Nutritional Status of an Elite Flat Water Kayak Paddler

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2021-4272-AJSPO – 24 MAY 2021

 1         Nutritional Status of an Elite Flat Water Kayak
 2                             Paddler
 3
 4       Background: Sports performance, besides the mental and emotional features
 5       of the athlete, results from the intertwined relationship between training
 6       load, rest/recovery and nutrition. Nutritional deficits or excesses can be
 7       deleterious for sports performance. Objective: To describe the nutritional
 8       profile of a highly performing kayaker, analysing the adequacy of nutritional
 9       habits for training and competition. Methods: An elite kayaker specialized
10       in flat-water races. World Champion, European Champion and Silver
11       medallist in the London Olympic Games, performed 10-12 workouts per
12       week. The nutritional data were obtained by daily register during seven
13       consecutive days. Results: Daily average intake: Energy, 3174±306 kcal;
14       carbohydrate, 4.4±1.2 g.kg-1.dia-1; protein, 1.9±0.3 g.kg-1.d-1; fat, 1.3 ± 0.2
15       g.kg-1.d-1; cholesterol, 638±218 g; fibres, 23.6 ± 9.2 g. Unbalanced ratio
16       between omega-6/omega-3 fatty acids. While water-soluble vitamins are
17       within the recommendations for athletes, fat-soluble vitamins and beta-
18       carotene are below. All macrominerals respect the Dietary References
19       Intake as well as the trace elements with exception of iodine and
20       molybdenum. Conclusion: The elite kayaker has a caloric intake adequate to
21       the training requirements. However, the relative distribution of the various
22       macronutrients need to be changed by reducing fat intake and increasing
23       carbohydrate intake. The low intake of fat-soluble vitamins and beta-
24       carotene may justify supplementation.
25
26       Keywords: kayaking; nutrition; macronutrients; vitamins; minerals
27
28
29   Introduction
30
31        For almost all sports, training and competition at the highest level is
32   incompatible with energy deficits, mainly energy derived from carbohydrate
33   intake. It was sated that chronic energy deficits in active subjects reduces the
34   size of fast-twitch fibers (Henriksson, 1992), which are important for flat-water
35   elite canoeists. Carbohydrates (CHO) are the most important nutrients for
36   muscle and liver glycogen resynthesis. Glucose uptake and glycogen
37   breakdown increase with increasing exercise intensity (Helge et al., 2007).
38   Sports training at the highest level, presupposes very demanding nutritional
39   care to avoid negative overtraining situations that can, not only destroy the
40   competitive potential of the athlete, as well as can affect, in a more or less
41   prolonged way, their health status. Imbalance between training and recovery
42   will have mild to severe negative consequences on performance (Kuipers and
43   Keizer, 1988); however, it urges to introduce nutrition in the equation. Athletes
44   may experience chronic fatigue when carbohydrate intake is insufficient to
45   match energy demands of heavy training (Costill et al., 1988). The seminal
46   study from Bergstrom et al. (1967) showed a good correlation between initial
47   muscle glycogen content and work time until exhaustion at 75% VO2max.

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 1   After muscle glycogen depletion, the recovery of long-term work capacity is
 2   associated with the carbohydrate content of the diet.
 3        Several studies point to nutritional deficits and/or nutritional imbalances,
 4   mainly reduced CHO intake, in young male soccer players (Rodrigues Santos
 5   & Vasconcelos, 2009), male futsal players from different competitive levels
 6   (Silva et al., 2012), male middle-distance runners (Rodrigues Santos et al.,
 7   2012), female middle-distance runners (Rodrigues dos Santos et al., 2013). One
 8   case study with an elite running marathoner (Rodrigues Santos et al., 2010)
 9   showed a nutritional panorama incompatible with the demands of daily
10   training. With nutritional intakes, ranging from 1316 to 3143 kcal/day, it would
11   be difficult to maintain a high-quality workout daily. This elite marathon
12   runner (ranked 4th in the World Championship) had great variations in his
13   competitive performance, which in part could be justified by any nutritional
14   deficiencies induced by the concern, sometimes pathological, of losing body
15   weight.
