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Sport Nutrition 480 Midterm 1 Notes.docx

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Heidi Bates

Midterm 1 Notes February-04-12 3:41 PM Sport Medicine Sport medicine: A multidisciplinary approach to HC for those seriously involved in exercise or sport; to help them achieve OPTIMAL HEALTH and PERFORMANCE goals Injury prevention: Sport physician, physical therapy, and training Human performance: Exercise physiology/training, biomechanics/training, psychology, nutrition, massage therapy Circle of care: Health and PA professionals that are involved in the care of the athlete A tailored approach Work as a team, coordinate care, share information o Parents: Should maintain open communication, involve them on the team in implementation of strategies o Team doctor: specializes in sport medicine, determines whether they are fit to participate, refers to other professionals for RX or clearance o Family doctor: has all the health records, better supervise long-term care and health o Physical therapist: maintain physical performance and ability to fxn independently, manage pain or impairments or diabilities o Chiropractor: diagnose and RX and prevention of neuromusculoskeletal system, emphasis on manual therapies o Athletic therapist: emergency on-site care of musculoskeletal injuries, facilitate a safe return to participation, help to prevent injury o Massage therapist: assess and RX soft tissue and joints, relieve pain and symptoms of stress, for during or after injury o Certified personal trainer: design and implement safe and effective strength and conditioning programs, may specialize in some sports o Sports psychologist: diagnose and RX psychological, emotional, behavioural disorders, apply theories of behaviour, provide emotional support o Sport nutritionist/dietitian: basic nutrient requirements, peak sport performance, and prevent sport-related injuries like dehydration Competent in nutrition metabolism, cooking, sport science, sport knolwedge, and professional practice and assessment Provide: Assessment of nutritional health Diet planning advice Cooking strategies Weight monitoring Emotional support and referral (ie. eating disorders) Ethical considerations: "first do no harm" Nutrition recommendations have to be evidence based Have to do research on the individual and products/strategies If in doubt, don't give recommendations, or refer to another professional Look at practicality, cost, effectiveness Health is number 1, and appearance and performance are secondary Health Screening and Physical Assessment Why do Health Screening? Identify medical/nutritional risks to PREVENT ANY PREVENTABLE HARM and TREAT or MANAGE PRESENT HEALTH CONCERNS o Look at safety risks, performance indicators for the team or individual o Identify and exclude individuals with medical contraindications to exercise o Identify those at increased risk for disease BEFORE participating o Identify those who require medical supervision during sport You are liable for the information you give, so you should assess health and needs before giving advice Physical Activity Readiness Questionnaire (PAR-Q) Lookst at cardiovascular and musculoskeletal problems o Positive response - do the PARmed-X and be examined by a doctor Health screening exam Medical HX o Chronic disease risk o Recent illnesses/surgery/hospitalizations o Orthopedic/joint problems o Medication/drug use o Menstrual HX o Exercise and work HX o Family health HX Physical exam o Vital signs o Head-to-toe exam for skin/bone/muscle o 12-lead ECG o Anthropometrics o Biochemical lab tests Nutrition Assessment (ABCD) Anthropometric data (ht, wt, BMI, body comp, CHANGES IN WEIGHT) o 85 to 90% of UBW = mild risk for malnutrition (or losing 10% over 6 months) o 75 to 84% of UBW = moderate risk (or losing 1 to 2% over a week, 5% over a month, 7.5% over 3 months, or 11 to 15% over 6 months) o <75% of UBW = severe risk (or losing more than 2% over a week, >5% over a month, >7.5% over 3 months, or >15% over 6 months) Biochemical data (analyze blood, urine, and other tissues) o Interest in iron status, BG (abnormal = heart disease), lipids, and renal fxn (abnormal = kidney disease) Clinical HX o Medical and psychosocial (may be same as MD questions, but need to know social environment and make your own assessment) Dietary HX o Foods, quanitities, eating times, habits, accessiblity of food, cultural and socioeconomic factors 24-h recall: takes less time, but may not be typical/accurate/remembered Don't be judgy, use models, use open-ended questions, do food types first and portion sizes second, review everything Include specifics of food type, how food is prepared, and portion size Food record/diary: more accurate, helps them to be aware of habits, but takes time and may not be accurate/completed fully More days = more accurate, but may have drop-off Should give detailed instructions on how to write things down, how to estimate portion sizes Food frequency questionnaire: overview of diet to identify high or low intakes of nutrients,
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