Amenorrhea & Athletes: 3 Tips For Females to Get Their Period Back

Amenorrhea & Athletes: 3 Tips For Females to Get Their Period Back

 

Relative energy deficiency in sport (RED-S) is the consequence of low-energy availability (LEA) in athletes, adversely affecting an athletes’ performance and health. RED-S can occur in both males and females, negatively impacting normal growth and development, hormonal health, bone health, ability to recover, strength and endurance, and even mental health. The Female Athlete Triad refers to a cluster of three RED-S symptoms originally identified in females, including low energy intake, menstrual disruptions, and low bone mineral density (BMD). It is imperative to prevent the Female Athlete Triad before it spirals into severe interruptions with bone strength, performance, long-term health, and fertility. 

 

What is Low Energy Intake (LEA) and how does it occur?

  • LEA can be intentional or unintentional, occurring when an athlete consumes fewer calories than her body requires for growth, development, and athletic performance. LEA is often associated with ‘disordered eating’ and in severe cases can lead to an eating disorder.
  • Menstrual cycle disruption is the most critical impact of LEA in females. When a female athlete stops getting her period for at least 3 months, this is referred to as ‘amenorrhea.’ Prolonged amenorrhea can negatively impact fertility and bone health.
  • Many athletes choose to intentionally restrict or limit their intake in hopes of “improving performance”. This is especially common in runners and dancers, where the mentality “lighter is faster” is prevalent but extremely damaging.
  • Some athletes may just be unsure of how many calories they should consume to meet the demands of their sport, leading to unintentional LEA. Many athletes eat enough calories to sustain basic hormone function but are not eating enough to fuel sport performance and recovery!
  • The effects of LEA fall into two categories: sociocultural and physiological. Athletes are at a much higher risk for LEA from sociocultural factors, including social media, sport-specific body image stereotypes, and pressure from coaches, teammates, and themselves on looking a certain way. These can all provide a false belief that the athlete will have greater performance outcomes by fitting into these sociocultural standards.
  • Inadequate nutrition intake, leading to LEA, is problematic because the athlete has insufficient energy to fuel the body. For example, if a female athlete only consumes 1,800 kcal per day but uses 3,500 kcal, she is consuming 1,700 kcal LESS than her body NEEDS! In this scenario, the athlete will not have enough energy, impairing performance, growth, and development; it also puts her at heightened risk for illness, injury, impaired fertility, or a life-threatening eating disorder. 
  • At-Risk Sports: cross-country, distance running, cross-country skiing, wrestling, rowing, gymnastics, figure skating, dance, and weight-class sports.

 

Important future considerations

  • The long-term negative effects of amenorrhea can impact fertility as women age. 
  • Women need adequate calories to achieve enough of energy reserve to promote fertility.
  • Women must have enough body fat to produce leptin for reproduction and proper functioning of the ovaries.
  • Scientist Rose Frisch proposed a body fatness theory of fertility in which women need to have at least 17% body fat to menstruate and about 22% body fat for fertility.

Fill out our athlete assessment form HERE and we can reach out to you for a consultation with one of our registered dietitians and sports nutritionists to help you with a plan. 

How does menstrual health impact bone health?

Physical activity, specifically resistance training can have a positive impact on bone development. However, in cases of the female athlete triad or low energy availability, BMD may be low. This low BMD can be attributed to low levels of the hormone, estrogen, which plays a crucial role in bone health! Further, with inadequate calorie intake, athletes may be missing significant micronutrients like vitamin D, calcium, and magnesium, which support strong bones. Low BMD can increase the risk of bone stress injuries, including stress reactions and stress fractures, as well as osteoporosis. 

 

Pro Tip: Test, don’t guess! If you or your student-athlete have concerns about menstruation, bone health, and estrogen levels, reach out to a doctor for blood tests. 

Recovery of a menstrual cycle takes time but is significant for overall health as well as injury prevention and athletic performance.

 

Three ways we help female athletes regain their period:

  1. Increased calories (eating in an energy surplus) for 3-6 months, with a focus on adequate healthy dietary fats and eating frequently (avoiding periods of fasting)
  2. Reducing training volume and permitting healthy weight gain
  3. Log nutrition and track period symptoms 

We teach our athletes that all foods fit! Most athletes need upwards of 3,500 + kcal to support health, training, and recovery demands.Person first and athlete second. We must help female athletes develop a healthy relationship with food!

If you are a parent of a young female athlete or coach that works with female athletes be sure to refer out to a registered dietitian. Female athletes have special considerations and hormone health should always be a top priority. We have worked with several female runners and competitive athletes to regain their period.  It is not normal to lose your cycle for several months. We can work with your program or athlete to regain their cycle via a custom nutrition plan and ongoing coaching.

Female athletes need 3-4 balanced meals coupled with 2-3 snacks on training days. You can’t race like a beast if you eat like a bird!

 

 

 

 

 

 

In good health, wellness, and performance,

Sophia, Brenna, and Wendi your NWW team!

 

The Nutrition with Wendi team utilizes evidence-based science to tailor nutrition programs for athletes to optimize performance, minimize health risks, and enhance recovery from training while focusing on injury prevention. We partner with parents, athletes, health professionals, and individuals and offer elite nutrition and health guidance for optimal athletic performance, injury, and disease reduction.  We provide virtual services including telehealth but are based in Nashville, TN. Follow us on TwitterFacebook, and Instagram for more nutrition information. Services booking here to consult with Wendi for a team talk or QA session.


Resources:

 

Cabre, H. E., Moore, S. R., Smith-Ryan, A. E., & Hackney, A. C. (2022). Relative Energy Deficiency in Sport (RED-S): Scientific, Clinical, and Practical Implications for the Female Athlete. Deutsche Zeitschrift fur Sportmedizin, 73(7), 225–234. https://doi.org/10.5960/dzsm.2022.546

Gimunová, M., Paulínyová, A., Bernaciková, M., & Paludo, A. C. (2022). The Prevalence of Menstrual Cycle Disorders in Female Athletes from Different Sports Disciplines: A Rapid Review. International journal of environmental research and public health, 19(21), 14243. https://doi.org/10.3390/ijerph192114243

Márquez, S., & Molinero, O. (2013). Energy availability, menstrual dysfunction and bone health in sports; an overview of the female athlete triad. Nutricion hospitalaria, 28(4), 1010–1017. https://doi.org/10.3305/nh.2013.28.4.6542

Sims, S. T., Kerksick, C. M., Smith-Ryan, A. E., Janse de Jonge, X. A. K., Hirsch, K. R., Arent, S. M., Hewlings, S. J., Kleiner, S. M., Bustillo, E., Tartar, J. L., Starratt, V. G., Kreider, R. B., Greenwalt, C., Rentería, L. I., Ormsbee, M. J., VanDusseldorp, T. A., Campbell, B. I., Kalman, D. S., & Antonio, J. (2023). International society of sports nutrition position stand: nutritional concerns of the female athlete. Journal of the International Society of Sports Nutrition, 20(1), 2204066. https://doi.org/10.1080/15502783.2023.2204066

U.S. Department of Health and Human Services. (2023, May 17). Bone mineral density tests: What the numbers mean. National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.niams.nih.gov/health-topics/bone-mineral-density-tests-what-numbers-mean

von Rosen, P., Ekenros, L., Solli, G. S., Sandbakk, Ø., Holmberg, H. C., Hirschberg, A. L., & Fridén, C. (2022). Offered Support and Knowledge about the Menstrual Cycle in the Athletic Community: A Cross-Sectional Study of 1086 Female Athletes. International journal of environmental research and public health, 19(19), 11932. https://doi.org/10.3390/ijerph191911932

 

Fueling the Gluten Free Athlete

What is gluten?

Gluten is a protein naturally found in grains like wheat, rye, as well as barley. Gluten contributes to the texture and shape of foods made from these grains.

What is Celiac Disease?

Celiac Disease is an autoimmune condition that leads to reactions when eating the protein gluten. Symptoms include, but are not limited to gastrointestinal distress (nausea, vomiting, diarrhea), abdominal pain, a rash, and malnutrition.

Should I Avoid Gluten?

Those with diagnosed Celiac Disease, gluten ataxia, non-celiac disease gluten sensitivity (gluten intolerance), or wheat allergies should avoid gluten! Otherwise gluten is safe to eat and there is no need to avoid it! 

Research supports that there are no improvements in performance resulting from abstaining from gluten in non-celiac athletes. Further, research in the Gastroenterology and Hepatology Journal supports that gluten-free foods do not offer a “nutritional advantage” over gluten-containing foods.