16        Elite flatwater kayak paddlers commonly train at least twice a day, 6
17   days/week. Training varies between on-water (i.e. in the boat) and out-water
18   (gym, run, bicycle, swimming) sessions. This type of training is very
19   demanding and any nutritional or energy deficit can compromise both the
20   performance and the athlete's health status.
21   With this study, we intended to ascertain the adequacy of the nutritional intake
22   of an elite flatwater kayaker, in the sense of detecting eventual nutritional
23   conditions that may compromise recovery between training efforts and
24   ultimately interfere with the athlete’s sports performance.
25
26
27   Methods
28
29        Subject: this is a case study of an elite kayak paddler, aged 35 years old,
30   with over 15 years of sport experience at the highest international level. He is a
31   former World champion, European champion and silver medallist in the
32   Olympic Games of London. He is currently committed to get position for the
33   Olympic Games in 2021 (Tokyo, Japan). Training characteristics are provided
34   in table 1.
35        Body size: height – 185 cm; body mass – 87 kg (without significant
36   alterations during the microcycle). Body weight was assessed with the same
37   device in the morning in fasting and before the first training session, without
38   clothes except for underwear.
39   The participant was informed about the benefits and risks of participating in the
40   current study prior to signing an informed consent form, which was approved
41   by the ethics board of the local university . Experimental procedures were in
42   accordance with the Helsinki Declaration and ethical principles for medical
43   research involving human subjects (Harriss et al., 2019).
44
45

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 1   Table 1. Training characteristics over the microcycle
     Day                             Morning                        Afternoon
                            Water. 15 km. 6 x 250m         Gym (Strength). 6 exercises x 6
     Monday                  (115/120 spm), rest 5’.              RM x 6 sets +
                                    Stretching             Abdominals/Lumbars. Stretching
                           Water. 15 km. 2 x 1000m /
                            rest 8’ (250m at 85 spm,
                          500m at 90 spm, 250m at 95         Water. 10 km. Easy pace. 65
     Tuesday               spm) + 2 x 750 m / rest 8’                   spm.
                         (250m at 115 spm, 250 at 110                Stretching
                            spm, 250m at 115 spm).
                                    Stretching
                          Water. 15 km. 8 x 45” (110       Gym (Strength). 6 x 20 reps/rest
                         spm) 1’15” rest. Recovery 6’.      40”, 55% Maximum Load +
     Wednesday
                         8 x 30” (115 spm), 1’30” rest.      Abdominals/Lumbars. 30’
                                    Stretching                  running. Stretching
                           Water. 10 km. 6 x 10”/rest
     Thursday             1’50”. Maximum pace. Start                     Rest
                               stopped. Stretching.
                           Water. 15 km. 2 x 1000m /
                            rest 8’ (250m at 85 spm,
                          500m at 90 spm, 250m at 95       Gym (Strength). 6 exercises x 6
     Friday                spm) + 2 x 750 m / rest 8’             RM x 5 sets +
                         (250m at 115/120 spm, 250 at      Abdominals/Lumbars. Stretching
                             110/115 spm, 250m at
                                115/120 spm). Str
                          Water. 15 km. 7 x 50” at 105
                          spm/1’10” rest. Recovery 6’      Water. 8 km. Easy pace (65 spm)
     Saturday
                          + 7 x 35” at 110 spm / 1’25”               + Stretching.
                                 rest. Stretching.
                         Water. 10 km. Easy pace. (65
     Sunday                                                              Rest
                                spm) + Stretching.
 2   spm = strokes per minute; RM = repetitions maximum. Note: a specific warming-up preceded
 3   every workout.
 4
 5
 6   Nutritional Data Collection
 7
 8        A record of seven consecutive days of food consumption over a
 9   microcycle was assessed. The record was divided as follows: breakfast,
10   morning snack, lunch, afternoon snack and supper. The results are presented in
11   the tables (2-6) include food supplements contributing to the energy intake. A
12   dossier with informative photographs with the standard quantities of the main
13   foods was delivered and the athlete informed of the correct way to fill in the
14   forms according to the quantities consumed. Mean daily food intake was
15   converted to nutrients using ESHA’s Food Processor Nutrition Analysis
16   software (Bazzano et al., 2002). For the consumption of macronutrients, we
17   take as reference the American College of Sports Medicine proposals (ACSM,

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 1   2000); for micronutrients we rely on the review criticism of Whiting & Barash
 2   (2006) and Murray & Horswill (1998) proposals.
