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In The Name Of Allah The Compassionate The Merciful

3 Main Supplement_Dr_Khabiri - آکادمی ملی المپیک و پارالمپیک

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<strong>In</strong> <strong>The</strong> <strong>Name</strong> <strong>Of</strong> <strong>Allah</strong> <strong>The</strong><br />

<strong>Compassionate</strong> <strong>The</strong> <strong>Merciful</strong>


Kaveh Khabiri<br />

عضو بورد تخصصی<br />

B.S., Human Nutrition<br />

M.Sc., Physical Education<br />

Ph.D., Exercise Physiology<br />

NCDFS,, MPEA,,<br />

Cl. Vita<br />

کانادا<br />

سرپرست دپارتمان طب ورزشی PIRC<br />

مدرس دوره های مشترک دانشگاه متروپولیتن انگلستان<br />

رئیس کمیته کودکان و نوجوانان IFSAF<br />

عضو انجمن جهانی بهبود سبک زندگی (<br />

عضو بورد تخصصی آکادمی ملی المپیک<br />

)<br />

GALSI<br />

عضو کمیته تغذيه و بهداشت فدراسیون پزشكی ورزشی<br />

مدرس دوره های تخصصی بین المللی وزنه برداری و تكواندو غرب آسیا<br />

کارشناس برنامه ی علم و ورزش صدا و سیمای جمهوری اسالمی ايران


بخش اول


Protein<br />

Supplementation


<strong>In</strong>troduction<br />

اکثر مصرف کنندگان بر این باورند که مکمل ها نقش کلیدی و<br />

اصلی را در موفقیت ورزشکاران ، چه در تمرینات و چه در<br />

بازگشت به حال اولیه و چه در مسابقات ایفا می کنند.‏<br />

بسیاری از محققین و مراجع ذیصالح علمی نشان داده اند که<br />

در بسیاری از مکمل ها بین آنچه واقعا در ترکیبات آنها است و<br />

آنچه بر روی برچسب آنها ذکر شده است تفاوت وجود دارد.‏<br />

•<br />

•<br />

%25<br />

• چیزی در حدود 10<br />

تا<br />

از مکمل های پروتئینی چنین<br />

وضعیتی را دارند.‏


<strong>In</strong>troduction<br />

مواد اصلی که عموما آلودگی مكمل های پروتئینی با آنها صورت گرفنه<br />

است عبارتند از:‏<br />

• stimulants (i.e. ephedrine )<br />

• anabolic androgenic steroids<br />

(i.e. testosterone, nandrolone)<br />

• AAS precursors, so-called prohormones<br />

androstenedione, norandrostenedione)<br />

• all of which are on the World Anti Doping Agency’s<br />

(WADA) list of forbidden substances.<br />

(AAS)<br />

(i.e.<br />

• <strong>The</strong>se results are extremely important for those athletes<br />

who are subject to in- or out-of-competition antidoping<br />

controls.<br />


دیدگاه های مختلف در بررسی مکمل های پروتئینی<br />

•<br />

•<br />

از چند ديدگاه قابل بررسی است:‏<br />

طبقه بندی<br />

• Classification<br />

•<br />

مكمل های آلوده به مواد ممنوعه<br />

• Supplement contamination with doping substances<br />

تضمین کیفیت در تولید مكمل ها<br />

• Quality assurance in the production of supplements<br />

آيا مصرف مكمل موجب تمايل و گرايش به دوپینگ می شود؟<br />

• Does the use of supplements promote a doping<br />

attitude?


طبقه بندی 1<br />

• (powder, pill, capsule, drink),<br />

• internet, over the counter,<br />

شكل:‏<br />

میزان دسترسی<br />

• (provide energy, assist recovery, build muscle)<br />

عملكرد<br />

پشتوانه علمی<br />

تايید شده در تحقیقات مستند،‏<br />

تايید نشده در تحقیقات مستند،‏<br />

تحقیقات غیر مستند<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />


Protein<br />

• Proteins are essential to the structure and function of<br />

all living things.<br />

• Made of strings of amino acids linked with peptide<br />

bonds.<br />

• From just 21 amino acids, millions of different proteins<br />

may be created.<br />

• Amino acid basic structure:<br />

R-CH(NH 2 )-COOH


Amino Acids<br />

• Essential amino acids (8):<br />

• Isoleucine, leucine, lysine, methionine,<br />

phenylalanine, threonine, tryptophan, valine.<br />

• Non-essential amino acids (9):<br />

• Alanine,arginine, aspartic acid, glutamine, glutamic<br />

acid, hydroxyproline, ornithine, proline, serine.


Semi-essential<br />

amino acids


Semi-essential amino acids<br />

• Histidine (essential in children)<br />

• Glycine (essential in rapid growth)<br />

• Cysteine (essential if methionine is limited)<br />

• Tyrosine (essential if phenylalanine is limited)


Proteins in the body<br />

• Hormones (e.g. insulin, thyroxine)<br />

• All enzymes<br />

• Structural (e.g. collagen, keratin, fibrin)<br />

• Muscle protein (actin and myosin)


Protein turnover<br />

• Approximately 2 % of total body protein is<br />

broken down and re-synthesised each day.<br />

• As protein is broken down, some nitrogen is lost<br />

in the urine. <strong>The</strong> obligatory nitrogen loss in the<br />

urine reflects the minimum protein intake<br />

(adjusted for bioavailability) for a healthy adult.


Protein Quality<br />

Chemical analysis of the amino acids<br />

• Amount of each essential amino acid per 100 g of test<br />

protein compared with that of the same amino acid in<br />

100 g of hen’s egg protein.<br />

• <strong>The</strong> amino acid with the lowest value is termed the<br />

LIMITING AMINO ACID.<br />

• <strong>The</strong> AMINO ACID SCORE of a protein is the value<br />

of the limiting amino acid expressed as a percentage<br />

of the same amino acid in hen’s egg protein.


