Enjoyment of food should be one of life’s pleasures. Unfortunately, I counsel too many athletes who scrutinize food and talk about eating nutrients (protein, carbs, and fat). They put a lot of energy into counting macros, calories and grams of sugar. Some find meals and snacks to be sources of anxiety, not enjoyment.

Way too many athletes and fitness exercisers consider breakfast and lunch to be somewhat optional. The goal of this article is to share food for thought about these two important meals of the day—and help you fuel your body adequately, enjoyably, and effectively for your sports-active lifestyle.

Breakfast thoughts

• Weight-conscious athletes: please don’t even try to restrict calories at breakfast (or lunch). You need energy during the active part of your day to refuel from your morning workout or fuel up for your afternoon session. Your best bet is to fuel well by day, eat a lighter dinner, and lose weight at night when you are sleeping! As one dieter reported,“I lost weight easily when I ate dinner for breakfast and breakfast for dinner.” Give that a try?

• Remember when orange juice was a standard part of breakfast? Today, many athletes have stopped drinking orange juice because “it has too much sugar.” That might be true for unfit people with bodies that metabolize sugar far differently than the bodies of athletes. But for athletes, OJ is OK—a quick, easy, and thirst-quenching form of fruit. The natural sugars in orange juice offer helpful fuel before or after a morning workout— while simultaneously providing a day’s supply of Vitamin C, plus potassium, folate, and other health-promoting nutrients.

Ironically, the same athletes who shun orange juice often fail to take the time to eat a whole orange (or other fruit) instead. All 100%-juices are an easy way to boost the intake of this important food group. Any form of fruit—juice, canned, dried, frozen—is better than no fruit!

• Many athletes take pride in cooking their steel-cut oats, believing they are far more nutrient-dense than good ol’ fashioned rolled oats. Both rolled and steel-cut oats have similar nutritional value. The difference is steel-cut oats are cut, instead of softened and then rolled, and take far more time to cook.

• Please don’t try to “stay away from” peanut butter, believing it to be “fattening.” Rather, enjoy peanut butter on toast and bagels, or blended into smoothies, or swirled into oatmeal. PB’s fat is health-protective, anti-inflammatory, and satiating. It’s slow to digest, which helps keep you feeling fed until lunch.

• Whole grain breakfast cereals that are enriched or fortified (as noted on the label) can be good sources of iron, needed to reduce your risk of developing iron-deficiency anemia. Athletes’ diets can easily be low in iron if they do not eat red meat or cook in a cast iron skillet. Hence, iron-fortified cereals topped with fruit (for vitamin C, to help absorb the iron), milk (dairy or soy, for calcium and protein), and almonds (for a bit more protein) offer an effective sports breakfast—as well as sports-snack.

• Almond milk on cereal or in your coffee is a nutritionally poor swap for dairy milk. Almond milk offers only 2 grams of low-quality protein, as compared to 8 grams of high-quality dairy protein. The protein in dairy milk is 80% casein and 20% whey—the stuff you get in protein powder! If you prefer plant-based milk, soy and pea milks are the best options for protein. Environmentalists, please note: Cars, not cows, will “ruin the planet.”

Lunch thoughts

• If you feel hungry an hour or two after lunch, you did not eat enough lunch. How much lunch is enough? By listening to your body’s signals, you can intuitively eat the right amount. The key is to pay attention to why you stop eating at lunchtime. Do you stop eating because 1) The food is gone? 2) You think you should? 3) You feel content and nicely satiated?

The correct answer is 3) You feel content. An adequate lunch will leave you feeling fed for three to four hours. You’ll no longer crave afternoon sweets within an hour or two post-lunch. A hearty lunch helps curb 3:00 pm snack attacks and helps you arrive home at the end of the day with the energy to cook a decent meal. You will eventually eat the calories, so why hold off until you can no longer white-knuckle the hunger?

• Despite popular belief, sandwich bread is NOT fattening; excess calories of any kind are fattening. You can even enjoy a bagel for breakfast and a sandwich for lunch without “getting fat”! Carb-rich bread will fuel your muscles far better than a carb-lite lunchtime salad.

• If you are among the many athletes who eat a salad for lunch—and then complain you are craving sweets and eating cookies an hour or two later, think again. While salads are a helpful way to boost your intake of veggies, you might be better off satiating your appetite with PB & J or a turkey/cheese/pesto sandwich made on Dave’s Killer Bread or other hearty bread. For veggies, simply, munch on cherry tomatoes, baby carrots, and pepper strips; far easier than making a salad!

• If you insist on eating a salad for lunch, make sure it is an “athlete’s meal” that offers a hefty dose of starchy veggies (sweet potato, beets, corn) and grains (farro, quinoa, pasta, a whole grain roll on the side). A bowlful of greens (50 calories) smothered with 350 calories of dressing will leave you with poorly fueled (i.e., tired) muscles.

To put the need for carbohydrates into perspective, a 150-pound athlete who trains hard for 1.5 to 2 hours a day should target at least 3 grams of carb per pound of body weight per day = 450 g carb = 1,800 calories from carbs/day = 500-600 calories carbs/ meal. A big spinach salad comes nowhere near that!

• Even if you want to build muscle, don’t over-eat protein to the extent it displaces carbohydrates. Poorly fueled muscles won’t be able to lift weights as well as when carb-loaded. Think again before filling up on a high protein, low carb green salad + big chicken breast + dressing for lunch. A sports diet should contain three times more calories from carbs than protein.

Bottom line

Please enjoy satisfying breakfasts and lunches that keep you feeling fed for three to four hours. You will feel happier, more energetic, have better workouts, be less ravenous at the end of the day—and be less likely to overeat the “wrong” food at night. Experiment?

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Nancy Clark MS RD CSSD counsels both fitness exercisers and competitive athletes in the Boston-area (Newton; 617-795-1875). Her best-selling Sports Nutrition Guidebook is a popular resource, as is her online workshop. Visit NancyClarkRD.com for info.