Gluten-Free Athlete Tips:

  1. Check food labels. Gluten “friendly” and gluten-free are not the same thing. The safest bet is always certified gluten-free!
  1. Consider food prep and processing. Foods that may naturally be gluten-free may become contaminated with gluten through prep. 
  1. Communicate! Let others know about your allergy, especially at restaurants. 
  1. Don’t cut out grains! Just swap for new ones.
  1. Be consistent with gluten-free fueling! It may be tempting to reintroduce gluten into your diet, but if you’re diagnosed with Celiac Disease, the treatment is lifelong a gluten-free diet.

Brands We Love:

There are plenty of gluten options for fueling! Some personal favorites are – Kind, Purely Elisabeth, Canyon Bakehouse, Kodiak Cake GF Pancake mix

Grains that are Naturally Gluten Free: corn, rice, quinoa, tapioca, buckwheat, flax, millet, amaranth, sorghum

*sourdough has low gluten content due to fermentation but is not 100% gluten-free 

Want to know more? Check out this post on Gluten Free Fueling Options on our NWW Coaching Instagram. Book a FREE call with a registered dietitian to ensure you are eating enough calories to support your training and recovery! 

 

 

  1. Devrim-Lanpir, A., Hill, L., & Knechtle, B. (2021). Efficacy of Popular Diets Applied by Endurance Athletes on Sports Performance: Beneficial or Detrimental? A Narrative Review. Nutrients, 13(2), 491. https://doi.org/10.3390/nu13020491
  2. Niland, B., & Cash, B. D. (2018). Health Benefits and Adverse Effects of a Gluten-Free Diet in Non-Celiac Disease Patients. Gastroenterology & hepatology, 14(2), 82–91.
  3. What is Celiac Disease? | Celiac Disease Foundation
  4. What Is Gluten and What Does It Do? | Johns Hopkins Medicine

3 Tips for Avoiding Muscle Cramps on Game Day!

 

In my 10+ years of experience working with youth, collegiate, and masters level competitors there are really three types of athletes. Athletes who are prone to cramping, those who have cramped, and those who will. Our goal is to prevent cramping, reduce the occurrence of cramping, and Lord willing minimize the cramps with these three considerations.

 

  1. Water and minerals. Inadequate fluid. Drink water early and often! We wake up in a dehydrated state.  Place a water bottle by your bed to wake up and drink water. Set alarms on your phone to hydrate every few hours. Hydration is controllable.  Athletes need roughly 80-100 oz of fluid daily.  This does not account for the minerals we NEED including potassium, calcium, sodium, chloride, and magnesiumLosses during training, games, and hot climate increases fluid and mineral demand. 7 Tips for Hydration here.
      • Consume 20 oz of fluid every 2 hours leading up to game time.
      • Fuel tip: The night before a game have 1/2 an avocado at dinner. Avocados have more potassium than bananas. The potassium levels are almost double!
      • One avocado contains 975 milligrams of potassium, compared to 487 milligrams in a banana.
      • Most muscle cramps are also related to magnesium depletion. Adequate magnesium can help with muscle contraction and relaxation. The RDA for magnesium for adults:
        -Men: 400–420 mg
        -Women: 310–320 mg

        • Magnesium deficiency signs and foods rich in magnesium click here.
        • Magnesium supplementation may be necessary if you’re not consuming sufficient meat and veggies.
      • Some athletes are heavy sweaters and will expel more minerals in their sweat than others. A simple way to test if you or an athlete is a heavy or salty sweater is touching your jersey during/after training. Ensure you’re sipping on sports drinks or an electrolyte mix if you’re prone to cramping. Hotter temperatures will increase the rate at which electrolytes are expelled
        • Is it crusty and drenched? You are likely a heavy sweater and you will also feel the sodium on your face.
        • A hydration video tip to download and share with your student-athletes.
      • Replace every lb. lost during training with 16-24 oz of fluid.
  2. Pre-competition fueling 
      • Athletes often fail to consume enough carbs and calories. Carbs fuel muscle and the brain. A drop in blood sugar leads to a drop in performance. Low-carb diets also decrease sodium and water in the kidneys! 
      • Athletes should be consuming on average 3-5 g of carbs/kg/bw/day to support training demands and optimize recovery.  This means if you weigh 165 lbs or 75 kg . you need a minimum of 225 -375 g of carbs daily.
        • Athletes doing more endurance work or training more hours per week need even more. 5-7 g/kg/bw/day for soccer, field hockey, basketball, and other athletes trying to gain weight! This means that the same 165 lb 75 kg athlete would need 375-525 g of carbs per day!
          • Bagels, rice, pitas, oats, pretzels, fruit, potatoes, dates, honey, and other grains are excellent sources of carbs.
      • The maximum glycogen storage a human can accumulate is between 400-500 grams. Since 1 gram of carbs equals 4 kcal, you will top out at about 1,600-2,000 kcal in your glycogen storage fuel tank.
        • Muscle strength, speed, and contractility decrease when blood glucose levels drop or when glycogen is rapidly depleted. This can happen quickly in multisport athletes as well as endurance athletes.  Athlete nutrition cheat sheet here.
      • Use my chew-nibble-sip fueling strategy to ensure you’re consuming adequate carbs, minerals, and calories leading up to game time. A simple breakdown is found here.
      • Bananas, string cheese, Greek yogurt, and sweet potatoes are great sources of minerals like potassium, and contain sodium to assist with preventing muscle cramps and fatigue. Utilize electrolyte packets pre-, during, and post-event.
      • Too often athletes under-fuel leading up to games and events due to their inability to stomach solid food. Liquid carbs like sports drinks, tart cherry juice, and coconut water can be a great way to fill the glycogen tank prior to an event.
      • Download my 4-2-1 Fueling PDF for FREE HERE
  3. Training/game day warm-up
      • For the strength and sports coaches, this may seem obvious but it is a consideration that we must address. Athletes can cramp due to being undertrained, under-conditioned, or new to the sport. This happens with many young football players in fact. Coaches send me emails all the time with their JV or middle school programs with this concern. We must think beyond electrolytes and carbs to truly identify the source of cramping.
      • The condition of the athlete and their recovery from days trained that week or in previous events can play a role in cramping. Not to mention if the athlete is properly conditioned. Especially after the dog days of camp.

A tip we provide our athletes, coaches, and parents on preventing and treating cramps.

Science illustrates sodium can be absorbed and affect the body’s sodium concentration at a faster rate when spicy/bitter/vinegary smells and tastes are introduced. In fact, this tactic helps reduce the muscular impulse of over-excited contracted nerve impulses that lead to muscle cramping. This tactic can also aid in reducing the occurrence of muscle cramping and/or shorten the duration of the cramping episode according to a study carried out by Miller et al., 2010 published in Medicine and Science and Sports and Exercise.

The acid in the pickle juice, vinegar, and mustard does help alleviate cramps, the study concluded. A cramp induced by researchers lasted two minutes on average. Those cramps lasted 30 seconds shorter when test subjects drank pickle juice during the experiment. When subjects drank water, there was no change. The acid is what assisted with reducing the length of the cramps. Not the “salt”. This is critical for people to understand because there’s a great deal of misinformation and misunderstanding in sports.

 

Cramps are a result of many factors. Dehydration, electrolyte imbalance, lack of carbohydrates, and a nervous system overt stimuli or misfiring. It is best to work with a sports dietitian to find ways to ensure your athletes are eating enough leading up to games, hydrating properly, getting sufficient sleep, and warming up properly with correct progression. You may not always be able to avoid cramping but you can certainly minimize it with these tips. Wendi’s health and performance slide deck contains hydration, fueling, and recovery graphics. Get a copy here

 

In good health, faith, and fitness

-Wendi A. Irlbeck, MS, RDN, LD, CISSN

The Nutrition with Wendi team utilizes evidence-based science to tailor nutrition programs for athletes to optimize performance, minimize health risks, and enhance recovery from training while focusing on injury prevention. We partner with parents, athletes, health professionals, and individuals and offer elite nutrition and health guidance for optimal athletic performance, injury, and disease reduction.  We provide virtual services including telehealth but are based in Nashville, TN. Follow us on TwitterFacebook, and Instagram for more nutrition information. Services booking here to consult with Wendi for a team talk or QA session.

 

Plant based meat versus beef patty. What you need to know!

Plant-based meat?

Plant meat alternatives are being promoted more and more each day. I am often asked by consumers, those online, and our community if plant patties are “healthier”.

 

 

In short, NO. This is not my opinion this is what researchers who assessed cooked samples of both plant and beef patties found in their analysis. The nutrition facts label also does not illustrate the key nutrient differences. The plant and beef patties differ in terms of salt, cholesterol, calories, protein content, carbohydrate, texture, moisture content, flavor, and price!

  • Researchers cooked samples and analyzed the samples suggesting a more clear and thorough breakdown. The researchers assess nutrients and categorized the amino acids making up the proteins and various metabolites found within both the plant patty and beef patty samples.