Protein Quality<br />

Biological Analysis<br />

• This is a measure of protein utilisation in<br />

growing children or rats.<br />

• Net Protein Utilisation (NPU) = (Nitrogen<br />

Retained in the Body/Nitrogen in the diet) x<br />

100


Examples of protein quality<br />

Amino Acid<br />

Score<br />

NPU (Children)<br />

Hen’s egg 100 87 94<br />

Human milk 100 94 87<br />

Cow’s milk 95 81 82<br />

Soya 74 67 65<br />

Rice 67 63 59<br />

Millet 63 43 44<br />

Wheat 53 49 48<br />

Maize 49 36 52<br />

NPU (Rats)


تا سقف<br />

110 گرم از برنامه غذایی<br />

•<br />

%60 به‎%40‎<br />

•<br />

• بقیه از مکمل<br />

اگر از مکمل ها استفاده شود نسبت<br />

%30 به‎%70‎<br />


طبقه بندی 2<br />

برخی از صاحب نظران علوم ورزشی سیستم زير را برای طبقه<br />

بندی مكمل ها پیشنهاد نمودند<br />

•<br />

• dietary supplements<br />

• nutritional ergogenic aids,


طبقه بندی<br />

و جایگاه مکمل های پروتئینی در آن<br />

Australian <strong>In</strong>stitute of Sport (AIS)<br />

(AIS)<br />

انستیتو ورزش استرالیا اقدام به طبقه بندی علمی برای مکمل ها نمود<br />

که بر حسب میزان موثر تا خطرناک بودن در گروه<br />

قرار داده است<br />

(A, B, C or D)<br />

4<br />

.<br />

در گروه A موادی قرار دارند که مستقیما یا غیر مستقیم موجب بهبود کارآیی<br />

می شوند.‏<br />

مکمل هایی که در اثر بخشی آنها شواهد و مدارکی ارائه می شود و یا اغلب<br />

بنظر می رسد که در کارآیی موثرند در گروه B هستند.‏<br />

performance<br />

C<br />

گروه آندسته از مکمل ها که تحقیقات ارگوژن بودن آنها را تایید نکرده<br />

است و یا به حد کافی تحقیقات مستند در مورد انها در دسترس نمی باشد<br />

گروه D<br />

موادی هستند که منع مصرف آنها توسط<br />

AIS<br />

شده است.‏<br />

•<br />

•<br />

•<br />

•<br />


Group A Supplements<br />

Supported for use by AIS athletes<br />

• antioxidants<br />

• bicarbonate<br />

• caffeine<br />

• calcium<br />

• creatine<br />

• electrolyte replacement<br />

• glucosamine<br />

• glycerol<br />

• iron<br />

• liquid meal supplements<br />

• multivitamin/mineral<br />

• sick pack<br />

• sports bars<br />

• sports drink<br />

• sports gels


Group B Supplements<br />

Considered for provision to AIS athletes only under a research protocol<br />

• colostrum<br />

• glutamine<br />

• HMB<br />

• melatonin<br />

• probiotics<br />

• ribose


• branched chain amino acids<br />

• (& other free-from amino acids)<br />

• Carnitine<br />

• chromium picolinate<br />

• coenzyme Q10<br />

• cytochrome C<br />

• gamma-oryzanol & ferulic acid<br />

• Ginseng<br />

• <strong>In</strong>osine<br />

• nitrous oxide supplements<br />

• oxygen boosters<br />

• Pyruvate<br />

• rhodiola rosea<br />

Group C Supplements<br />

• vitamin supplements when used in situations other than<br />

summarised in Group A


Group D Supplements<br />

• <strong>The</strong>se supplements should not be used<br />

• Androstenedione<br />

• 19-norandrostenediol<br />

• 19-norandrostenedione<br />

• DHEA<br />

• ephedra<br />

• strychnine<br />

• tribulus terrestris & other herbal<br />

• testosterone supplements


Building Blocks<br />

as<br />

Ergogenic Aids


•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

ریز مغذیها به عنوان عوامل کارساز<br />

اسیدهای آمینه<br />

آرژينین،‏ اورنی تین ، سیترولین و فرآورده های آنها<br />

آسپارتات<br />

آسپاراژين<br />

اسیدهای آمینه شاخه دار<br />

والین ، لوسین و ايزولوسین<br />

گلوتامات<br />

گلوتامین<br />

گلیسین<br />

لیزين<br />

تريپتوفان


آرژینین،‏ اورنی تین ، سیترولین و فرآورده های آنها 1<br />

اين سه اسید آمینه بنا به داليل زير حائز اهمیت هستند :<br />

سنتز پروتئین<br />

ترشح ، سوماتوتروپین ، انسولین و پروالکتین<br />

حمل آمونیاک خون<br />

سنتز کراتین<br />

سنتز پلی آمینها<br />

سنتز نیتريک اکسید<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />


آسپارتات 1<br />

اسپارتات فوائد متابولیكی زيادی دارد که عبارتند از :<br />

حمل مواد معدنی به سايتهای درون سلولی<br />

یکی از مواد مهم مرتبط با چرخه کربس و اگزالو استات که در<br />

تامین انرژی نقش فراوانی دارند<br />

بخشی از چرخه اوره<br />

.<br />

(<br />

عامل برداشت آمونیك<br />

.)<br />

بازسازی ATP<br />

يكی از عوامل ضد بروز فرايند خستگی<br />

کنندگی نوروترانسمیترها<br />

( مرکزی<br />

. )<br />

تحريک<br />

•<br />

•<br />

•<br />

•<br />

•<br />


آسپارتات 2<br />

برخی تحقیقات مصرف نمک آسپارتات را در تعويق خستگی ،<br />

طی ورزشهای استقامتی مؤثر می دانند و زمان تعويق خستگی را<br />

از تا درصد بیشتر عنوان کرده اند<br />

.<br />

1998<br />

Wesson<br />

(<br />

50 15<br />

.)2002Wolinsky<br />

•<br />

DL<br />

نمک از نوع ، نسبت به نوع<br />

خون مؤثرتر بوده است<br />

البته در موارد کمتر از<br />

L<br />

7<br />

De Hann<br />

بويژه در کاهش آمونیاک<br />

گرم تغییری گزارش نشده است<br />

.<br />

)<br />

1995<br />

،<br />

1993Hagen<br />

(<br />

•<br />


آسپاراژین<br />

در مغز و عضالت وجود دارد و در شرايط استراحت ،<br />

مستقیما در عضالت به گلوتامین تبديل می شود،.‏<br />

این اسید آمینه میزان مصرف اسیدهای چرب را افزایش می دهد<br />

عاملی برای حفظ و حمایت از گلیکوژن عضالنی است)‏<br />

Lancha<br />

)2005<br />

Graham ،<br />

2005<br />

غلظت زیاد آسپاراژین در عضالت ، باز سازی<br />

انقباضات شدید عضالنی محدود میکند<br />

ATP<br />

نقش مهم مصرف آن ، حمایت از تولید گلوتامین است<br />

را پس از<br />

Schmidbaur<br />

(<br />

. )<br />

1991<br />

Soderland<br />

،<br />

1990<br />

•<br />

•<br />

•<br />

•<br />


(<br />

:<br />

اسیدهای آمینه شاخه دار<br />

شامل والین ، لوسین و ایزولوسین است<br />

بنظر می رسد می توانند خستگی را در ورزشهای استقامتی ، از طریق کاهش<br />

مقدار تریپتوفان آزاد پالسما ، به تعویق اندازند ، زیرا افزایش مقدار تریپتوفان<br />

