Minerals,
Vitamins and Supplements
For
example, consumption of 4-8 oz of 7% CHO drink (level of most
commercial beverages) every 15 minutes (19), would supply 34-50
g CHO/h.(7% solution). Solid CHO supplements are found to work
equally as well providing they are ingested with water.
Post-Exercise Nutrition.
(61)Glycogen and fluid replacement
are the immediate concern after prolonged or strenuous exercise.
This is particularly important during heavy training. To facilitate
rapid muscle glycogen synthesis, research has found that athletes
should consume CHO immediately after and at frequent intervals
following exercise(62).
glycogen storage after exercise by stimulating greater insulin
secretion. In the latter study, however, it is difficult to
tell whether greater insulin secretion resulted from increased
protein or increased energy intake. Current recommendations
for post-exercise fluid requirements are to consume at least
a pint of fluid for every pound of body weight deficit (63).
Consuming water with the recovery meal should be sufficient
providing the meal contains adequate sodium and potassium..
When sodium is provided in fluids or foods, the osmotic drive
to drink is maintained and urine production is decreased.
Of Special Concern For the Female Athlete.
The prevalence of amenorrhea among exercising women is reported
to be between 3.4 and 66 % (64)
with higher prevalence in runners as opposed to cyclists and
swimmers (65) The cause
of this secondary hypothalamic amenorrhea is unknown, but may
be related to training level, nutritional status, body composition
changes, stress, and hormone changes with exercise (66).
While some studies have noted higher prevalence of secondary
amenorrhea among "vegetarians" (83,84), other have not come
to the same conclusions (67).
By definition, however, "vegetarians" in these studies consumed
low-meat and not necessarily vegetarian diets.This may suggest
that nutrient composition of some vegetarian diets may be predisposing
to amenorrhea. In athletes, several studies have generally found
lower intakes of energy, protein, fat, and zinc, and higher
intakes of fiber and vitamin A in amenorrheic compared to eumenorrheic
athletes .
Given the high prevalence of amenorrhea among athletic women,
nutritionists should take a menstrual cycle history as part
of screening procedure and if appropriate refer the athlete
for medical evaluation and treatment. Nutritional evaluation
and education of vegetarian athletes needs to focus on adequacy
of energy, protein, fat, zinc and fiber intakes. If appropriate,
eumenorrheic athletes can increase energy intake and decrease
fiber by consuming 1/3 to 1/2 of their cereal/grain servings
from refined rather than whole grain sources and by replacing
some high fiber fruit/vegetable servings with fruit/vegetable
juices.
Conclusion
Nutritionists can play an essential role optimizing the health
and athletic performance of vegetarian athletes of all ages
and abilities. Sports nutritionists who work with vegetarian
athletes and their coaches and trainers, however, need to be
sensitive to and knowledgeable about vegetarian issues. In this
setting, the role of the nutritionist is to work with the athlete
to ensure adequate nutritional status given his/her vegetarian
beliefs, income and lifestyle. While athletes should be encouraged
to eat a wide variety of plant foods, this does not mean convincing
the vegetarian athlete that they need poultry, fish or dairy
products in the diet. The American Dietetic Association's position
on vegetarian diets states that "vegetarian diets are healthy
and nutritionally adequate when appropriately planned".