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the Huskers nutrition podcast

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presented by Midwest Dairy.

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You are listening to the

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Huskers nutrition podcast

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presented by Midwest Dairy and

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your local farm families. Here

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is your host Jessica Cootie.

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And we're back with Episode

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three of the Huskers nutrition

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podcast sponsored by Midwest

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Dairy and your local farm

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families. I'm Jessica Cootie

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and back on the episode today.

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We're gonna have Lisa

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Koepke that will be joining us

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today. And then we have

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Jason. And joining us again is

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Jake Blatter, another member

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of the Huskers performance

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nutrition team. You were on

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episode one. You're back again

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to talk to us a little bit

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about. Body composition testing

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and all of that. But is that

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what's going on right now?

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What are you guys doing with

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the athletes right now to get

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them ready for everything that

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comes for training purposes in

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the fall? Yeah, definitely. So

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our track and field programs

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and like our basketball

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programs are starting to

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start to be more of a

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laboratory. So you know, that's

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one thing Nebraska is really

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good at is this the science and

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we're able to look at that

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athlete and. Break it down.

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And you know what do we need to

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be putting in our bodies? How

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do we improve? And what do we

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need to improve upon? So we'll

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do Dexa. That's the body

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composition testing that we

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use. There's different ways of

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looking at body composition.

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Basically. What body comp is

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looking at how much bone,

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mineral density is in good

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position. So that's another

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thing that we use with our

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athletes is, Hey, it's are we

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in good health standards as

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well? So why is it so

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important? The body composition

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testing is really important.

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So we're going to be looking at

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that. We're going to be looking

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at the body composition. So

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that's one of the things that

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we're going to be looking at

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is how much muscle we want to

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have on that body. Do we need

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to lean you out? Is your bone

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mineral density in good

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position? So that's another

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thing that we use with our

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athletes. So why is it so

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important? The body

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composition testing the overall

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way because you guys did, I'm

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sure periodically throughout

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the year. Why is that so

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important to the athletes

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health? Yeah, it's a piece of

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the puzzle. So a lot of

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athletes, they try to focus on

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a number on the scale and you

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know, it scales. It's just a

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tool at the end of the day. It

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just gives you one number and

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with Dexa, we're able to look

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at like, well, what is that

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number actually comprised of?

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You know, if an athlete loses

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five pounds, is that muscle

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mass? Is it fat mass? Just

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like, you know, it's a really

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scientific and in depth look of

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what that athletes made out of.

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So, you know, right now we're

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just kind of getting those

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baseline numbers. We have some

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new athletes on campus or even

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some returners like, hey,

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before case, they went overseas

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to play in Japan. We got him on

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and we're able to say like,

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okay, went and played a summer.

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You came back like what

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happened to your body? Did we

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you know, do we eat correctly?

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Did we did we train correctly?

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So we're able to make sure our

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jobs are also, you know, our

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jobs are also being taken care

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of. Absolutely. Let's have

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into the bone density part of

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it and how you guys monitor

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that. And I guess that's

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something that can be addressed

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if there's concerns there.

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Yeah, definitely. So when an

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athlete comes in, especially

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like our. I want to say like

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our distance crew. We want to

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make sure that our bones or

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our frame is able to take that

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impact. So we want to make

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sure that, hey, we have good

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bone health. You know, like

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we have a lot of stress

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reactions, stress fractures.

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Well, did we have good bone

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health? Is there something we

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could have done differently?

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And there's other parts of it,

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too. If we're low in bone

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mineral density, do we need to

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look at calcium or vitamin D?

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Let's figure out or address the

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problem. What's what's going

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on with that athlete? So it's

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it's a screening tool as long

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with as a performance tool for

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us. So like I said, there's

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other ways of looking at body

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composition. We can do skin

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calipers where we pinch the

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skin, like, you know, what our

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bone mineral density is. So I

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think Dex is pretty much our

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gold standard. So say someone

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needs to address some of that.

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How do you go about that with

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what fuel you put in your body?

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What food you put in your body?

