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ARTICLE |

Nutrition for Maximal Sports Performance FREE

Jonas Bergström, MD; Eric Hultman, MD
[+] Author Affiliations

Reprint requests to Department of Health Education, American Medical Association, 535 N Dearborn St, Chicago 60610.


JAMA. 1972;221(9):999-1006. doi:10.1001/jama.1972.03200220033009
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In considering the nutrition for maximal sports performance, only the carbohydrate stores are relevant to energy expenditure. During training periods adequate supply of protein is a prerequisite. In competition periods of less than 20 minutes' duration, normal glycogen stores in muscle tissue seem to be adequate, but liver glycogen deficiency can limit the performance via a hypoglycemic effect on the central nervous system. Thus, a carbohydrate-rich diet should be given during the days before and between competition events. With heavy exercise of longer duration it can be of value to increase the glycogen store in muscle groups performing the heaviest work. This is achieved by first depleting muscles of glycogen through exercise and thereafter taking a diet rich in carbohydrate. This regimen also increases the liver glycogen store.

REFERENCES

Bergström J, Hultman E:  Muscle glycogen synthesis after exercise: An enhancing factor localized to the muscle cells in man . Nature 210:309-310, 1966;.
Hultman E:  Studies on muscle metabolism of glycogen and active phosphate in man with special reference to exercise and diet . Scand J Clin Lab Invest 19( (suppl 94) ):1-63, 1967;.
Bergström J, Harris RC, Hultman E, et al:  Energy rich phosphagens in dynamic and static work . Advances Exp Med Biol 11:341-355, 1971;.
Hultman E, Bergström J:  Muscle glycogen synthesis in relation to diet studied in normal subjects . Acta Med Scand 182:109-117, 1967;.
Bergström J, Hultman E, Jorfeldt L, et al:  The effect of nicotinic acid on physical working capacity and metabolism of muscle glycogen in man . J Appl Physiol 26:170-176, 1969;.
Varnauskas E, Björntorp P, Fahlén M, et al:  Effect of physical training on exercise blood flow and enzymatic activity in skeletal muscle . Cardiovasc Res 4:418-422, 1970;.
Holloszy JO, Oscai LB, Mole PA, et al:  Biochemical adaptations to endurance exercise in skeletal muscle . Advances Exp Med Biol 11:51-61, 1971;.
Mole PA, Oscai LB, Holloszy JO:  Adaptation of muscle to exercise: Increase in levels of palmityl CoA synthetase, carnitine, palmityl transferase, palmityl CoA dehydrogenase, and in the capacity to oxidize fatty acids . J Clin Invest 50:2323-2330, 1971;.
Havel RJ, Naimark A, Borchgrevink CF:  Turnover rate and oxidation of free fatty acids of blood plasma in man during exercise: Studies during continuous infusion of palmitate-1-C14 . J Clin Invest 42:1054-1063, 1963;.
Christensen EH, Hansen O:  III. Arbeitsfähigkeit und Ernährung . Skand Arch Physiol 81:160-171, 1939;.
Bergström J, Hermansen L, Hultman E, et al:  Diet muscle glycogen and physical performance . Acta Physiol Scand 17:140-150, 1967;.
Bergström J, Guarnieri G, Hultman E:  Carbohydrate metabolism and electrolyte changes in human muscle tissue during heavy work . J Appl Physiol 30:122-125, 1971;.
Hultman E, Nilsson L:  Liver glycogen after different diets . Advances Exp Med Biol 11:143-151, 1971;.
Fordtran JS, Saltin B:  Gastric emptying and intestinal absorption during prolonged severe exercise . J Appl Physiol 23:331-335, 1967;.
Kozlowski S, Saltin B:  Effect of sweat loss on body fluids . J Appl Physiol 19:1119-1124, 1964;.
Rose LI, Carroll DR, Lowe SJ, et al:  Serum electrolyte changes after Marathon running . J Appl Physiol 29:449-451, 1970;.
Bergström J, Beroniade V, Hultman E, et al:  Relation between glycogen and electrolyte metabolism in human muscle , in Krück F (ed): Symposium über Transport und Funktion intracellulärer Elektrolyte . München-Berlin-Wien: Urban und Schwarzenberg, 1967;, pp 108-117.
Clarkson EM, Curtis JR, Jewkes RJ, et al: Slow sodium:  An oral slowly released sodium chloride preparation . Brit Med J 3:604-607, 1971;.

