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Player Health

PLAYER HEALTH

KEEPING PLAYERS AT THEIR BEST

Articles on player health by our own Dr. Luba Abascal.

FOOD IS FUEL

Food is an important part of an athlete’s training.  Being a great athlete takes more than just practice and training; it also takes the right foods at the right time to keep your body in peak shape.  The good news is that regular food will give you what you need -- sports bars, sports drinks and supplements are not necessary.

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On Average, active teenage girls need 2,200 to 3,000 calories for performance and growth.
 

  • Carbohydrates are the main source of energy for endurance and power.  

  • Proteins help build new tissue

  • Fats provide energy when exercising at lower levels.

  • Choose quality calories from fruit, vegetables, whole-grain breads and cereals, low-fat dairy, lean protein and heart-healthy fats. These foods provide the energy, protein, vitamins and minerals that athletes need. If you eat a variety of these foods, you will receive enough vitamins and minerals and other nutrients.  

 

How much protein should I eat?
 

Proteins build and repair muscle, hair, nails and skin.  Strong muscles come from training and a healthy diet with plenty of protein.  No need to eat extra protein--you can get what you need from regular eating. Eating a vegetarian or vegan diet is OK too.  It is a myth that these diets don’t provide enough protein! Good sources of protein are:
 

  • Lean meat, poultry, and fish..

  • Beans, chickpeas, lentils, edamame, eggs, low-fat milk, cheese, yogurt, tofu, nuts, peanut butter and seeds.


What about vitamins?
 

If you have a balanced diet, you probably get enough vitamins and minerals.  Try to eat fruits and vegetables of different colors as a way to get different vitamins (red bell peppers have vitamin A, spinach has vitamin K, oranges have vitamin C).

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Two minerals need special mention:  calcium and iron. Teenage girls need more of these.

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Calcium:  girls need extra calcium to build their bones (between the ages of 9 - 18, girls need  1300 mg/day).


Calcium is found in…
 

  • cow’s milk (dairy products like low-fat milk, yogurt and cheese) and other milk sources that are fortified with calcium (soy, almond, etc).  These sources have 300 mg of calcium per cup. If you don’t think you are getting enough, you may consider a supplement.

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Iron:  extra iron is necessary for growth and building muscle.  Between the ages of 14 to 18 more iron is needed: up to 15 mg/day for girls.  Sources of iron include eggs, leafy green vegetables, fortified whole grains, lean meat, fish and poultry.

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Is dieting OK?
 

Usually dieting for teen athletes is not OK.  If you think you need to diet, or if someone like a coach, gym teacher, or teammate says that you need to go on a diet, talk to your doctor first.

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When should I carb load?
 

Carbs give you energy for endurance and power, but all types of food are necessary for fueling your game for the long haul.  Like we’ve talked about before, low carb diets are not healthy.

Good sources of carbohydrates include fruits, vegetables, and grains.

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Choose whole grains (such as brown rice, oatmeal, whole-wheat bread) over refined carbs (such as white rice, white bread, or foods with processed sugar).

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(See below for suggestions on a game day food plan.)

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What about fat?

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We all need fat in our diet!  In fact, 30% of our calories should be fat calories.  Especially athletes, because active muscles quickly burn through carbs and need fats for long-lasting energy.  It also helps us absorb our vitamins (A, D, E, K).

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Timing is important:  fats slow down digestion, so avoid a fatty meal a few hours before exercise.

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Choose healthier fats, such as the unsaturated and mono-saturated fat found in most vegetable oils, avocados, some fish (salmon), and nuts and seeds. Limit trans fat (like partially hydrogenated oils found in snack foods) and saturated fats (found in high fat meat and high fat dairy products, like butter).

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I hear supplements can help my performance.

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Energy drinks do not boost your performance!  They have a lot of sugar that gives you a boost, but then makes you ‘crash’.  They can also have a lot of caffeine, which increases your heart rate -- not good before a game.

Other ‘performance’ supplements can actually be harmful (hormones like steroids, testosterone, DHEA and others)

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What should I eat on game day?

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  • Eat breakfast!  It replenishes your glycogen (energy) stores, and improves your concentration and performance throughout the day.

  • Eat a meal 2 to 4 hours before the game or event: Choose a protein and carbohydrate meal (like a turkey or chicken sandwich, cereal and milk, yogurt and fruit, or pasta with tomato sauce).  

  • If you don’t have time for a meal before the game, eat a light snack 1- 3 hours before the game:  Choose a light snack (like fruits, vegetables and hummus, crackers, a bagel, or low-fat yogurt).  Learn what works best for you -- some athletes feel too full or crampy if they eat before a meal.

  • Don’t forget your post game snack:  both carbs and proteins are needed to reboot and rebuild your body.  Try graham crackers with peanut butter, yogurt or cheese with fruit.

  • What about carb loading?  Endurance athletes (think marathon runners) can use ‘carb loading’ (eating lots of carbs in the 2-3 days before a competition), but it isn’t recommended for most athletes like basketball and lacrosse players.
     

We’ve talked a lot about FOOD.  But don’t forget that other essential:  WATER! Hydrate, hydrate, hydrate. Drink water 2-3 hours before your sport, during breaks, and especially afterwards to replenish your body.

Staying On Top of Stress

Why did YOU try out for Energy?
 

