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Sports Medicine Handbook - NCAA

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48<br />

Dietary Supplements<br />

or muscle mass. Ingesting high<br />

amounts of single amino acids is<br />

contraindicated because they can<br />

affect the absorption of other<br />

essential amino acids, produce<br />

nausea, and/or impair kidney<br />

function and hydration status.<br />

Other commonly advertised<br />

supplements are vitamins and<br />

minerals. Most scientific evidence<br />

shows that selected vitamins and<br />

minerals will not enhance<br />

performance provided no<br />

deficiency exists. Some vitamins<br />

and minerals are marketed to<br />

student-athletes for other benefits.<br />

For example, the antioxidants,<br />

vitamins E and C, and betacarotene,<br />

are used by many<br />

student-athletes because they<br />

believe that these antioxidants will<br />

protect them from the damaging<br />

effects of aerobic exercise.<br />

Although such exercise can cause<br />

muscle damage, studies have found<br />

that training will increase the<br />

body’s natural antioxidant defense<br />

system so that mega doses of<br />

antioxidants may not be needed.<br />

Supplementation in high dosages<br />

of antioxidants, such as vitamins E<br />

and C, and beta-carotene, could<br />

disrupt the normal balance of these<br />

compounds and the balance of free<br />

radicals in the body and cause<br />

more harm than good. (American<br />

Council on Science and Health)<br />

The mineral chromium has been<br />

suggested to increase muscle mass<br />

and decrease fat; these claims have<br />

little, if any, credible support. In<br />

fact, the Federal Trade Commission<br />

has declared such claims to be<br />

unsubstantiated and deceptive.<br />

Similarly, magnesium is purported,<br />

but not proven, to prevent cramps.<br />

To obtain necessary vitamins and<br />

minerals, student-athletes should<br />

eat a wide variety of foods because<br />

not all vitamins and minerals are<br />

found in every food.<br />

Other substances naturally<br />

occurring in foods, such as<br />

carnitine, herbal extracts and<br />

special enzyme formulations, do<br />

not provide any benefit to<br />

performance. The high-protein diet<br />

has received recent attention, but<br />

data showing that this diet will<br />

enhance performance are weak.<br />

High-protein diets are discouraged<br />

by most nutrition experts due to<br />

increased stress placed on the<br />

kidneys. Mild to severe stomach<br />

cramping and diarrhea,<br />

dehydration, and gout have been<br />

associated with use of certain<br />

amino acid supplements. Creatine<br />

has been found in some laboratory<br />

studies to enhance short-term,<br />

high-intensity exercise capability,<br />

delay fatigue on repeated bouts of<br />

such exercise and increase strength.<br />

Several studies have contradicted<br />

these claims, and, moreover, the<br />

safety of creatine supplements has<br />

not been verified. Weight gains of<br />

one to three kilograms per week<br />

have been found in creatine users,<br />

but the cause is unclear.<br />

Many other “high-tech” nutritional

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