Many athletes fantasize about losing weight (“Wouldn’t it be nice to lose a few pounds…”). But some athletes have to lose weight in order to meet a specific division for their sport. Athletes such as boxers might have to make weight for a day only once or twice a year, but others such as wrestlers are wisest to keep their weight low for a season. And then there are figure skaters, dancers, and gymnasts who live in long-term “food jail” to maintain a sleek physique for months on end because they get judged on aesthetics. This article will not focus on the problems with long-term under-eating, but rather offer help for athletes who have to/want to lose weight for the short-term.

Weight classes exist to supposedly even the playing field so, for example, a wrestler or a rower competes against someone who is about the same physical size. A problem with weight-class sports is too many athletes target a minimal weight that is unlikely their best performance weight and focus on a number on a scale instead of ability to compete well.  They often resort to last-minute restrictive dieting and dehydrating to make weight. Inadequate recovery between weigh-ins and the event can contribute to early bonking, poor performance, and disappointments. One champion collegiate wrestler shared his winning advice, “I ate well, competed at my natural weight, and clobbered my starving opponents. Easy!” The same goes for athletes in running sports, who believe lighter equates to faster. Not always the case. There’s a lot to be said for running well-fueled at your natural weight.

So what are weight-class athletes supposed to do?

Obviously, they are not supposed to wait until the last few days before an event to lose weight by abstaining from food and water, over-exercising, and abusing their bodies. The better path is to start chipping away at weight loss weeks in advance. If you have to lose 10 pounds, give yourself at least 5 to 10 weeks to do so, if not more.

Ideally, athletes should first have their body fat accurately measured to determine if they even have fat to lose. Females should not drop below 12% body fat, males no less than 5%. Some athletes will need to lose muscle to be able to reach their weight goal.

What’s the best way to lose weight? Push yourself away from the dinner table before you eat your fill! Plain and simple, you have to eat less than your body requires.  Easier said than done. Hence, these tips might be helpful.

• Knock off only 300-500 calories/day from your typical daily intake. Do NOT chop your food intake in half or eat as little as possible! As an athlete, you need fuel to train.

• Fuel by day; diet by night. Plan to lose weight when you are sleeping—not when you are trying to train hard.

• Surround your workout with food, so that you fuel-up and refuel.

• Do NOT cut out all carbohydrates. Athletes need grains, veggies, and fruits to optimize their muscle glycogen stores. A very low-carb diet results in depleted glycogen,  “dead legs,” and inability to train hard.

• Enjoy carb-protein combinations: carbs to fuel muscles; protein to build and repair muscles. Protein is also satiating and can help curb hunger.

• When it’s crunch-time, to lose the last few pounds, some athletes target about 1.5 g carb, 1 g protein, and 0.5 g fat per pound of body weight (3 g carb, 2 g pro,  1 g fat/kg). This means a 150-lb (68 kg) athlete would target about 200 g carb, 135 g pro, and 70 g fat (~1,950-2,000 calories/day).

• Athletes who have to lose muscle mass to hit their weight target should cut back on their protein intake.

• Divide the calories into 4 food buckets and eat a meal at least every 4 hours. (The clock starts ticking when you get up in the morning). An athlete who trains from 6:30 to 7:30 a.m. could divide breakfast into 100-200 calories pre-workout at 6:00ish, then 400 calories post-workout at 8:00; eat early lunch (500 cal.) at 11:00ish; later lunch (400-500 cal.) at 3:00ish, and dinner at 6:00-7:00ish (500 cal.). The rest of the night, chew gum, drink herbal tea, go to bed early? (If you are ravenous, please eat a bit more.)

• If you don’t have fat to lose, plan in last-minute water-weight loss of 2% to 3% body weight. For a 150-lb athlete, that’s 3 to 4.5 pounds. Ways to reduce water-weight include depleting muscle glycogen with a low-carb diet (3 grams of water are stored with one gram of muscle glycogen), restricting fiber (to reduce gut contents),  sweating, and restricting fluids.

Rapid refueling pre-event

After weighing in, some weight-class athletes have only 1 to 2 hours to refuel and rehydrate before they compete; others have 12+ hours if they weigh-in the night before. To rapidly refuel, they should consume carbs they know they can tolerate well—and be sensible so they don’t vomit during the event. Enjoy (well-tolerated) salty foods like soup, pretzels, and crackers.

• A large bolus of fluid gets absorbed faster than smaller amounts, so dehydrated athletes want to drink 20 to 30 ounces of fluid followed by repeated sips. Salty broth and lowfat chocolate milk retain water in the body better than sports drinks and plain water. Co-ingestion of some protein can help with glycogen restoration (Turkey sandwich? Chocolate milk?)

Post-event weight regain

While the standard advice for weight-class athletes to just lose the weight and keep it off makes sense intellectually, it is the opposite of what the body wants to do physiologically. After having been underfed, hungry athletes experience a very strong drive to eat, if not over-eat, and regain all the lost weight. This happens with most dieters, athletic or not.

The urge to devour food after having made weight is physiological, and not simply due to lack of will-power. Here’s the analogy: If you hold your breath for too long, you will uncontrollably gasp for air. If you rigorously restrict calories for too long, you will uncontrollably grab for food and easily binge-eat. No wonder eating disorders blossom in weight-focused sports!

The bottom line

Any way you look at it, losing weight when you really are not over-fat in the first place is not much fun. Yes, it creates a bond with other athletes doing the same thing—misery loves company—and is embedded into the culture of weight-focused sports. Ideally, it’s time to change that culture to focus more on health (both short and long term) and injury reduction. How about establishing height classes instead of weight classes?  Or at least offer better access to sports dietitians to help with the weight-reduction process? 