آزاد پالسما می تواند مقدار سروتونین مغز را افزایش داده و باعث بروز<br />

خستگی مرکزی شود و همکاران<br />

استفاده از مکمل اسیدهای آمینه شاخه دار به مقدار گرم در ساعت تا<br />

سقف گرم در روز بر بهبود عملکرد استقامتی موثر گزارش شده است<br />

(<br />

)<br />

5/0<br />

2004<br />

.<br />

)<br />

2006<br />

Davis<br />

Mittleman<br />

،<br />

21<br />

2003 Hefler<br />

مضافا تغییرات هورمونی در طول فعالیت ورزشی و پیشگیری از تخریب<br />

عضالت اسکلتی از دیگر اثرات ذکر شده در مصرف مکمل های این<br />

اسیدهای آمینه است<br />

Combes<br />

،<br />

2003<br />

Maclean ،<br />

2004<br />

De palo<br />

(<br />

. )<br />

2006<br />

در خصوص اثر مثبت مصرف این گروه از اسیدها آمینه در ورزشهای قدرتی<br />

هنوز اطالعات زیادی در دسترس نیست .<br />

•<br />

•<br />

•<br />

•<br />


“<br />

گلوتامین 1<br />

يكی از بیشترين اسیدهای آمینه موجود در پالسما و عضالت<br />

میباشد و بنظر می رسد دارای اثرات زير است<br />

جلوگیری از افزايش ناگهانی اسید الکتیک طی فعالیتهای بدنی<br />

افزايش سنتز پروتئین های عضالنی<br />

محدود کردن تجزيه و شكسته شدن پروتئین ها<br />

پیش ساز برخی از ناقلین شیمیايی عصبی<br />

پیشگیری از کاهش قدرت سیستم ايمنی ناشی از بیش تمرينی<br />

افزايش سوماتوتروپین<br />

افزايش سرعت ترمیم ذخاير گلیكوژن عضالت<br />

برداشت آمونیاک خون در طول فعالیت بدنی<br />

”<br />

:<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />


گلوتامین 2<br />

يكی از بیشترين اسیدهای آمینه موجود در پالسما و عضالت<br />

میباشد و بنظر می رسد دارای اثرات زير است<br />

فشار بیش از حد تمرينات بیش تمرينی و فعالیتهای شديد و<br />

کوتاه مدت میزان گلوتامین پالسما را کم میکند و بر توانايی<br />

سیستم ايمنی نیز اثر منفی دارد<br />

،<br />

2004<br />

:<br />

Bucci<br />

2002<br />

)<br />

Parry-billings (<br />

(<br />

. )<br />

2006<br />

Rowbotton<br />

مصرف گرم از اين ماده بعد از اجرای مسابقات ماراتون تاثیر<br />

کمی بر سیستم ايمنی داشته است<br />

1994<br />

Poortmans<br />

(<br />

. )<br />

1996<br />

10<br />

Mackinnon ،<br />

بیشترين تحقیقات انجام شده در مورد گلوتامین مربوط به<br />

مصرف آن در انواع روشهای جراحی ، تروما ، سوختگیها و<br />

جراحات است.‏<br />

•<br />

•<br />

•<br />


What is it?<br />

o<br />

Creatine<br />

Synthesized from AA in the Liver,<br />

Pancreas, and Kidneys<br />

o Skeletal muscles holds about 95% of the 120 g to 140<br />

g Creatine found in our bodies.<br />

o Short duration of Loading phase through 20 g/day (4<br />

Dose of 5g) for 5-7 days.<br />

o<br />

long duration of Loading phase through 3 g/day (in<br />

one does) for 30 days.<br />

59


Creatine<br />

‣ <strong>The</strong>n maintenance stage of 1.5 - 2 gm day<br />

o<br />

o<br />

Pills, Powders, Liquids,<br />

Chewing Gum, and Gels:<br />

Food Sources: (1 - 2 g / Kg)<br />

60


61<br />

Creatine


62<br />

Creatine


SUPPLEMENT<br />

New Approach


New classification of<br />

supplements


Preparation For Competition<br />

Immune Function<br />

( SUPC ) ( SUPC )<br />

Fat Loss<br />

Muscle Building<br />

General Health


Categories<br />

• General Health<br />

• Muscle Building<br />

• Fat Loss<br />

• Immune Function


General Health and Supplement Use<br />

in Preparation for Competition<br />

• Cycling Supplements<br />

• EFAs<br />

• Herbs<br />

• Joints<br />

• HPT,HPA,&HPG Axis<br />

• Mind Supplements


Muscle Building and Supplement<br />

Use in Preparation for Competition<br />

• Amino Acids<br />

• Creatine<br />

• Gainers<br />

• Glutamine<br />

• Protein


Fat Loss and Supplement Use in<br />

Preparation for Competition<br />

• Caffeine<br />

• Conjugated Linoleic Acid<br />

• Green Tea<br />

• L-Carnitine


Immune Function and Supplement<br />

Use in Preparation for Competition<br />

• Alpha Lipoic Acid<br />

• Antioxidants<br />

• Vitamins and Minerals


General Health


General Health and Supplement Use<br />

in Preparation for Competition<br />

• Cycling Supplements<br />

• EFAs<br />

• Herbs<br />

• Joints<br />

• HPT,HPA,&HPG Axis<br />

• Mind Supplements


Whey protein<br />

• carbohydrates are the key.<br />