 

 

 

*I recently was at the ISSN conference and was motivated to do this blog. Check the data that was exclusively shared from a presentation on plant-based meats!


What did they find?

According to the metabolomics comparison, there’s a large nutritional difference!

  • This heat map illustrates just how different the impossible meat and beef patties are at the metabolite level.
  • Of the 171 out of 190 annotated metabolites (90%) were different between beef and the plant-based alternative.

 

 

 

  • Beef has creatinine, hydroxyproline, and glucosamine, (marked with the red arrows), none of which are found in the plant-based alternative.
  • Bioavailability MATTERS. Just because a component is found in food doesn’t mean that it is digested and or available to us.

 

  • Iron in meat is far more available than the usual iron supplement. Equivalent amounts of iron on the nutritional label do not necessarily translate into equal amounts of iron in you.

 


Plant versus Beef?

The ingredients in a plant patty?

  • Water, Soy Protein Concentrate, Sunflower Oil, Coconut Oil, Natural Flavors, 2% Or Less Of: Methylcellulose, Cultured Dextrose, Food Starch Modified, Yeast Extract, Soy Leghemoglobin, Salt, Mixed Tocopherols (Antioxidant), L-Tryptophan, Soy Protein Isolate, Vitamins and Minerals (Zinc Gluconate, Niacin (Vitamin B3), Thiamine Hydrochloride (Vitamin B1), Pyridoxine Hydrochloride (Vitamin B6), Riboflavin (Vitamin B2), Vitamin B12). Product contains an allium derivative
  • Price per 8 oz serving = $6.97

 

The ingredients in a beef patty?

  • Beef

  • Price per 8 oz serving = $3.62

 

*Best foods to gain strength and lose fat! Click here


Conclusion?

  • Researchers conclude that plant-based meat alternatives are not interchangeable with meat; they complement one another.
  • Beef is superior to plant “meat”
  • Beef contains > more bioavailable protein, iron, zinc, selenium, riboflavin, niacin, vitamin B6, vitamin B12, phosphorus, pantothenate, magnesium, and potassium than plant “burgers”.
  • Beef is a lower cost per serving and offers more nutrients that are bioavailable.
  • The NUTRITION LABEL DOES NOT TELL ALL!! 

 

 

In good faith, health, and athletic performance,

Wendi A. Irlbeck, MS, RDN, LD , CISSN

Wendi is a registered dietitian nutritionist and performance coach. Wendi utilizes evidence-based science to tailor nutrition programs for athletes to optimize performance, minimize health risks, and enhance recovery from training while focusing on injury prevention. She partners with high schools, colleges, sports performance staff, individuals, and families! Wendi and her team offer custom fueling plans, group coaching, presentations, and team talks nationwide!

Wendi provides virtual services including telehealth but is based in Nashville, TN.  Wendi works with clients of all levels internationally.

What can hire a sports nutritionist offer your program? Learn more here.  Interested in signing up for the NEW and upcoming NWW newsletter? Click here to sign up!


Citations and resources to learn more:

Source: A metabolomics comparison of plant‑based meat and grass‑fed meat indicates large nutritional differences despite comparable Nutrition Facts panels Nature Scientific Reports DOI: 10.1038/s41598-021-93100-3

Fueling the XC/Track and Field Student Athlete

 

Track & Field athletes compete in one or more events that consist of running, throwing, and jumping. Track and field competitors train for strength, speed, power, and endurance and require adequate nutrition and hydration to support the demands of the sport. In order to excel in the season of season nutrition, sleep, recovery, and overall habits are critical.

Track & field/ XC athletes require a high amount of calories, carbohydrates, and sufficient protein. The number of calories, carbs, protein, and fat will depend on the phase of training, along with the intensity, and whether the athlete is in season, pre-season, or in the off-season. The athlete’s performance plate is a simple place to start. Portions will vary based on the athlete’s goals and training phase respectively.

Carbohydrate requirements in the health and fitness industry are constantly being debated. Randomized control trial studies which are the gold standard for research support the notion endurance athletes require carbohydrates for optimal performance.

Regardless, the carb conundrum continues on leading to significant confusion amongst both young, college, and even masters athletes. I can’t tell you how many countless conversations I have had with fellow dietitians, practitioners, and sports scientists about this carbohydrate debacle. 

 

Several keto and carnivore physicians are making the water even more muddled with their banter on carb needs for competitive athletes and even young athletes without respect to context. I have written many blogs about fueling young athletes based on the position stand papers of both the American College of Sports Medicine (ACSM) and the International Society of Sports Nutrition (ISSN). Read here

 

 

 


  • The TheAcademy of Nutrition and Dietetics (AND), Dietitians of Canada (DC), and the American College of Sports Medicine (ACSM) published a joint position stand paper that recommends that moderate exercise (1 h/day (h/day) recommends 5–7 g per kilogram of body weight per day (g/kg/day) of CHO.
  • Whereas moderate to high-intensity exercise (1–3 h/day) requires 6–10 g/kg/day. 
  • Ultra-endurance athletes with extreme levels of commitment to daily activity (4–5 h of moderate to high-intensity exercise every day) may need up to 8–12 g/kg/day (2). 
  • The International Society of Sports Nutrition (ISSN) recommends in order to maximize glycogen stores athletes should consume an 8–12 g/kg/day high CHO diet (1).

 


Over the years I have delivered presentations to high schools, clubs, and collegiate programs on how to properly eat and fuel for endurance and power.

Below is a table outlining the recommendations using common body weight for an athlete that we have received great feedback on Specifically from one of the NWW  partners, DOANE University Track and Field.

Why focus on nutrient quality?

👟Protein for muscle maintenance, growth & repair

👟Hydration and minerals for muscle contraction & cardiac function

👟Carbs + calories for power, speed, strength & endurance


Another common example of a 165 lb.👟 that is best to spread meals and snacks throughout the day but focus on eating within targets listed below:

👉375-525g carbs

👉120-150g protein

👉60-80g fat

Total kcal range: 2,500-3,500 kcal

 

 


Nutrient quality and why it matters

When deciding how to eat and fuel you must focus on nutrient quality. You should strive to balance as many high-quality protein sources as eggs, beef, chicken, fish, Greek yogurt, and beans to ensure you’re getting key nutrients you won’t attain from protein supplements. Many athletes often use protein powders and bars in place of real food and fail to understand that quality is more important than quantity. (click here for snack and meal ideas)

  • For example, Greek yogurt is going to offer you high-quality protein rich in leucine (the number one driver for muscle protein synthesis) along with other key nutrients like calcium, vitamin D, and probiotics you won’t get from a protein powder or bar. (food first supplement second should always be your focus. 
  • Supplements are meant to supplement the gaps in our nutrition not replace actual meals. If you expect supplements to be a “meal” you are literally rearranging furniture on a sinking ship. -A quote I enjoy using for many topics like discussing pre-workouts and advocating for quality food choices.

Practical application:

That being said you can take a look at a simple fueling example for XC/TF athletes along with some recommendations on snacks. 

 

In good health, faith, and fitness

-Wendi A. Irlbeck, MS, RDN, LD, CISSN

The Nutrition with Wendi team utilizes evidence-based science to tailor nutrition programs for athletes to optimize performance, minimize health risks, and enhance recovery from training while focusing on injury prevention. We partner with parents, athletes, health professionals, and individuals and offer elite nutrition and health guidance for optimal athletic performance, injury, and disease reduction.  We provide virtual services including telehealth but are based in Nashville, TN. Follow us on TwitterFacebook, and Instagram for more nutrition information. Services booking here

 

 

 

Resources
1. Thomas D.T., Erdman K.A., Burke L.M. Position of the Academy of Nutrition and Dietetics, Dietitians of Canada, and the American College of Sports Medicine: Nutrition and Athletic Performance. J. Acad. Nutr. Diet. 2016;116:501–528. doi: 10.1016/j.jand.2015.12.006.
2 Vitale, K., & Getzin, A. (2019). Nutrition and Supplement Update for the Endurance Athlete: Review and Recommendations. Nutrients, 11(6), 1289. https://doi.org/10.3390/nu11061289
3.Kloby Nielsen, L. L., Tandrup Lambert, M. N., & Jeppesen, P. B. (2020). The Effect of Ingesting Carbohydrate and Proteins on Athletic Performance: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Nutrients, 12(5), 1483. https://doi.org/10.3390/nu12051483

Iron Deficiency: Fast Facts You Need to Know

Iron Deficiency: Fast Facts You Need to Know

Iron is a mineral that the body needs to grow and develop. Iron helps make healthy red blood cells that transport oxygen throughout the body. Iron is critical for normal immune function. Iron is the structural component of hundreds of essential molecules. Iron assists antioxidant enzymes.