 3
 4
 5   Results
 6
 7        Table 2 shows that the kayaker has an adequate energy intake, low
 8   carbohydrate intake, high intake of cholesterol and reduced intake of dietary
 9   fibres.
10
11   Table 2. Mean values (±SD) for energy and macronutrients intake
             Indicators               Mean ± SD       Minimum          Maximum
        Energy intake (kcal)          3174 ± 306       2722             3631
      Energy intake (kcal/kg)          36.0 ± 3.4       31.2             40.8
          Protein (g.day-1)           163.4 ± 29.0     121.0            211.0
            Protein (%)                 20.8 ± 4.3      15.0             25.4
        Protein (g.kg-1.dia-1)           1.9 ± 0.3      1.39             2.43
       Carbohydrate (g.day-1)        383.4 ± 103.3     260.0            576.0
         Carbohydrate (%)               47.8 ± 9.3      38.2             63.5
     Carbohydrate (g.kg-1.day-1)         4.4 ± 1.2      2.99             6.62
              Fats (%)                  31.4 ± 5.2      21.6             36.4
         Fats (g.kg-1.dia-1)             1.3 ± 0.2       1.0             1.53
         Saturated fats (%)             11.5 ± 2.3       6.4             13.4
     Monounsaturated fats (%)           11.9 ± 1.8       8.6             13.9
      Polyunsaturated fats (%)           4.8 ± 1.5       3.0              7.4
         Cholesterol (mg)               638 ± 218       420             1066
          Dietary fibre (g)             23.6 ± 9.2      12.4             40.6
        Complex CHO (%)                15. 7 ± 3.6      11.0             20.7
            Sugars (%)                  20.2 ± 9.2       9.7             36.4
           Caffeine (mg)                 5.8 ± 5.9        0              13.4
            Alcohol (g)                      0            0                0
        Insoluble fibers (g)            14.1 ± 7.8      2.71             28.0
         Soluble fibers (g)              4.0 ± 1.9      0.95             6.94
            Water (ml)                 1790 ± 544      1245             2665
12
13       From the table 3, it can be seen a high intake of trans fatty acids and an
14   unhealthy ratio omega6: omega3 fatty acids.
15
16   Table 3. Mean values (±SD) for some fatty acids intake
           Fatty acids               Mean ± SD        Minimum          Maximum
      Omega-3 fatty acids (g)         1.4 ± 0.3         1.09             2.0
      Omega-6 fatty acids (g)        11.6 ± 2.9         8.26             16.1
       Trans fatty acids (g)          4.5 ± 4.4          0               9.77
          Oleic acid (g)             33.6 ± 5.6         27.5             42.9
       Arachidonic acid (g)           0.3 ± 0.2         0.09             0.57
17
18       The participant in this study has an adequate intake of hydro-soluble
19   vitamins and a reduced intake of fat-soluble vitamins.

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 1   Table 4. Mean values (±SD) for vitamin intake
                                                               Recommendations for athletes
     Vitamins                                Mean ± SD
                                                               (Murray and Horswill, 1998)
     Thiamine (mg)                            3.4 ± 0.9                  1.5 mg
     Riboflavin (mg)                          2.7 ± 0.4               1.7 – 1.8 mg
     Niacin (mg)                             35.7 ± 8.4                19 – 20 mg
     Vitamin B6 (mg)                          3.2 ± 0.8                   2 mg
     Vitamin B12 (µg)                         7.0 ± 1.2                    2 µg
     Folate (µg)                           351.1 ± 138.9                 200 µg
     Pantothenic acid (mg)                    7.5 ± 1.3                 4 – 7 mg
     Vitamin A (µg)                          388 ± 135                  1000 µg
     Vitamin A Carotene (µg)                 165 ± 110                  6000 µg
     Vitamin C (mg)                          302 ± 224                   60 mg
     Vitamin D (µg)                           3.1 ± 0.9                   10 µg
     Vitamin E (mg ET)                        7.9 ± 2.3                  10 mg
     Vitamin K (µg)                         36.4 ± 27.3               70 – 140 µg
 2
 3        Table 5 shows that macrominerals intakes are all within or exceed the
 4   international references for athletes.