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Nancy Clark MS RD CSSD  counsels both fitness exercisers and competitive athletes in the Boston-area (Newton; 617-795-1875). Her best-selling Nancy Clark’s Sports Nutrition Guidebook is a popular resource, as is her online workshop. Visit www.NancyClarkRD.com for info.

References

Langan-Evans C. at al. 2021. Nutritional considerations for female athletes in weight category sports. European Journal of Sports Science

Burke, L, et al. 2021. ACSM Consensus Statement on Weight Loss in Weight-Category Sports. Current Sports Medicine Reports

An estimated 30% to 60% of female athletes struggle with food, as do 10% to 33% of male athletes. Many of these athletes believe they are not “sick enough” to seek treatment. Others are too ashamed to ask for help. And some believe getting treatment will hinder them from reaching athletic goals. They fear:

1) they will gain weight, and any added weight will impair their performance.
2) they will not be able to participate in training or competitions during treatment, hence will lose status with their team; and
3) they might displease their coaches and teammates.

But the questions they want to ponder are:

What do you think your future will look like with the eating disorder?
Are you satisfied with your current quality of life?

At the October 2022 Food and Nutrition Expo and Conference of the Academy of Nutrition and Dietetics (the nation’s largest group of nutrition professionals), sports nutritionist Page Love MS RD CSSD (nutrifitga.com) of Atlanta and psychologist Ron Thompson PhD of Bloomington IN (rthomps2@att.net) addressed the topic of Athletes with Eating Disorders. They shared insights from their years of professional experience. This article passes along some of their words of wisdom and offers insights into why some athletes struggle with food, body image, and weight issues. and hopefully will nudge athletes’ friends, family, and loved ones to encourage these athletes to seek help.

• When dieting goes awry and eating disorders take hold, relationships and quality of life suffer, to say nothing of longevity as an athlete. Athletes with eating disorders (ED) can easily believe they have more reasons to keep the eating disorder than they do to give it up. Eating disorders can distract from difficult emotions; offer a source of power and control; give a sense of security; provide an excuse for anything and everything; sustain an identity; offer a way to be angry, self-abusive, special, rebellious, and competitive inside and outside of sport.

• Given many athletes with EDs are in denial of the seriousness of this mental health disease, Dr. Thompson has asked his clients, “Do you realize that people with your disorder sometimes die?” Indeed, athletes can—and have—died from eating disorders, often via suicide. Looking from the inside out, an athlete’s life can feel very stress-filled, despite the athlete appearing happy, bubbly, and “just fine” on the outside.

• Ideally, food should be one of life’s pleasures, as well as an enjoyable source of energizing fuel that enhances performance. If you stop eating at mealtimes just because you think you should, or because your allotted portion of food is all gone (but you are still hungry), you might want to ask yourself a few probing questions:

–What are your food rules and nutrition beliefs that restrict your food choices and portions?

For example, do you forbid yourself to eat second helpings?

–What percent of your time do you spend thinking about food and weight?

Thinking about food includes shopping for food, preparing food for yourself and others, reading cookbooks or other food- and diet-related publications, binge-eating, purging, and thinking about how much you ate at your last meal. When the answer is “I spend way too much time thinking about food; it dominates my thoughts”, you likely have a problematic relationship with food and are living in a state of hunger. That’s no fun, and also limits your ability to fully recover after a hard workout, heal the micro-injuries that occur during hard workouts, and perform optimally. “Normal eaters” think about food as they appropriately get hungry before a meal or snack.

–Do you enjoy eating socially with friends and teammates?

Or do you avoid such situations?

–Are your food allergies and intolerances real?

Or are they convenient excuses to avoid certain foods?

–Ladies, do you currently have regular menstrual periods?

Amenorrhea—loss of menses—can be a sign of under-eating, to the point of disrupting normal body functions.

–Gentlemen, are you experiencing reduced sex drive?

Loss of morning erections can be a sign of under-eating, to the point of disrupting normal body functions.

–Does your family have a history of eating issues, dieting practices, and/or mental health concerns?

If yes, how have those issues influenced your food habits?

• Chronically underfed bodies can end up “hibernating,” with slowed metabolic processes. Symptoms related to inadequate fueling include fatigue, lack of energy, dehydration, anemia, frequent injuries, amenorrhea, stress fractures, and “weird” eating habits. These are all good reasons to seek help from a registered dietitian who specializes in sports nutrition (RD CSSD). The referral network at eatright.org can help you find a local RD CSSD).

• Most of my clients report, “I know what I should eat. I just don’t do it.” Given today’s confusing food environment, any athlete with nutrition questions and weight concerns would be wise to meet with a sports RD to learn how to overcome barriers that limit optimal fueling. Don’t let (self-imposed) shame or embarrassment stop you. Eating “right” is not as simple as it once used to be.

• All food can fit into a balanced sports diet—even fatty foods. Athletes should consume at least half of their calories from (preferably nutrient-rich) carbohydrate, and at least 20% of calories from (preferably health-promoting) fat. A fat intake less than that increases the risk of inadequate energy intake.

• If you live in Food Jail and consume a very repetitive but “safe” diet, a sports RD can help you expand your menu so you can consume a wider variety of nutrients. If you want to try to do this on your own, start by making a list of your fear-foods (foods you are afraid to eat because they lack nutrient-density or because you deem them to be “fattening”). Challenge yourself to include at least one food each day into your meals and snacks, starting with the easiest and ending with the hardest foods. With time, you’ll be able to enjoy social eating with your friends and teammates.

• Notice that other athletes look forward to, let’s say, a special holiday gathering like a New Year’s Brunch—but you don’t because the foods will be way too fattening or you’re afraid you’ll end up eating way too much. Other athletes can eat holiday treats; why can’t you? Your body is not different from everyone else’s and will not “get fat on you.” The problem isn’t the food or your body, but more likely your self-imposed food rules.