• combination of hydrolyzed whey<br />

proteins and low glycemic<br />

carbohydrates act in synergy to<br />

increase nitrogen retention .<br />

• taking whey with a high GI carb<br />

is good for after a work out,<br />

• small meals should be actual<br />

meals with protein, fats, and low<br />

GI carbs.


• Avoid:<br />

• Saturated Fat<br />

• Trans Fats<br />

• Cholesterol<br />

• Balance:<br />

• Monounsaturated & Polyunsaturated Fat<br />

• Omega 3 Fatty Acids


Herbs I<br />

1. Alfalfa<br />

2. Artichoke Extract<br />

3. Ashwagandha<br />

4. Avena Sativa<br />

5. Banaba<br />

6. Barberry<br />

7. Bergenin<br />

8. Black Cohosh<br />

9. Boswellia<br />

1. Burdock<br />

2. Cayenne<br />

3. Chlorella<br />

4. Dandelion<br />

5. Dong Quai<br />

6. Echinacea<br />

7. Evodiamine<br />

8. Fenugreek<br />

9. Forskolin


Herbs II<br />

1. Fo-Ti<br />

2. Garlic<br />

3. Ginger Root<br />

4. Ginkgo Biloba<br />

5. Ginseng<br />

6. Goldenseal<br />

7. Gotu Kola<br />

8. Grape Seed<br />

9. Gymnema Sylvestre<br />

10. Hoodia Gordonii<br />

11. Jojoba<br />

1. Kava Kava<br />

2. Maca<br />

3. Momordica<br />

4. Olive Leaf<br />

5. Pygeum<br />

6. Rhodiola<br />

7. Smilax<br />

8. Spirulina<br />

9. Stevia<br />

10. Tribulus<br />

11. Yohimbe


Joints<br />

• Celadrin<br />

• Glucosamine<br />

• Chondroitin sulphate


Mind Supplements<br />

• Mind can directly affect physical performance.<br />

• <strong>The</strong>re are 2 main aspects of keeping a healthy<br />

mind.<br />

• physical care through healthy eating and nutrient<br />

supplementation.<br />

• <strong>The</strong> other part consists of non-physical aspects that<br />

have just as important a role in keeping a healthy<br />

mind and brain.


Mind Supplements<br />

• <strong>The</strong>re are numerous vitamins, minerals, trace<br />

minerals, phytonutrients, and other compounds<br />

that are important for the body, specifically<br />

brain health.<br />

• Left Brain Activities<br />

• Right Brain Activities


Left Brain Activities:<br />

• Crossword puzzles<br />

• Number puzzles<br />

• Logic problems or<br />

puzzles<br />

• Quizzes<br />

• Analyzing information<br />

Right Brain Activities:<br />

• Creative art<br />

• Writing<br />

• Poetry<br />

• Activities that require visually<br />

discerning colors, shapes,<br />

dimensions, and hidden objects.<br />

• Reading


What Are <strong>The</strong> Best Supplements For<br />

Mind Health?<br />

• Greens Powder Blends<br />

• Wheat grass powder<br />

• Spirulina<br />

• Chlorella<br />

•Essential Fatty Acids<br />

• <strong>The</strong> best sources of omega-3 acids are:<br />

• Fish (EPA/DHA)<br />

• Fish oil (EPA/DHA)<br />

• Flax seeds (ALA)<br />

• Flax oil (ALA)<br />

• Multi Vitamins<br />

• Minerals


Which Are Best For Memory?<br />

• Ginkgo Biloba<br />

• To make a tea, simply steep the leaves in the hot water, the same way you would with any other tea<br />

• Choline<br />

• <strong>The</strong> recommended daily intake for choline is approximately 550 mg for adolescent and adult males,<br />

and between 400 and 425 mg for women<br />

• Phosphatidyl choline only contains 13% choline.<br />

• Beef liver, or other liver - 355 mg per 3 oz serving<br />

• Wheat Germ - 172 mg per cup<br />

• Eggs - 155 mg each (varies with size)<br />

• Salmon - 56 mg per 3 oz serving<br />

• Folate<br />

• Vitamin B-12


Which Are Best For Stress<br />

Reduction?<br />

•Peppermint/Spearmint<br />

• Mints are a classic herb for reducing stress and<br />

relaxing the body.<br />

•Valerian<br />

• Valerian has effect on the nervous system. It is excellent for<br />

relaxation or as a sleep aid.<br />

• <strong>The</strong> root is the part that is used. An extract or a tea can be<br />

used. A tea is a far better choice than a commercial extract<br />

• A tea will have a strong, distinct flavor Honey or stevia<br />

sweetener can be added to mask the flavor.


