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Nutrition in Combat Sports

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2 Mak<strong>in</strong>g Weight <strong>in</strong> <strong>Combat</strong> <strong>Sports</strong> 27<br />

is required to oxidize 1 kg of fat and thereby reduce body weight by 1 kg. This will<br />

take approximately 1 week to accomplish us<strong>in</strong>g a proper diet and physical tra<strong>in</strong><strong>in</strong>g<br />

program; a relatively slow process that requires susta<strong>in</strong>ed discipl<strong>in</strong>e. In contrast, an<br />

athlete need exercise only for an hour to generate 580 kcal of heat that requires at<br />

least 1 l of sweat (~1 kg of weight) be evaporated to ma<strong>in</strong>ta<strong>in</strong> body temperature<br />

[13] . Disregard<strong>in</strong>g other outcomes and effects of the fluid loss, the athlete is likely<br />

to opt for the latter approach, i.e., use some form of dehydration.<br />

The approaches used to dehydrate <strong>in</strong>clude active (exercise-<strong>in</strong>duced sweat<strong>in</strong>g) and<br />

passive water loss (sitt<strong>in</strong>g <strong>in</strong> a sauna) [1, 2, 11] . Fast<strong>in</strong>g and food restriction are<br />

practiced to avoid add<strong>in</strong>g mass to the <strong>in</strong>test<strong>in</strong>al tract particularly with<strong>in</strong> the last 24 h<br />

before the official weigh-<strong>in</strong> [2] . This can also have the effect of help<strong>in</strong>g deplete body<br />

glycogen stores and further reduce body weight when water is released as the<br />

rema<strong>in</strong><strong>in</strong>g stored glycogen is oxidized dur<strong>in</strong>g exercise. Less common methods<br />

<strong>in</strong>clude catharsis through diuretics or laxatives [1, 2, 11, 14] . In a rare report, athletes<br />

were described to have blood withdrawn to <strong>in</strong>duce hypovolemic hypohydration to<br />

help make weight. The blood is re<strong>in</strong>fused after the weigh-<strong>in</strong> [15] .<br />

A case study from our lab shows the efforts of two adolescent wrestlers of similar<br />

<strong>in</strong>itial weight and body composition. Data are presented <strong>in</strong> Table 2.3 and Fig. 2.1.<br />

These athletes relied on physical tra<strong>in</strong><strong>in</strong>g and food restriction to reduce body weight.<br />

One wrestler reduced his weight by approximately 6.7% of body weight dur<strong>in</strong>g the<br />

course of 5 days. The other wrestler reduced his weight by only 2.5%. The fluid<br />

turnover rate as measured us<strong>in</strong>g deuterium oxide is remarkably low <strong>in</strong> the weightreduc<strong>in</strong>g<br />

athlete dur<strong>in</strong>g dramatic weight loss. There is a simultaneous <strong>in</strong>crease <strong>in</strong><br />

ur<strong>in</strong>e specific gravity reflect<strong>in</strong>g progressive dehydration. In both wrestlers, body fat<br />

stores, estimated us<strong>in</strong>g sk<strong>in</strong>fold thickness, changed m<strong>in</strong>imally (from 7% to 6.9% <strong>in</strong><br />

the weight loss wrestler and from 9.2% to 8.3% <strong>in</strong> the weight ma<strong>in</strong>tenance wrestler);<br />

hence, primarily fluid loss and possibly some loss of lean body mass allow the<br />

athlete to achieve the weight class. Even the wrestler ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g weight relied on<br />

dehydration to make weight based on the rapid loss <strong>in</strong> between day 4 and 5, based<br />

on the <strong>in</strong>creased USG and m<strong>in</strong>imal loss of body fat.<br />

Table 2.3 Case study of mak<strong>in</strong>g weight <strong>in</strong> adolescent male wrestlers<br />

Weight-los<strong>in</strong>g wrestler (WL) Weight-ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g wrestler (WM)<br />

Age (years) 16.5 17.5<br />

Initial mass (kg) 54.4 55.5<br />

% fat a 7 9.2<br />

Initial TBW (L) b 36.8 37.0<br />

Weight class (kg) 50.9 54.1<br />

% mass reduction 6–7 2.5<br />

Fluid turnover (L/day) c 0.9 2.25<br />

aCalculated us<strong>in</strong>g an equation [85] for sk<strong>in</strong>fold thickness that has been validated for adolescent<br />

wrestlers [86]<br />

bMeasured us<strong>in</strong>g deuterium oxide dilution [87]<br />

cCalculated us<strong>in</strong>g the two-po<strong>in</strong>t method described by Wolfe [87]

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