  • Iron deficiency is the number one nutritional deficiency in the United States. According to the National Health and Nutrition Examination Survey (NHANES) II. iron deficiency occurs in approximately 11% of women,1-2% of all adults, and in approximately 12.5% of athletes.

 

  • It is the No. 1 cause of anemia in athletes. Iron deficiency rates (with or without anemia) in athletes range from 20-50% in women and 4-50% in men.

 

  • Iron deficiency anemia occurs when the body does not have enough healthy red blood cells due to a lack of iron in the body.

Two forms of dietary iron

  • Heme iron is better absorbed than nonheme iron; the absorption of nonheme iron is enhanced by vitamin C. 


  • National dietary surveys indicate that iron is under-consumed by adolescent and premenopausal females.

 

 

 

 


Iron recommendations vary between adults and teens

 


What causes iron deficiency

  • Iron losses occur from blood loss in the gastrointestinal (GI) tract, microscopic losses in urine, hemolysis of red blood cells (RBC) breakdown, menstrual cycle, sweat loss, and intense exercise. 

  • Non-steroidal anti-inflammatories (NSAIDs) like ibuprofen, Advil, and naproxen deplete iron and folate. Frequent use of medications with GI side effects such as aspirin and non-steroidal anti-inflammatories like ibuprofen or naproxen can cause or worsen iron deficiency.

 

  • Physical activity particularly high intensity and endurance types increase iron losses by as much as 70% when compared to sedentary populations. Athletes lose more iron due to heavy sweating as well as increased blood loss in the urine and GI tract.

 

Causes range from a variety of health issues to simply overtraining or even lack sleep.  Any athlete that experiences a decrease in training or performance coupled with symptoms should seek out their primary care doctor for further testing and analysis.


Signs and symptoms of low iron

Weakness, fatigue, decreased physical endurance, feeling hot or cold, diminished immune response, alterations in energy levels, cognitive performance, and overall behavior.  Iron deficiency is not the only cause of these common symptoms.  

 

 

 

 


Food sources

Iron in meat, fish, and eggs is easily absorbed by the body but the iron in plant sources is attached to phytates that bind iron in foods.

Following a plant-based diet and limiting animal iron sources can be a challenge. As a practitioner, I meet the client where they are at but do share that consuming animal protein will offer greater iron to support their health and performance goals.

 


Guidance on increasing iron as a plant-based athlete

  • Pair leafy greens (bok choy, kale, spinach) with a source of vitamin c (broccoli, strawberries, bell peppers, and kiwi) –This can increase the absorption by up to 67%! (3)

 

  • Cooking food in cast iron or stainless steel cookware also aids in iron absorption (cook all veggies and protein in the cast iron skillet)

 

  • Eat more beans, lentils, edamame, baked potatoes, and Iron-fortified oatmeal (higher sources of iron).
    • Lima beans
    • Red beans
    • Kidney beans
  • Drink tea or coffee separately from an iron-containing meal or snacks. Caffeine inhibits iron absorption.
  • Additional ways to combine vitamin C-rich foods with beans
    • Drain a can of pineapple cubes and add them to canned baked beans
    • Toss cooked black beans with shredded cabbage in your favorite coleslaw recipe
    • Sauté red peppers and onions in olive oil and stir into the white navy or Great Northern beans (cast iron pan)
    • Add any type of cooked beans to a spinach or kale salad with pineapple or fruit

Add fatty fish into your diet 1x/week (3 oz of salmon) or oysters (also a rich source of iron)!!

    • Blend up leafy greens and fruits rich in vitamin C with your smoothies (you can even add beans – I promise it is a neutral taste)
    • Eat more lean red meat, chicken, seafood, beans, lentils, edamame, baked potatoes, and Iron-fortified oatmeal (higher sources of iron).
  • Sauté red peppers and onions in olive oil and stir into the white navy or Great Northern beans (cast iron pan)
  • In a skillet prepare steak, spinach, or collard greens paired with berries (best way to increase iron)

 

 

 

 


When young athletes or adults we start with simple guidance to help increase iron

  • Set meal goals: 4 oz of flank steak 2-3 x/week paired with leafy greens
  • Snack idea: A side of roasted chickpeas paired with pineapple
  • Snack idea 2: A 1/2 cup of mixed berries paired with fortified oatmeal

Before taking an iron supplement to correct an iron deficiency you should contact your physician and work with a dietitian to raise iron levels properly. It is best to work closely with a dietitian to ensure you or your young athlete is getting the proper amount if iron to avoid health and performance consequences. We have worked with hundreds of teen athletes and plant-based adults that have struggled with low iron. We can help you too! Contact us for student-athlete coaching or for a virtual presentation for your sports team.

 

In good faith, health, and athletic performance,

 

Wendi Irlbeck, MS,RDN,LD,CISSN

 

 

 

 

 

 

 

 


Citations and resources to learn more:

National Health and Nutrition Examination Survey (NHANES) II.

 

Hurrell, R., & Egli, I. (2010). Iron bioavailability and dietary reference values. The American journal of clinical nutrition91(5), 1461S–1467S. https://doi.org/10.3945/ajcn.2010.28674F

 

Goldstein, J. L., Chan, F. K., Lanas, A., Wilcox, C. M., Peura, D., Sands, G. H., Berger, M. F., Nguyen, H., & Scheiman, J. M. (2011). Hemoglobin decreases in NSAID users over time: an analysis of two large outcome trials. Alimentary pharmacology & therapeutics, 34(7), 808–816. https://doi.org/10.1111/j.1365-2036.2011.04790.x

 

Hallberg, L., & Hulthén, L. (2000). Prediction of dietary iron absorption: an algorithm for calculating absorption and bioavailability of dietary iron. The American journal of clinical nutrition, 71(5), 1147–1160. https://doi.org/10.1093/ajcn/71.5.1147

 

Koehler, et al.  Iron status in elite young athletes: gender-dependent influences of diet and exercise.  Eur J. Appl Physiology, 2011.

Simple Weight Gain Tips for Student-Athletes

“How can I/my kid gain weight? We have tried everything and can’t seem to get anywhere.” I get this question and concern daily from coaches and parents. Weight gain is really hard when athletes are young calorie-burning machines!

“BUT COACH I CAN’T GAIN WEIGHT? WATCH TO LEARN MORE”

What guidebooks do you have to help with weight gain?

As always my objective is to provide people with simple and practical tips to achieve their goals!

 “How to Gain Weight Tip List”

Test don’t guess! Start tracking what you’re eating to know how many calories you’re actually eating each day. Too often teen and college athletes are under-eating without knowing it. What is measured is well-managed. Download a free app to help with tracking calories, protein, fats, and carbs. You can’t gain weight if you’re not eating enough calories consistently to attain a calorie surplus. If you’re unwilling to track calories I recommend the plate method for weight gain. See our weight-gain performance plate here.

The mistake many make when trying to gain weight is not understanding fundamental portion sizes. Weight gain means half your plate comes from CHO and during weight loss, it would be 1/4 the plate (smaller portion = less kcal).

 

Too many teen athletes fail to consistently eat regular meals so this is a super easy place to start. (CLICK TO SEE THE FULL INSTAGRAM POST ON WEIGHT GAIN).

 

Eat breakfast consistently. Nutrients missed at breakfast are often not made up later in the day. Toast, eggs, and peanut butter paired with whole-fat chocolate milk are low-cost, high-calorie, and quality options.  Try Greek yogurt parfaits with oats, nut butter, and fruit. Avocado egg toast is also super easy and high-calorie. For more ideas check out my Grab and Go Breakfast Ideas 

 

Eat snacks every 2 hours that are high in calories. Set alarms on phones or create email reminders to snack every few hours. (Weight gain requires eating in a calorie surplus so EAT UP!)

Pack high-calorie snacks. Peanut butter banana bagel sandwiches, trail mix, grab-n-go core power protein drinks, smoothies to store in a Yeti at school, peanut butter oat energy bites, mason jar  protein oats 

Planning ahead by meal prepping on the weekend

    • Grill up a dozen chicken breasts and steaks for the week to cut and portion out
    • Prepare PB energy bites
    • Hard-boiled eggs
    • Grab n Go Whole-fat chocolate milk
    • Oatmeal mason jars
    • Loaded baked potato + cheese + broccoli with butter
    • Greek yogurt parfaits (whole-fat dairy)
    • See my weight gain snacks here!