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Bergström J, Hultman E:  Muscle glycogen synthesis after exercise: An enhancing factor localized to the muscle cells in man . Nature 210:309-310, 1966;.
Hultman E:  Studies on muscle metabolism of glycogen and active phosphate in man with special reference to exercise and diet . Scand J Clin Lab Invest 19( (suppl 94) ):1-63, 1967;.
Bergström J, Harris RC, Hultman E, et al:  Energy rich phosphagens in dynamic and static work . Advances Exp Med Biol 11:341-355, 1971;.
Hultman E, Bergström J:  Muscle glycogen synthesis in relation to diet studied in normal subjects . Acta Med Scand 182:109-117, 1967;.
Bergström J, Hultman E, Jorfeldt L, et al:  The effect of nicotinic acid on physical working capacity and metabolism of muscle glycogen in man . J Appl Physiol 26:170-176, 1969;.
Varnauskas E, Björntorp P, Fahlén M, et al:  Effect of physical training on exercise blood flow and enzymatic activity in skeletal muscle . Cardiovasc Res 4:418-422, 1970;.
Holloszy JO, Oscai LB, Mole PA, et al:  Biochemical adaptations to endurance exercise in skeletal muscle . Advances Exp Med Biol 11:51-61, 1971;.
Mole PA, Oscai LB, Holloszy JO:  Adaptation of muscle to exercise: Increase in levels of palmityl CoA synthetase, carnitine, palmityl transferase, palmityl CoA dehydrogenase, and in the capacity to oxidize fatty acids . J Clin Invest 50:2323-2330, 1971;.
Havel RJ, Naimark A, Borchgrevink CF:  Turnover rate and oxidation of free fatty acids of blood plasma in man during exercise: Studies during continuous infusion of palmitate-1-C14 . J Clin Invest 42:1054-1063, 1963;.
Christensen EH, Hansen O:  III. Arbeitsfähigkeit und Ernährung . Skand Arch Physiol 81:160-171, 1939;.
Bergström J, Hermansen L, Hultman E, et al:  Diet muscle glycogen and physical performance . Acta Physiol Scand 17:140-150, 1967;.
Bergström J, Guarnieri G, Hultman E:  Carbohydrate metabolism and electrolyte changes in human muscle tissue during heavy work . J Appl Physiol 30:122-125, 1971;.
Hultman E, Nilsson L:  Liver glycogen after different diets . Advances Exp Med Biol 11:143-151, 1971;.
Fordtran JS, Saltin B:  Gastric emptying and intestinal absorption during prolonged severe exercise . J Appl Physiol 23:331-335, 1967;.
Kozlowski S, Saltin B:  Effect of sweat loss on body fluids . J Appl Physiol 19:1119-1124, 1964;.
Rose LI, Carroll DR, Lowe SJ, et al:  Serum electrolyte changes after Marathon running . J Appl Physiol 29:449-451, 1970;.
Bergström J, Beroniade V, Hultman E, et al:  Relation between glycogen and electrolyte metabolism in human muscle , in Krück F (ed): Symposium über Transport und Funktion intracellulärer Elektrolyte . München-Berlin-Wien: Urban und Schwarzenberg, 1967;, pp 108-117.
Clarkson EM, Curtis JR, Jewkes RJ, et al: Slow sodium:  An oral slowly released sodium chloride preparation . Brit Med J 3:604-607, 1971;.
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