 5
 6   Table 5. Mean values (±SD) for macrominerals intake
     Macrominerals                            Mean ± SD                       DRI*
     Calcium (mg)                              848.1 ± 1                800 - 1200 mg
     Magnesium (mg)                          431.4 ± 76.8                  350 mg
     Phosphorus (mg)                          1772 ± 140                800 - 1200 mg
     Potassium (mg)                          4523 ± 1309               1875 – 5625 mg
     Sodium (mg)                             3089 ± 1142               1100 – 3300 mg
     Chloride (mg)                             856 ± 606                  2300 mg
 7   *Dietary reference intakes. Washington, DC, 1997, 1998, 2000 and 2002.
 8   All trace minerals with exception of iodine and molybdenum are within the nutritional
 9   references.
10
11   Table 6. Mean values (±SD) for trace elements intake
     Trace Minerals                           Mean ± SD                       DRI *
     Copper (g)                                1.8 ± 0.5                       0.9 g
     Iron (mg)                                21.1 ± 4.4                       8 mg
     Manganese (mg)                            3.2 ± 1.0                      2.3 mg
     Selenium (µg)                           179.3 ± 22.7                      55 µg
     Zinc (mg)                                19.9 ± 5-7                      11 mg
     Boron (mg)                                3.4 ± 1.7                        NA
     Iodine (µg)                              66.5 ± 8.1                      150 µg
     Molybdenum (µg)                          12.6 ± 9.9                       45 µg
12   *Dietary reference intakes. Washington, DC, 1997, 1998, 2000 and 2002.
13

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 1   Discussion
 2
 3         The nutritional needs for elite athletes must be considered individually and
 4   adjusted to the requirements of training and competition. Elite kayakers usually
 5   practice twice a day with each workout lasting between 1.5 and 2 hours. This
 6   type of training is very demanding at several levels, with the binomial
 7   recovery/nutrition being of fundamental importance. Energy and carbohydrate
 8   and protein needs must be met during exhaustive training to maintain body
 9   weight, resynthesize muscle glycogen, and provide sufficient protein to build
10   and repair muscle tissue. The average value of the daily energy supply for our
11   kayaker is 36.0 ± 3.4 Kcal/kg/day that is in line with the values found for
12   strength-type sports (e.g. bodybuilding, judo, and weight lifting) but clearly
13   below the values found for long-lasting endurance sports (e.g. triathlon,
14   cycling, marathon) (Erp-Baart et al., 1989a). The first line of analysis concerns
15   the verification of the combined effect of training and nutrition on body weight
16   variations. During the study, the athlete's body weight remained stable with
17   slight daily variations not exceeding 100 g. These results are an index of the
18   adequacy of caloric intake to caloric expenditure. Intense and systematic
19   training develops superior energy efficiency (De Feo et al., 2003) increasing
20   the ability to support the same training load with a lower expenditure of
21   energy. It seems that some athletes are able to adjust their energy intake to the
22   volume and intensity of training, hence the variations seen in the caloric intake
23   of many elite athletes (Rodrigues Santos et al., 2010; 2102; 2013). While
24   energy intake appears to match caloric expenditure, the relative contribution of
25   the various macronutrients does not seem to be the most adequate. The low
26   values of CHO ingestion, either as a percentage of total energy intake or when
27   relative to body weight, are very low in relation to the recommendations for
28   athletes. When training is intensified, low CHO intake reduces muscle
29   glycogen concentration and increases muscular fatigue (Costill et al., 1988)
30   reducing the ability to cope with exhaustive loads. Recommendations for CHO
31   intake ranges of 5 to 7 g/kg/day for general training. For endurance athletes 7
32   to 10 g/kg/day of CHO are suggested (Burke et al., 2001). We can hypothesize
33   that at least in some workouts this kayaker has a suboptimal level of glycogen
34   stores with deleterious effect on training intensity and mood for hard training.