Special considerations for eating more:

  • Sample Weight gain breakdown
  • Double up on protein servings when dining out (double meat)
  • Add beef jerky, string cheese,  nuts, seeds, nut butters,  avocado, butter, olive oil, cheese, and whole-fat sour cream/Greek yogurt when you’re able for more calories!
  • Sometimes eating a lot of calories can be challenging especially around training. I recommend smoothies. You can consume half in the morning and half in the evening or afternoon as tolerated. Smoothies are a great liquid vehicle for calories!  (oatmeal, peanut butter, whole-fat Greek yogurt, and whole-fat cow’s milk). See my Chunky Monkey Smoothie Recipe here
  • Recovery nutrition is key for muscle repair and growth. Prioritize a recovery snack or meal immediately post-training. Be sure to include both complex carbohydrates and protein.
  • Vary your protein throughout the day and be sure to power up with protein as part of your recovery snack to achieve a positive protein balance, promoting muscle growth and recovery. See my backpack portable options here! 

“But Wendi, what about nutrient timing?” Great point, please see my 4-2-1 guidance here. Too much fat or too much solid food in the stomach around training can blunt performance.

I emphasize a food-first approach but supplements help supplement the gaps in our nutrition. Supplements like creatine, whey protein, vitamin D, and casein can be helpful for athletes’ muscle recovery, lean mass maintenance, and muscle gain when properly used. Should youth athletes use creatine? Find out what the research says in my blog.

Include a bedtime snack !! Research has effectively demonstrated that consuming casein protein (found in milk and
dairy products) prior to sleep can increase muscle
protein synthesis and facilitate better recovery.

See my recommendations here.

 

SLEEP DEPRIVATION WILL BLUNT YOUR GAINS. SLEEP BETTER WITH THESE TIPS


How to simply start gaining weight:

  • Identify how much you’re eating. (track in an app or journal)
  • Add 300-500 kcal per day to your baseline intake. If you consume an added 500 kcal per day x 7 days a week you’re consuming 3,500 kcal equivilant to one pound.
  • Focus on doubing up on portions, adding in liquid kcal and staying consistent.
  • It won’t happen overnight. If you want to gain you’ve gotta eat!

SEE MY TWITTER ACCOUNT FOR PRACTICAL GUIDANCE! 500 KCAL EXAMPLE MEALS + SNACKS!

Aim for consuming 4,000-6,000 kcal per day if you’re an HS athlete and likely 6,000 + kcal for collegiate athletes. For individual recommendations contact me and let’s create a custom fueling plan that supports weight gain goals.

I have worked with both HS and college athletes for > 5 years now. I spent time at the University of Florida as a sports nutrition intern in 2015 working with football, men’s and women’s track, swim, soccer, baseball, lacrosse, and tennis. I also worked as a performance nutrition assistant at the University of Wisconsin-Stout during my graduate studies. I educated football, gymnastics, hockey, soccer, men’s and women’s basketball, and baseball on proper fueling from 2014 to 2016.  Both of these experiences were volunteer and I sought them out because I knew I wanted to help athletes as a future dietitian. These opportunities helped me understand what it takes to fuel an elite athlete with a small budget! Sleep for more gains..yes sleep impacts our ability to recover and synthesize muscle! Aim for 7-9 hours of sleep per night.

Many young athletes also skip breakfast and snacks so it’s more of a willingness than an ability problem with weight gain. If your young athlete won’t listen to you don’t worry you’re not alone! But they tend to listen to me, a former college athlete and total stranger :). I provide meal plans and performance nutrition guidance for picky eaters and those with food allergies/intolerances. (see my student-athlete nutrition coaching package)

 

 

In good faith, health, and wellness,

-Wendi A. Irlbeck, MS, RDN, LD, CISSN

A Guide To Healthy Eating Out For Student-Athletes and Adults

I advocate for planning both meals and snacks when you will be traveling for work or games, but also on vacation. Please see previous travel nutrition resources that I have outlined on both Instagram and Twitter. You can absolutely be healthy and meet both your health and fueling needs by scoping out the menu, restaurants, and hotel options ahead of time. Many often struggle to make good choices at the moment so it’s wise to plan ahead. I always express we have time to map out our travel because like sporting events and work meetings we know the calendar in advance. In previous blogs and presentations, I have made the effort to always say, “opportunity favors the prepared.” Despite the limited choices, you can make healthy choices at fast food places, gas stations, restaurants, and even concession stands.

So here are some guidelines to equip you with tools to make successful choices on the road, at the table, in the drive-through, and at the sporting event.

-Travel (Pack a cooler).

-You always want to pair a protein with produce.

-Failure to plan will result in limited options and will put you in a situation to be less inclined to make a healthy choice that supports your fueling and health goals.

Produce

-Fruits like (apples, pineapple, kiwi, strawberries, oranges, and banana)
-Veggies like (cucumber slices, carrot and celery sticks, sliced bell peppers, and cherry tomatoes)

Protein sources
-Hummus, string cheese, Greek yogurt, RTD protein shakes (Muscle Milk, Fairlife, Corepower, Orgain)
-Grilled deli meats like ham, turkey
-Canned tuna or tuna in a bag
-Beef or turkey jerky
-Protein bars (Quest, RXbar, One bar)
-Hard-boiled eggs
-Cottage cheese
Carbohydrates/whole-grains

-Oatmeal packets
-Whole-grain pitas, muffins, wraps, tortillas, bread, rice cakes, and crackers
-Baked goods ahead of time (whole-grain pancakes, waffles, oat bites)

Healthy fats
Snack pack nut butter (sunflower, peanut, cashew, almond)
-Unsalted nuts and seeds (almonds, pistachios, cashews, sunflower seeds)
-Peanut butter oat bites
-Guacamole/avocado snack packs
Click here to use my discount code (143NWW) for 15% off any Nut’s N More nut butter or powdered nut butter.

Combinations include:
-Grapes and string cheese
-Turkey whole-grain sandwich
-Fruit and nut butter snack pack
-Applesauce and hard-boiled egg
-Spinach, veggie, grilled chicken salad, sliced avocado
-Bell peppers (green, red, orange, yellow) 4-6 peppers in baggies
-Hummus and cottage cheese in contai

ners to add to sandwiches and fruit
-Greek yogurt parfaits and mason jar overnight protein oats

Fast food/eating out guide
Remember to visualize building a healthy plate that meets all your food groups (lean protein, healthy fat, fruit, veggie, dairy, and whole-grain). See the performance plate here for student-athletes and a weight-loss/healthy plate for adults.
-Always choose grilled, baked, roasted, or steamed in regards to veggies and protein
-Make sure your bread or bun is whole-grain
-Water in place of soda and fruit juices
-Reduce portion size (don’t supersize to save a buck) your waistline will thank you. Ask for a to-go box immediately upon ordering to have a plan to portion control.
-Replace fries with Greek yogurt, salad, or fruit cup option
-Ask for dressing on the side
-Replace mayo with avocado as a healthier option to increase creamy taste, texture, and flavor
-Use olive oil or avocado in place of dressing if able
Examples:
Subway has protein bowls now!
You can replace the high-fat, high-kcal dressings, mayo, or spicy blue cheese dressing with avocado or olive oil.
You can also ask for the dressing on the side. Choose grilled chicken instead of fried. Ask for additional proteins (egg, grilled meats, cheese) to meet your needs!

Chick-fil-A (one of the most popular fast food places amongst teens and my athletes personally)
Young athletes and adults will still go to fast food places and will yes, eat chicken nuggets. So, practical tips are something I am a huge proponent of. Would I rather you eat a grilled turkey cheese sandwich on whole-grain bread, spinach, and avocado slices with fruit? Yes, absolutely!  But the reality is …that won’t always be an option. So, read on for healthy options at Chick-Fil-A!
  • Choose grilled chicken nuggets instead of fried and pair with a salad (dressing on the side) and a fruit cup
  • Choose their Greek yogurt parfait or Egg white grill for breakfast
    • Nutrition information:
      • 90 calories, 9 g of fat, and 26 grams of protein
  • Another healthy option is the Chick-Fil-A Cool Wrap!
    • Nutrition information:
      • 470 calories, 24 g fat, 22 g carbs, and 43 g protein
  • A grilled chicken sandwich is also a wonderful option
    •  Roughly 380 kcal, 44g of carbs, and 28 g of protein!
    • You can ask for extra tomato and lettuce
    • If you’re concerned about consuming more protein and fewer carbs you can use half the bread. Bear in mind the bun is multigrain so it is still healthier than white as it contains B-vitamins and has not been stripped of its nutrients like most white bread.
    • Fruit cup instead of side salad or ask for dressing on the side and enjoy the salad.

When eating at a sit-down restaurant:

-Scope out the menu before going

Never go to the restaurant OVERLY HUNGRY! You will overheat and be unhappy with yourself.

