Ever wonder why most people eat so much alike? Milk and cereals for breakfast, a soup and a sandwich at lunchtime, and, with luck, a slightly more balanced dinner of meat or fish, rice and some vegetables? What about those mid-morning and/or afternoon coffee and toast snacks? Crackers? Cakes and sodas? Cereal bars? Do you think this is a coincidence? Of course not, this is no coincidence!

This only happens this way because that is how you were taught to eat. Maybe this is the way your parents eat. Perhaps this is the way your wife, husband or partner eats. Maybe this is the way your friends and/or co-workers eat. Maybe this is the way your teammates eat. In fact, people do not even realize if what they are eating is appropriate or not for our physiology and genetics, if it improves or worsens health, if it improves or worsens performance, they eat this way because this is the eating pattern that they have been following for many years, and these were the habits they have ingrained.

In the last article we covered several reasons why golfers neglect nutrition, one of the aspects that can most influence their performance on the golf course. Interestingly, most golfers are more concerned with top-of-the-range clubs and new accessories than the foods they eat. And that is why today I will present five reasons for you to improve your diet.

Think about this for a while. If you knew that eating and/or supplementing in a certain way would: 1) reduce your fat mass; 2) increase your muscle strength; 3) improve your bone health; 4) enable a faster recovery; 5) increase your distance from the tee; 6) improve your mood; 7) reduce feelings of anxiety and anger; 8) improve your concentration and creativity; 9) improve virtually any known health marker and 10) improve your performance in training sessions and/or competition, would you be willing to eat that way? Given this short list of benefits I think it would be worth a try. Stay with me.

  1. Eating well will improve your body composition

Your total body weight is the sum of your lean mass and your fat mass. Lean mass consists of muscle mass, organs, bones, blood and skin. Your fat mass is basically all the fat that has accumulated in the body. For an individual to be considered athletic, he or she needs to maintain a good ratio between lean mass and fat mass. And golfers should be no exception. By this I do not mean that all golfers need to have Cristiano Ronaldo’s abs, what I mean is that under normal circumstances excess body fat has no benefits (unless you are a sumo wrestler in the spare time). Excess body fat will affect the efficiency of your swing, your mobility and your rotational power, meaning that you will have greater difficulty moving your body when you carry excess fat. The more fat you have, the more energy you have to use to move your body – the fat will “steal” power from your swing. So, it’s not the fat tissue that will give you power, it’s your muscle tissue!

  1. Eating well will improve recovery

If you are seriously committed to improving your game, you know you need to practice (and a lot!). According to experts, some professional golfers can hit 600 balls a day including chips and putts. And to perform all these swings you need muscle strength and power, meaning you need to do some kind of work in the gym! If the body is not prepared to cope with this type of stress in a regular basis, injuries and pain will begin to rise. If you often end your golf training sessions sore, if you notice fluctuations in motivation, if you can no longer hit balls in a coordinated manner, if you notice reductions in appetite, and if you are awake at night despite training a lot, it is very likely that your recovery is not being optimized. Muscle damage, Central Nervous System fatigue, and over-reaching are all common symptoms of many sports, but golfers tend to ignore these things. Although golf is not as physically demanding as other sports, the fact is that the daily training volume to which the body is subjected is large and this will make nutrition a key part of recovery.

  1. Eating well will improve mood, concentration and focus

Any professional golfer on the PGA Tour and/or the European Tour is capable of winning any major event. But why do some stand out more consistently than others? Because, according to experts, those who excel are mentally unshakable. That is, their ability to turn off negative internal dialogue, to consciously relax the brain and to focus with unflappable concentration is impressive. Some consider this to be an innate skill. And it is indeed. But it can be trained! However, there is also a biochemical basis for this mental prowess. You should know that by providing the right nutrients, including nutritional supplements, at the right times, the physiological link between the brain and muscles can be strengthened. Such as focus and concentration. For example, by controlling your blood glucose levels with frequent meals and less dietary sugar, mood fluctuations and that feeling of low energy after lunch can be eliminated. Therefore, in addition to body composition and recovery, nutrition can strongly affect your mental game. With the right nutrients, concentration, neuromuscular efficiency and mood can be significantly improved. On the contrary, if you do not ingest good nutrients, fatigue will appear earlier and you will no longer be able to concentrate in the same way.

  1. Eating well will improve your health

When I am talking about health, I am not just referring to the absence of pain and/or illness, I mean a feeling of physical, emotional and mental well-being. To perform at the highest level, health needs to be optimized, so the definition of health I share with my clients/athletes includes: 1) a resilient immune system; 2) strong antioxidant systems that protect against free radicals; 3) good detoxification systems; 4) a good balance of bacteria in the gut; 5) a good balance of basic and acid foods; 6) low levels of inflammation in the body; 7) an ideal balance between fat mass and lean mass; 8) a good balance of fatty acids; 9) good insulin sensitivity; 10) high energy levels and 11) the ability to maximize mental and physical performance at any age. All of these health markers can be influenced by the foods we eat every day! Therefore, these nutritional strategies will not only help you prevent disease but also optimize your body function and perform at the highest level.

  1. Eating well will improve your performance in training and competition

It is not surprising to most of you to find that most nutrition on the golf course is poor, ranging from mixed sandwiches and beer, to sports drinks and “energy bars” (note: most of which are basically full of sugar and bad fats) with a seemingly healthy label. These foods are certainly not preparing you for noteworthy performances, I would even say that these foods will compromise your performance. For example, beer is a central nervous system depressant, reducing concentration and motor control. Sports drinks (e.g. Powerade), sandwiches (even wholegrain!) and “energy bars” will raise blood sugar levels, which is-apparently good because it leads to a quick energy rise, but it turns out to be bad because then we’ll also watch a rapid energy drop 45-60 minutes later. When blood sugar levels drop to a peak, mood worsens, focus and concentration decrease – and of course performance worsens!

