
  choices for carbohydrate fueling both
  before and during a long workout
 70 percent of their calories from
  carbohydrates like sugars (brown rice
  syrup and sucrose) and grains (oats and
  rice crisps)
 Most have a high glycemic index
Energy Bar Considerations
   Select a bar with about 25-40 grams of
    carbohydrate
   Less than 15 grams of protein
   Low in fat
       High fat slows digestion, and is not helpful in exercising.
   Eat one bar about an hour prior to a long
    workout.
   If you are exercising for more than an hour, eat
    one high-carb bar per hour of exercise and drink
    plenty of water.
Natural Carbohydrates
 Real food, such as fruit, can also be used
  for fueling a workout
 Fruit, whether dried or fresh, supplies a
  shot of carbohydrate that is well digested
 Dried fruit can be easily transported and
  stored
Fruit Considerations
   Most fruits provide about 15 grams of
    carbohydrate per serving

   A serving of dried fruit equals about 1/4 cup, or
    the equivalent, of fresh fruit (two nectarine
    halves or four dried plums)

   Aim for one to two servings before a workout and
    two to three fruit servings every hour of running

   Be sure to consume with plenty of water to stay
    hydrated
Carbohydrate Gels
   Carbohydrate gels come in small, single- serve packets,
    making them portable fuel that you can store in your
    pocket
   Gels consist of sugars and maltodextrins which are easily
    digested
   Many gels come with added electrolytes that, as in sports
    drinks, help maintain fluid balance.
   Some gels also have additions, such as ginseng and other
    herbs, amino acids, vitamins, and co-enzyme-Q10
   Be aware of caffeine content
       some gels have as much caffeine as a half cup of coffee
       may cause nervousness in those not accustomed to this
        stimulant
Carbohydrate Gel Considerations
 Most carb gel packs contain 100 calories,
  and about 25 grams of carbohydrates
 Consume one to three packets for every
  hour of exercise
       Goal -30 to 60 grams of carbohydrates per hour during
        exercise lasting 60 minutes or more

 Gels come in a variety of flavors
 Take with four to eight ounces of water
 Experiment with them PRIOR to the
  event
Sports Beans (High Tech Jelly Beans)
   The nutrient levels found in Sport Beans are
    based upon established recommendations from
    the American College of Sports Medicine (ACSM)
       30 to 60 grams of carbohydrates per hour during
        exercise lasting 60 minutes or more
   Sport Beans provide a source of easily digestible
    carbohydrate for fuel
   Electrolytes sodium and potassium for proper
    fluid balance
   B1, B2, B3, and C vitamins for energy
    metabolism
ACSM Guidelines for Fluids
   ACSM guidelines also recommend drinking
    fluid to prevent dehydration
       1/4 to 3/4 cup of water every 15 to 20 minutes
        and to include the electrolyte sodium and
        potassium
Tips to Take With You
   Start with a full tank
   Begin your run well hydrated and
    with adequate muscle fuel
    (carbohydrate)
   Try new products during training
    sessions to determine what works
    best for you
   Consume fluids early and often
   Refuel within 30 minutes post
    exercise
Fuel your Body Now for a Great Finish
Next Session
     Hydration and Fluid Needs
            April 3, 2012
          6:00 to 7:00 PM
     NC Sports Medicine Center
     Whipple Ave., North Canton