35   It is important to highlight that the brain has an increased need for CHO during
36   recovery from strenuous exercise (Nybo et al., 2003). However, as the protein
37   intake is high, it can contribute not only to tissue repair but also to glycogen
38   synthesis through gluconeogenesis. For 50 g of glucose produced, 34-40 g
39   come from glycogenesis, 8-14 g from protein deamination and 2-3 g from
40   glycerol (Fromentin et al., 2013). Protein intake in the range of 1.3 – 1.8 g.kg-
     1
41     .day-1 maximize muscle protein synthesis in athletes (Phillips & Van Loon,
42   2011). The average values of protein ingested in this study seem be adequate
43   not only for muscle repair and accretion as well as for energetic purposes. Fat
44   intake is high although within dietary references for athletes (Rodriguez et al.,
45   2009); the problem is that the high fat intake is made at the expense of CHO.
46   Regarding the type of fats, there is an average high intake of saturated fats

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 1   (SFs) and a reduced intake of polyunsaturated fats (PUFs). Intake of
 2   monounsaturated fats (MUFs) is adequate and reflects the Mediterranean
 3   dietary pattern. What means a high intake of SFs to a highly active athlete?
 4   Epidemiological studies suggest that reducing dietary SFs reduces the risk of
 5   cardiovascular events and myocardial infarction (Hooper et al., 2015). In our
 6   view, epidemiological approaches lose consistency in the high-performance
 7   sports field. The focus should be on the effects of the imbalance between the
 8   intake of SFs in relation to the intake of PUFs. Reduced intake of PUFs namely
 9   the two essential fatty acids (EFAs), alpha-linolenic acid (ω3) and linoleic acid
10   (ω6) can negatively affect the production of prostaglandins, which help
11   regulate blood viscosity, inflammatory processes, blood cholesterol and fat
12   levels, and water balance (Oesterling et al., 1972). It is well known that
13   exhaustive exercise is a remarkable producer of inflammation outbreaks. Since
14   the body does not synthesize EFAs, they must be provided by the food. The
15   Western diets, namely Mediterranean diet, provide a high amount of ω6 fatty
16   acids. This nutritional condition favors the formation of eicosanoids that arise
17   from the oxidation of arachidonic acid and related PUFs by cyclooxygenase,
18   lipoxygenase and cytochrome P450 enzymes and via non-enzymatic free
19   radical mechanisms (Dennis & Norris, 2015). Eicosanoids are related to the
20   pro-inflammatory response. Non-steroid anti-inflammatory drugs, prostanoids
21   and dietetic fish oil ω3 fatty acid supplementation control the action of
22   eicosanoids (Norris & Dennis, 2012). Therefore, the high intake of ω6 fatty
23   acids to the detriment of ω3 can accentuate the inflammatory processes
24   naturally induced by exercise and delay recovery between efforts. Although
25   there is no consensus among nutritionists, a daily intake of 9 g of ω6 and 6 g of
26   ω3 is recommended, which gives a ratio of 1.5-1.0 (Erasmus, 1993). In this
27   study, the average intake of ω6 exceeds the recommendations while those of
28   ω3 is far below the recommendations. The ratio ω6:ω3, circa 8:1, can hinder
29   the buffering of inflammatory processes. Other studies present a similar
30   scenario (Rodrigues dos Santos et al., 2010; 2012; 2013). In order to rebalance
31   this particular aspect of the diet, the athlete must increase the consumption of
32   cold water fish such as salmon, mackerel and sardines, however there is no
33   evidence of the relationship between the consumption of food rich in ω3 and
34   sports performance. Huffman et al. (2004) showed that supplementation with
35   ω3 fatty acids did not improve endurance performance during a maximal bout
36   of exercise. A more balanced diet is desirable since nutrition does not make a
37   champion but can prevent it from being. Our subject has a high average
38   consumption of trans fatty acids. These fatty acids, processed or natural
39   occurring, are related to several diseases (Souza et al., 2015). In an athlete with
40   a very high level of training, the clinical perspective does not apply, however,
41   the intake of foods rich in trans fatty acids should be reduced as much as
42   possible and not exceed 2 g/100g fat per day (Leth et al., 2006). Cholesterol is
43   mainly synthesized from dietary saturated fats and there is no scientific
44   evidences to validate the hypothesis that dietary cholesterol increases blood
45   cholesterol. Therefore, previous recommendations from the American Heart
46   Association restricting dietary cholesterol to 300 mg/day were removed

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 1   (Soliman, 2018). Our kayaker has a high uptake of dietary cholesterol directed
 2   related to the high uptake of SFs. At first glance, this athlete's lipid outlook
 3   could be worrying - high intake of SFs, dietary cholesterol, and total fat.