What Are Some Everyday Tips For<br />

Keeping A Healthy Mind?<br />

• Clean Living<br />

• Experience <strong>The</strong> Outdoors/Nature<br />

• Laughter<br />

• Try Different Forms <strong>Of</strong> Exercise<br />

• Stay Hydrated<br />

• Eat Plenty <strong>Of</strong> Fruits & Vegetables<br />

• Eat All Colors<br />

• Use Nutritional Supplements


Muscle Building


Muscle Building and Supplement<br />

Use in Preparation for Competition<br />

• Amino Acids<br />

• Creatine<br />

• Gainers<br />

• Glutamine<br />

• Protein


Amino Acids


• weight gainers used to be fairly cheap protein powders loaded<br />

with sugar and fat to up the calorie content .<br />

• <strong>The</strong> quality of a protein is determined by how well your body<br />

can use it, (BV & BA )<br />

• Whey Protein Isolate - 159<br />

• Whey Protein Concentrate - 104<br />

• Whole Egg -???<br />

• Egg White -???<br />

• Chicken - 79<br />

• Casein - 77<br />

• Soy - 74


Popular Weight Gainers<br />

• Prolab's N Large 2<br />

• Twinlab's Super<br />

Gainer's Fuel 2500<br />

• Champion Nutrition<br />

Super Heavyweight<br />

Gainer<br />

• EAS Myoplex Mass<br />

• Weider Mega Mass<br />

4000


MRP


MRP 1<br />

• An MRP is also known as a meal replacement. An MRP is for<br />

exactly what it sounds; it is used to replace a meal.<br />

• Meal replacements are designed to give the proper amount of<br />

calories, amino acids, proteins, carbohydrate, etc; without most<br />

of the “bad” stuff we find in many quick meals. MRP’s are made<br />

to be very convenient and fast and are found in a variety of ways.<br />

• You can find meal replacement in:<br />

• Powders<br />

• Bar<br />

• Pre-Made Drink<br />

• Or Even Pastes


Fat Loss


• Caffeine is 99% orally bioavailable.<br />

• Levels tend to peak within 30-60 minutes.<br />

• passing through all biological membranes including the<br />

blood brain barrier.<br />

• <strong>The</strong> half-life is around 5 hours.<br />

• 80% of caffeine is metabolized to paraxanthine by<br />

CYP1A2.<br />

• Several direct pharmacological effects include<br />

• adenosine receptor antagonism,<br />

• release of intracellular calcium,<br />

• phosphodiesterase inhibition,<br />

• and GABA receptor antagonism.


adenosine<br />

G i<br />

AC<br />

Ca 2+<br />

NT<br />

Release<br />

A1<br />

RECEPTOR<br />

Other pathways<br />

ATP<br />

CELLULAR EFFECTS<br />

Energy metabolism<br />

Smooth muscle contraction,<br />

vasoconstriction<br />

NT Release (Ca 2+ channel flux)<br />

cAMP<br />

Protein<br />

Kinases


Caffeine<br />

G i<br />

AC<br />

Ca 2+<br />

NT<br />

Release<br />

A1<br />

RECEPTOR<br />

Other pathways<br />

ATP<br />

CELLULAR EFFECTS<br />

Energy metabolism<br />

Smooth muscle contraction,<br />

vasoconstriction<br />

NT Release (Ca 2+ channel flux)<br />

cAMP<br />

Protein<br />

Kinases


Caffeine's metabolites and their<br />

respective actions follow:<br />

• 1. <strong>The</strong>obromine:<br />

• <strong>The</strong>obromine serving as a vasodilator.<br />

• 2. <strong>The</strong>ophylline:<br />

• <strong>The</strong>ophylline relaxes the smooth muscles and<br />

increases heart rate efficiency.<br />

• 3. Paraxanthine:<br />

• Paraxanthine aids lipolysis.


Conjugated Linoleic Acid content of common foods<br />

FOOD<br />

Typical mgs of CLA per<br />

gram<br />

% of CLA present<br />

as c9, t11 isomer<br />

Lamb 5.6 92<br />

Homogenized<br />

cow's milk<br />

Homogenized<br />

cow's milk<br />

5.5 92<br />

4.8 84<br />

Butter 4.7 88<br />

Cottage cheese 4.5 83<br />

Fresh ground<br />

beef<br />

Sharp cheddar<br />

cheese<br />

4.3 85<br />

3.6 93<br />

Chicken 0.9 84


Green Tea 3<br />

• You can find green tea in several different ways.<br />

• You may find them in capsule or tablet form as a supplement, in<br />

tea form to be enjoyed as a drink, or even in leaf form to be used<br />

topically for sunburns or pain.<br />

• <strong>The</strong> recommended dose for the tablet or capsule form should be<br />

around 300-600mg daily before or with meals.<br />

• If you are going to enjoy green tea, as a tea, it is recommended that<br />

you use 1 teaspoon of tea leaves with 1cup of boiling water three<br />

times daily with or before meals.<br />

• Green Tea does contain caffeine and should be avoided directly<br />

before bedtime to prevent insomnia.


<strong>The</strong> Benefits <strong>Of</strong> Green Tea I<br />

• Tannins - A group of simple and complex<br />

phenol, polyphenol, and flavonoid<br />

compounds.<br />

• Green tea after a meal can aid in digestion


Other Benefits <strong>Of</strong> Green Tea I<br />

• Catechins - Catechins are a category of<br />

polyphenols.<br />

• <strong>In</strong> green tea, catechins are present in<br />

significant quantities, more specifically;<br />

• epicatechin (EC),<br />

• epigallocatechin (EGC),<br />

• epicatechin gallate (ECG)<br />

• and epigallocatechin gallate (EGCG).


Other Benefits <strong>Of</strong> Green Tea II<br />

• A cup of green tea may provide 10-40mg of<br />

polyphenols.<br />

• Green tea extracts rich in EGCG<br />

(epigallocatechin gallate) are thought to increase<br />

fat metabolism.<br />

• EGCG makes up about 10-50% of the total<br />

catechin content and appears to be the most<br />

powerful of the catechins - with antioxidant<br />

activity about 25-100 times more potent than<br />

vitamins C and E.


Other Benefits <strong>Of</strong> Green Tea III<br />

• Flavonoids - Flavonoids are plant pigments,<br />

and are found in most fresh fruits and<br />

vegetables.<br />

• <strong>The</strong>y may aid in protecting against infection.<br />

Deficiency can result in a tendency to bruise<br />

easily.


Other Benefits <strong>Of</strong> Green Tea IV<br />

• <strong>The</strong>anine - theanine is a unique amino acid<br />

found in the leaves sencha.<br />

• <strong>The</strong>anine is quite different from the polyphenol<br />

and catechin antioxidants for which green tea is<br />

typically consumed.


