Perspectives in Exercise Science and Sports Medicine, Vol. Nutritional status of nationally ranked junior US figure skaters. Effect of body water loss on physiological function and exercise performance. Because of their higher energy cost of performing physical activities, children produce more metabolic heat per unit body mass than do adults (Bar-Or, 1989). Canada. Children's Exercise & Nutrition Centre Unfortunately, our thirst mechanism, which determines our fluid consumption, almost invariably underestimates the actual fluid requirements during prolonged exercise. In: C.V. Gisolfi and D.R. 22: 762-768. Meyer, F., and O. Bar-Or (1994). Int. Likewise, during short, intense activities children seem to rely more on aerobic energy metabolism (in which fat is a major energy source) than on anaerobic energy metabolism (in which muscle glycogen is the predominant energy source) (Hebestreit et al., 1996). Perspectives in Exercise Science and Sports Medicine, Vol. For example, a dehydrated person may not notice certain visual cues (Leibowitz et al., 1972), and tests of mental performance are improved when sports drinks are consumed before and during intermittent activity that mimics basketball competition (Welsh et al., 1999). Although athletes who are involved in strength and endurance training may need slightly more protein, it’s a mistake to think you can simply build up muscles by eating lots of protein. A 7-year-old child, for example, would require as much as 25-30% more energy per kg body mass than would a young adult when they both walk or run at the same speed (Åstrand, 1952). Heigenhauser, and O. Bar-Or (1996). 86: 78-84. This decrease in sodium concentration will occur, for example, when the athlete replenishes sweat and urinary losses by drinking only water, which contains little or no sodium (Meyer & Bar-Or, 1994). 72: 563-569. Nuts. In conclusion, the effect of training on the energy cost of activity is not yet clear, nor is it known whether the above considerations have direct implications for nutrition. Kinesiol. Children will voluntarily drink more when the drink is tasty. Active children have specific requirements. Fluid and electrolyte loss during exercise: the pediatric angle. Sports Med. 24: 975-983. Brownell (1990). Carbohydrate foods provide not only the body's preferred energy source, but also vitamins, minerals, and fiber necessary during the growth and development stage of adolescence. University of Glasgow, Glasgow, Scotland. It is likely that the energy cost decreases as the proficiency of executing a specific exercise routine increases. Loosli, A.R., and J. Benson (1990). But if your child or teen is an athlete performing at a high level on a regular basis, you may have additional concerns about their nutrition and dietary needs. Washington, D.C.: National Academy Press. Exercise, macronutrient balance, and weight control. Reisman, and M. Snipes (1992). In: O. Bar-Or (ed.) Such insufficient drinking may result in "voluntary dehydration," i.e., dehydration that occurs even when beverages are offered in abundance. Ersoy, G. (1991). Bar-Or, O. J. Appl. Bar-Or, O., R. Dotan, O. Inbar, A. Rothstein, and H. Zonder (1980). Voluntary dehydration and heat intolerance in cystic fibrosis. Active teenage boys need 3,000 to 4,000 calories a day, while active girls need 2,200 to 3,000 calories. Protein requirements and weight management. Deliberate fluid loss to "make weight" in sports such as wrestling or rowing may have negative psychological effects such as aggressiveness, anger and anxiety (Steen & Brownell, 1990). This pattern, termed "co-contraction," requires extra metabolic energy, which makes children metabolically less economical than adolescents and adults (Frost et al., 1997). In a longitudinal study Daniels et al. Med. Commerford, and J.O. (1988). It is also known, however that athletes who expend more energy will eat more and will automatically increase their protein intake. However, experimental data yield inconsistent results about such an effect in child athletes. Seasonal changes in anaerobic power, strength and body composition of adolescent wrestlers. Our focus will be on several nutritional issues that are specific to the growing athlete: protein and energy needs, utilization of carbohydrate and fat for energy during exercise, and maintenance of adequate fluid and electrolyte balance. Med. Voluntary hypohydration in 10- to 12-year-old boys. They can be handy when children are short on time. J. Appl. Int. Proper nutrition in combination with the appropriate amount of physical activity is of paramount importance for this era of adolescents. According to the Food and Nutrition Board of the Institute of Medicine, male high school athletes need between 3,000 and 6,000 calories a day, and … The energy cost of walking or running at any given speed, when calculated per kg body mass, is considerably higher in children than in adolescents and adults, and the younger the child, the higher the relative cost (Åstrand, 1952; Daniels et al., 1978; MacDougall et al., 1983). (1989). 