Courtney Eaton Sodexo Southcoast Dietetic Intern UNHDurham Class of 2014 BHS Class of 2010 Outline Celiac Disease What is all the fuss about What is gluten Sports Nutrition Dehydration ID: 561023
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Slide1
Celiac Disease and Sports Nutrition
Courtney Eaton
Sodexo
Southcoast
Dietetic Intern
UNH-Durham, Class of 2014
BHS Class of 2010Slide2
Outline
Celiac Disease
What is all the fuss about?
What is gluten?Sports NutritionDehydrationEating before, during, and afterCarbohydrates and ProteinSlide3
Celiac Disease (CD)
Autoimmune disease not an allergy
Flatten villi in intestines
Cramps, bloating, abdominal pain
Malnutrition, Failure to Thrive, starvation
http://
www.thepatientceliac.com
/2013/08/05/the-intestinal-villous-blunting-flattening-in-celiac-disease-is-often-patchy/Slide4
Gluten
Combination of two proteins found in wheat, barley and rye
Provides stringiness sponginess, structure to food
Some people cannot digest itCauses bloating, cramps, upset stomach, vomiting, diarrhea, unplanned weight loss, about 300 more symptoms
Or none at all Slide5
Diagnosing CD
Blood test for specific antibodies
Esophagogastroduodenoscopy (EGD) biopsy by a gastroenterologist
Look to see if villi are damagedFollow gluten-free diet for 2 weeks – final diagnosis
http://
www.sciencespacerobots.com
/2015pics/
microgrippers-forceps.jpgSlide6
Is gluten good or bad?
Neither.
Some say our bodies don
’t digest gluten wellEat it if you can. GF foods can be high in sugarMany products are high in B vitamins - essential for converting food into energy Slide7
Fluid Balance
50-60% of body weight is water
Delay increase in heart rate
Delay increase in core tempImprove stroke volumeIncrease cardiac outputIncrease blood flow to skinStored muscle energy will last longerSlide8
Dehydration
More fluid is lost than consumed
water = Blood to musclesBlood has to go to skin and musclesWater cushions brain and spinal cord.
Long term dehydration can damage kidneys.
Check for dehydration - urineSlide9
Preventing Dehydration
Drink water before you feel thirsty
40mL per kg of body weight each day.
Exercise for 1 hour or longer likely have dehydration1-1 ½ hours before exercise drink up to ½ L of water in a short period of time Immediately after a workout drink as much as possible – as much as ½ LOR ¼ L every 15 minutes for 3 hours after a workout Eat and drink together with carbohydrate water absorbs betterSlide10
Eating Before
Body uses carbohydrate for the first 15 minutes
Fat becomes the primary fuel for 90-100 minutes
Protein can be used as energy when fat stores are depleted but it is not efficient1g carb per kg of body weight 30-45 minutes before vigorous exerciseAvoid foods hard to digest: high fiber, roughage, high fat, high protein
Whole grain foods can be digested well and maintain satietySlide11
Eating During
Easily digested
Small portions.
Highly dependent on activitySimilar to foods you would eat beforePerhaps solely carbohydrates30-45 minutes for digestionWater!!Slide12
Eating for Recovery
I
ncrease muscle repair to build muscle
Avoid/decrease sorenessReplenish proteins, carbohydrates, fat and fluid after a tough workout so you can do it againAvoid restless sleep
Avoid lack of
energy the following day
Prevent muscle
wasting
Prevent future injurySlide13
Eating for Recovery- Protein
Most Americans already consume enough protein because portions are so big
Excess protein is either excreted as urine or stored as fat
Supplements – generally only needed as meal replacement if you can’t consume a meal right after exerciseShould consume a meal with vegetables, grain and protein. Should consume protein 15-30 minutes after exercise with a carbohydrate source to replenish muscle glycogen storesHigh school students require about 1.2-1.7g of protein per kg of body weightSlide14
Eating for Recovery- Foods
1oz of protein food (egg) = 7g of protein
milk/chocolate milk/soy milk
Banana/apple with peanut butterTrail mix- not too much sugarPeanut butter and jelly/another sandwich on wheatChicken, fish, turkey with a starch such as brown riceEggsGreek yogurt (~12g protein) try for low sugarSlide15
Karinch M. Diets
Designed for Athletes
. Champagne, Il: Maryann
Karinch; 2002. Benardot D. Advanced Sports Nutrition. Champagne, Il: Dan Benardot; 2006. Southcoast Weightloss Program
http://health.usnews.com/health-news/blogs/on-fitness/2011/10/13/best-workout-foods-what-to-eat-before-a-
workout
https://celiac.org/celiac-disease/diagnosing-celiac-disease
/
http://www.nancyclarkrd.com
/
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