Fueling for endurance3.27.2012

  • 1.
    Fueling for Endurance Kathy G. Wise, RD/LD, LWC, CWP Director, Health & Wellness Mercy Medical Center
  • 2.
    Training for theRun Endurance athletes spend months training for a marathon or triathlon with a performance goal in mind.
  • 3.
    Endurance Athlete  ACSM defines an endurance athlete as one who trains and competes for 90 minutes or longer
  • 4.
    Physiologic and Metabolic Changesof the Endurance Athlete  CatabolicHormone fluctuations  Muscle protein degradation  Glycogen depletion  Depression of the immune system  Changes occur during and after endurance exercise
  • 5.
    Catabolic Hormones  Catabolic hormones  Cortisol  Epinephrine  Nor epinephrine  Glucagon  Released in response to vigorous workout periods and during the recovery process  Necessary for promotion of glucose, protein and fat as fuel
  • 6.
    Catabolic Environment forFueling  Cortisol is released to stimulate glucose production by the liver and metabolize fat, protein and carbohydrate  Strenuous exercise results in net protein loss and decreased protein synthesis  Fat and protein breakdown and glycogen depletion occur  Catabolic hormones remain elevated for 30 to 60 minutes following a vigorous workout
  • 7.
    The Endurance Athlete Physiologic and Metabolic Changes of the Endurance Athlete put the athlete at high risk of bonking
  • 8.
    The Endurance Athlete •The body of an endurance athlete is like race car with two fuel tanks Tank A is the body’s fat stores Tank B is the body’s carbohydrate stores
  • 9.
    Limited Fuel Tank The body can only store 2,000 calories of stored glycogen
  • 10.
    Draining the Tank  When we exercise for less than 90 minutes, tank B has sufficient stores to power us through the activity.  However, when we exercise for more than 90 minutes, we need to have a nutritional plan to prevent the low fuel light from turning on.
  • 11.
    Four Key Areas  Fueling Before Exercise  Fueling During Exercise  Fueling After Exercise  Daily Fueling
  • 12.
    Fueling Before Exercise Three or four hours, eat 300-600 calories, primarily of carbohydrate (2-3g/kg body weight)  Moderate in protein  Low in fat  Minimize the amount of fiber in this meal to prevent stomach discomfort during exercise  Adequate fluids to replace sweat losses
  • 13.
    Pre-exercise Meal  Oatmealwith milk, fruit and nuts  Turkey sandwich with fruit  Cottage cheese with crackers  and fruit  Toast with peanut butter
  • 14.
    Fueling During Exercise Mid-exercise foods can include:  Gels  Energy beans  Energy beverages  Honey  Bananas  Oranges
  • 15.
    Fueling Frequency  Fuel your body every 45-60 minutes during a long workout.  ACSM guidelines recommend 30-60 grams of carbohydrate (120-240 calories) per hour.  Provide the body with fluids and electrolytes.  If the workout is less than 90 minutes, but at a high intensity, you may want to drink an energy drink instead of water or bring an energy gel with you.
  • 16.
    Fueling After Exercise Postworkout goal is recovery fuel  Replenish glycogen stores  Optimize protein synthesis to repair damaged muscle tissue and stimulate the development of new tissue  Replace fluids and electrolytes that were lost in sweat
  • 17.
    Window of Opportunity Within30 to 60 minutes of exercise  300-400 calories  Carbohydrate (75-100 grams)  Protein (at least 10 grams)  The carbohydrate-to-protein ratio:  3:1 ratio in long, high-intensity workouts  Resistance 2:1 ratio  Endurance 3:1 ratio  Longer distance running/multi event 4:1  Fuel again 2 hours post exercise
  • 18.
    Post Exercise Fuel Carbohydrateand Protein Partners  Carbohydrates  Raise insulin levels  Promotes uptake of glucose which turns off the catabolic hormones  Promotes muscle repletion of glycogen  Protein  Complete protein supplies the necessary amino acids for protein synthesis and muscle repair
  • 19.
    Post Exercise Fuel UtilizeHigh Glycemic Index Carbohydrates and Protein Combos Post-exercise foods can include:  Chocolate milk  A high-density nutrition bar  Smoothie with yogurt and fruit  Natural peanut butter and jelly sandwich  Greek yogurt and low fat granola  Fruit and a low fat cheese stick
  • 20.
    Daily Fueling  Thefourth way to prevent your low-fuel light from turning on is to eat a diet consistently high in carbohydrates.  Include:  Whole grains  Fruits  Vegetables  Lean protein  (not in cookies and chips)
  • 21.
    Pre-Event Meal  Exercise performance can be affected by diet  Pre-event meal is an integral part of training  Pre-event meal cannot compensate for a poor training diet
  • 22.
    Pre-Event Meal  Focuson Carbohydrate  Prevent weakness and fatigue  Low blood sugar  Inadequate muscle glycogen stores  Ward off hunger  Minimize GI distress  Guarantee optimal hydration  Familiar and tested
  • 23.
    Optimal Pre-Event Meal Carbohydrate and fluids  Consumed 2 to 3 hours prior to event  Allow time for digestion and absorption  400 to 500 calories  Low in fat  Low in fiber  Moderate protein
  • 24.
    Liquid Meals  Liquidcarbohydrate can be consumed when time is limited prior to event  Sources  Sports drinks  Juices  Low-fat, low fiber smoothies or shakes  Liquid yogurt  AVOID carbonated drinks
  • 25.
    Morning Event Fueling  The night before:  High carbohydrate meal  Early morning:  Light breakfast  Cereal and non-fat milk  Fresh fruit or juice with toast or bagel (limit fat)  Pancakes or waffles (limit fat)  Non-fat or low-fat fruit yogurt  Liquid meal
