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Special Needs of Youth, Women, and the Elderly

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Abstract

In the past several years, the number of children, women, and elderly participating in sports has increased because of increased availability of competitive leagues and events, the advent of Title 9, and research exposing the benefits of exercise for the elderly. Sport is beneficial for myriad reasons and participants take up athletic endeavors for a variety of these reasons, some being very competitive, others just enjoying being able to “play.” To help the pursuit of exercise and sport to be enjoyable, it is important to keep the athlete healthy, well nourished, and hydrated. Sports nutrition as a field has come a long way although research is still limited on children and the elderly, especially for those who are maintaining very strenuous training schedules. This chapter presents several nutritional needs of youth, women, and the elderly that may provide some of the missing links to better athletic performance and, more importantly, better overall health.

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References

  1. National Sporting Goods Association. 2003 Youth Participation in Selected Sports with Comparisons to 1993. Available at: http://www.nsga.org/public/pages/index.cfm?pageid=158.Accessed_September_2004.

  2. Unnithan VB, Goulopoulou S. Nutrition for the pediatric athlete. Curr Sports Med Rep 2004;314):206-211.

    Google Scholar 

  3. American Academy of Pediatrics, Committee on Adolescence. Identifying and treating eating disorders. Pediatrics 2003;11111):204-211.

    Article  Google Scholar 

  4. 4. Schettler AE, Gustafson EM. Osteoporosis prevention starts in adolescence. J Am Acad Nurse Pract 2004;16(17):274-282.

    Article  Google Scholar 

  5. Rowland TW, Black SA, Kelleher JF. Iron deficiency in adolescent endurance athletes. J Adolesc Health Care 1987;8(4):322- 326.

    Article  CAS  Google Scholar 

  6. Bar-Or O. Nutritional considerations for the child athlete. Can J Appl Physiol 2001;6(Suppl):S 186-S191.

    Google Scholar 

  7. Rogol AD, Clark PA, Roemmich JN. Growth and pubertal development in children and adolescents: effects of diet and physical activity. Am J Clin Nutr 2000; 72(Suppl):521S-528S.

    CAS  Google Scholar 

  8. Wahl R. Nutrition in the adolescent. Pediatr Ann 1999;28(2):107-111.

    CAS  Google Scholar 

  9. Centers for Disease Control. 2000 CDC Growth Charts: United States, May 2004, CDC, National Center for Health Statistics, Health and Nutrition Examination Survey. Available at: http://www.cdc.gov/growthcharts/.

  10. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, et al. CDC growth charts: United States. Adv Data 2000;314:1-27.

    Google Scholar 

  11. Exercise and B vitamins. In: Nutrition in Exercise and Sport. 3rd ed. Boca Raton, FL: CRC Press; 1998:179-186.

    Google Scholar 

  12. Harvey JS. Nutritional management of the adolescent athlete. Clin Sports Med 1984;3(3):671-679.

    Google Scholar 

  13. Lopez-Varela S, Montero A, Chandra RK, Marcos A. Nutritional status of young female elite athletes. Int J Vitam Nutr Res 2000;70(4):185-190.

    Article  CAS  Google Scholar 

  14. Gamer DM, Rosen LW, Barry D. Eating disorders among athletes. Research and recommendations. Child Adolesc Psychiatr Clin North Am 1998;7(4):839-857.

    Google Scholar 

  15. West RV. The female athlete: the triad of disordered eating, amenorrhoea and osteoporosis. Sports Med 1998;2612):63-71.

    Article  CAS  Google Scholar 

  16. Sherwood NE, Neumark-Sztainer D, Story M, Beuhring T, Resnick MD. Weightrelated sports involvement in girls: who is at risk for disordered eating? Am J Health Promot 2002;16(6):341-344.

    Article  Google Scholar 

  17. Kiningham RB, Gorenflo DW. Weight loss methods of high school wrestlers. Med Sci Sports Exerc 2001;3315):810-813 .

    CAS  Google Scholar 

  18. Marquart LF, Sobal J. Weight loss beliefs, practices and support systems for high school wrestlers. J Adolesc Health 1994;15(5):410-415.

    Article  CAS  Google Scholar 

  19. Roemmich JN, Sinning WE. Weight loss and wrestling training: effects on nutrition, growth, maturation, body composition, and strength. J Appl Physiol 1997;82(6):1751-1759.