• Few athletes will ever achieve a perfect body. Please don’t measure your self-worth as an athlete by your body weight or size. You may be an athletic person, but you are also a human, like the rest of us, and are excellent the way you are.

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Nancy Clark MS RD CSSD counsels both fitness exercisers and competitive athletes in the Boston-area (Newton; 617-795-1875). Her best-selling Nancy Clark’s Sports Nutrition Guidebook is a popular resource, as is her online workshop. Visit NancyClarkRD.com for info.

During a long bike ride, I snack on chocolate to boost my energy.

After a hard workout, chocolate milk is my go-to recovery food!

How bad—or good—is chocolate for me?

Most athletes love chocolate in any form: candy bars, chocolate chip cookies, squares of dark chocolate. Over 60% of all US candy sales are chocolate-based. But how good—or bad—is chocolate for our health? Is it as health-promoting as we want it to be? What about all the sugar and caffeine that comes with the chocolate? Is dark chocolate a far better choice than milk chocolate? Below are answers regarding chocolate and your sports diet.

Is dark chocolate really a “health food”?

Chocolate is made from the fruit of cacao trees. Like all fruit, the cacao bean is a rich source of health-protective phytochemicals (flavonoids) that are antioxidants and fight inflammation. Roasted beans are used to create cocoa. Two tablespoons of natural cocoa powder (the amount in one cup of homemade hot cocoa) offer the antioxidant power of 3/4 cup blueberries. Impressive!

The darker the chocolate, the better in terms of health-protective flavonoid content. Unfortunately, dark chocolate has a bitter taste, and many athletes prefer milk chocolate; it’s sweeter. That said, epidemiological surveys of large groups of people indicate those who regularly enjoy chocolate of any kind consume more flavonoids than non-chocolate eaters. This reduces their risk of heart disease. For example, in the Netherlands, elderly men who routinely ate chocolate-containing products had a 50% reduced risk of dying from heart disease (1).

Shouldn’t we stay away from sugary foods, like chocolate?

The US Dietary Guidelines recommend a limit of 10% of calories from refined sugar per day. For most athletes, that’s about 200 to 300 calories of carbohydrate (sugar) to fuel muscles. The better question is: What nutrients accompany the sugar? For example, “sugary” chocolate milk comes with high quality protein, calcium, vitamin D, riboflavin, and other life-sustaining nutrients. When used as a recovery fluid, it is far healthier than a sports drink, which is just sugar, water, and a dash of salt.

What about sugar spikes…?

Chocolate has a high fat content. Fat slows the rate sugar enters the blood stream and thus reduces the risk of sugar spikes. The Glycemic Index ranks from 0 to 100 the blood glucose response after consumption of 200 calories (50 grams) of carbohydrate (sugar, starch). Gatorade ranks high on the Glycemic Index (78), M&Ms rank lower (33), and dark chocolate ranks even lower (23). Given most of us—well, some of us—don’t eat 200 calories of sugar from just one food at one time, a preferable ranking is the Glycemic Load, based on a standard serving of the food. For example, the Glycemic Load of a standard serving (8-ounces) of Gatorade is 12, chocolate milk is 3.5, and an ounce of M&Ms is 3.

What about chocolate milk for post-exercise recovery?

Chocolate milk can be an enjoyable and nourishing treat that boosts intake of nutrients important for athletes. It has a low glycemic effect and is unlikely to contribute to sugar spikes Drinking chocolate milk after a hard workout effectively refuels and repairs your muscles, boosts your blood sugar, and replaces electrolytes lost in sweat. It’s a nutritionally preferable choice to a carb-only, sugar-based sports drink (2). And it is yummy chocolate—with purpose and meaning, and no guilt!!!

How much caffeine is in chocolate?

The amount of caffeine in chocolate depends on how much cocoa powder is in it. Milk chocolate is only 10 to 20% cocoa, regular dark chocolate is 50-69% cocoa, and strong dark chocolate has more than 70% cocoa. The higher the percentage of cocoa, the higher the caffeine. That said, the 20 milligrams of caffeine in an ounce of dark chocolate pales in comparison to the 200 mg. in a mug of coffee. Chocolate’s energy boost comes from sugar, more so than caffeine.

Is chocolate fattening?

Like any food that is eaten in excess, chocolate can be fattening. That said, data from 13,626 adults (>20 years old, nondiabetic) suggests chocolate consumption was not associated with obesity.

Is there a best time of the day to eat chocolate?

If you are destined to eat a treat, such as chocolate cake, enjoy it earlier in the day, as opposed to indulging at 8:00 p.m. when you are tired and lack the mental energy needed to stop yourself from over-indulging. You are going to eat the chocolate eventually, so why not enjoy it sooner than later?

Believe it or not, eating chocolate cake with breakfast might actually help dieters reach their weight loss goal. Research (3) with 193 adults on a reducing diet suggests those who had cake with breakfast had fewer cravings for carbohydrates and sweets later in the day. By front-loading their calories, they were less hungry and less likely to stray from their diet plan. They ate either a 300-calorie protein-based breakfast or a 600-calorie breakfast that included protein plus chocolate cake (or another dessert).

In the first 16 weeks, both groups lost an average of 33 pounds per person. But in the second half of the study, the no-cake group had poor compliance and regained an average of 22 pounds per person while the cake-eaters continued to lose another 15 pounds each. By 32-weeks, the cake eaters had lost about 40 pounds more than their peers. Does chocolate make for a more sustainable diet?

The bottom line

By no means is chocolate the key to a healthy sports diet, nor is eating lots of dark chocolate preferable to snacking on apples and bananas. It’s no secret: chocolate contains primarily nutrient-poor calories from sugar and fat. A Hershey’s Bar (43 g) has 220 calories—of which about 40% are from 21 grams of added sugar and about 55% of calories from fat. Hence, you want to enjoy chocolate in moderation, so it does not crowd-out other nutrient-dense foods. But even if you are a weight-conscious, health-conscious athlete, you can balance chocolate into your overall wholesome sports diet—and add a taste of pleasure to your day.