32: 149-155. Sports Exerc. Vergauwen, L., F. Brouns, and P. Hespel (1998). Brown and C.F. Sci. Copyright © 2020 Elsevier B.V. or its licensors or contributors. Davis (1999). Bull. This article may be reproduced for non-profit, educational purposes only. Eur. For example, a study of adolescent wrestlers showed that their protein status became less than optimal as the season progressed, even though their reported protein intakes seemed sufficient (Horswill et al., 1990). In a more recent study, Sjodin and Svedenhag (1992) tested a small group of male runners and controls periodically between ages 12 and 20 years. Drinking was enhanced by a further 46% when the subjects drank a grape-flavored sports drink (Gatorade) that contained carbohydrate and NaCl. Too often we hear about the millions of children and adolescents who are inactive, overweight, and obese. For example, endurance athletes who have large training volumes may need twice or even three times as much energy intake (calories) per day as do sprinters or gymnasts. Special nutritional requirements of the child athlete Physical activity: recommendations and benefits. Nutritional Requirements of the Child and Teenage Athlete Author links open overlay panel Anne Z. Hoch DO, MD, PT Katie Goossen BS Tricia Kretschmer BS Show more Children, however, need different amounts of specific nutrients at different ages. Carmel, IN: Cooper Publishing Group, pp.1-30. International Online: http://www.gssiweb.com/. Creatine is one of the most popular nutritional supplements, with yearly sales over $300 million in the United States according to the ... Androstenedione. Nutritional intake in adolescent athletes. This review is not meant to examine the adequacy of current nutritional intake among young athletes nor their eating patterns. In the U.S.A. and Canada: 1-800-616-GSSI (4774) Med. (Note: Children will drink more if they are given fluids that have taste, color, and a small amount of sodium [like sports drinks]). Fluid and Electrolyte Requirements 1-60. Queary, and C.L. 2: 149-155. Of special relevance to sports that require fine motor skills and precision (e.g., gymnastics, figure skating, basketball) is a decrease in mental acuity. In particular, a severe fall in the concentration of sodium in body fluids, a condition known as hyponatremia, can cause serious illness. Sport Nutr. Carbohydrate supplementation improves stroke performance in tennis. J. Electromyog. Pediatric Sports Medicine for the Practitioner. Athlete Health, NUTRITION FOR CHILD AND ADOLESCENT ATHLETES Fit. Also, as reviewed by Sawka & Pandolf (1990), it has been repeatedly shown that dehydration adversely affects the performance of prolonged exercise. Physiol. Factors 14: 155-160. A well-balanced diet is essential for growing athletes to maintain proper growth and optimize performance in athletic endeavours. J. Appl. Sports Nutrition, J. Rivera-Brown, A.M., R. Gutierrez, J.C. Gutierrez, W.R. Frontera, and O. Bar-Or (1999). Adults who engage consistently in strenuous training may benefit from protein intake that is higher than that recommended for the general population (Lemon et al., 1992), but there are no similar data for children. In: R.M. For example, surveys among small groups of young figure skaters suggest that their protein intake is adequate or even exceeds the recommended amounts (Delistraty et al., 1992; Ziegler et al., 1998). Davis, J.M., D.A. 22: 599-604. Wilk, B., S. Kriemler, H. Keller, and O. Bar-Or (1998). J. In boys aged 10-12, dehydration was prevented when the children were given Gatorade during several exercise sessions over a 2-wk period in a hot climate, even when the novelty of the drink had waned (Wilk et al., 1998). 14: 112-116. Oxygen uptake during running as related to body mass in circumpubertal boys: a longitudinal study. Carmel, IN: Cooper Publishing Group, Very few attempts have been made so far to construct tables of energy costs for children who vary in body mass (Bar-Or, 1983). Children and … To prevent this, body fluids and electrolytes should be fully replenished. Some teenagers become very active in the teen years, participating in sports, working physical jobs, and doing more chores around the … Buskirk, O. Bar-Or, and R.T. Hennessy (1972). Sci. In: D.R. Plasma metabolites, volume and electrolytes following 30-s high-intensity exercise in boys and men. J. Consuming less than 20 g of carbohydrates a day would remove foods such as milk, yogurt, fruit, grains, and starchy vegetables. (abstract). Sports Nutr. Their average energy cost of running at a fixed submaximal speed decreased at a faster rate than previously observed among non-athletes. Giving Nutrition Advice to Child Athletes — Active Kids Have Special Requirements for Top Performance By Densie Webb, PhD, RD Today’s Dietitian Vol. It is therefore essential to prevent or ameliorate voluntary dehydration in child athletes. Sci. Bar-Or, O. Substrate utilization during treadmill running in prepubertal girls and women. The main strategy is to enhance thirst and to educate athletes (but also the coach, parents and team physician) to drink frequently, even when they are not thirsty. Such relative deficiency may have been secondary to "making weight" through restriction in energy intake. J. Roemmich (1990). In 2005–2006, nearly 3 million girls and 4.2 million