    CAS  Google Scholar 

  20. Johnson C, Powers PS, Dick R. Athletes and eating disorders: the National Collegiate Athletic Association study. Int J Eat Disord 1999;26(2):179-188.

    Article  CAS  Google Scholar 

  21. West RY. The female athlete. Sports Med 1998;2612):63-71.

    Article  CAS  Google Scholar 

  22. Beals KA, Manore MM. Disorders of the female athlete triad among collegiate athletes. Int J Sport Nutr Exerc Metab 2002;1213):281-293.

    Google Scholar 

  23. Johnson MD. Disordered eating in active and athletic women. Clin Sports Med 1994;13:355-369.

    CAS  Google Scholar 

  24. American Psychiatric Association. Diagnostic and Statistical Manual for Mental Disorders. 4th ed. Washington DC: APA Press; 1994.

    Google Scholar 

  25. Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients). Washington, DC: The National Academies Press; 2002. Available at: http://books.nap.edu/books/03090853 73/html/R1.html#pagetop.

  26. Narins DM, Belkengren RP, Sapala S. Nutrition and the growing athlete. Pediatr Nurs 1983;9(3):163-168.

    CAS  Google Scholar 

  27. Sports Medicine: Health Care for Young Athletes. Elk Grove Village, IL: American Academy of Pediatrics; 1991.

    Google Scholar 

  28. Petrie HJ, Stover EA, Horswill CA. Nutritional concerns for the child and adolescent competitor. Nutrition 2004;20(7-8):620-631.

    Article  CAS  Google Scholar 

  29. Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride. Washington, DC: The National Academies Press; 1997.

    Google Scholar 

  30. Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: The National Academies Press; 2001.

    Google Scholar 

  31. Bailey DA, Faulkner RA, McKay HA, Drinkwater RL. Bone mineral acquisition during the adolescent growth spurt. J Bone Miner Res 1996;11 :S465.

    Google Scholar 

  32. Martin AD, Bailey DA, McKay HA. Bone mineral and calcium accretion during growth. J Bone Miner Res 1996;11:S467.

    Google Scholar 

  33. NIH Consensus Development Panel on Optimal Calcium Intake. Optimal calcium intake. JAm Med Assoc 1994;272:1942-1948.

    Article  Google Scholar 

  34. Hansen MA, Overgraad K, Riis BT, Christiansen C. Role of peak bone mass and bone loss in postmenopausal osteoporosis: 12-year study. Br Med J 1991;303:961-964.

    Article  CAS  Google Scholar 

  35. Mikhail BI. Reduction of risk factors for osteoporosis among adolescents and young adults. Issues Compr Pediatr Nurs 1992;15(4):271-280.

    Article  CAS  Google Scholar 

  36. Lloyd T, Andon MB, Rollings N, et al. Calcium supplementation and bone mineral density in adolescent girls. JAMA 1993i270(7):841-844.

    Article  CAS  Google Scholar 

  37. Stear Sf, Prentice A, Jones SC, Cole TT. Effect of a calcium and exercise intervention on the bone mineral status of 16-18-y-old adolescent girls. Am J Clin Nutr 2003;77(4):985-992.

    CAS  Google Scholar 

  38. Johnston CC Jr, Miller JZ, Slcmenda CW, et al. Calcium supplementation and increases in bone mineral density in children. N Engl J Med 1992;327(2):82-87.

    Article  Google Scholar 

  39. Bonjour JP, Chevalley T, Ammann P, Slosman D, Rizzoli R. Gain in bone mineral mass in prepubertal girls 3.5 years after discontinuation of calcium supplementation: a follow-up study. Lancet 2001;358(9289):1208-1212.

    Article  CAS  Google Scholar 

  40. Cadogan J, Eastell R, Jones N, Barker ME. Milk intake and bone mineral acquisition in adolescent girls: randomised, controlled intervention trial. BMJ 1997;315(7118):1255-1260.

    Article  CAS  Google Scholar 

  41. Myburgh K, Grobler N, Noakes TD. Factors associated with shin soreness in athletes. Phys Sportsmed 1988;16(4):129-134.