Have a small snack before you go containing some protein. A few great choices would be:

  • 1/2 apple with some peanut butter
  • 1 string cheese with cucumber slices
  • Hummus and carrot sticks
  • 1/2 protein bar (travel remember)

-Meet your needs (protein, produce, portion)

-Ask for a box before the food arrives to have a plan to consume the proper portion. (Many restaurants often serve 3x the appropriate portion). Consume half of each of the food on your plate and put the remainder in the box to take home or put in your hotel fridge!


Concession stand/gas station eats

**Keep in mind convenience stores should not be your reliance as you will spend more money out of sheer convenience. Versus if you purchase these items ahead of time before travel you will save money and also not put yourself in a situation to be limited in making a healthy choice.

But should you need to stop without packing a cooler here are some healthy options!

-Nuts and seed bags (pistachios, walnuts, pecans, cashews, almonds)

-Pick fruit (apple, pear, fruit cup, grapes, banana) and pair it with a protein bar (see above options)

-Hard-boiled eggs paired with fruit

-Cheese sticks

-Sparkling water, zero sugar Gatorade, flavored waters, propel ect. (avoid fountain sodas)

Beef or turkey jerky (watch sodium)

-Almond butter or peanut butter packs (Justin’s Almond Butter  or Jif)

-Hummus and carrots mixture

-Greek yogurt (Chobani is found at every gas station)

-Quest protein bars or RXbars (almost every gas station carriers these)

-Muscle milk, Fairlife Corepower protein shake, Shamrock Farms Rockin’ Refuel, and Organic Farms

 

In closing, failure to consume enough quality protein, carbs, and overall kcal will increase the risk of injury, decrease performance, hinder cognition, blunt focus, and limit the overall health athletic performance of the individual. Nutrition can make a good athlete great or a great athlete good. It is also important to lead by example if you are a parent or coach leading a group of student-athletes.

This blog offers several tools to fill your toolbox as a coach, athlete, parent, and beyond. I am passionate about helping both young student-athletes and adults live a healthy lifestyle. I kindly ask you to share it on social media pages as well as with your student-athletes.

Say a prayer for our government officials in office while you’re at it. Our world needs some extra prayers and kindness. As you know, I am a Christian-focused dietitian and am employed by Jesus Christ. This entire platform is used to help my fellow brothers and sisters in Christ nourish their temple. But for the goal of glorifying God. It’s all for Him.

In good health, safety, and athletic performance,

 

Wendi Irlbeck, MS, RDN, LD, CISSN

Wendi Irlbeck is a registered dietitian nutritionist and performance coach. Wendi utilizes evidence-based science to tailor nutrition programs for athletes to optimize performance, minimize health risks, and enhance recovery from training while focusing on injury prevention. She partners with parents, sports performance staff, and special needs and recreational athletes to offer nutritional guidance and optimal athletic performance and lifestyle plans. Wendi provides virtual services including telehealth but is based in Grand Rapids, Michigan. Wendi works with clients of all levels and ages across the US as well as Canada and the UK. You can find more about Wendi and scheduling an appointment with her on her website.

What can hiring a sports nutritionist offer your program? Learn more hereTestimonials of Wendi’s expertise from colleges, coaches, parents, young athletes, and high school administrators can be found at the testimonial link on her website. You can also follow Wendi on TwitterFacebook, and Instagram for more nutrition information

The Performance Training and Nutrition Menu for Athletes Desiring to Make the Jump from Good to Great!

The Performance Training and Nutrition Menu for Beast Athletes

Let me ask you this: as an athlete, when do you feel at your BEST?

When do you feel your most empowered? Your strongest? Your most energized? Your healthiest? Your most resilient?

When do you feel ready to step on the field with confidence and tenacity?

Let me dive deeper: what exactly are you doing when you feel at your BEST?

Are you doing your workouts? Are you training with intensity transferable to the game? Are you tracking your progress? Are you hydrating? Are you filling your body with nutrients and whole foods?


Or are you missing workouts? Are you training at a slow pace that won’t sustain in the game? Are you not competing with yourself? Are you rolling your eyes at the thought of a strength workout? Are you “forgetting” to hydrate? Are you eating toxic sludge?

Before my friend and amazing dietician, Wendi Irbeck, talks nutrition for performance, I want to get into the physical training aspect first.

Right now, there are no excuses to miss workouts and train half-heartedly, unless you have a real emergency.

But for everyone else who has good health, a safe family, a roof, a home gym fancier than my facility, and a front yard the size of a soccer field, there are no excuses to not do your strength and conditioning workouts.

Sports are canceled, so what are you doing to prepare to be your best when they return?

What do you look like and act like when you are training at your BEST? How do you envision yourself stepping back onto the field?

They’re deep questions, but get a paper and pencil and start writing your thoughts.

It’s critical to become AWARE.

Returning to play as the player you were before the quarantine began is going to be immensely hard. And it’s going to take a grind harder than you can imagine. I’m not going to beat around the bush.

And no amount of HIIT circuits on the web are going to prepare you. No amount of bodyweight workouts are going to bulletproof you against the change of direction, fatiguing muscle actions in the game that cause ACL injury. No amount of jump squat, burpee and push-up tests are going to train your nervous system how to sprint FAST again.

Even though the world has come to a stop, strength and conditioning programming based off of science has not.

Too, it’s important to remember this:

– Athletes now have time to really improve the physical components of their game: speed, power, and conditioning. Practices and games aren’t in the way anymore.

– Athletes now have time to hone in on correct and safe movement patterns for a healthier return to play, and seek out professionals to help.

– Athletes now have time to lean into the power of exercise and strength training for mental health and immunity.

There’s no excuse.

To that end, athletes who care deeply about playing at a high level will show their true colors right now. Do they truly love the game? Are they committed? Can they adapt when adversity strikes?

I’m speaking to you: if you want to earn your stripes as a high level athlete, let’s see how well you rise above the chaos during a global pandemic.


I’ll take you seriously when you can attack adversity and use it as a means to become better.

Don’t take this out of context, though. I’m not totally insensitive to the emotional storm now.

I get everyone is anxious, scared, sad, depressed, worried. I get it, I experienced it, my loved ones are going through it, and I want to be considerate.

Collectively, yes, the world is freaking out.

And I’m speaking to you, coaches: if you want to earn your stripes as a coach, let’s see how much you hold your players accountable for their physical health and care for them with a smooth return to play.

Truthfully, I would be a terrible coach to kids who want to perform at a high level if I didn’t encourage them to continue to train like the amazing athletes they are during this time. It’s a win-win to move, get better, improve speed times, get stronger, and keep routine. No going through the motions.

Athletes thrive on goal setting, routine, and working hard toward something meaningful. 


Okay, okay. I’ll step off my soapbox.

I do want to provide actionable items for the athletes and coaches who do not have access to a comprehensive strength and conditioning program, and help people piece this all together with minimal thinking and stress.

I’m happy to take everyone through a sample week menu with video links and sets and reps. It is going to be similar to an off-season program that focuses on general strength, power, speed and conditioning, then progresses to specific in the next couple months as we approach sports starting back up again.


 

Day 1: Total Body Strength

Slow Bird Dog 2×15 each
Lateral Mini Band Walks 2×20 each
Heel Hold 2×30 sec each
Clock Jab Steps 2×15 each

Slow Box Squat 3×6
Snap Down 1×5
Mini Vertical Jump 2×5


Pull-Up 3×10
Lateral Lunge 2×8 each
SL Deadlift 2×15 each

Pallof Hold 2×30 sec each
Plank Walkout 2×30 sec

Day 2: Linear Speed and Conditioning

Dynamic WU (10 minutes – aerobic zone)

Linear Skipping and Ladders (7 minutes continuous – aerobic zone)
Forward March
Forward Skipx20ydx2
2 Out 2 Inx3
Icky Shuffle Skp Boxx3
High Kneesx3
2 Out 2 In Skip Box3

Acceleration Leans 1×10 each (focus on loading ball of foot, shoulders past hips, back arm extended)
Kneeling Accelerations 10-yard x4 (45 second rest)
Feet Chopping Sprints 20-yard x3 (2 minute rest)
Bunny Hop Sprints 30-yard x3 (2 minute rest)

Day 3: Total Body Strength
Dead Bug 2×10 each
Jab Steps 2×15 each
Slow Bird Dog 2×15 each
Multi-Directional Band Walks 2×20

Dumbbell Deadlift 3×6
Snap Down 1×5
Broad Jump 1×5 (measured, stick landing, record distance from best of 5 reps)

Pull-Up
Banded Good Morning
Glute Bridge Floor Press

Hollow Hold
Side Plank Leg Raise
Body Saw
Pallof Circle

Day 4: Lateral Speed and Agility
Dynamic WU (10 minutes – aerobic zone)

Lateral Skipping and Ladders (7 minutes continuous – aerobic zone)
Lateral Skipx20ydx2 each
Lateral Ladder High Kneesx2 each
2 Step Patternx2 each
3 Step Patternx2 each
Scissor Kickersx2 each

