Med Sci Sports Exerc. 2000 Dec;32(12):2130-45. doi: 10.1097/00005768-200012000-00025.
It is the position of the American Dietetic Association, Dietitians of Canada, and the American College of Sports Medicine that physical activity, athletic performance, and recovery from exercise are enhanced by optimal nutrition. These organizations recommend appropriate selection of food and fluids, timing of intake, and supplement choices for optimal health and exercise performance. This position paper reviews the current scientific data related to the energy needs of athletes, assessment of body composition, strategies for weight change, the nutrient and fluid needs of athletes, special nutrient needs during training, the use of supplements and nutritional ergogenic aids, and the nutrition recommendations for vegetarian athletes. During times of high physical activity, energy and macronutrient needs-especially carbohydrate and protein intake-must be met in order to maintain body weight, replenish glycogen stores, and provide adequate protein for building and repair of tissue. Fat intake should be adequate to provide the essential fatty acids and fat-soluble vitamins, as well as to help provide adequate energy for weight maintenance. Overall, diets should provide moderate amounts of energy from fat (20% to 25% of energy); however, there appears to be no health or performance benefit to consuming a diet containing less than 15% of energy from fat. Body weight and composition can affect exercise performance, but should not be used as the sole criterion for sports performance; daily weigh-ins are discouraged. Consuming adequate food and fluid before, during, and after exercise can help maintain blood glucose during exercise, maximize exercise performance, and improve recovery time. Athletes should be well-hydrated before beginning to exercise; athletes should also drink enough fluid during and after exercise to balance fluid losses. Consumption of sport drinks containing carbohydrates and electrolytes during exercise will provide fuel for the muscles, help maintain blood glucose and the thirst mechanism, and decrease the risk of dehydration or hyponatremia. Athletes will not need vitamin and mineral supplements if adequate energy to maintain body weight is consumed from a variety of foods. However, supplements may be required by athletes who restrict energy intake, use severe weight-loss practices, eliminate one or more food groups from their diet, or consume high-carbohydrate diets with low micronutrient density. Nutritional ergogenic aids should be used with caution, and only after careful evaluation of the product for safety, efficacy, potency, and whether or not it is a banned or illegal substance. Nutrition advice, by a qualified nutrition expert, should only be provided after carefully reviewing the athlete's health, diet, supplement and drug use, and energy requirements.
美国营养与饮食学会、加拿大营养师协会以及美国运动医学学院的立场是,最佳营养可增强身体活动能力、运动表现以及运动后的恢复能力。这些组织建议为实现最佳健康状态和运动表现,应合理选择食物和饮品、确定摄入时间以及选择补充剂。本立场文件回顾了与运动员能量需求、身体成分评估、体重变化策略、运动员的营养和液体需求、训练期间的特殊营养需求、补充剂和营养强化剂的使用以及素食运动员的营养建议相关的当前科学数据。在高强度身体活动期间,必须满足能量和宏量营养素需求,尤其是碳水化合物和蛋白质的摄入量,以维持体重、补充糖原储备,并为组织的构建和修复提供足够的蛋白质。脂肪摄入量应足以提供必需脂肪酸和脂溶性维生素,并有助于为维持体重提供足够的能量。总体而言,饮食应提供适量的脂肪能量(占能量的20%至25%);然而,摄入脂肪能量低于15%的饮食似乎对健康或运动表现并无益处。体重和身体成分会影响运动表现,但不应将其作为运动成绩的唯一标准;不建议每天称重。在运动前、运动中和运动后摄入足够的食物和液体有助于在运动期间维持血糖水平、最大化运动表现并缩短恢复时间。运动员在开始运动前应充分补水;运动员在运动期间和运动后也应饮用足够的液体以平衡液体流失。在运动期间饮用含碳水化合物和电解质的运动饮料可为肌肉提供能量,有助于维持血糖水平和口渴机制,并降低脱水或低钠血症的风险。如果从各种食物中摄入了足够维持体重的能量,运动员无需补充维生素和矿物质。然而,限制能量摄入、采用极端减肥方法、从饮食中剔除一种或多种食物类别或食用微量营养素密度低的高碳水化合物饮食的运动员可能需要补充剂。营养强化剂的使用应谨慎,且仅在对产品的安全性、功效、效力以及是否为违禁或非法物质进行仔细评估后使用。只有在仔细审查运动员的健康状况、饮食、补充剂和药物使用情况以及能量需求后,由合格的营养专家提供营养建议。