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Nancy Clark MS RD CSSD counsels both fitness exercisers and competitive athletes in the Boston-area (Newton; 617-795-1875). Her best-selling Sports Nutrition Guidebook is a popular resource, as is her online workshop. Visit NancyClarkRD.com for info.

References

1. Buijsse B, Feskens EJ, Kok FJ, Kromhout D. Cocoa intake, blood pressure, and cardiovascular mortality: the Zutphen Elderly Study. Arch Intern Med. 27;166(4):411-7, 2006.

2. Lunn WR, Pasiakos SM, Colletto MR, Karfonta KE, Carbone JW, Anderson JM, Rodriguez NR. Chocolate milk & endurance exercise recovery: protein balance, glycogen and performance. Med Sci Sports Exerc. 44(4):682-91,2012.

3. Jakubowicz D, O Froy, J Wainstein, M Boaz. Meal timing and composition influence ghrelin levels, appetite scores and weight loss maintenance in overweight and obese adults. Steroids 77(4): 323-331, 2012.

Many athletes feel pressure to have a perfect body, perfect diet, and ideally, perfect performances. The stress-inducing trait of perfectionism often pushes athletes to not only become stronger and faster, but also leaner and food-phobic. We have seen perfection play out with football phenom Tom Brady. While he is a poster child for the benefits of eating ”perfectly,” he also has great mental strength that keeps him focused on his goals without getting side-tracked by comparisons.

Most of us are a bit more insecure than Tom and end up comparing ourselves to others. Take note: To compare is to despair! Please stop comparing your physique and your food choices to those of your teammates, friends, and family! Here are strategies to help you fret less and instead gain confidence with your food choices and your physique.

Body Comparisons

She’s leaner than I am…   
He’s got bigger muscles than I do…  
She’s prettier than I am…
He’s got a better 6-pack ab than I do…

How often do you find yourself comparing your body to that of your teammates, friends, and social media influencers? If the answer is too often, just STOP IT! Your body is yours; it is good enough the way it is. You want to stop criticizing your body for being too fat, too slow, too short, too freckled—and instead be grateful for all the good things it does for you, like run marathons, row in regattas, win soccer games, and/or compete in triathlons. Those “thunder thighs” contribute to your ability to be a strong, powerful, and successful athlete. Thank them!

Few athletes have the “perfect body”; even the leanest athletes complain about undesired bumps and bulges. Athletes who whine about feeling fat are more likely feeling imperfect, inadequate, anxious, and/or out of control.

Recommendations: To achieve body acceptance, practice living on a fantasy island where you and your body are good enough—if not excellent—the way you are. If you wander off your island and start comparing yourself to others, you’ll undoubtedly end up despairing. Stay on your island!

When you look in the mirror, greet yourself with a welcoming smile and grateful words. With time, you will start to internalize that your body is indeed good enough the way it is. While you may never attain the perfect physique, you can still be grateful for all your body does for you. 

Portion Comparisons

Do you eat like a bird compared to your teammates? Or maybe you feel self-conscious because you need to eat twice as much as your peers just to maintain your desired weight?  At team meals/social gatherings, many athletes monitor the quantity of food others are eating. Salads and small portions tend to get praised more than lumberjack servings. (I wish I had your discipline vs. You sure do eat a lot….) For athletes recovering from restrictive, dysfunctional eating, eating a sandwich, fruit, yogurt &pretzels for lunch seems embarrassing—way too much food—when it’s really what is needed to properly fuel up for an after-school practice or after-work trip to the gym.

When I educate my clients how many calories they “deserve” to eat, most are flabbergasted to learn athletic females commonly require 2,400+ calories to maintain weight; athletic males may require 2,800+ calories. That’s 600-700 calories four times a day: breakfast, early lunch, second lunch/afternoon snack, and dinner.

Recommendation: Please don’t start counting calories; your body is your best calorie counter. Rather, listen to your innate hunger and fullness cues. Eat when hungry; stop when content. Pay attention to why you stop eating: Do you think you should?  Is the food all gone? Or are you actually feeling content and comfortably fed?

Food Comparisons

I eat only healthy foods… 
I avoid sugar like the plague…
I won’t touch the pies at Thanksgiving.  

In the world of “clean eating”, athletes feel pressure to choose the “right” foods. That translates into no sugar, salt, red meat, white flour, packaged foods, fat, and no fun foods. The E in Eating stands for Enjoyment; you want to be able to enjoy (in appropriate portions) the foods you truly want to eat!

Believe it or not, it’s OK to balance fun foods into an overall good diet. The goal is 85-90% nutrient-rich whole grains, fruits, veggies, lean proteins and 10-15% fun food. You need not eat the perfect diet to have an excellent diet.

You want to eat a foundation of about 1,500 calories from a variety of nutrient-dense foods to consume the vitamins, minerals, and protein required for an effective sports diet. Because your body needs at least 2,400-2,800 calories a day, you have space in your diet for both health-promoting food and fun food. While you want to enjoy more of the best foods and less of the rest, you can balance fun foods into your sports diet. That is, an apple is a healthy food; a diet of all apples is a very unhealthy, unbalanced diet.

Recommendation: If you find yourself being judgmental about food, the problem is unlikely the food, but rather your relationship with the food—and fears it will make you get fat or ruin your health. Eating out of the same pot as your pals is a very healthy thing to do! A few fun meals will not ruin your health forever.

Nutrition Supplement Comparisons

I often counsel athletes who wonder if they can nourish their bodies with real food instead of taking supplements. As one athlete sheepishly asked, “I don’t take any vitamin pills. Should I? My teammates takes a handful of them..” Let me reassure you that opting out of supplements is okay (and can save you bundles of money). If you eat wisely 85-90% of the time, you are likely getting the vitamins and minerals and protein you need, with a few possible exceptions (iron, vitamin D).