<strong>In</strong>teractions With Medications I<br />

• Adenosine (used for irregular heart rhythm):<br />

Green tea inhibits action of adenosine.<br />

• Green tea contains Vitamin K and can make<br />

coumadin (warfarin) ineffective or less effective.<br />

<strong>The</strong> use of green and aspirin together may<br />

increase your risk of bleeding.<br />

• Beta-lactam Antibiotics (examples include<br />

cephalosporins and penicillins):<br />

Green tea may increase the effectiveness of<br />

beta-lactam antibiotics by reducing bacterial<br />

resistance to treatment.<br />

• Benzodiazepines (used for anxiety;) , Green tea<br />

reduces the sedative effects of benzodiazepines.


<strong>In</strong>teractions With Medications II<br />

• Beta-blockers :Green tea can increase blood<br />

pressure in people taking beta blockers.<br />

• Clozapine Green tea can reduce the<br />

effectiveness of clozapine if green tea is taken<br />

less than 40 minutes before taking clozapine.<br />

• Ephedrine Green tea and ephedrine together<br />

will increase the incidence of agitation, tremors,<br />

insomnia, and weight loss.


<strong>In</strong>teractions With Medications III<br />

• Lithium (for treatment of mania and<br />

depression):<br />

Green tea can reduce blood levels of lithium (a<br />

medication used to treat manic/depression).<br />

• Monoamine oxidase inhibitors (MAOIs) (used<br />

for treating depression; examples include<br />

phenelzine and tranylcypromine):<br />

Green tea and MAOI's taken together may cause<br />

hypertensive crisis (severe increase in blood<br />

pressure).


References for Green Tea<br />

• Chantre P, Lairon D. Recent findings of green tea extract AR25 (exolise) and<br />

its activity for the treatment of obesity. Phytomedicine 2002:9:3-8.<br />

• Durlach PJ. <strong>The</strong> effects of a low dose caffeine on cognitive performance.<br />

Psychopharmacol 1998;140(1):116-9.<br />

• Imai K. Nakachi K. Cross-sectional study of effects of drinking green tea on<br />

cardiovascular and liver diseases. BMJ 1995;310:693-696.<br />

• <strong>In</strong>oue M, Tajima K, Mizutani M, et al. Regular consumption of green tea and<br />

the risk of breast cancer recurrence: follow-up study from the Hospital-based<br />

Epidemiologic Research Program at Aichi Cancer Center (HERPACC),<br />

Japan. Cancer Lett 2001;167:175-82.<br />

• Bushman JL. Green and cancer in human: a review of the literature. Nutr<br />

Cancer 1998;31(3):151-9.<br />

• Schulz V, Hansel R, Tyler VE. Rational Phytotherapy: A Physician's Guide to<br />

Herbal Medicine. Terry C. Telger, trans. 3 rd ed. Berlin , GER:Springer, 1998.<br />

• Ross GW, Abbott RD, Petrovitch H, et al. Association of coffee and caffeine<br />

intake with the risk of Parkinson disease. JAMA 2000;283:2674-9.


L-Carnitine I<br />

• Between two and four grams of L-carnitine should be<br />

taken one hour before exercise, for two weeks .<br />

• Some studies show positive results and others show no<br />

significant improvements. However, no adverse effects<br />

have been reported from L-carnitine use. This indicates<br />

that carnitine supplementation will produce either<br />

beneficial results or none at all .<br />

• Taking the right amount of carnitine is important to<br />

derive the benefits reported in scientific studies. For<br />

nutritional purposes or as part of a cardiovascularwellness<br />

program, 500 to 1,500 mg per day of L-<br />

carnitine should maintain tissue levels of carnitine.<br />

Lower levels of 100 to 500 mg may also be useful if<br />

taken on a regular basis.