    Google Scholar 

  42. Dvorak MM, Riccardi D. Ca2+ as an extracellular signal in bone. Cell Calcium 2004;35(3):249-255.

    Article  CAS  Google Scholar 

  43. U.S. Department of Health and Human Services. Dietary Intake of Selected Minerals for the United States Population: 1999-2000. Hyattsville, MD: Department of Health and Human Services; Publication No. (PHS) 2004-125004-0304 (4/04).

    Google Scholar 

  44. Krause MV, Mahan LK. Minerals. In: Mahan K, Escott-Stump S, eds. Food, Nutrition and Diet Therapy. 11th ed. Philadelphia: WB Saunders; 2003.

    Google Scholar 

  45. Brownlie T 4th, Utermohlen V, Hinton PS, Giordano C, Haas JD. Marginal iron deficiency without anemia impairs aerobic adaptation among previously untrained women. Am J Clin Nutr 2002;75(4):734-742.

    CAS  Google Scholar 

  46. Hinton PS, Giordano C, Brownlie T, Haas JD. Iron supplementation improves endurance after training in iron·depleted, nonanemic women. J Appl Physiol 2000;88(3):1103-1111.

    CAS  Google Scholar 

  47. Rowland TW, Kelleher JF. Iron deficiency in athletes. Insights from high school swimmers. Am J Dis Child 1989;143(2):197-200.

    CAS  Google Scholar 

  48. Schoffstall JE, Branch JD, Leutholtz BC, Swain DE. Effects of dehydration and rehydration on the one-repetition maximum bench press of weight-trained males. J Strength Cond Res 2001;15(1):102-108.

    CAS  Google Scholar 

  49. Bigard AX, Sanchez H, Claveyrolas G, Martin S, Thimonier B, Arnaud MT. Effects of dehydration and rehydration on EMG changes during fatiguing contractions. Med Sci Sports Exerc 2001;133(10):1694-1700.

    Google Scholar 

  50. Walsh RM, Noakes TD, Hawley JA, Dennis Sc. Impaired high-intensity cycling performance time at low levels of dehydration. Int J Sports Med 1994;15(7):392-398.

    CAS  Google Scholar 

  51. Greenleaf JE, Castle B1. Exercise temperature regulation in man during hypohydration and hyperhydration. J Appl Physiol 1971;30:847-853.

    CAS  Google Scholar 

  52. Wexler RK. Evaluation and treatment of heat-related illness. Am Fam Physician 2002;65111):2307-2314.

    Google Scholar 

  53. Shibasaki M, Inoue Y, Kondo N, Iwata A. Thermoregulatory responses of prepubertal boys and young men during moderate exercise. Eur J Appl Physiol Occup Physiol 1997;75(3 ):212-218.

    Article  CAS  Google Scholar 

  54. Drinkwater BL, Kupprat IC, Denton JE, Crist JL, Horvath SM. Response of prepubertal girls and college women to work in the heat. J Appl Physiol 1977;43:1046-1053.

    CAS  Google Scholar 

  55. Temperature regulation during exercise in children and adolescents. In: Perspectives in Exercise Sciences and Sports Medicine, II. Youth, Exercise and Sport. Indianapolis: Benchmark Press; 1989:335-367.

    Google Scholar 

  56. Delamarche P, Bittel J, Lacour JR, Flandrois R. Thermoregulation at rest and during exercise in prepubertal boys. Eur J Appl Physiol Occup Physiol 1990;60(6):436-440.

    Article  CAS  Google Scholar 

  57. Brandt D. Dehydration: examining the examinations-look to signs rather than symptoms when evaluating a child's status. Am J Nurs 2004;10419):21.

    Google Scholar 

  58. Pediatric Nutrition Handbook. 3rd ed. Elk Grove Village, IL: American Academy of Pediatrics; 1991.

    Google Scholar 

  59. Passe DH, Horn M, Murray R. Impact of beverage acceptability on fluid intake during exercise. Appetite 2000;35(3):219-229.

    Article  CAS  Google Scholar 

  60. Passe DH, Horn M, Stofan J, Murray R. Palatability and voluntary intake of sports beverages, diluted orange juice, and water during exercise. Int J Sport Nutr Exerc Metab 2004;1413):272-284.