Recommendation: If you question the adequacy of your diet, consult with a registered dietitian (RD) who is board certified as a specialist in sports dietetics (CSSD). Make an appointment today to learn how to choose food based on facts, not fears, and can fret less and enjoy better quality of life.

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Nancy Clark MS RD CSSD  counsels both fitness exercisers and competitive athletes in the Boston-area (Newton; 617-795-1875). Her best-selling Sports Nutrition Guidebook is a popular resource, as is her online workshop. Visit NancyClarkRD.com for info.

The American College of Sports Medicine (ACSM)  is the nation’s largest group of exercise physiologists, sports nutritionists, and a multitude of other sports medicine professionals. 

Each year, at ACSM’s Annual Meeting, members gather to share their latest research. Here are highlights of two talks (June 2022 meeting in San Diego) that might be of interest to serious athletes intent on improving their performance.

Coffee, Caffeine and Caffeinated foods: What Do Athletes Need to Know?

Speakers: Louise Burke PhD. Australian Catholic University and Ben Desbrow PhD, Griffith University, Australia

Guidelines regarding caffeine used to enhance athletic performance have changed significantly. Caffeine was once believed to be a diuretic, beneficial in high doses primarily for marathoners, and most effective when consumed an hour pre-event. Almost every aspect of those ideas has been replaced with newer knowledge

• Caffeine is not just for endurance athletes; it offers a three-percent improvement in performance in many real-life sporting events including shorter races and team sports. In addition, caffeine may help athletes such as body builders train harder.

• Caffeine offers similar benefits whether you take it one hour pre-exercise or only during exercise. Even low doses of caffeine are effective when consumed just prior to the onset of fatigue.

• Caffeine helps athletes train better when they are jetlagged or when their circadian rhythms are out of line.

• Caffeine comes in many forms, including caffeinated water, potato chips, gums, gels, sprays, pouches, strips, medications, pre-workout supplements, and pills. The caffeine content of commercial pre-workout supplements can vary from batch to batch (~40 mg difference per serving) Of the top 15 most popular pre-workout supplements, caffeine content ranged from about 90 to 390 mg/serving —and often contained more—or less—of what was listed on the nutrition facts panel.

• Each individual needs to learn from their own personal experiences the right caffeine source and dose for their bodies. Genetics influences the enzymes that break down caffeine.

• If you consume 1 cup of coffee in the morning, most of the caffeine will have dissipated by lunchtime. In general, caffeine stays in the body for about 7 hours. Its half-life (time taken for caffeine in the body to drop by half) ) might be five hours (or less) for some people, but ten hours (or more) for others.

• Female athletes should know that birth control pills almost double the half-life of caffeine, making it more effective for longer.

• If you happen to be a slow metabolizer and then take a pre-workout caffeine boost before your afternoon workout, you might have some caffeine “overlap” from your morning cup of brew. Even if you abstain from caffeine for 12 hours, circulating caffeine might still be detected in your blood due to caffeine accumulation with repeated caffeine consumption.

• Habitual caffeine intake does not seem to influence its ergogenic effect across a range of different sports. That means, if you regularly consume coffee every day, there’s no need for you to stop consuming caffeine for a few days prior to a competitive event. Caffeine withdrawal feels horrible and you’re unlikely to gain any benefits!

Biomarkers That Impact Training and Performance

Speaker: Shawn Arent, PhD, CSCS, FACSM, University of South Carolina

While caffeine is a drug that can be consumed to influence performance, biomarkers are substances in your body that are indicators of physiological processes. Endocrine biomarkers measure stress and adaptations to training.  Biochemical biomarkers measure muscle damage and inflammation. Nutritional biomarkers measure the impact of diet, such as on blood glucose and iron levels.  

Biomarkers are best used to document changes over time (as opposed to taking one measurement, such as serum ferritin, to see if the measurement simply falls within normal limits). Biomarker data can help assess changes in performance, recovery, and training optimization. Biomarkers might be able to predict and prevent illness. In an 8-week basic training study, a third of the soldiers whose biomarkers classified them as being over-reached experienced illness.

Biomarker research

The military and some professional athletes and teams are very interested in measuring biomarkers. Connecting biomarkers to measurables like performance, training, sleep, and diet provides context and meaning to the measurements. By keeping athletes healthy and in the game, the likelihood of a winning season improves.

• With biomarker research, we now know that food deprivation can be more detrimental to performance than sleep deprivation. Many markers can take a full month post-dietary restriction to get back to normal. With Army ranger training, a 1,000 calorie per day deficit reduced testosterone and increased cortisol.

• Biomarkers can document the physiological impact of restrictive food intake and show how much better athletes can recover when they are adequately fueled.

• Both physical and psychological stress impact biomarkers, as does travel through time zones. Seeing sleep data can help athletes learn the value of prioritizing sleep.

Wave of the future?

Athletes interested in getting their biomarkers measured should know this is an emerging field with yet unanswered questions, including:

What is the best time to measure biomarkers? (Should recovery markers be measured right after exercise or a day later?) 

How often should measurements be taken? (Might depend on who is paying the bill!)

Should athletes not exercise the day before blood draws/data collection?

Do biomarkers differ when measured under research conditions? (That is, does lab data compare to data collected at real-life competitive events?)

What is the minimal performance-enhancing level of a biomarker? Is higher better?  When is a level too low?

 Can biomarkers predict and prevent illness? And very importantly,

Will coaches (and athletes) be willing to alter their training schedules based on biomarkers? Coaches’ buy-in is essential, as is the athlete’s willingness to alter training plans.

With time and well-established protocols for measuring biomarkers, this evolving field will have a significant impact on improving the health and performance of members of the military, professional athletes, as well as curious consumers who can afford this luxury. 