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Yeah, definitely. So like

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nutrition recommendation wise,

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like, hey, you know, we did

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your second scan and all of a

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sudden your bone mineral

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density went the wrong way. You

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know, did we put enough

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calories or enough fuel in our

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body? Did we put in the right

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nutrients in calcium, vitamin

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D? It's one of those checks

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that we do. And then we do a

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lot of training, like, what do

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we need to change or do we need

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to change anything? Did you

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progress correctly? Did we put

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five pounds of muscle on from

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training? So from a nutrition

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standpoint, you know, most of

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the time being in the Midwest,

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are we getting enough vitamin D

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or we do pretty good on the

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dairy consumption, but a lot of

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vitamin D just because we don't

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see sunlight. Yeah, that's that's

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one of the main sources of

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vitamin D, actually. So tell us

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about why that's so critical to

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your testing. Yeah, definitely

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like from an editing purpose,

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we'll shoot you a picture of a

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Dex machine, see what it looks

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like. But essentially stands

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for dual energy X ray absorb

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atometry. So really fancy terms

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for it's a bed that you lay on

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and we shoot X rays at you,

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essentially. So you have to go

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through some licensure and some

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exams and stuff like that. And

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like I said, it's it's a really

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scientific way of looking at the

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body from multiple compartments

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and then you can just look at

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the body and see what's going

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on there on the scale and then

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just in terms of timetable and

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goals for these athletes when

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they come in and maybe even do

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it as a freshman when they come

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in and how you kind of go

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through the process of a year

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of testing and then how you

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attack some of those things

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that you're seeing that need to

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be addressed. We definitely

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looked at with their training

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periods. We want to look at for

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men's basketball specifically

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when we first come to campus,

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you know, two months ago for

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men's basketball. We want to

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look at the

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training period. At the end of

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summer training, coming into

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fall, we'll do another scan to

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see if we can get a little

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better. We can do a little

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bit of a risk for an ACL injury

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or even, um, you know. You know

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for, um, someone does have an

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injury during the season like,

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Oh, my gosh, we just blew an

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ACL out. How much muscle mass

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did you have on your right leg

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before that injury? And then

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after your injury, we can kind

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of use that with our athletic

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training staff and our sports

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scientists to build a program

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and a rehab program off that.

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For your sport specifically,

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How much do you see them kind

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of helping you with that? Um,

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it's great buy in. Um, I mean,

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it's you're giving something

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unique to that athlete, and

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it's something that had a lot

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of institutions, you know, have

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access to decks. And I think

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we have. Yeah. You know, I was

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at a previous institution, and

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we barely had one up in

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operational, and it just worked

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with the football program here.

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We have two decks is and we do

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all of Our athletic teams here.

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So that's something definitely

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unique. And like I said, from

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the buy in perspective, you're

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getting a lot of people that

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are like, Oh, my goodness, I

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would love to, you know, kind

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of help them. It's definitely

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nice from a nutrition

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perspective because you get a

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little bit better by into

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there like, Oh, my goodness,

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I'd like to put on a little

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more muscle mass. Okay, What

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do we do? Are we? You know,

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you're skipping breakfast right

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now. If we want to put some

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lean muscle mass on, we'll

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probably should be getting

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some protein in or, you know,

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working on breakfast, I guess.

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And then just. Maybe for this

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might be a dumb question on my

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part, but specifically if these

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are all of the above, yes, all

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of the above. Trust me. There's

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no dumb questions. Um yeah, I

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mean, just from even a normal

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health standard, you know, if

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there's something that we can

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do differently to improve

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quality of life, you know, it

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affects all aspects of life. So

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you know, 20 years from now,

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when you're done playing

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sports, you know, I want you

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to have good bone mineral

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density still to I want you to

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still be able to go out for a

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run and enjoy. You know, maybe

285
00:08:18,240 --> 00:08:22,100
some recreational stuff, too.

286
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But I appreciate your time,

287
00:08:25,500 --> 00:08:26,560
and we're going to continue

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this conversation coming up

289
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next with Lisa Copac. Late

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night studying intense practice

291
00:08:32,060 --> 00:08:34,600
cramming for that big test.

292
00:08:34,100 --> 00:08:38,000
Take a moment to reset yourself

293
00:08:34,740 --> 00:08:38,600
with dairy. Dairy foods like

294
00:08:38,140 --> 00:08:40,000
milk and yogurt allow you to

295
00:08:38,740 --> 00:08:40,640
stay in the game with immunity

296
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boosting nutrients like

297
00:08:40,760 --> 00:08:44,700
vitamin A vitamin D zinc and

298
00:08:44,240 --> 00:08:48,000
protein to keep you fueled

299
00:08:44,840 --> 00:08:50,040
without the crash. Trusted by

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00:08:48,140 --> 00:08:50,640
athletes and supported by

301
00:08:50,640 --> 00:08:52,640
the

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00:08:51,040 --> 00:08:54,540
health and fitness community.

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We're back to continue the

304
00:08:54,680 --> 00:08:58,540
conversation here on the

305
00:08:56,740 --> 00:09:00,540
Huskers nutrition podcast with

306
00:08:58,680 --> 00:09:01,180
Lisa Copac, the director of

307
00:09:00,680 --> 00:09:02,740
performance nutrition here at

308
00:09:01,320 --> 00:09:04,620
Nebraska. Thanks for coming

309
00:09:02,880 --> 00:09:05,240
back. Thanks for having me

310
00:09:04,740 --> 00:09:08,540
back. All right, Well, tell us

311
00:09:05,380 --> 00:09:12,540
about reds. What are reds?