  • 26.
    Afternoon Event  The night before:  High carbohydrate meal  Breakfast:  High carbohydrate meal  Lunch:  Jelly sandwich with a little peanut butter  Fruit with low fat yogurt  Nutrition bar
  • 27.
    Good Carbohydrates Higher GlycemicCarbohydrates  potatoes, yams, root vegetables  beans, peas, corn, carrots  wheat bread, cereal, bagels  bananas,  macaroni, spaghetti, brown rice  apples, oranges, bananas, dried fruits such as raisins
  • 28.
    Good Proteins Animal orPlant Complete Proteins  Lean beef  Chicken  Fish  Eggs  Low Fat Cheese, cottage cheese  Greek yogurt  Nuts, peanut butter  Tofu and soy products
  • 29.
    Good Carbohydrate-Protein Combos Low fat or fat free milk  Low fat chocolate milk  Low fat yogurt with fruit  Beans, legumes, green peas  Soy milk, Almond milk
  • 30.
    Performance Foods forVegetarians  Plant-based protein foods: legumes, tofu, texturized vegetable and soy protein, quinoa, nuts and seeds  Plant-based iron-rich foods: legumes, nuts, seeds, whole and enriched grains, dark green leafy vegetables, dried fruit  Calcium-rich foods: dairy products, dark green leafy vegetables, fortified tofu, fortified soy milk and fruit juices, legumes, nuts  Vitamin B12 sources: dairy products, eggs, nutritional yeast, fortified foods (soy milk, cereal, meat analogues)
  • 31.
    Strategies for VegetarianAthletes  Meet daily needs for protein and essential amino acids by eating a variety of plant-based protein sources  Include plant-based iron-rich foods in meals and snacks to facilitate oxygen transport in the body and promote optimal respiratory function during exercise  Consume foods high in vitamin C with iron-rich foods to boost iron absorption  Select foods high in calcium and vitamin D to build strong bones and reduce risk of stress fractures  If you are vegan (avoids all animal products), choose vitamin B12-fortified foods or take a vitamin B12 supplement daily
  • 32.
    Energy Bars  High-carbohydratebars make great choices for carbohydrate fueling both before and during a long workout  70 percent of their calories from carbohydrates like sugars (brown rice syrup and sucrose) and grains (oats and rice crisps)  Most have a high glycemic index
  • 33.
    Energy Bar Considerations  Select a bar with about 25-40 grams of carbohydrate  Less than 15 grams of protein  Low in fat  High fat slows digestion, and is not helpful in exercising.  Eat one bar about an hour prior to a long workout.  If you are exercising for more than an hour, eat one high-carb bar per hour of exercise and drink plenty of water.
  • 34.
    Natural Carbohydrates  Realfood, such as fruit, can also be used for fueling a workout  Fruit, whether dried or fresh, supplies a shot of carbohydrate that is well digested  Dried fruit can be easily transported and stored
  • 35.
    Fruit Considerations  Most fruits provide about 15 grams of carbohydrate per serving  A serving of dried fruit equals about 1/4 cup, or the equivalent, of fresh fruit (two nectarine halves or four dried plums)  Aim for one to two servings before a workout and two to three fruit servings every hour of running  Be sure to consume with plenty of water to stay hydrated
  • 36.
    Carbohydrate Gels  Carbohydrate gels come in small, single- serve packets, making them portable fuel that you can store in your pocket  Gels consist of sugars and maltodextrins which are easily digested  Many gels come with added electrolytes that, as in sports drinks, help maintain fluid balance.  Some gels also have additions, such as ginseng and other herbs, amino acids, vitamins, and co-enzyme-Q10  Be aware of caffeine content  some gels have as much caffeine as a half cup of coffee  may cause nervousness in those not accustomed to this stimulant
  • 37.
    Carbohydrate Gel Considerations Most carb gel packs contain 100 calories, and about 25 grams of carbohydrates  Consume one to three packets for every hour of exercise  Goal -30 to 60 grams of carbohydrates per hour during exercise lasting 60 minutes or more  Gels come in a variety of flavors  Take with four to eight ounces of water  Experiment with them PRIOR to the event
  • 38.
    Sports Beans (HighTech Jelly Beans)  The nutrient levels found in Sport Beans are based upon established recommendations from the American College of Sports Medicine (ACSM)  30 to 60 grams of carbohydrates per hour during exercise lasting 60 minutes or more  Sport Beans provide a source of easily digestible carbohydrate for fuel  Electrolytes sodium and potassium for proper fluid balance  B1, B2, B3, and C vitamins for energy metabolism
  • 39.
    ACSM Guidelines forFluids  ACSM guidelines also recommend drinking fluid to prevent dehydration  1/4 to 3/4 cup of water every 15 to 20 minutes and to include the electrolyte sodium and potassium
  • 40.
    Tips to TakeWith You  Start with a full tank  Begin your run well hydrated and with adequate muscle fuel (carbohydrate)  Try new products during training sessions to determine what works best for you  Consume fluids early and often  Refuel within 30 minutes post exercise
  • 41.
    Fuel your BodyNow for a Great Finish
  • 42.
    Next Session Hydration and Fluid Needs April 3, 2012 6:00 to 7:00 PM NC Sports Medicine Center Whipple Ave., North Canton