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Sports nutritionist Nancy Clark MS RD CSSD has a private practice in the Boston area. She is author of the best-selling Nancy Clark’s Sports Nutrition Guidebook and co-leader of an online sports nutrition workshop. Visit www.NancyClarkRD.com for more information.

As a sports nutritionist, I commonly counsel athletes who have Attention Deficit Hyperactivity Disorder—generally referred to as ADHD (or ADD). ADHD is characterized by hyperactivity, impulsivity, and/or inattention. It affects 4-10% of all American children and an estimated 4.4% of adults (ages 18-44 years). ADHD usually peaks when kids are 7 or 8 years old. Some of the ADHD symptoms diminish with maturation but 65-85% of the kids with AHDH go on to become adults with ADHD.

Ideally, athletes with ADHD have gotten the help they need to learn how to manage their time and impulsiveness. Unfortunately, many youth athletes with ADHD just receive a lot of negative feedback because they have difficulty learning rules and strategies. This frustrates teammates and coaches. Older athletes with ADHD often use exercise to reduce their excess energy, calm their anxiety, and help them focus on the task at hand.

This article offers nutrition suggestions that might help coaches, friends, and parents, as well as athletes with ADHD, learn how to calm the annoying ADHD behaviors.

• To date, no clear scientific evidence indicates ADHD is caused by diet, and no specific dietary regime has been identified that resolves ADHD. High quality ADHD research is hard to do because the added attention given to research subjects with ADHD (as opposed to the special diet) can encourage positive behavior changes. But we do know that when & what a person eats plays a significant role in ADHD management and is an important complimentary treatment in combination with medication.
• ADHD treatment commonly includes medications such as Concerta, Ritalin & Adderall. These medications may enhance sports performance by improving concentration, creating a sense of euphoria, and decreasing pain. These meds are banned by the World Anti-Doping Agency (WADA) and the International Olympic Committee (IOC). Hence, athletes who hope to compete at a high level are discouraged from taking ADHD medications.
• To the detriment of ADHD athletes, their meds quickly blunt the appetite. Hence, they (like all athletes) should eat a good breakfast before taking the medication.
• The medication-induced lack of appetite can thwart the (teen) athlete who wants to gain weight and add muscle. Teens taking ADHD meds should be followed by their pediatricians, to be sure they stay on their expected growth path. If they fall behind, they could meet with a registered dietitian (RD) with knowledge of sports nutritionist (CSSD) to help them reach their weight goals.
• An easy way for “too thin” athletes to boost calories is to swap water for milk (except during exercise). The ADHD athlete who does not feel hungry might find it easier to drink a beverage with calories than eat solid food. Milk (or milk-based protein shake or fruit smoothie) provides fluid the athlete needs for hydration and simultaneously offers protein to help build muscles and stabilize blood glucose.
• A well-balanced diet is important for all athletes, including those with ADHD. Everyone’s brain and body need nutrients to function well. No amount of vitamin pills can compensate for a lousy diet. Minimizing excess sugar, food additives, and artificial food dyes is good for everyone.
• Eating on a regular schedule is very important. All too often, high school athletes with ADHD fall into the trap of eating too little at breakfast and lunch (due to meds), and then try to perform well during afterschool sports. An underfed brain gets restless, inattentive, and is less able to make good decisions. This can really undermine an athlete’s sports career
• Adults with ADHD can also fall into the same pattern of under-fueling by day, “forgetting” to eat lunch, then by late afternoon are hangry and in starvation mode. We all know what happens when any athlete gets too hungry – impulsiveness, sugar cravings, too many treats, and fewer quality calories. This is a bad cycle for anyone and everyone.
• All athletes should eat at least every four hours. The body needs fuel, even if the ADHD meds curb the desire to eat. ADHD athletes can set a timer: breakfast at 7:00, first lunch at 11:00, second lunch at 3:00 (renaming snack as second lunch leads to higher-quality food), dinner at 7.
• For high school athletes with ADHD, the second lunch can be split into fueling up pre-practice and refueling afterwards. This reduces the risk of arriving home starving and looking for (ultra-processed) foods that are crunchy, salty, and/or sweet.
• Athletes with ADHD are often picky eaters and tend to prefer unhealthy snacks. For guidance on how to manage picky eating, click here for adults and here for kids.
• Fiber-rich fruits, vegetables, and whole grains can be low on an ADHD athlete’s food list. Their low fiber diet can lead to constipation. Fiber also feeds the zillions of microbes in their digestive tract that produce chemicals that can positively impact brain function and behavior. Everyone with ADHD should eat more fiber-rich foods like beans (hummus, refried beans in a burrito), seeds (chia, pumpkin, sunflower, sesame), and whole grains (oatmeal, brown rice, popcorn). They offer not only fiber but also magnesium, known to calm nerves.
• With more research, we’ll learn if omega-3 fish oil supplements help manage the symptoms of ADHD. No harm in taking them. At least eat salmon, tuna, and oily fish as often as possible, preferably twice a week, if not more.
• Picky eaters who do not eat red meats, beans, or dark leafy greens can easily become iron deficient. Iron deficiency symptoms include interrupted sleep, fatigue, inattention, and poor learning and can aggravate ADHD. Iron deficiency is common among athletes, especially females, and needs to be corrected with iron supplements.
• While sugar has the reputation of “ramping kids up”, the research is not conclusive about whether sugar itself triggers hyperactivity. The current thinking is the excitement of a party ramps kids up, more so than the sugary frosted cake. Yes, some athletes are sugar-sensitive and know that sugar causes highs and crashes in their bodies. They should choose to limit their sugar intake and at least enjoy protein along with sweets, such as a glass of milk with the cookie, or eggs with a glazed donut. Moderation of sugar intake is likely more sustainable than elimination of all sugar-containing foods.