  • To become a better basketball player?  

  • To make friends and have fun with your team?

 

I bet you weren’t thinking that it would build your CONFIDENCE, but that is exactly what team sports does.  It also helps you learn life lessons like how to:
 

  • work as a team

  • be a good sport

  • overcome challenges

  • control emotions

  • take pride in accomplishments

  • develop discipline

 

Still, it can be stressful to play on a club team, balance your homework and other responsibilities.  Competing always leads to some stress. And that can be good as a little stress helps the body face a challenge. But it's not always easy to keep it together when it feels like winning is everything.

 

There will always be some stress in sports, so it's important to know how to deal with it. Trying different ways during practices and games helps you know what will work best for you during competition.  It’s important to manage your stress to play your best.  You can try:

 

  • Eat well and get enough sleep, especially before games.

  • Do something fun and relaxing. Take a break and go for a walk, ride a bike, see a movie, or hang out with friends.

  • Focus on the present instead of worrying about the future or the past.

  • Go to a happy place: Picture a peaceful place or event. Imagine stress flowing away from the body.

  • Having a routine: Focus on the routine to keep stress in control.

  • Do deep breathing: Take a deep breath and hold it in for about 5 seconds, then release it slowly. Repeat five times.

  • Muscle relaxation: Contract (flex) a group of muscles tightly. Keep them flexed for about 5 seconds, then release. Repeat the exercise five times, then move to a different muscle group.

  • Think positively and develop positive self-talk:  Say..."I learn from my mistakes." ..."I'm in control of my feelings."..."I can do this!"

  • Take a look at your schedule. If you have too much going on, think about limiting your activities.

  • Visualize success: Imagine making a layup a 3-pointer or a great pass.

  • Change your focus from winning to putting in your best effort and having a positive attitude.

 

Having a healthy attitude about sports and learning to deal with the stress that comes with competing can help you perform your best.  Remember, no one is perfect! Everyone makes mistakes in sports — it's part of the game. Be quick to forgive mistakes (yours and others!) and move on.

 

Sports are about staying active, feeling proud, developing as a player, and making friends.

 

Above all, the point is to have fun!

What's up with the ACL?

What is the ACL?

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The anterior cruciate ligament is an important stabilizing ligament of the knee.

 

Three bones meet to form your knee joint: your thighbone (femur), shinbone (tibia), and kneecap (patella). Your kneecap sits in front of the joint to provide some protection.  The cruciate ligaments are the strong ropes that hold the bones together and keep the knee stable.
 

The cruciate ligaments are inside the knee joint – the anterior cruciate ligament runs diagonally in the middle of the knee. It keeps the knee stable while in forward motion and while in rotation.

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Why does it get injured?

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Contrary to popular belief, most ACL injuries (70%) occur without direct contact – for example, during landing and cutting motions during sports.  The other 30% occur with direct contact – such as another player hitting your knee.

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Why is it a big deal for girls?

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Since the passage of Title IX in 1972, girls' participation in high school sports has increased dramatically—some say by more than 900%. With this come more injuries.

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Girls who play certain sports, like soccer, basketball and gymnastics sustain more ACL injuries than boys who play the same sports.  Young women are up to 5 times more likely to tear their ACL than young men.  Amongst female high school basketball players, knee injuries are the most common cause of permanent disability, accounting for up to 91% of season-ending injuries.

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It is unclear why this happens.  Theories include differences in muscle strength and balance, effects of estrogen, footwear, field surface, and gender differences in hip width and knee anatomy.  Many of these theories are controversial.

 

What we do know is:

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You can lower your risk of ACL tears by doing exercises that strength your muscles, and improve your endurance, balance and coordination.  While no training program can guarantee you remain free from injury, they can lower your risk.

 

Don’t forget the DYNAMIC WARM-UP that you do before every practice and game – it incorporates many of these key exercises!

 
Watch these videos to learn these easy exercises!

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About ACL Tears - Why Exercise is Important
https://www.youtube.com/watch?v=P6NkUFCTzZ0  (1:34 minutes)

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Game Changers: 7 Exercises to Prevent ACL Injuries With U.S. Women's Soccer star, Ali Krieger

https://www.youtube.com/watch?v=xWBSf4BfKRk  (4:02 minutes)

What's your favorite drink?

Mine is water!

 

Water is always the best drink to stay hydrated for most activities.  Serious athletes who do vigorous exercise for 4 hours or longer will need to replenish electrolytes as they go, but this is not necessary for most school athletes.  Those popular sports drinks contain not only unnecessary electrolytes, but a lot of unnecessary sugar too!.


For example, a 12-ounce serving of Gatorade Lemon Lime contains 21 grams of sugar -- that's 80 calories of sugar.  
Drinking 4 to 8 ounces of water during every 15 to 20 minutes of activity works well for most high schoolers.

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Carbs are bad??

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Not after working out -- sports experts and pediatricians recommend a snack rich in carbs and protein after working out. This helps muscle recovery and replenishes supplies of glycogen, the fuel that muscles burn.

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Some suggestions

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Avocado on toast, nuts or nut butters, trail mix (dried fruits and nuts), fruits, rice cakes, or protein bars (trying to balance taste and nutrition is hard in this category -- Luna and Kind bars are two of my favorite and healthyish options).

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