FOOD INTOLERANCE 1 SUBJECT - SINSEB
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Food Intolerance 1) Subject 2) Problem 3) Solution
CASE REPORT – MotoGP Rider Terapy: ‐ Diet (Food Intolerance) ‐ Individualized Supplementation
CASE REPORT – MotoGP Rider
Body Composition Salivary Hormone
FM ‐3% T/C + 150%
CELIACHIA E SPORT
Colazione ......................................................... 706 Kcal
Acqua, appena sveglio
2 cucchiai di miele
Superscodella di muesli
latte di mandorle o di riso non zuccherato
Spuntino di metà mattina (se necessario) .......... 488 Kcal
Pane o crakers senza glutine
avocado e tonno
Pranzo ................................................................. 440 Kcal
Insalata mista
Pasta primavera senza glutine
Merenda ............................................................. 316 Kcal
Mela con burro di anacardi
Melone, anguria o simili
Cena ..................................................................... 880 Kcal
Insalata Caesar con cavolo nero e quinoa
Minestrone
Salmone alle erbe ________
2830 Kcal
DIAGNOSI: TEST GENETICO
Celiaci
DQ2 – DQ8
Popolazione
90‐95% DEI PAZIENTI AFFETTIDA
MALATTIA CELIACA E’ POSITIVA PER
HLA‐DQ2
1‐2% DELLE PERSONE CON HLA‐DQ2
COMPATIBILE CON LA CELIACA
SVILUPPERA’ LA MALATTIA
CELIAC DISEASE: GENETIC, MARKERS
CHEMISTRY & FOOD INTOLERANCES
Anti Gliadina Anti Endomisio Transglutaminasi
Intolleranza
IgA IgG IgA
ID DQ2 DQ8 IgA IgG frumento
< 10 U/mL < 50 U/mL < 10 U/mL
(ALCAT) 1 Intolleranza Lieve
1 DQA1*050 NO 6,5 15,4 < 1/5 < 1/10 3,8 2 2 Intolleranza Moderata
2 DQB1*0201 NO 4,3 43,7 < 1/5 < 1/10 2,6 0 3 Intolleranza Marcata
3 DQA1*050 NO
45
Zone Diet by Barry Sears
“ Del Piero Say Me ……..”
“ I eat a zone or on
“ I eat man
a zoneenough to beto be
or man enough
comfortable during the game
comfortable “
during
my performance ”
4849
From Jeukendrup (2016)
• < 20 g al giorno di CHO o < 5% dell’energia totale giornaliera da CHO utilizzo dei grassi • L’originale KD era prevista come 4:1 lipidi:non‐lipidi con 80% grassi, 15% proteine e 15% carboidrati. • Modifiche: rispetto al rapporto e non limite all’apporto energetico con grassi ad libitum (proteine NO)
Paoli et al. Exerc Sport Sci Rev 2015 Jul;43(3):153-62
Recovery Meal Post Exercise
Ivy et al., 2002
(J Appl Physiol) • 7 subjects ingested CHO‐
PRO (80g, 28g, 6g), LCHO
(80g, 6g) or HCHO (108g, 6g)
50 10‐min and 2‐hr after
% glycogen restored
completing glycogen‐
40 depleting cycling exercise.
30 • Before exercise and 4‐hr into
recovery, muscle [glycogen]
was determined via 13C‐
20 NMR spectroscopy.
10 • Results indicated that CHO‐
PRO significantly increased
0 muscle [glycogen] relative to
LCHO HCHO CHO‐PRO LCHO & HCHO.SINERGIA J. L. Ivy – ISSN conference 2007
RECOVERY MEAL ?
Cocktail di Recupero
LATTE AL CIOCCOLATO alimento funzionale – recovery drink ?
PROTEIN QUALITY
intracellular, [Leucine]
Leucine is a key amino acid
in stimulating MPS and its
content in whey protein is Proteins containing a high content of leucine that are digested
probably a primary reason rapidly are most effectively directed toward MPS;
why whey protein is so
effective at stimulating Ingestion of foods such as milk promote a robust stimulation of MPS
MPS as opposed to isolated and highlight the fact that ‘blends’ of fast and slow proteins are still
effective in stimulating MPS
soy and casein proteins
Katsanos CS, Kobayashi H, Sheffield‐Moore M, et al . Am J Physiol. 2006;291:E381–7.
Glover EI, Phillips SM, Oates BR, et al.. J Physiol. 2009;586: 6049–61
Sports Med (2014) 44 (Suppl 1):S71–S77SANGUE
Carboidrati
EAA
EAA
+
Muscle IGF-1
CREATINA
P70S6K
MRF4
MyoD
Myogenin
MUSCOLO
Modificata da: Willoughby D.S.: ISSN presentation, 2007ESSENTIAL AMINO ACIDS • NON essential amino acids are not required for SP • It takes 3 g of EAA to a partial stimulation of PS (Miller et al. 2003). • 100 g of CHO can increase the SP by 35% ...... but 6 g of EAA increase the SP of 250% (Biolo et al. 1997, Borsheim et al. 2003). • 20 g of EAA to optimize the SP (Drummond et al. 2008. J Appl Physiol. 104:1452‐61) • 20 g of whey good quality ~ 8‐12 g of EAA (and ~ 2 g of leucine)
1) An acute exercise stimulus, particularly resistance exercise, and protein ingestion both stimulate muscle protein synthesis (MPS) and are synergistic when protein consumption occurs before or after resistance exercise. 2) For building muscle mass and for maintaining muscle mass through a positive muscle protein balance, an overall daily protein intake in the range of 1.4–2.0 g protein/kg body weight/day (g/kg/d) is sufficient for most exercising individuals, a value that falls in line within the Acceptable Macronutrient Distribution Range published by the Institute of Medicine for protein. 3) There is novel evidence that suggests higher protein intakes (>3.0 g/kg/d) may have positive effects on body composition in resistance‐trained individuals (i.e., promote loss of fat mass).
2010 Supplementi per i quali la letteratura scientifica ha dimostrato una certa efficacia e sicurezza di utilizzo. Supplementi i cui studi iniziali hanno confermato un possibile uso in campo sportivo, ma richiedono maggiori indagini per stabilirne l’efficacia sull’allenamento e/o il recupero. Supplementi per i quali esiste solo un interesse teorico e la mancanza di una ricerca applicata non consente ancora di approcciarne un utilizzo in campo sportivo. Supplementi senza alcun razionale scientifico, poiché le ricerche hanno chiaramente dimostrato la loro inefficacia nel migliorare la prestazione e/o il recupero.
CREATINE
Potential Ergogenic Benefits • Increased single and repetitive sprint performance • Increased muscle mass & strength adaptations during training • Enhanced glycogen synthesis • Increased anaerobic threshold • Possible enhancement of aerobic capacity via greater shuttling of ATP from mitochondria • Increased work capacity • Enhanced recovery • Greater training tolerance
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