312
00:09:08,680 --> 00:09:13,140
Well reds is a syndrome that

313
00:09:12,680 --> 00:09:16,540
results from under fueling and

314
00:09:13,280 --> 00:09:18,620
over over exercising. So

315
00:09:16,680 --> 00:09:20,540
student athletes who maybe

316
00:09:20,540 --> 00:09:24,440
are under fueling, maybe

317
00:09:22,580 --> 00:09:26,440
unintentionally under consuming

318
00:09:24,580 --> 00:09:28,440
enough calories to support the

319
00:09:26,580 --> 00:09:30,440
training that they're doing.

320
00:09:28,580 --> 00:09:32,440
It's very common across all

321
00:09:30,580 --> 00:09:34,440
sports across both genders, and

322
00:09:32,580 --> 00:09:36,440
I'll give you a little

323
00:09:34,580 --> 00:09:38,440
background. So back in the late

324
00:09:36,580 --> 00:09:39,040
nineties, we had this term that

325
00:09:38,580 --> 00:09:42,440
was coined called the female

326
00:09:39,180 --> 00:09:44,440
athlete triad. So we had female

327
00:09:42,580 --> 00:09:46,440
athletes who were under fueling

328
00:09:44,580 --> 00:09:48,440
who saw menstrual disturbances

329
00:09:48,440 --> 00:09:52,840
and they were seeing a

330
00:09:50,440 --> 00:09:54,340
change in their ability to

331
00:09:52,980 --> 00:09:56,400
exercise. So what we saw was

332
00:09:54,480 --> 00:09:58,400
this three spoke wheel, hence

333
00:09:56,540 --> 00:09:59,000
the triad. Those of us that

334
00:09:58,540 --> 00:10:00,600
were working in performance at

335
00:09:59,140 --> 00:10:02,500
that time were really

336
00:10:00,740 --> 00:10:03,100
questioning. So what about our

337
00:10:02,640 --> 00:10:06,600
male athletes who are under

338
00:10:03,240 --> 00:10:08,440
fueling and we were seeing

339
00:10:06,740 --> 00:10:10,440
other things such as decline

340
00:10:08,580 --> 00:10:12,500
in libido, changes in mental

341
00:10:10,580 --> 00:10:14,500
function, inability to gain

342
00:10:12,640 --> 00:10:16,500
muscle mass or strength during

343
00:10:16,500 --> 00:10:20,400
a workout. So we came up with

344
00:10:18,500 --> 00:10:22,400
this syndrome called reds, which

345
00:10:20,540 --> 00:10:24,400
stands for relative energy

346
00:10:22,540 --> 00:10:26,400
deficiency in sport. So

347
00:10:24,540 --> 00:10:28,400
essentially it's under fueling

348
00:10:26,540 --> 00:10:30,400
or over training, but

349
00:10:28,540 --> 00:10:32,400
essentially we're not meeting

350
00:10:30,540 --> 00:10:34,400
the needs of the body. There's

351
00:10:32,540 --> 00:10:36,400
not enough left over after

352
00:10:34,540 --> 00:10:38,400
training to support basic

353
00:10:36,540 --> 00:10:39,400
physiological function. I

354
00:10:38,540 --> 00:10:40,400
imagine that probably happens

355
00:10:39,540 --> 00:10:42,400
quite often, right? I mean, I

356
00:10:40,540 --> 00:10:44,400
mean, I know it's probably an

357
00:10:42,540 --> 00:10:46,400
education part, but it is an

358
00:10:46,400 --> 00:10:49,300
important part of the

359
00:10:48,400 --> 00:10:51,300
process. So we put some extra

360
00:10:49,440 --> 00:10:53,300
pieces into place to help

361
00:10:51,440 --> 00:10:55,300
screen all of our student

362
00:10:53,440 --> 00:10:57,300
athletes for reds, because

363
00:10:55,440 --> 00:10:58,300
unfortunately some of the

364
00:10:57,440 --> 00:11:00,300
symptoms that might show up

365
00:10:58,440 --> 00:11:01,300
could be psychological. So

366
00:11:00,440 --> 00:11:03,300
somebody may be struggling

367
00:11:01,440 --> 00:11:04,300
with depression or an

368
00:11:03,440 --> 00:11:07,300
inability to sleep. Somebody

369
00:11:04,440 --> 00:11:09,300
else may have chronic soft

370
00:11:07,440 --> 00:11:11,300
tissue injuries or not recover

371
00:11:09,440 --> 00:11:13,300
well from one day to the next.