    Google Scholar 

  61. Costill DL. Heat acclimation: preparing for exercise in hot weather. Sports Med Digest 1989;11(7):3.

    Google Scholar 

  62. American Academy of Pediatrics, Committee on Sports Medicine and Fitness. Climatic heat stress and the exercising child and adolescent. Pediatrics 2000; 106(1):158–159.

    Article  Google Scholar 

  63. Steinbaugh M. Nutritional needs of female athletes. Clin Sports Med 1984;3(3):649-670.

    CAS  Google Scholar 

  64. Manore MM. Nutritional needs of the female athlete. Clin Sports Med 1999;18(3)549-563.

    Article  CAS  Google Scholar 

  65. Lauder TD, Dixit S, Pezzin LE, Williams MV, Campbell CS, Davis GD. The relation between stress fractures and bone mineral density: evidence from active-duty Army women. Arch Phys Med Rehabil2000;81(1):73-79.

    CAS  Google Scholar 

  66. Reid IR. The roles of calcium and vitamin D in the prevention of osteoporosis. Endocrinol Metab Clin North Am 1998;27:389-398.

    Article  CAS  Google Scholar 

  67. U.S. Department of Health and Human Services. Dietary Intake of Selected Minerals for the United States Population: 1999-2000. Advance Data from Vital Health Statistics. Washington, DC: Department of Health and Human Services; No. 341, April 27,2004.

    Google Scholar 

  68. Myburgh KH, Hutchins J, Fataar AB, Hough SF, Noakes TD. Low bone density is an etiologic factor for stress fractures in athletes. Ann Intern Med 1990;113(10):754-759.

    CAS  Google Scholar 

  69. Malczewska J, Raczynski G, Stupnicki R. Iron status in female endurance athletes and in non-athletes. Int J Sport Nutr Exerc Metab 2000;10(3):260-276.

    CAS  Google Scholar 

  70. Risser WL, Lee EJ, Poindexter HB, et al. Iron deficiency in female athletes: its prevalence and impact on performance. Med Sci Sports Exerc 1988;20(2):116-121.

    Article  CAS  Google Scholar 

  71. Tomten SE, Falch JA, Birkeland KI, Hemmersbach P, Hostmark AT. Bone mineral density and menstrual irregularities. A comparative study on cortical and trabecular bone structures in runners with alleged normal eating behavior. Int J Sports Med 1998;19(2):92-97.

    CAS  Google Scholar 

  72. Gordon N. A review of the female athlete triad (amenorrhea, osteoporosis and disordered eating). Int J Adolesc Med Health 2002;14(1):9-17.

    Article  Google Scholar 

  73. Barnes PM, Schoenborn CA. U.S. Department of Health and Human Services. Advance Data from Vital Health Statistics: Physical Activity Among Adults: United States, 2000. Hyattsville, MD: Department of Health and Human Services; Publication No. (PHS) 2003-1250 03-0234; 2003:1-24.

    Google Scholar 

  74. Poehlman ET, McAuliffe TL, VanHouten DR. Influence of age and endurance training on resting metabolic rate in women. Med Sci Sports Exerc 1992;24:59-65.

    Google Scholar 

  75. Exton-Smith AN. Physiological aspects of aging: relationship to nutrition. Am J Clin Nutr 1980;33:2088-2092.

    Google Scholar 

  76. Frontera WR, Meredith CN, O’Reilly KP. Strength conditioning in older men: skeletal muscle hypertrophy and improved function. J Appl Physiol 1988;64:1038-1044.

    CAS  Google Scholar 

  77. Zheng JJ, Rosenberg IH. What is the nutritional status of the elderly? Geriatrics 1989;44:57-64.

    CAS  Google Scholar 

  78. Rock CL. Nutrition of the older athlete. Clin Sports Med 1991;10(2):445-456.

    CAS  Google Scholar 

  79. Campbell WW, Kruskall LJ, Evans WJ. Lower body versus whole body resistive exercise training and energy requirements of older men and women. Metabolism 2002;51 (8):989-997.

    Article  CAS  Google Scholar 

  80. Campbell WW, Trappe TA, Wolfe RR, Evans WJ. The recommended dietary allowance for protein may not be adequate for older people to maintain skeletal muscle. Gerontol A Biol Sci Med Sci 2001;56(6):M373-380.