 4   However, blood tests done regularly by this kayaker point to blood values of
 5   triglycerides and cholesterol within normal laboratory values. Exhaustive daily
 6   training is the best way to cancel out the possible deleterious effects of a high
 7   fat diet. The recommendations for the consumption of dietary fibers is 20 to 35
 8   g per day (Escudero & Gonzalez, 2006), that is, twice the consumption of our
 9   athlete. For the good functioning of the digestive system, it is advisable to
10   reduce the simple sugars, processed foods and increase the foods rich in fiber.
11   This athlete does not drink any alcohol. This is a healthy behavior because
12   chronic alcohol consumption is related to unfavorable changes in the immune
13   system, the clotting process and brain integrity (El-Sayed et al., 2005).
14   Caffeine intake, between 0 and 13.4 mg, is not significant because a single cup
15   of espresso takes about 60 ml of coffee, and contains about 126 mg of caffeine.
16        After Erp-Baart et al. (1989b), when energy intake ranges between 2388
17   and 4776 kcal/day vitamin and mineral intake is sufficient. Our data only
18   partially confirm this statement. Although caloric intake is adequate, the intake
19   of water-soluble vitamins exceeds the recommendations while the intake of fat-
20   soluble vitamins is below the recommendations for athletes (Murray &
21   Horswill, 1998). Can low fat-soluble vitamin intake be problematic for this
22   athlete? The answer seems be negative. Photochemical processes from the
23   cholesterol can synthesize vitamin D. Adequate amounts of vitamin E are
24   necessary to prevent peroxidation of tissue PUFs. Vitamin E deficiency is
25   extremely rare in humans and it is unlikely caused by dietetic limitations
26   (Kemnic & Coleman, 2021). The intake of vitamin E observed in our athlete,
27   below the recommendations, is in line with the low intake of polyunsaturated
28   fatty acids. Low PUFs intake reduce the needs of vitamin E. An intake of 0.6
29   mg alpha-tocopherol equivalents per gram linoleic acid is generally seen as
30   adequate for human adults (Valk & Hornstra, 2000). Our values, 7.9±2.3 mg of
31   vitamin E for 10.5±3.0 g of linoleic acid, gives a surplus of antioxidant
32   protection. Vitamin K1 (phylloquinone) derives from green leafy vegetables
33   while vitamin K2 (menaquinone) is synthesized in the gut from the bacteria.
34   Even in a situation of low dietary intake, synthesis in the ileum from the
35   bacteria seems sufficient to respond to the body's demands (Conly & Stein,
36   1992). However, to normalize the intake of phylloquinone, the athlete should
37   be advised to eat more green leafy vegetables such as parsley, spinach, broccoli
38   and kale. These foods benefit bone metabolism and the coagulation system
39   (Sim et al., 2020).