boys participated in high school athletics, and many more participated in club sports and recreational activities. * Compared with adults, children and adolescents use more fat and less carbohydrate during prolonged exercise. * Addition of sugar and a small amount of salt to a beverage will further stimulate the child's thirst and increase fluid consumption. Leibowitz, H.W., C.N. 1 P. 14. Physiol. From a practical point of view, it is not clear whether and to what extent the above age-related differences should be taken into account when planning a child athlete's diet. To encourage further drinking, a beverage should be tasty and include glucose and small amounts of sodium chloride. Nelson (1998). While physiological responses of children to exercise are similar to those of adults, there are some differences in these responses that may have implications for the young athlete's nutritional requirements. While the same rationale applies to athletes of all ages, there are no specific data for children who train regularly. Wilk, B., and O. Bar-Or (1996). Horswill, C.A., S.H. Effect of drink flavor and NaCl on voluntary drinking and rehydration in boys exercising in the heat. A well-balanced diet containing appropriate amounts of macronutrients (protein, carbohydrates and fat) and micronutrients (vitamins and minerals) is essential to provide enough energy for growth and activity. In contrast, children and adolescents must maintain a positive nitrogen balance (i.e., a higher intake than utilization) for the purpose of growth and development of body organs and tissues. Blimkie, J.A. Welsh, R.S., S. Byam, W. Bartoli, J.M. Still, one's ability to endure and to perform skills in "stop and go" sports (e.g., soccer, basketball, tennis) and in intermittent exercise routines that mimic such sports can be markedly improved if athletes drink carbohydrate-electrolyte beverages before and/or during such activities (Davis et al., 1997; Leatt & Jacobs, 1989; Vergauwen et al., 1998; Welsh et al., 1999). Most important, excessive dehydration may lead to, and aggravate, heat-related illness. Lancet 339: 696-699. Sinning, and C.A. Still, there is reason to assume that energy requirements of child athletes are different from those of adults. 3, Fluid Homeostasis during Exercise. This may be one reason why children are usually less successful in high-power "anaerobic" activities such as sprinting and jumping. 37: 1143-1153. 11, Exercise, Nutrition and Weight Control. P.O. One of the outcomes of hyponatremia is muscle cramps during or following exercise. The important step in the nutritional requirement for athletes is to understand how the body reacts to the molecular level during acute and chronic conditions during training. Fit. 335-367. N. Am. (abstract). Melby, C.L., S.R. 260-273. The Child and Adolescent Athlete. Coaches, parents, team physicians, and athletic trainers should be sensitive to protein requirements of young athletes; age-related differences in energy expenditure during exercise; differences between children and adults in the utilization of fat and carbohydrates during prolonged exercise; and means of enhancing the amount of fluid intake during exercise to prevent exercise-induced dehydration, particularly in hot/humid climates. Physical Medicine and Rehabilitation Clinics of North America, https://doi.org/10.1016/j.pmr.2007.12.001. Such scant information gives no indication of the daily energy demands in specific sports. Lamb and R. Murray R (eds.) Dr. Oded Bar-Or discusses the physiological differences between children, adolescents and adults in this latest article. McMaster University Another possible reason for a high metabolic cost is a greater biomechanical energy cost due to a faster stride frequency (Unnithan & Eston, 1990). Assoc. Sci. Sports Exerc. Physiol. J. Leatt, P.B., and I. Jacobs (1989). The high consumption of a flavored carbohydrate. electrolyte drink does not occur merely due to the novelty of the beverage. Unnithan, V. (1993). Roche, O. Bar-Or, and J.R. Moroz (1983). The cause for the above differences in the use of energy sources is not clear. Competitive Sports for Children and Youth. Children's thirst can be enhanced during exercise by flavoring the drink and by adding sodium chloride (NaCl) and carbohydrate in amounts typically found in sports drinks, e.g., 18 mmol NaCl/L (110 mg/8 oz) and 6% sugar (14 g/8 oz) (Rivera-Brown et al., 1999; Wilk & Bar-Or, 1996). Med. 61-77. Phys. Sci. Therefore, adult-based tables of estimated energy expenditure in any given sport might underestimate the actual needs of children. 7: 261-273. White (1978). Optimal Nutrition for Youth Athletes: Food Sources and Fuel Timing Jennifer Sacheck, Ph.D. and Nicole Schultz, M.S., MPH Summary Proper nutrition for youth athletes is not only important for maintaining health and optimizing sports performance, but also is critical for meeting growth and development requirements. Dietary needs of the young athlete Foods and beverages marketed for “sports” are not the key to improve sports perfor-mance. Meals should be eaten a minimum of 3 h before exercise and snacks should b… 18: 4-9. 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