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egg-avo-breakfast

Breakfast and Lunch: Food for Thought

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?


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.

ALS-Chalkboard

Lou Gehrig’s Disease: Death of the Nerve Cells 

Motor neuron disease (MND), Amyotrophic lateral sclerosis (ALS), also called Lou Gehrig’s disease, causes the death of the neurons that control the muscle’s voluntary functioning. Lou Gehrig was a famous baseball player who was diagnosed with ALS. Overtime, the nerve cells progressively break down and die. At first onset, muscle twitching might start to occur coupled with weakness in the limbs, and slurred speech. Eventually, a person will no longer be able to control their ability to move, speak, breathe, or eat. This disease is fatal and there is currently no cure. 

general-pain-neck-back-pain

What a pain in the neck!

If you are one of the millions of people who suffer with neck pain, YOU ARE NOT ALONE!  Do you spend hours hunched over your laptop? Are you constantly staring down at your phone? Is your stress level out of control? Do you lack self-care in the form of exercise and nutrition?

Forest with Stream

Forest Therapy

Whether we realize it or not, humans and trees have an organic connection with each other. We exhale the carbon dioxide that trees absorb. Trees emit the oxygen that humans need to live. Many cultures – both ancient and modern – have recognized this interdependency. Nearly every pre-industrial people group has had traditions, ceremonies, and medical practices tied to trees.

diaphragm-lungs

Diaphragmatic Breathing and Cardiovascular Exercise Performance 

Diaphragmatic breathing is a technique that involves engaging the diaphragm muscle while breathing, allowing for more efficient oxygen exchange in the body. This type of breathing can be beneficial for cardiovascular exercise performance, as it helps to increase the amount of oxygen that that is taken in with each breath. By doing so, diaphragmatic breathing can improve aerobic capacity, endurance, energy levels during exercise, as well as reduced feelings of fatigue and improve lung function.

One study conducted in 2016 found that diaphragmatic breathing improved exercise performance in trained male cyclists. The study participants perform a maximal cycling test, during which they practiced diaphragmatic breathing. The results show that the cyclists who used diaphragmatic breathing had a significant improvement in their VO2 Max (the maximum amount of oxygen used during exercise), and power output compared to those who did not use diaphragmatic breathing. Another study conducted in 2015 found that diaphragmatic breathing improved respiratory muscle function and reduce breathing effort during exercise in both trained and untrained individuals. Diaphragmatic breathing can also help to reduce stress and anxiety, which can have a positive impact on exercise performance. Stress and anxiety can lead to increased heart rate, shallow breathing, and decreased oxygen uptake, which can negatively impact exercise performance. By practicing diaphragmatic breathing, individuals can reduce stress, anxiety levels and improve their ability to handle the psychological demands of exercise.

In addition to its benefits for exercise performance, diaphragmatic breathing can also have other health benefits. It has been shown to reduce blood pressure, improve lung function, and enhance overall relaxation and well-being. For individuals with respiratory conditions such as asthma, COPD, or bronchitis, diaphragmatic breathing can be a helpful technique for managing symptoms and improving respiratory function.

It is important to note that diaphragmatic breathing should not be relied upon as a sole method for improving cardiovascular exercise performance. It is best used in combination with other techniques, such as proper warm up and cool down, a balanced intense exercise program, adequate nutrition, rest, and recovery. In addition, it is important to consult with a healthcare professional before incorporating diaphragmatic breathing into any exercise routine, especially if an individual has any pre-existing health conditions.

In conclusion, diaphragmatic breathing can be a useful technique for improving cardiovascular exercise performance. By increasing oxygen uptake, reducing stress, anxiety, and improving lung function, diaphragmatic breathing can help individuals to perform better during exercise and enhance overall health and well-being. However, it should be used in combination with other techniques and under the guidance of a health care professional for maximum benefit.


Reprinted with permission from author.

Mike Rickett MS, CSCS*D, CSPS*D, RCPT*E is a nationally recognized health and fitness trainer of the trainers, fitness motivator, author, certifier, educator, and the 2017 NSCA Personal Trainer of the Year.  He has been a fitness trainer for more than 35 years. With Cheri Lamperes, he co-directs BetterHealthBreathing.com, a conscious breathing educational program focusing on the diaphragmatic technique to enhance overall wellness.  In addition, he also directs the personal training site ApplicationInMotion.com.  

trainer-senior-client-stretch

Understanding the Causes of Recurring Musculoskeletal Pain and Injuries

Musculoskeletal injuries from trauma, repeated activities, or overused joints or muscles are very common — in fact, almost every one of us will get injured at some point in our lives. Most of the time, it will reoccur and become more serious when left unattended or untreated. When repeated injuries happen, it is very likely not due to a one-off fluke.

So why do we constantly get hurt at a specific joint or muscle? And why does the pain seem to travel elsewhere after?

