NESTA Sports Nutrition Specialist flashcards
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- ATP-PC system duration
- The phosphagen system supplies ATP for very short, explosive efforts of approximately 0–10 seconds using stored creatine phosphate, without oxygen or lactate production.
- Glycolysis ATP yield
- Anaerobic breakdown of one glucose molecule to pyruvate yields a net 2 ATP and produces lactate when pyruvate is reduced; it dominates efforts lasting about 10 seconds to 2 minutes.
- Oxidative phosphorylation yield
- Complete aerobic oxidation of one glucose molecule yields approximately 30–32 ATP, making it the dominant energy system for sustained exercise beyond about 2 minutes.
- Mifflin–St Jeor equation
- Estimates resting metabolic rate: men 10×kg + 6.25×cm − 5×age + 5; women 10×kg + 6.25×cm − 5×age − 161. Multiply by an activity factor to estimate total daily energy expenditure.
- Carbohydrate loading protocol
- For endurance events, increase carbohydrate to 8–12 g/kg/day for 36–48 hours before competition while tapering training, aiming to maximize muscle glycogen stores.
- Protein per-meal dose
- A 0.25–0.3 g/kg body mass dose (about 20–40 g) of high-quality protein per meal maximally stimulates muscle protein synthesis, provided it contains roughly 2.5–3 g leucine.
- Creatine monohydrate protocol
- 3–5 g/day of creatine monohydrate chronically increases muscle phosphocreatine; an optional loading phase of 20 g/day for 5–7 days saturates stores faster.
- Caffeine ergogenic dose
- 3–6 mg/kg body mass taken 30–60 minutes before exercise improves endurance performance, alertness, and perceived exertion; higher doses increase side effects without added benefit.
- Sweat rate calculation
- Sweat loss (L) equals pre-exercise body mass (kg) minus post-exercise body mass (kg) plus fluid consumed during exercise (L); divide by exercise hours to get L/hour.
- Energy availability formula
- Energy availability equals (energy intake minus exercise energy expenditure) divided by fat-free mass in kg; values below 30 kcal/kg FFM/day indicate low availability and risk of RED-S.
- PAR-Q+ purpose
- A pre-participation screening tool that identifies individuals who may need medical clearance before increasing physical activity, using seven yes/no health questions.
- 24-hour dietary recall
- A retrospective interview method that records all foods and beverages consumed in the past 24 hours; it is quick but relies on memory and may not reflect habitual intake.
- Food frequency questionnaire
- A dietary assessment that asks how often specific foods are consumed over a defined period; it captures habitual patterns but is less precise for quantifying energy and nutrients.
- Waist-to-hip ratio risk
- Waist circumference divided by hip circumference; values above 0.90 in men or 0.85 in women indicate elevated cardiometabolic risk and central adiposity.
- Urine specific gravity
- A hydration marker; values above 1.020 suggest dehydration, while 1.010–1.020 generally indicates euhydration. First-morning urine is most useful for baseline assessment.
- RED-S definition
- Relative Energy Deficiency in Sport is a syndrome of impaired physiological function-including bone health, menstrual function, immunity, and performance-caused by low energy availability.
- TDEE activity factors
- Multiply resting metabolic rate by 1.2 (sedentary), 1.375 (light), 1.55 (moderate), 1.725 (very active), or 1.9 (extremely active) to estimate total daily energy expenditure.
- Pre-exercise meal timing
- Eat 1–4 g/kg carbohydrate and 0.15–0.25 g/kg protein 1–4 hours before exercise, keeping fat and fiber low to promote gastric emptying and reduce gastrointestinal distress.
- Carbohydrate during exercise
- For sessions longer than 60–90 minutes, consume 30–60 g carbohydrate per hour; up to 90 g/hour is possible using a 2:1 glucose-to-fructose blend to enhance absorption.
- Post-exercise recovery nutrition
- Within 0–2 hours after exercise, consume 1–1.2 g/kg carbohydrate and 0.25–0.3 g/kg protein to replenish glycogen and support muscle repair, especially when sessions are close together.
- Carbohydrate periodization
- Strategically varying carbohydrate intake around training: 'train low' for selected sessions to enhance mitochondrial adaptation, and 'compete high' to maximize glycogen for competition.
- Weight loss energy deficit
- A deficit of 300–500 kcal/day produces roughly 0.25–0.5 kg loss per week; protein at 1.6–2.4 g/kg/day plus resistance training helps preserve lean mass.
- Vegetarian athlete nutrients
- Plant-based athletes should monitor iron, vitamin B12, zinc, omega-3 fatty acids, calcium, and vitamin D, and combine complementary proteins to ensure adequate essential amino acid intake.
- Transtheoretical model stages
- Behavior change progresses through precontemplation, contemplation, preparation, action, maintenance, and termination; interventions should match the client's current stage.
- Motivational interviewing OARS
- Core MI skills are open questions, affirmations, reflections, and summaries; these elicit change talk and reduce resistance without confronting or advising prematurely.
- SMART goal criteria
- Goals should be Specific, Measurable, Achievable, Relevant, and Time-bound; process goals such as eating protein at breakfast improve adherence more than outcome-only goals.
- Self-determination theory needs
- Intrinsic motivation is supported by satisfying three basic psychological needs: autonomy (choice), competence (skill), and relatedness (connection), which improve long-term adherence.
- Scope of practice
- NESTA specialists may screen, educate, and coach nutrition behaviors within their training; they must not diagnose, prescribe therapeutic diets, or treat medical conditions.
- Referral triggers
- Refer to a physician or registered dietitian for disordered eating signs, unexplained weight loss over 5% in one month, amenorrhea over three months, or suspected RED-S.
- Informed consent
- Before coaching, explain assessment procedures, data use, confidentiality limits, and the client's right to withdraw; document signed consent and keep records secure.
- Relapse prevention planning
- Identify high-risk situations, develop coping responses, and plan for lapses as temporary setbacks rather than failures, to sustain long-term behavior change.
- Self-monitoring
- A behavior change technique in which clients track food intake, exercise, or habits; it increases awareness and is one of the strongest predictors of successful behavior change.