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Hot Topics from ACSM

Updated: Jul 12, 2023



The American College of Sports (ACSM.org) is a professional organization for sport science researchers, exercise physiologists, dietitians, doctors, and athlete care-providers. Each year, at ACSM’s Annual Meeting, more than 3,000 sports medicine professionals and scientists from around the globe gather to present their latest research. At this year’s meeting (May 30-June 2, 2023, Denver, Colorado), a lively 10 Questions / 10 Experts session hosted by Professionals in Nutrition for Exercise and Science (PINESNutrition.org, a global organization for sport nutritionists) addressed some current hot topics. Below is a summary of the key points that might be of interest.


Continuous Glucose Monitors

Continuous glucose monitors (CGM) can help athletes determine the best fueling tactics to maintain their blood glucose levels within an energizing range and ideally reduce needless bonking. This can be very helpful during endurance exercise such as long runs or cycling events. Unfortunately, CGMs have yet to be perfected for athletes. The monitors can easily get dislodged from the body and some studies show a >15% failure rate. The sport of cycling has banned CGMs during races, but many cyclists use them during training to learn how to “read” body signals.

Pre-sleep protein

While extra evening protein is unlikely to offer a winning edge, it also will not cause harm, nor will it convert into body fat. Research to date shows that pre-sleep protein simply allows another opportunity to meet daily protein goals. More research is needed to determine if consuming pre -sleep protein will help enhance muscle recovery, tissue repair, sleep, or performance.


Free amino acids and bioactive peptides

When compared to the protein in whole foods, free amino acids are slightly less effective for muscle protein synthesis. Consuming protein within its natural food matrix is best. Plus, free amino acids taste terrible (although they have improved over the years).

Bioactive peptides (2-3 amino acids linked together) are available to purchase but they lack research to validate any potential benefits. Why bother…?


Bicarbonate supplementation

With high-intensity sports, sodium bicarbonate might offer a 1% to 2% improvement in performance. The standard dose is 0.3 to 0.5 g/kg body weight; the higher the dose, the greater the increase in performance—as long as the athlete can tolerate it. Capsules that bypass the gut help resolve gastro-intestinal issues, and potentially sodium bicarbonate encapsulated in a gel may help even provide further protection from side effects. Another option that bypasses the gut is sodium bicarbonate in the form of a lotion. The athlete applies it 20 minutes before high intensity exercise. The lotion feels nice, but the specific dose that actually gets absorbed is unknown.


The lightest athlete is the best athlete

While lighter and leaner “works” to a certain extent to enhance performance, the cost of being too light and too lean can take its toll. The less food an athlete consumes, the less protein, carbohydrate, fat, vitamins, and minerals the athlete consumes. This can hurt performance and recovery, while enhancing the risk of getting injured.

A study with elite race walkers reported no performance benefits (nor detriments) among the dieting athletes in a training camp who lost about 4.5 lbs (2 kg) the two weeks before a 10K race. The dieters and the non-dieting control group both carb-loaded in the 24-hours pre-race. They both performed similarly, with no significant benefit gained by having lost weight pre-race. Ideally, athletes should fuel well to support optimal performance, instead of diet to be lighter.


Carbohydrates

Despite popular belief, hungry athletes who consume a sports diet rich in quality carbohydrate do not “get fat” nor become diabetic. The advice to limit carbs might be appropriate for unfit people, but fit athletes preferentially metabolize carbs and convert them into a winning source of muscle fuel.


Iron supplements

Iron supplements are better absorbed at 6:00 a.m. than 11:00 a.m.. Therefore, taking iron first thing on an empty stomach appears best. That said, iron is known to contribute to stomach upset, and some athletes cannot tolerate iron if taken without food. For them, the best time to take iron is either prior to, or 30 minutes after exercise, before the post-exercise elevation in hepcidin (a hormone that hinders iron absorption) triggers a negative effect. If an athlete takes an iron supplement two hours after a hard exercise session, the elevated hepcidin concentration can reduce iron absorption by about 36%.


Sustainable sports diets

To perform well, athletes need access to good food and clean water, both of which depend on a healthy biosphere. We all need to honor the global dietary guidelines that integrate the UN Sustainable Development Goals. To living a sustainable lifestyle means: eat adequate, but not excessive, protein; consume at least one-third of protein from plants, minimize food waste (for example, after team buffets, take home leftovers for the next day’s lunch), eat locally-grown foods (to reduce transportation emissions), and choose foods with minimal and bio-degradable packaging. (No Styrofoam!) Ann athlete does who advocates for a sustainable environment not need to be vegan but does want to be mindful about dietary choices.


Vegetarians

Do vegetarians have a reduced risk of chronic disease because they eat less red meat—or eat more plants? Uncertain. Plants are rich in phytochemicals (reduce inflammation), dietary nitrates (improve blood flow), and many other performance-enhancing nutrients. A vegetarian diet imparts no obvious benefits (nor detriments) for athletic performance. Meat-eaters looking for a path towards vegetarianism can honor Meatless Mondays and enjoy a plant-based diet with smaller meat portions the rest of the week. Small steps can indeed have an environmental impact!


Alcohol

BORG (Blackout rage gallon) drinking, in case you are not familiar with this trend, is a mixture of water, alcohol, sweet flavorings, and electrolytes (which supposedly offer the hangover remedy) in a one-gallon plastic jug. The concoction is popular on some college campuses, easy to drink, and easy to overconsume. An ounce of alcohol takes about one hour to breakdown; too many ounces can hinder training and performance, as well as sleep. BORG drinking is only good if the other team is doing the indulging…


Brought to you courtesy of Nancy Clark, MS RD CSSD

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