To optimize your performance in training and competition, there are at least three things that are required. First, you must maintain good hydration, especially in hot and humid climates. Even a slight dehydration can reduce coordination and motor control. Secondly, you must control your blood sugar levels. This means that you should not eat sugar-rich foods, but foods that help keep your blood glucose levels stable. Third, you should resort to some nutritional strategies and/or supplements that help you increase focus and concentration. In short, don’t continue to depend on what they offer you in the golf course bar carts – probably the only healthy thing they have there is water!

Good strokes!

Pedro Correia

 

People don’t decide their future, people decide their habits and their habits decide their future.

– F.M. Alexander

Nine years ago (2010)1, the European Working Group on Sarcopenia in Older People (EWGSOP) published a definition of sarcopenia that has been widely used worldwide and this definition has fostered advances in the identification and care of people at risk or with sarcopenia. It was defined as a syndrome characterized by progressive and widespread loss of muscle mass and strength at risk of adverse outcomes such as physical disability, poor quality of life and death. Because the relationship between muscle mass and strength is not linear (the ability to generate strength is not only dependent of muscle mass), the criteria for its diagnosis included low muscle mass and low muscle function (i.e. strength or physical performance).

After learning that in 2016 sarcopenia was classified as a disease by the World Health Organization, as noted in the first part of this article, the EWGSOP22 updated its operational definition and various diagnostic strategies, considering now that muscle strength (measured by grip strength or the chair stand test) is the main parameter for measuring muscle function, even more important than the amount of muscle mass. Therefore, it is in this context that we justify the title of this article and reinforce the importance of sharing this message with all health professionals.

The implications of this condition on human health are several and widely known: increased risk of falls and fractures3,4; impairment of activities of daily living5; association with heart disease6; respiratory disease7 and cognitive dysfunction8; lower quality of life9; loss of independence10,11,12 and death13. In financial terms, public health costs have also been calculated in several papers. In a study by Janssen et. al.14, in 2004, the costs of sarcopenia in the United States were estimated at $ 18.5 billion annually, representing about 1.5% of total health costs. In a study conducted here in Portugal at the Hospital de Santo António in Porto and published in 201615, it was found that hospitalization costs associated with sarcopenia were higher by 58.5% for patients under 65 years and by 34% for patients aged 65 and over. More recently (2018), the Hertfordshire Cohort Study in the United Kingdom16 found that the costs associated with lack of muscle strength were estimated at £ 2.5 billion annually.

In the present scenario, where the phenotype of unhealthy aging is proliferating in the eyes of all industrialized nations, in which diseases such as hypertension, cancer, depression, Alzheimer’s disease and type II diabetes are destroying people’s lives, it is essential to adopt measures aimed at improving function of each individual rather than diagnosing illnesses and administering medicines which, in addition, do not help solving this problem, and may further aggravate their condition. We know that the main health problems are related to poor diet, physical inactivity, lack of sleep, excess alcohol, exposure to tobacco and polluted environments but also lack of movement quality, vigor and muscular strength.

The benefits of strength training in health are well supported in the scientific literature and the most important ones are: decrease in blood pressure; decreased risk of osteoporosis and sarcopenia; improvement of lipid profile; increased cardiorespiratory capacity; prevention and management of chronic pain; increased insulin sensitivity; improvement of wellbeing and self-confidence. Moreover, several studies17,18,19 have shown a strong and consistent correlation between increased strength and muscle mass with decreased mortality, reinforcing the fact that the decline in strength associated with the current levels of sedentarism and aging need to be addressed. Therefore, a well-designed strength training program that meets the individual’s competency and follows the principles of adaptation to training will improve all of the above health indicators and all the necessary physical qualities (strength, power, speed, agility, balance, coordination, mobility, endurance) to carry out the activities of our daily life. These are the parameters of physical function that are currently being proposed as biomarkers of aging in humans20.

Consequently, program design will be the determining factor in this equation. And while it is true that this process requires imperative knowledge of sports sciences, it must be borne in mind that it also requires field work and art in coaching. Instead of being so preoccupied with following the guidelines and looking for statistically significant results, we should be concerned that our approach is relevant to one’s life. Because we work with people. People who have time constraints to train. People with different family and professional responsibilities. People who have different lives from each other. People who have a host of metabolic and / or orthopedic problems that no randomized controlled trial can ever reproduce! Yes, this is a complex process.

Finally, we know that one of the mechanisms responsible for muscle atrophy, sarcopenia and aging is apoptosis, a form of programmed cell death and a fundamental process in aging. But when we train, eat and rest properly, we are sending a signal to our body to create an anabolic environment, an environment that enhances the release of growth factors and suppresses apoptosis. That is, strength training is a macroscopic growth factor that suppresses programmed cell death (i.e. apoptosis), but unlike drugs, where an increasing in dose means more disease and dependence, an increase in load (even if reduced) means more health, more strength and more vigor. This way, the daily decisions will always be up to each one: treat the body like a Ferrari or treat the body like a rental car.

Pedro Correia

References:

  1. Cruz-Jentoft AJ, Baeyens JP, Bauer JM et al. Sarcopenia: European consensus on definition and diagnosis: report of the European working group on sarcopenia in older people. Age Ageing 2010; 39: 412–23.
  2. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, Cooper C, Landi F, Rolland Y, Sayer AA, Schneider SM, Sieber CC, Topinkova E, Vandewoude M, Visser M, Zamboni M; Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019 Jan 1;48(1):16-31.
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