The human body is complex and designed to move in countless movement patterns. When we move, kinetic energy travels from our feet to our neck and head. This concept is called the Human Body Kinetic Chain Movement. Our skeletal system consists of various joints linked in a chain, each with specific purpose and function.

Stability and Mobility at the Joints

When our joint is not functioning as it is intended to, our body will adopt a dysfunctional movement, which can lead to acute pain in our joints or muscles. If not corrected, chronic pain can happen. A sedentary lifestyle, past injuries, poor posture and misalignment, stress, health conditions, diseases, and other factors can lead to the development of dysfunctional movement.

Here’s an example of a common dysfunctional movement at the lower proximity. If your ankle (which is supposed to be mobile) is stiff, your body will seek mobility at the knee which is supposed to act as a stable hinge. A painful knee typically develops as a result. In another scenario, if you spend extended periods of time sitting and experience restricted mobility at your hips, your body may compensate by seeking mobility at your knee or lumbar spine. This reversal of joint roles can lead to injury or pain in the affected joint or muscle.

Continuing to compensate for the long term can cause a cascading effect such as muscle imbalances, poor neuromuscular function and muscle atrophy or hypertonicity.

One of the common mistakes we make is to only address the symptom (pain) with the use of NSAIDs, massage, chiropractic therapy and other non-invasive or invasive treatments, rather than addressing the underlying cause of the problem.

Another widespread misunderstanding is the idea that simply strengthening the muscle at a joint can solve the problem, without considering its kinetic chain relationship. For example, strengthening the quadriceps to alleviate knee pain, without taking into account the mobility of the ankles and hips or the stability of the lumbopelvic area.

That’s why it’s crucial to have a comprehensive understanding of how our bodies are designed to move, and to identify any weak links in our body’s kinetic chain to ensure optimal recovery through appropriate rehabilitation measures, and not view the problem in isolation.

Typically, it is advisable to conduct an assessment initially to pinpoint the root of the problem. However, when a patient presents to my clinic in pain, they often exhibit compensatory movement patterns that can yield false positives/negatives results. For this reason, my approach is to first identify the type of pain or injury they are experiencing and address their pain as a priority. To reduce their pain levels, I utilize methods such as soft tissue manipulation and other therapies that are appropriate for their condition.

Soft tissue manipulation and manual therapy, such as massage has been proven to:

  • alter pain signal at the central nervous system,
  • manage inflammation,
  • inhibit muscle spasm and reduce muscle tonicity,
  • improve blood circulation and oxygenation to the injured tissue,
  • and improve mobility and flexibility at the joint.

It is best to engage a practitioner who is trained or skilled in this field, or perform self myofascial massage by using a foam roller or trigger point massage ball under guidance.

Once the pain has been adequately managed, I will proceed with a thorough assessment to identify any potential weak links in the person’s kinetic chain. After that, they will begin an active treatment program that includes targeted stretches, mobility drills, and muscle reactivation exercises through a set of neuromuscular exercises. The rehabilitation program also emphasizes teaching the person to disassociate their movements and joints through specific exercise drills, which re-trains their brain to use their muscles and joints as it is supposed to. As soon as they are able to correct their dysfunctional movement, it is highly recommended to strengthen the entire structure based on function, rather than relying solely on brute strength.

Understanding the concept of our body’s biomechanics and how kinetic chain work can help you better manage or even resolve musculoskeletal injuries holistically, and not just detaching the problem to a specific joint or muscle.

Do take note that different types of musculoskeletal injuries may require different forms of therapy or approach. It is extremely important to seek a professional’s help to determine the appropriate care for your musculoskeletal pain or injury.


Ke Wynn Lee is an author and an international award-winning corrective exercise specialist currently owns and operates a private Medical Fitness Center in Penang. Apart from coaching, he also conducts workshops and actively contributes articles related to corrective exercise, fitness & health to online media and local magazines.

References

Field, T. (2014). Massage therapy research review. Complementary Therapies in Clinical Practice.

Moyer, C. A., Rounds, J., & Hannum, J. W. (2004). A meta-analysis of massage therapy research. Psychological Bulletin.

Crane, J. D., Ogborn, D. I., Cupido, C., Melov, S., Hubbard, A., Bourgeois, J. M., & Tarnopolsky, M. A. (2012). Massage therapy attenuates inflammatory signaling after exercise-induced muscle damage. Science Translational Medicine.

American Council of Exercise (ACE)

National Academy of Sports Medicine (NASM)

walking shoes

Gait Speed… Chase It!

Walking is our freedom to GO anywhere, anytime, automatically, to get somewhere ‘on our own’ without fear or assistance.

It is the antithesis to the slipper shuffle and a key player in fall resistance, that is, staying UP. A shorter, wider stride, stiffer ankles and feet, and a hunched posture are not a function of aging per se. We CAN be spry, walk tall, with spring in our step, well into our 80’s and 90’s.

gymnast-rings

Making Weight: Helpful or Harmful?

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? 


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