Immune Function


Immune Function in preparation for<br />

• Antioxidants<br />

competition<br />

• Vitamins and Minerals<br />

• Alpha Lipoic Acid


11<br />

Antioxidants


Antioxidants<br />

• Exercise increased generation of free radicals<br />

• more antioxidants are commercially available especially from<br />

plant extracts<br />

• Virtually all researchs to date has focused on ascorbate,<br />

tocopherol, and selenium to the exclusion of thiols,<br />

bioflavinoids & carotenoids,<br />

12


Antioxidants in human tissues<br />

Endogenous production<br />

Bilirubin<br />

Catalase<br />

Coenzyme Q10 (Ubiquinone)<br />

Cysteine<br />

Glutathione<br />

Histidine<br />

Protein Sulfhydryl group<br />

Superoxide Dismutase<br />

Taurine<br />

Urate<br />

Dietary Source<br />

Anthocyanidins , Procyanidolic oligomers<br />

Vitamin C<br />

Beta –Carote & Carotenoids<br />

N-acetyle-L-cysteine<br />

Bioflavonoids<br />

Mannitol<br />

Methionine<br />

Plant Phenolic Acids<br />

Polyphenols (Tannins)<br />

Synthetic Antioxidants (BHA,BHT,TBHQ<br />

Zinc salts . Vitamin E<br />

13


General Antioxidants in Exercise<br />

Supplementation with Vitamin C:<br />

• Some of studies just reported doses (500-1000 mg/d) for<br />

more than 3 weeks found improved:<br />

• Efficacy of submaximal work loads,<br />

• peak work capacity,<br />

• muscular strength,<br />

• prevention of Exercise oxidation of blood glutathione,<br />

14


• Some of studies just reported doses (500-1000 mg/d) for<br />

more than 3 weeks found decrease in:<br />

<br />

• post exercise lactate<br />

• Heart rate<br />

<br />

General Antioxidants in Exercise<br />

Supplementation with Vitamin C:<br />

• Total energy cost of work<br />

• Oxygen debt<br />

• Oxygen consumption<br />

• Pulmonary ventilation<br />

• Blood glucose<br />

<br />

<br />

• Post-race upper respiratory tract infection<br />

15


General Antioxidants in Exercise<br />

• Supplementation with Vitamin E:<br />

• Some of studies just reported doses (400-1600 IU/d) for more<br />

than 3 weeks found decrease in:<br />

• Lower exercise blood lactate levels<br />

• Blood lipid peroxides<br />

• Leakage of muscle enzymes (including CPK)<br />

• Oxygen debt<br />

• Post exercise DNA damage<br />

• Especially in free radical production<br />

16


Alpha Lipoic Acid<br />

• Alpha Lipoic Acid (ALA) is an antioxidant used to:<br />

• Help prevent different diseases<br />

• Regulate blood sugar -which is important for the reduction of body fat<br />

• Fight free radicals<br />

• Delay muscle fatigue by helping to deliver energy into the muscles.<br />

• Main function of Alpha Lipoic Acid (ALA) is to increase the<br />

production of glutathione.<br />

• It is recommended that you should take 100 – 200 mg of Alpha<br />

Lipoic Acid (ALA) 2 – 3 times daily.<br />

• Alpha Lipoic Acid (ALA) may work better with vitamins such as<br />

Vitamin C, E, and glutathione.<br />

• For safety reasons, you should consult with your doctor before using.<br />

• <strong>In</strong> lactating or pregnancy periods, or if you have a thiamin deficiency<br />

Athletes should NOT use Alpha Lipoic Acid (ALA).


Supplement Combination


Supplement Combination<br />

• Colostrum ~ 60 g<br />

A<br />

• Creatine ~ 1.5 g<br />

• Carnitine ~ 1.5 g<br />

• Coenzyme Q10 ~ 75 mg


Supplement Combination<br />

• Creatine ~ 10-20g<br />

B<br />

• HMB ~ 3 g


Supplement Combination<br />

C<br />

• L-glycine ~ 0.12 mg/kg Body Weight<br />

• L-arginine ~ 0.47 mg/kg Body Weight<br />

• D/L-methionine ~ 2.33 mg/kg Body Weight<br />

• L-aspartate ~ 1.73 mg/kg Body Weight<br />

• L-Trp ~ 0.50 mg/kg Body Weight<br />

• L-Phe ~ 0.41 mg/kg Body Weight<br />

• L-His ~ 0.39 mg/kg Body Weight<br />

• L-Pro ~ 0.29 mg/kg Body Weight<br />

• D-ribose ~ 1.73 mg/kg Body Weight<br />

• Magnesium Phosphate ~ 1.49 mg/kg Body Weight


Supplement Combination<br />

• Phosphates (mix of sodium – potassium) 1g with<br />

every serving of Creatine<br />

D<br />

• Only short duration loading phase ( 6 days)


Supplement Combination<br />

• Whey Protein ~ 40 g<br />

E<br />

• Glutamine ~ 5 g<br />

• BCAA ~ 3 g


Supplement Combination<br />

• Zinc ~ 15 - 30mg<br />

F<br />

• Magnesium ~ 6 – 8 mg/Kg


Good Luck


Selected REFERENCES<br />

• Fredholm BB. Battig K. Holmen J. Nehlig A. Zvartau EE. Actions of caffeine in the brain<br />

with special reference to factors that contribute to its widespread use. Pharmacological<br />

Reviews. 51(1):83-133, 1999<br />

• MarNehlig A. Daval JL. Debry G. Caffeine and the central nervous system: mechanisms<br />

of action, biochemical, metabolic and psychostimulant effects. Brain Research - Brain<br />

Research Reviews. 17(2):139-70, 1992.<br />

• Christo G.; Jones S.L.; Haylett S.; Stephenson G.M.; Lefever R.M.H.; Lefever R.2003. <strong>The</strong><br />

Shorter PROMIS Questionnaire - Further validation of a tool for simultaneous<br />

assessment of multiple addictive behavioursAddictive Behaviors, March 2003, vol. 28, no.<br />

2, pp. 225-248(24)<br />

• Donovan JL. DeVane CL. A primer on caffeine pharmacology and its drug interactions in<br />

clinical psychopharmacology. Psychomacology Bulletin. 35(3):30-48, 2001<br />

• Durrant KL. Known and hidden sources of caffeine in drug, food, and natural products.<br />

Journal of the American Pharmaceutical Association. 42(4):625-37, 2002<br />

• Cifuentes F. Gonzalez CE. Fiordelisio T. Guerrero G. Lai FA. Hernandez-Cruz A. A<br />

ryanodine fluorescent derivative reveals the presence of high-affinity ryanodine binding<br />

sites in the Golgi complex of rat sympathetic neurons, with possible functional roles in<br />

intracellular Ca(2+) signaling.<br />

• Pisters KM. Newman RA. Coldman B. Shin DM. Khuri FR. Hong WK. Glisson BS. Lee<br />

JS. Phase I trial of oral green tea extract in adult patients with solid tumors. Journal of<br />

Clinical Oncology. 19(6):1830-8, 2001 Mar 15.<br />

• Zhang, Wei-Ya. A Benefit-Risk Assessment of Caffeine as an Analgesic Adjuvant. Drug<br />

Safety. 24(15):1127-1142, 2001.<br />

• Lieberman, Harris R. Ph.D.. <strong>The</strong> Effects of Ginseng, Ephedrine, and Caffeine on<br />

Cognitive Performance, Mood and Energy. Nutrition Reviews. 59(4):91-102, April 2001.


