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4/24/2018
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Current Topics in Sports
Nutrition Dr. Kyle Steineman DC, ATC, CCSP, ICCSP
Dr. Kyle Steineman DC, ATC, CNS, CCSP, ICCSP
● B.S. Athletic Training at Manchester College, North Manchester, IN
● Doctor of Chiropractic at National University of Health Science FL
● Sports Nutrition Fellowship in the Human Performance Center at NWHSU ○ Sponsored by Nutri Dyn
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Disclosure
I am an employee of Northwestern Health Sciences University and a sports nutrition fellow that is being funded by Nutri Dyn.
Any discussion involving clinical nutrition practice involving supplementation may be perceived as a conflict of interest.
Objectives
1. General Sports Nutrition
2. How these topics can be integrated into your practice this week
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“Baseline” hour
A good diet will not make a
mediocre player into a
champion, but poor food
choices will prevent players
from reaching their potential.
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Nutritionism
“Nutritionism is a paradigm that assumes that it is the scientifically identified
nutrients in foods that determine the value of individual food stuffs in the diet.”
Goal setting - Different scenarios
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Goal Setting is a Spectrum
● Blood chemistry ● Body fat % ● Tissue recovery to avoid overtraining ● Muscle mass - lean ● Weight gain of any type
● Weekend warrior-2% loss performance not a big deal
● Peak performer - periodization ● Peak performer - no real offseason
Who?
Adolescents
High School
College
Professional
Weekend Warrior
Physically Intensive Profession
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Intake Form: Rate the Importance 1-10
Long Term Health
Weight Loss
Energy Level
Muscle Hypertrophy
Pain Management
Athletic Performance
Injury Prevention
Disease Prevention
Illness Treatment
RDA vs Ideal Intake
Deficiency
RDA
Toxicity
UL
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Why do we have nutrient deficiencies and surpluses?
Cordain, L., Eaton, S. B., Sebastian, A., Mann, N., Lindeberg, S., Watkins, B. A., ... & Brand-Miller, J. (2005).
Origins and evolution of the Western diet: health implications for the 21st century. The American journal of
clinical nutrition, 81(2), 341-354.
Why do we have nutrient deficiencies and surpluses?
Cordain, L., Eaton, S. B., Sebastian, A., Mann, N., Lindeberg, S., Watkins, B. A., ... & Brand-Miller, J. (2005).
Origins and evolution of the Western diet: health implications for the 21st century. The American journal of
clinical nutrition, 81(2), 341-354.
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Body Composition
Muscle Mass
Adipose
Body Composition
Morton, R. W., McGlory, C., & Phillips, S. M. (2015). Nutritional interventions to augment resistance training-induced
skeletal muscle hypertrophy. Frontiers in physiology, 6, 245.
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NASM
Body Composition
“Elevated protein consumption, as high as 1.8-2.0 g · kg(-1) · day(-1) depending
on the caloric deficit, may be advantageous in preventing lean mass losses during
periods of energy restriction to promote fat loss.”
Phillips, S. M., & Van Loon, L. J. (2011). Dietary protein for athletes: from requirements to optimum adaptation.
Journal of sports sciences, 29(sup1), S29-S38.
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Body Composition in Obese Women
Esposito, K., Pontillo, A., Di Palo, C., Giugliano, G., Masella, M., Marfella, R., & Giugliano, D. (2003). Effect of weight loss and
lifestyle changes on vascular inflammatory markers in obese women: a randomized trial. Jama, 289(14), 1799-1804.
Injury and Body Composition
Demling, R. H. (2009). Nutrition, anabolism, and the wound healing process: an overview. Eplasty, 9.
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Food to Eat, Foods to Avoid
Intake Form: Rate the Importance 1-10
Long Term Health
Weight Loss
Energy Level
Muscle Hypertrophy
Pain Management
Athletic Performance
Injury Prevention
Disease Prevention
Illness Treatment
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The Goals Spectrum
● Blood chemistry ● Body fat % ● Tissue recovery to avoid overtraining ● Muscle mass - lean ● Weight gain of any type
● Weekend warrior-2% loss performance not a big deal
● Peak performer - periodization ● Peak performer - no real offseason
NSAIDs and Soft Tissue Adaptation
Christensen, B., Dandanell, S., Kjaer, M., & Langberg, H. (2010). Effect of anti-inflammatory medication on the running-induced
rise in patella tendon collagen synthesis in humans. Journal of applied physiology, 110(1), 137-141.
PNIP is an
indicator of
collagen synthesis
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Vegetarian, Vegan, Pescetarian,
Lacto-Ovo
Why use marketing for vegetarians?
There is a belief that everyone will be against their life choice because others
“don’t understand”
Many vegetarians are well educated on the topic but could be missing crucial
details
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Vegetarian/Vegan Challenges
Vitamin B12
Creatine
Protein Intake
Joint, W. H. O. (2007). Protein and amino acid requirements in human nutrition. World health organization technical
report series, (935), 1.
RED-S
Relative Energy Deficiency Syndrome
Mountjoy, M., Sundgot-Borgen, J., Burke, L., Carter, S., Constantini, N., Lebrun, C., ... & Ljungqvist, A. (2015). The IOC relative
energy deficiency in sport clinical assessment tool (RED-S CAT).
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RED-S
Mountjoy, M., Sundgot-Borgen, J., Burke, L., Carter, S., Constantini, N., Lebrun, C., ... & Ljungqvist, A. (2015). The IOC relative
energy deficiency in sport clinical assessment tool (RED-S CAT).
Practice Resources
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Resources
myFitnessPal
Resources
Whole 30 Shopping List
https://whole30.com/downloads/book-shopping-list.pdf
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Resources
Sneaky Sugars
Resources
● 24 hour diet recall form
● Food Frequency Questionnaire
● myFitnessPal and other nutrition tracking technology
● Whole30 Shopping List, Sneaky Sugars, etc Infograms
*Branded with your practice logo when
possible