    Article  CAS  Google Scholar 

  81. Campbell WW, Trappe TA, Jozsi AC, Kruskall LJ, Wolfe RR, Evans WJ, Dietary protein adequacy and lower body versus whole body resistive training in older humans. J Physiol 2002;542(Pt 2):631-642.

    Article  CAS  Google Scholar 

  82. Institute of Medicine, Food and Nutrition Board. Dietary Reference Intakes: Calcium, Phosphorus, Magnesium, Vitamin D and Fluoride. Washington, DC: National Academy Press; 1999.

    Google Scholar 

  83. Bischoff-Ferrari HA, Dietrich T, Orav EJ, et al. Higher 25-hydroxyvitamin D concentrations are associated with better lower-extremity function in both active and inactive persons aged >60y. Am J Clin Nutr 2004;80(3):752-758.

    CAS  Google Scholar 

  84. Favus MJ, Christakos S. Primer on the metabolic bone diseases and disorders of mineral metabolism. In: Endocrinology. 3rd ed. Philadelphia: WB Saunders; 1995:1204-1227.

    Google Scholar 

  85. Dawson-Hughes B, Harris SS, Krall EA, Dallal GE, Falconer G, Green CL. Rates of bone loss in postmenopausal women randomly assigned to one of two dosages of vitamin D. Am J Clin Nutr 1995;61:1140-1145.

    CAS  Google Scholar 

  86. LeBoff MS, Kohlmeier L, Hurwitz S, Franklin J, Wright J, Glowacki J. Occult vitamin D deficiency in postmenopausal US women with acute hip fracture. J Am Med Assoc 1999;251:1505-1511.

    Article  Google Scholar 

  87. MacLaughin J, Holick MF. Aging decreases capacity of human skin to produce vitamin D3. J Clin Invest 1985;76:1536-1538.

    Article  Google Scholar 

  88. Need AG, Morris HA, Horowitz M, Nordin C. Effects of skin thickness, age, body fat, and sunlight on serum 25-hydroxyvitamin D. Am J Clin Nutr 1993;58:882-885.

    CAS  Google Scholar 

  89. National Center for Health Statistics. Third National Health and Nutrition Examination Survey, 1988-94, Reference Manuals and Reports [http://www.cdc.gov/nchs/about/major/nhanes/datalink.htm#NHANESIIII. Hyattsville, MD: Centers for Disease Control and Prevention; 1996.

  90. Moore C, Murphy MM, Keast DR, Holick MF. Vitamin D intake in the United States. J Am Diet Assoc 2004; 104:980-983.

    Article  CAS  Google Scholar 

  91. United States Department of Agriculture, Agricultural Research Service, Food Surveys Research Group. Data [CD-ROMI and documentation for the 1994-96, 1998 Continuing Survey of Food Intakes by Individuals (CSFII). Springfield, VA: National Technical Information Service; Accession No. PB2000-500027; 2000.

    Google Scholar 

  92. Kenney WL, Chiu P. Influence of age on thirst and fluid intake. Med Sci Sports Exerc 2001;33(9):1524-1532.

    Article  CAS  Google Scholar 

  93. Miller M. Hormonal aspects of fluid and sodium balance in the elderly. Endocrinol Metab Clin North Am 1995;24:233-253.

    CAS  Google Scholar 

  94. Naitoh M, Burrell LM. Thirst in elderly subjects. J Nutr Health Aging 1998;2:172-177.

    CAS  Google Scholar 

  95. Rolls BJ, Phillips PA. Aging and disturbances of thirst and fluid balance. Nutr Rev 1990;48(3): 13 7-144.

    Article  CAS  Google Scholar 

  96. Campbell WW. Nutritional considerations for the older athlete. Nutrition 2004;20(7-8):603-608.

    Article  CAS  Google Scholar 

  97. Hoffman R, Heidrick E, Benz E, Myers J, Shattil SJ, Willerson JT, Cohn JN. Hematology: Basic Principles and Practice. New York: Churchill Livingstone; 2004.

    Google Scholar 

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Spano, M. (2008). Special Needs of Youth, Women, and the Elderly. In: Antonio, J., Kalman, D., Stout, J.R., Greenwood, M., Willoughby, D.S., Haff, G.G. (eds) Essentials of Sports Nutrition and Supplements. Humana Press. https://doi.org/10.1007/978-1-59745-302-8_19

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