Side Shuffle Technique with Hold x5 each, 5 second hold

Side Shuffle to 30-yard sprint x 6 (3 each) (2 minute rest)
Lateral Footwork to 40-yard sprint x 2 (1 each) (2 minute rest)



Day 5: Total Body Strength
Glute Bridge Abduction
Slow Bird Dog
Controlled Mountain Climber

Goblet Split Squat
Lateral Bounding

Pull-Up
Single Leg Deadlift Hold
Reverse Lunge

Renegade Row Push-Up
Hip Bridge

Plank X Crunch
Side Plank Band Row
Reverse Crunch


Day 6: Aerobic + Return to Functioning Human

(10 minutes on clock continuous)

Forward Skipx20yard
Lateral Skipx20 yard
Circular Skipx20 yard
Forward Crawlx20 yard
Lateral Crawlx20 yard
Circular Crawlx1 clockwise, 1 counterclockwise
Cross Crawl Marchx20 yard


Day 7: Netflix and Chill

8 hours x AMRAP 



Kidding. ;-O


So there you are. Have at it and enjoy this sample for a few weeks (I’d say up to 2 weeks, then you need to begin to tweak the sets/reps, progress intensity, learn how to absorb and create force, and put yourself in conditioning drills at a higher intensity than the game to provide a physiological adaptation). But start here and see how you do. Remember, general —-> specific.

Done correctly and considering you aren’t skipping workouts, you are good on volume and should be gassed after these workouts. Not depleted nor destroyed, but feeling like you accomplished a tough training session like a high level athlete.

I’ll have Wendi take it away with how to work in proper nutrition to make the most of an off-season menu like this, and return to the field feeling empowered and at your best physically. Nutrition plays a major role in the success of these workouts and the intensity, as well as energy you bring to them.

Eat. And fuel up.

Enjoy.

Well…that is one tough act to follow! Well done, Erica and well said! Now that you have some guidance on training from the expert herself, let’s talk about the other 16 hours of the day outside of sleep. Controlling what you put in your mouth to support overall health and performance. So let’s stir it all together!

Erica has really provided the framework for a consistent conditioning and workout program which should be supported by sufficient energy. I will address some of the specifics in greater detail below. Typically, the off-season is the period from December and January to May, June or even July when soccer athletes are fending for themselves. This time is best spent relaxing and disconnecting from the soccer world to “decompress”. As highly competitive athletes we all need rest and our brains and bodies need a break to support recovery to continue building. However, eating and fueling well along with staying active as Erica so thoroughly illustrated in the stated workouts above is important. Eating a variety of real foods, yes real foods, not supplements is critical during this time to help maintain condition, strength and endurance. overlooked piece of the puzzle or a missed opportunity to improve by young players.  The goals of this “off-season” sample can be represented below:

  •  Account for the differences in training, lifestyle and of course the unprecedented times we find ourselves in, the Novel Covid-19 Pandemic if you will. It’s important nutrient intake is adjusted but also sufficient to support the “off-season” activity.
  •  Acknowledge body composition changes in which weight may fluctuate and that is OKAY! The off-season is a great time to focus on your individual progress and any body comp changes that may be necessary would be a great opportunity to consult with a registered dietitian. An under-fueled low-energy athlete cannot build or maintain muscle mass or size, so nutrition remains critical during this time.
  • Create a solid equilibrium between training volume and nutritional intake.

 

Nutrition with Wendi Fueling Fundamentals for Off-Season:

Intent: Focus on fueling to support your training objectives. Which may include strength gains, improving focus, speed, endurance and decreasing risk of injury.

Quality nutrients: Your plate should contain all the essential components of the plate. Colorful fruits, veggies, whole grains, lean protein and healthy fats. Proper nutrition will provide you the sustained energy to help you recover from training and provide satiety between meals.

Quantity: Optimal training requires sufficient energy (calories) to support growth, development, and overall energy needs during training.

Timing: Balance your meals with snacks to ensure you’re feeling appropriately. Post-workouts and training should contain a protein and carbohydrate to support recovery and performance adaptations.

Consistency: Consuming consistent meals, snacks and overall calories to support your growth and performance is vital. There are no magic meals to bolster athletic performance. Games won are in the off-season where nutrition is prioritized. Another key to consistency is finding what works well for you and your training. Never try a new meal on a heavy or intense training day. That stands true for game day. Never experiment with new foods, as they risk stomach pain, digestive challenges and can hinder performance.

Hydration: Fluids are essential for optimal health and athletic performance. You need about 80-100 oz. of fluid per day to support the transportation of essential nutrients to your muscles and organs. Water is key for keeping our joints fluid, muscle contraction and overall focus. A drop in 1-2% of your total body weight can result in declines in your performance ranging from cognition, muscle contraction, speed and overall fatigue. For every pound lost around training, replace with 16 to 24 oz. of fluid.

 

So, as you’re learning nutrition plays a pivotal role in your health and performance. Nutrition is truly a tool to support the overall maintenance and strength of your body, which is a machine. Your plate should reflect your health and performance goals.

Every meal ,include:

  •  Fat
  •  Lean protein
  • Carbohydrate
  • Water/and or serving of dairy

This is what is referred to as the performance plate.

To perform at your best, it’s important to eat the rainbow and get a balance from most IF NOT ALL food groups at every meal. The size of those portions may increase or decrease provided the season. For this specific article, we are in the off-season, so additional whole grains or carbs may not be necessary. However, eating for health and fueling for activity requires the right amount. What does that look like roughly? For girls, that can be anywhere from 2400-3000 kcal per day and boys 2800-3500 kcal per day. In each hour soccer athletes can burn up to 500-700 kcal per hour.

Nutrition with Wendi Quick Nutrition Tips:

  • Eat breakfast every day, non-negotiable.
  • Eat real food, prioritize nutrients from whole foods instead of supplements.
  •  Do not skip meals – all meals matter.
  • Assess hunger, if you’re hungry post-meal, load up on more veggies!
  •  Drink plenty of fluids (80-100 oz.).
  •  Always reach for baked, grilled, steamed, broiled, roasted and never fried.
  • To ensure good sleep avoid high-fat, spicy or overly large meals prior to bed.
  • Eat the rainbow, focus on lean proteins, quality fats and fluids at each meal.
  • Consume quality nutrients every 2-3 hours to avoid hunger and support proper energy levels.

Sample Meal Ideas for Athletes (Nutrition with Wendi) SM

Sample Meal Ideas for Athletes (Nutrition with Wendi) SM

Day Breakfast Snack 

 

Lunch Dinner 

 

Post-training  Pre-sleep snack
Day 1 (Protein + fiber rich food + fruit/veggie) (1-2 carb choices + 1-2 oz. protein) (Protein + whole grain + fruit/veggie) (Protein + whole grain + fruit/veggie) (Protein + Carb within 30-60 min of training  (Little protein + some carb, (60-min of bed))
Day 2 2 egg veggie omelet + whole grain English muffin with avocado1-2 cups of water Cucumber slices + String cheese Whole-grain turkey pesto wrap + pear + carrot sticks Grilled chicken sandwich on whole-grain bun, steam veggies, side salad with avocado, water and low-fat milk Banana, 8 oz of low-fat chocolate milk or 

 

3 oz. Cottage cheese with raspberries
Day 3 Fruit yogurt parfait·         1 cup berries

·         1 cup Greek yogurt

·         1/2 cup whole-grain oats

1-2 cups of water

 

Hummus + pepper slices Brown rice + black beans, 4 oz. baked or grilled chicken + spinach salad with vinaigrette or low-fat dressing 

1-2 cups of water

Large baked potato, broccoli in low-fat cheese, salsa, sliced turkey and salsa + 1 cup of berries 

1-2 cups of water

6 oz. of Greek yogurt + 1 c. berries 1 banana with 2 Tbsp. nut butter
Day 4 Fruit smoothie·         1 cup whole grain oats

·         4 oz of low-fat milk

·         1 cup blueberries + spinach

·         1 piece of whole grain toast

String cheese, whole grain crackers + apple Turkey tacos (whole grain tortilla, 3 oz. of 93% lean hamburger meat, cheese, lettuce, salsa, avocado) 

8 oz. cup of milk

1-2 cups of water

Whole-wheat English muffin with low-fat tuna + melted Swiss cheese + baked baby carrots, green beans + side fruit 

1-2 cups of water

1 cup of grapes, string cheese or hard boiled egg ½ whole grain turkey sandwich
Day 5 Whole grain bagel with 2 oz. of turkey, cheese and tomato 

 