40        The low values of vitamin A and beta-carotene intake observed in this
41   athlete should be corrected to improve immune response to exercise,
42   maintenance of epithelial cells integrity and protection against oxidative free
43   radicals attack (Bar-El Dadon & Reifen, 2017). Reactive oxygen species (ROS)
44   and reactive nitrogen species (RNS) produce both deleterious and beneficial
45   effects. Overproduction of ROS (arising either from mitochondrial electron-
46   transport chain or from excessive stimulation of NADPH) results in oxidative

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 1   stress (Valko et al., 2007). During training, kayakers dramatically increase their
 2   oxygen consumption. Probably this causes an increase in free radicals
 3   production, which are supposed to have a plethora of deleterious effects. Some
 4   diseases, like cancer and cardiovascular diseases are associated with increased
 5   ROS production (Halliwell, 2012). These highly reactive molecular species are
 6   capable to damage some important macromolecules as DNA, proteins,
 7   carbohydrates, and lipids. The first line of defense against oxidative stress is
 8   enzymatic – superoxide dismutase (SOD), catalase (CAT), and glutathione
 9   peroxidase/glutathione reductase (GPX) (Ighodaro & Akinloye, 2018). We can
10   consider exogenous antioxidants (tocopherol, ascorbate, ß-carotenes,
11   flavonoids) provided by the diet as the second line of defense against oxidative
12   stress. It is common practice in sport to ingest high amounts of anti-oxidant
13   substances to combat oxidative stress induced by prolonged and / or intense
14   exercise. The effects of these practices are dubious. For instance, many
15   polyphenols, such as the flavonoids, have remarkable antioxidant activity in
16   vitro but there are few, if any, compelling data that polyphenols exert
17   antioxidant effects in vivo (Halliwell et al., 2005). Some authors highlight the
18   beneficial effects of ROS. ROS have become increasingly recognized to
19   mediate some adaptive responses in skeletal muscle induced by exercise.
20   Therefore, exercise-associated increases in ROS are likely to involve redox-
21   sensitive signaling effects rather than oxidative damage (Webb et al., 2017).
22   Regardless of the benefits or harms of ROS, an athlete should enrich his diet
23   with fruits, grains and vegetables that in addition to the antioxidant fight have
24   other benefits for the individual's health.
25        With the exception of chloride, all macrominerals are within or exceed the
26   DRI. The low mean chloride intake in our subject has no clinical significance
27   because, in healthy individuals, NaCl homeostasis is fine-tuned in renal
28   collecting ducts where Cl urinary excretion is balanced with dietary salt intake
29   (Rajagopal & Wallace, 2015). These low values of Cl are in line with other
30   studies with elite athletes (Siqueira & Rodrigues dos Santos, 2004; Rodrigues
31   dos Santos et al., 2010).
32        With the exception of iodine and molybdenum, all trace minerals are
33   within the references. Selenium, manganese, cooper and zinc the principal
34   minerals linked to antioxidant defense respect the recommendations. To avoid
35   persistent iodine deficits the athlete must increase the consumption of fish.
36   Low average values of molybdenum can affect the formation of the enzyme
37   xanthine oxidase, which is fundamental to transform xanthine into uric acid
38   (Rajagopalan, 1988). To correct this nutritional deficit the athlete must increase
39   the consumption of milk, legumes and whole grains. These foods are excellent
40   sources for almost all macro- and macrominerals.
41
42
43   Conclusion
44
45       The elite kayaker in this study has a nutritional intake that needs some
46   corrections. The absence of significant fluctuations in body weight points to

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 1   adequate caloric intake. While protein intake matches well the needs for
 2   muscle repair and accretion, low carbohydrate intake does not respect the
 3   recommendations for strength-endurance athletes and can put some problems
 4   in relation to the best energy conditions during high intensity workouts.
 5   Therefore, this athlete must reduce the fat intake and increase the supply of
 6   CHO. Despite the high intake of fats, the supply of some fat-soluble vitamins –
 7   A, D, E, and K does not met the recommendations. Although the intake of
 8   beta-carotene is low, the adequate intake of micro minerals connected with the
 9   antioxidant defense points to the potentiation of endogenous mechanisms to
10   fight oxidative stress. Based on the data in this study, the increase in the supply
11   of CHO and some vitamins and minerals is justified, either through
12   supplementation or through enrichment of the diet with specific foods that
13   cover the deficits found.
14        Dietary guidelines for health focus on unprocessed foods, fruits and
15   vegetables, plan-based fats and proteins, legumes, whole grains and nuts.
16   Emphasis should be placed on monounsaturated fats, such as olive oil,
17   avocados, and nuts, and omega-3 fatty acids. Respecting energy needs, a diet
18   with this profile is also adequate for elite athletes specialized in strength-
19   endurance sports like our kayaker.
20
21
22   References
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