For more information about ADHD in kids, teens, and adults, please use these resources:

• Feeding the Child with ADHD—a podcast with Jill Castle RD
• Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD) – a national resource center

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Nancy Clark MS RD CSSD counsels both fitness exercisers and competitive athletes in the Boston-area (Newton; 617-795-1875). Her best-selling Sports Nutrition Guidebook is a popular resource, as is her online workshop. Visit NancyClarkRD.com for info.

“I thought I was supposed to use gels during long runs. Can candy work just as well..?”

 “Are electrolyte tablets the best way to replace sodium loses from sweaty workouts?”

 “I get diarrhea when I use some commercial sports foods…help!”

If you are among the many athletes who have no idea which commercial sports foods are best to support your workouts, welcome to the club! Advertisements have led many active people—from serious competitors to anyone who breaks a sweat—to believe that pre-workout drinks, energy gels, and electrolyte replacers (among the many other commercial sports foods) are a necessary part of a sports diet. Guess what? Real foods can often work just as well.

While there is a time and a place for commercial sports foods, many athletes needlessly spend lots of money on them. The purpose of this article is to help you become an informed consumer, so you know what these products are (convenient, expensive)—and what they are not (essential for all exercisers). Whatever you do, test them during training, so you can learn if they settle well in your gut. You don’t want surprises during competitions!

Pre-Workout Supplements

When you feel low on energy and are dreading your afternoon training session, pre-workout products that promise explosive energy, sharp focus, and incredible results can be very tempting to buy. While simply eating a heartier breakfast, lunch, and pre-exercise snack can help prevent an afternoon droop, many athletes fail to appreciate the power of food. Instead, they look for “magic.”

• The “magic” ingredient in most pre-workout products is caffeine. You could just as easily get stimulated with coffee or NoDoz. True energy comes with eating a pre-exercise banana, granola bar, or carb-based snack.
• The best pre-workout snacks digest easily and don’t talk back to you. Standard supermarket foods (e.g., toast, oatmeal, animal crackers, dried pineapple, dates, banana, even a swig of maple syrup) are likely more familiar to your gut (less likely to cause intestinal upset) than unfamiliar commercial sport fuels.
• Some pre-workout products tout they are sugar free, as if sugar is evil for athletes. Sugar (carbohydrate) is a true energizer in comparison to caffeine, which is just a stimulant. Carbs + caffeine will offer a better workout (for those who tolerate caffeine, that is)!
• Some pre-workout products contain creatine, vitamins, beta-alanine, and/or other stuff that looks good on the label. The dose may be inadequate to make a significant difference in your performance. Do your homework to learn what is an effective dose.
• Buyer beware, pre-workout products are poorly regulated. Who knows what the products contain. Claims that sound too good to be true should raise an eyebrow. Be sure your choice says NSF Certified for Sport or Informed Sport on the label.

Gels

During hard exercise lasting 1 to 2.5 hours, you’ll perform better if you consume ~30 to 60 grams (120-240 calories) carbohydrate per hour. Take your choice of gel, sport drink, or gummi bears!

• During extended exercise lasting more than 2.5 hours (ultra-marathon, long bike ride), you want to target 60 to 90 g carb/h (240-360 calories), depending on the intensity of your exercise, your body size, sport, and intestinal tolerance.
• Most gels offer 100 calories (25 g carb) in the form of some type of sugar, such as maltodextrin, sucrose, fructose, or glucose. The Nutrition Facts on the gel’s label can you help determine the right amount to consume.
• Many athletes love the convenience of gels because they come in a good portion-size and are easy to carry. Others dislike them due to their consistency. For some athletes, gels digest poorly because they contain a type of sugar that can trigger bloat, diarrhea, and undesired pit stops. Always experiment with new gels during training!!!
• Some popular alternatives to the 100 calories of carb (sugar) in a gel include gummy bears, Twizzlers, Swedish fish, gum drops, peppermint patties, maple sugar candy, even chocolate (though it melts in hot weather). The trick with choosing “real food” is to figure out how to carry it. Pockets help.

Electrolyte tablets

Electrolytes (electrically charged particles, most often known as sodium, calcium, magnesium, and potassium), are minerals abundant in food.

• For sweaty athletes, sodium (a part of salt) is the main electrolyte of concern. Salty foods enhance fluid retention and help keep you better hydrated than plain water, which goes in one end and out the other.
• Many electrolyte replacers are lower in sodium than you may think. By reading food labels, you’ll discover a slice of bread can have more sodium than 8-ounces of Gatorade.
• Athletes who sweat heavily might lose about 500 to 1,000 mg sodium in an hour of vigorous exercise. Some options for replacing these sodium losses include:

Commercial Sports Food	Sodium (mg)	Salty food	Sodium (mg)
Propel Electrolyte water, 8 oz	105	String cheese, 1 stick	220
Gatorade, 8 oz	110	Beef Jerky, 1 oz	600
Gu Salted Caramel, 1 gel	125	Salt sprinkled on food, ¼ tsp	600
Nuun, 8 oz	175	Broth, from 1 cube Herb-ox	1,100

• Replacing sodium is most important for athletes who sweat heavily for extended periods in the heat. Yet, these athletes generally consume foods that contain sodium before, during and after exercise. For example, football players who refuel from morning practice with a high-sodium ham and cheese sandwich with mustard and dill pickles can bypass the Gatorade at lunch.
• Consuming 500 mg. sodium before you exercise helps retain fluid, delay dehydration, and enhance endurance. Sprinkle salt on that pre-exercise omelet, pasta, or sweet potato before you exercise in the heat!

The Bottom Line

While commercial sports foods have their time and place for intense exercisers, not every athlete needs to pay the price for pre-wrapped convenience.

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Nancy Clark MS RD CSSD counsels both fitness exercisers and competitive athletes in the Boston-area (Newton; 617-795-1875). Her best-selling Sports Nutrition Guidebook is a popular resource, as is her online workshop. Visit NancyClarkRD.com for more info.