1-2 cups of water

Kind bar, RX protein bar, nut bar, high protein granola bar + pineapple or raspberries Whole-grain pasta + 1 cup of broccoli + cherries 3 oz. of steak 8 oz of tart cherry juice + string cheese String cheese + pear slices
Day 6 Whole grain waffle with 2 Tbsp. almond butter, chia or flax seedOrange/Pear

 

1-2 cups of water

Whole grain rice cake + 1 Tbsp. nut butter + blueberries or banana slices Whole-wheat English muffin topped with marinara sauce, mozzarella cheese, grilled chicken, spinach + side of fruit 

1-2 cups of water

Hamburger + whole grain pasta, green beans + tomato spinach salad with feta cheese Whole grain waffle + 1 Tbsp. peanut butter + banana slices Greek yogurt + blueberries
Day 7 Whole-wheat pita + egg + low-fat cheese + sliced apple 

1-2 cups of water

Whole-wheat crackers, strawberries + string cheese Sautéed shrimp + asparagus, brown rice + blueberries 

1-2 cups of water or low-fat milk

Sautéed veggies, ground turkey, sweet potato + raspberries 

1-2 cups of water or low-fat milk

Chunky monkey smoothie (see recipe) Whole-wheat bread + 1 Tbsp. almond butter
Day 8 Oatmeal or overnight oats prepared with cow’s or soy milk + sliced almonds + peaches (see recipe) 

1-2 cups of water

Sugar snap peas, sliced bell peppers + hummus or low-fat ranch dip 3 oz. of salmon or (baked fish option) veggie salad, avocado, whole-wheat roll 

1-2 cups of water

Tomato basil wrap with tofu + sautéed mushrooms and onions + frozen grapes 

1-2 cups of water or 8 oz. of low-fat milk

2 Hard-boiled eggs + blueberries Banana soft-serve (combine ½ scoop protein powder + ice + frozen banana with 4 oz. of milk)

 


 

About the Authors

Erica Suter is a certified strength and conditioning coach in Baltimore, Maryland, as well as online for thousands of youth soccer players. She works with kids starting at the elementary level and going all the way up to the college level. She believes in long-term athletic development and the gradual progression of physical training for safe and effective results. She helps youth master the basic skills of balance, coordination, and stability, and ensures they blossom into powerful, fast and strong athlete when they’re older. She has written two books on youth strength and conditioning, Total Youth Soccer Fitness, and Total Youth Soccer Fitness 365, a year-round program for young soccer players to develop their speed, strength and conditioning.

Follow Erica on Twitter and Instagram and book a discovery call to become an online client HERE.

 

Wendi Irlbeck, MS, RDN is a registered dietitian nutritionist, health & fitness coach and former college athlete. Wendi utilizes evidence-based science to create nutrition programs for athletes to optimize performance, minimize health risks, and enhance recovery from training while focusing on injury prevention. Wendi partners with parents, sports performance staff, special needs and recreational athletes and organizations to eat and fuel for success. Wendi specializes in sports nutrition serving elite youth athletes as well as collegiate athletes teaching them the importance of getting back to the basics. She is a former sports dietitian for the Dairy Council of Michigan, is an adjunct instructor in Kinesiology, Health and Wellness Division at Lansing Community College in Lansing, Michigan. She earned both her B.S. and M.S. at the University of Wisconsin-Stout and has spent time learning from several professionals in the field along with an internship at the University of Florida. Wendi is based in East Lansing, Michigan with her own nutrition consulting business.

Follow Wendi on Twitter and Instagram and book a consultation to become a nutritional client HERE.

Eat More Protein to Lose Fat and Build Muscle!

What is protein?

  • Protein is primarily found in animal and dairy products.
  • Image result for protein"Protein enhances muscle mass, strength, endurance, muscle recovery, and power.
  • Decreases inflammation, and muscle protein breakdown.

First off, let’s talk about the Recommended Dietary Allowance (RDA) for protein. The current RDA is a modest 0.8 grams of protein per kilogram of body weight. The RDA is established as the amount of a nutrient you need to meet your basic nutritional requirements. Essentially, it’s the minimum amount you need to keep from avoiding sickness- not the specific amount you’re supposed to consume each day. For example,

  • For a 140-pound person, that means about 50 grams of protein each day.
  • For a 200-pound person, that means about 70 grams of protein each day.

Reasons to consume more high-quality protein daily

  • Muscle growth
  • Strengthens bones
  • Hormone regulation
  • Aids in quicker recovery
  • Supports lean mass gains
  • Suppresses appetite and promotes satiety
  • Prevents chronic ailments associated with aging
  • Protects the immune system against illness and injury
  • Aids in weight loss during times of energy restriction

Ultimately not only protein but our other daily habits play a role in muscle growth, muscle recovery, and improving overall body composition.

CHECK OUT THIS INFOGRAPHIC ON INCREASING PROTEIN VIA MEALS AND SNACKS!!

That being said, let’s talk about why you need more protein. As you can see in the bullet list provided protein is VERY IMPORTANT. As a registered dietitian nutritionist and fitness professional, I find the RDA to be quite confusing to the general public, athletes, and coaches. To be honest, even dietitians can’t seem to agree on what to recommend for protein to their clients, patients, and athletes. So if there is a misunderstanding among the food and nutrition experts there’s likely a misunderstanding across multiple populations. Especially young children, athletes, and the elderly are in greater need of more protein.

Is more protein better?

The Protein Summit reported in a special supplement to the June issue of the American Journal of Clinical Nutrition (AJCN)  that Americans may eat too little protein, not too much. In fact, eating more protein can help provide the whole “package”. That means that a byproduct of consuming more protein is you’re getting other great nutrients such as B vitamins, carbohydrates, minerals, and healthy fats that offer the complete package. Naturally, when you consume more protein you will typically consume less low-quality foods like simple or refined carbohydrates that people typically turn to when they’re “hungry”. Sweets, cookies, white bread, and pastries won’t offer the healthy nutrition you’d get from a high-quality protein source.

Examples of high-quality protein sources

These are just a few of the high-quality protein sources out there. Most animal sources of protein such as meat, dairy, fish, and chicken offer all essential amino acids in proportion needed by the human body. While plant-based proteins such as vegetables, nuts, beans, and grains often lack one or more of the essential amino acids. That does not mean you should only consume animal products to attain your essential amino acids because you can utilize soybeans and quinoa which contain all nine essential amino acids needed. Click here for a complete list available if you’re interested in plant-based proteins. Here is a sample plant-based menu to check out as well!

DOWNLOAD HIGH PROTEIN SAMPLE MEAL PLAN FOR HS ATHLETES HERE

Athletes and protein needs

Even athletes have higher needs. Provided the remodeling process of muscle proteins there is a much higher turnover rate as a result of higher training volumes. Specifically, in track and field athletes it would be wise to consume roughly 1.6 grams per kilogram of body mass each day if their goal is to increase muscle and prevent muscle breakdown. A good target protein intake should be between 1.6 and 2.4 grams per kilogram of body mass per day as cited in recent findings in a consensus statement on Sports Nutrition for Track and Field Athletes. A summary of the review can be accessed here .

The International Society of Sports Nutrition Position Stand on protein and exercise can also be accessed here which provides an objective and critical review related to the protein intake for healthy and fitness-oriented individuals. For building muscle mass and maintaining muscle mass, an overall protein intake of 1.4-2.0 g/kg body weight/day (g/kg/d) is enough. However, there is evidence to support (3.0 g/kg/d) support positive effects on body composition in strength-trained athletes to promote lean mass gains. It is optimal to spread out protein intake between 20-40 g/meal throughout the day.

 

As a registered dietitian nutritionist, I strive to consume (2.0 g/kg/d) to support my health and performance goals based on the available science.

  • Especially if you’re trying to increase lean mass and strength gains. Higher protein will not make you fat, it will help support a healthy body and make you feel more satisfied!
  • It’s hard to get fat by eating more protein
  • Protein helps you feel fuller for longer periods of time especially during times of kcal restriction. Higher protein is linked with a lower BF % and lean muscle mass (Helms et al., 204).

 

Older adults and protein

Older adults are fighting off an accelerated loss of muscle mass and function that is associated with aging, referred to as sarcopenia. For every decade after 40 years old, you lose 8% of muscle mass and it increases to 15% after 70 years of age. Older adults should strive to consume 1.5 to 2.0 grams of high-quality protein per kg of body weight per day according to an article by the Center of Aging. Up to one-third of older adults don’t eat enough due to reduced appetite, impaired taste, swallowing difficulties, and dental issues. During the aging process, the body is less efficient and struggles to maintain muscle mass and strength along with bone health and optimal physiological function which warrants a greater need for protein.

Your health and fitness coach,

Wendi Irlbeck, MS, RDN, LD, CISSN

For our signature coaching packages click here!