• Caffeine Dependence Syndrome: Evidence from Case Histories and Experimental<br />

Evaluations. Journal of Occupational & Environmental Medicine. 38(2):129-130, February<br />

1996.<br />

• Carrillo, Juan A.. Benitez, Julio. Clinically Significant Pharmacokinetic <strong>In</strong>teractions Between<br />

Dietary Caffeine and Medications. Clinical Pharmacokinetics. 39(2):127-153, August 2000.<br />

• Dager, Stephen R 1,2,3. Friedman, Seth D 2. Brain imaging and the effects of caffeine and<br />

nicotine. Annals of Medicine. 32(9):592-599, December 2000.<br />

• Zhang, W. Y. MD. Li Wan Po, A. BPharm PhD. Do codeine and caffeine enhance the<br />

analgesic effect of aspirin?-. April 1997.<br />

• Caffeine does not affect palpitations. Nursing Standard. 11(12):29, December 11, 1996.<br />

• Rush CR, Higgins ST, Hughes JR, Bickel WK, Wiegner MS. Acute behavioral and cardiac<br />

effects of alcohol and caffeine, alone and incombination, in humans.<br />

• Ascherio, A., Chen, H.. Schwarzschild, M.A.. Zhang, S.M.. Colditz, G.A. Speizer, F.E.<br />

Caffeine, postmenopausal estrogen, and risk of Parkinson's disease. Neurology. 60(5):790-<br />

795, March 11, 2003.<br />

• Warke, T J., Shields, Finnegan, J. Shields, Caffeine and exhaled nitric oxide. Thorax.<br />

58(3):281, March 2003.<br />

• Schwarzschild MA. Chen JF. Ascherio A. Caffeinated clues and the promise of adenosine<br />

A(2A) antagonists in PD. Neurology. 58(8):1154-60, 2002 Apr 23.<br />

• Astrup A, Toubro S, Christensen NJ, Quaade F. Pharmacology of thermogenic drugs. Am J<br />

Clin Nutr. 1992 Jan;55(1 Suppl):246S-248S.<br />

• Shum S. Seale C. Hathaway D. Chucovich V. Beard D. Acute caffeine ingestion fatalities:<br />

management issues.Veterinary & Human Toxicology. 39(4):228-30, 1997<br />

• Bruce MS. <strong>The</strong> anxiogenic effects of caffeine. Postgrad Med J. 1990;66 Suppl 2:S18-24.<br />

• Benowitz NL. Clinical pharmacology of caffeine. Annu Rev Med. 1990;41:277-88.


• Ottley C. Food and mood. Nursing Standard. 15(2):46-52; quiz 54-5, 2000<br />

• Courchesne, William E. Ozturk, Sedide. Amiodarone induces a caffeine-inhibited, MID1-<br />

depedent rise in free cytoplasmic calcium in Saccharomyces cerevisiae. Molecular<br />

Microbiology. 47(1):223-234, January 2003.<br />

• Diener, HC. Jansen, JP. Reches, A. Pascual, J. Pitei, D. Steiner, TJ. Efficacy, tolerability and<br />

safety of oral eletriptan and ergotamine plus caffeine (Cafergot) in the acute treatment of<br />

migraine: a multicentre, randomised, double-blind, placebo-controlled comparison..<br />

Headache. 43(3):301-301, March 2003.<br />

• McKenzie, Sacha. Marley, Philip D.. Caffeine stimulates Ca2+ entry through store-operated<br />

channels to activate tyrosine hydroxylase in bovine chromaffin cells. European Journal of<br />

Neuroscience. 15(9):1485-1492, May 2002.<br />

• Bouchard R. Weber AR. Geiger JD. <strong>In</strong>formed decision-making on sympathomimetic use in<br />

sport and health. Clinical Journal of Sport Medicine. 12(4):209-24, 2002<br />

• Kalow W, Tang BK. <strong>The</strong> use of caffeine for enzyme assays: a critical appraisal. Clin Pharmacol<br />

<strong>The</strong>r 1993; 53:503–514.<br />

• Graham TE, Rush JW, van Soeren MH. Caffeine and exercise: metabolism and performance.<br />

Can J Appl Physiol 1994; 19:111–138.<br />

• Le Marchand L, Franke AA, Custer L, et al. Lifestyle and nutritional correlates of cytochrome<br />

CYP1A2 activity: inverse associations with plasma lutein and alpha-tocopherol.<br />

Pharmacogenetics 1997; 7:11–19.<br />

• Grant DM, Tang BK, Kalow W. Variability in caffeine metabolism. Clin Pharmacol <strong>The</strong>r 1983;<br />

33:591–602.


• Dews PB. O'Brien CP. Bergman J. Caffeine: behavioral effects of withdrawal<br />

and related issues. Food & Chemical Toxicology. 40(9):1257-61, 2002<br />

• Smith A. Effects of caffeine on human behavior. Food & Chemical Toxicology.<br />

40(9):1243-55, 2002<br />

• Garrett BE. Griffiths RR. <strong>The</strong> role of dopamine in the behavioral effects of<br />

caffeine in animals and humans. Pharmacology, Biochemistry & Behavior.<br />

57(3):533-41, 1997 Jul.<br />

• Christian MS. Brent RL. Teratogen update: evaluation of the reproductive and<br />

developmental risks of caffeine. Teratology. 64(1):51-78, 2001<br />

• Nehlig A. Are we dependent upon coffee and caffeine? A review on human and<br />

animal data. Neuroscience & Biobehavioral Reviews. 23(4):563-76, 1999<br />

• Graham, Terry E.. Caffeine and Exercise: Metabolism, Endurance and<br />

Performance. Sports Medicine. 31(11):785-807, 2001.<br />

• Griffiths RR. Chausmer AL. Caffeine as a model drug of dependence: recent<br />

developments in understanding caffeine withdrawal, the caffeine dependence<br />

syndrome, and caffeine negative reinforcement. Nihon Shinkei Seishin<br />

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Additional References<br />

‣ Sports Nutrition: “A guide for the professional working<br />

with active people. 3 rd Edition. ADA and Christine A.<br />

Rosenbloom PhD, Rd, Editor. 2000.<br />

‣ ACSM Health and Fitness Journals<br />

‣ Eat Smart, Play Hard. Liz Applegate, PhD. 2001.<br />

‣ <strong>The</strong> Health Professional’s Guide to Popular Dietary<br />

Supplements. Allison Sarubin, MS, RD. 2000.<br />

‣ Jacqueline R. Berning, PhD, RD. Assistant Professor,<br />

University of Colorado, Nutrition Consultant<br />

‣ Robert Murray, PhD, FACSM, Director, <strong>The</strong> Gatorade<br />

Sports Science <strong>In</strong>stitute.

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