372
00:11:11,440 --> 00:11:15,300
Somebody else might have an

373
00:11:15,300 --> 00:11:19,200
illness that they can't

374
00:11:17,300 --> 00:11:21,200
recover. So we always align.

375
00:11:19,340 --> 00:11:23,200
There isn't one definitive

376
00:11:21,340 --> 00:11:25,200
diagnostic criteria that says

377
00:11:23,340 --> 00:11:27,200
reds. It's an accumulation of

378
00:11:25,340 --> 00:11:29,200
a bunch of things together.

379
00:11:27,340 --> 00:11:31,200
That's why we call it a

380
00:11:29,340 --> 00:11:33,200
syndrome, and it takes all of

381
00:11:31,340 --> 00:11:35,200
the support staff coming

382
00:11:33,340 --> 00:11:36,200
together and actually

383
00:11:35,340 --> 00:11:37,200
communicating and figuring out

384
00:11:36,340 --> 00:11:39,200
what's going on with this

385
00:11:37,340 --> 00:11:41,200
particular student athlete.

386
00:11:39,340 --> 00:11:43,200
Who what kind of athlete could

387
00:11:41,340 --> 00:11:44,200
be affected by this? All

388
00:11:44,200 --> 00:11:47,100
athletes are going to be

389
00:11:45,260 --> 00:11:49,100
affected by this. We have

390
00:11:47,240 --> 00:11:51,100
been talking about the need of

391
00:11:49,240 --> 00:11:53,100
low energy availability. We

392
00:11:51,240 --> 00:11:55,100
have been fasting all night.

393
00:11:53,240 --> 00:11:57,100
We haven't eaten anything, and

394
00:11:55,240 --> 00:11:59,100
that's why we should start our

395
00:11:57,240 --> 00:12:01,100
morning with breakfast. Our

396
00:11:59,240 --> 00:12:02,100
athletes should absolutely

397
00:12:01,240 --> 00:12:03,100
consume something before

398
00:12:02,240 --> 00:12:05,100
they're doing their morning

399
00:12:03,240 --> 00:12:07,100
training sessions. The problem

400
00:12:05,240 --> 00:12:09,100
is when under fueling has been

401
00:12:07,240 --> 00:12:11,100
going on because student

402
00:12:09,240 --> 00:12:12,100
athletes are busy, maybe they

403
00:12:11,240 --> 00:12:13,100
have class conflicts and they

404
00:12:13,100 --> 00:12:16,000
don't have time to eat, they

405
00:12:14,220 --> 00:12:18,000
don't have time to eat. They

406
00:12:16,120 --> 00:12:20,000
don't have time to eat. So that

407
00:12:18,120 --> 00:12:22,000
all leads to an unintentional

408
00:12:20,120 --> 00:12:24,000
under fueling and over time

409
00:12:22,120 --> 00:12:24,600
that affects the appetite. So

410
00:12:24,120 --> 00:12:25,200
pretty soon, student athletes

411
00:12:24,720 --> 00:12:25,800
are like, Well, I'm just not

412
00:12:25,320 --> 00:12:30,000
hungry, so I didn't think I

413
00:12:25,920 --> 00:12:32,000
needed to eat. And then maybe

414
00:12:30,120 --> 00:12:34,000
what's the difference? I guess

415
00:12:32,120 --> 00:12:36,000
between reds and then an

416
00:12:34,120 --> 00:12:38,000
eating disorder or disordered

417
00:12:36,120 --> 00:12:40,000
eating. Okay, so there is a

418
00:12:38,120 --> 00:12:42,000
spectrum. So we have

419
00:12:42,000 --> 00:12:45,000
disordered eating in the middle

420
00:12:44,000 --> 00:12:48,000
and then we have normalized

421
00:12:45,140 --> 00:12:50,000
eating on the other side. I

422
00:12:48,140 --> 00:12:51,000
often ask student athletes, has

423
00:12:50,140 --> 00:12:53,000
anybody ever eaten because they

424
00:12:51,140 --> 00:12:55,000
were bored, hungry, tired,

425
00:12:53,140 --> 00:12:57,000
frustrated or sad, and they all

426
00:12:55,140 --> 00:12:59,000
raise their hand? Well, that's

427
00:12:57,140 --> 00:13:01,000
disordered eating here in the

428
00:12:59,140 --> 00:13:02,000
middle of the spectrum. On the

429
00:13:01,140 --> 00:13:04,000
other side, when we have eating

430
00:13:02,140 --> 00:13:06,000
disorders like anorexia

431
00:13:04,140 --> 00:13:09,000
nervosa, bulimia nervosa, binge

432
00:13:06,140 --> 00:13:11,000
eating disorder, those are

433
00:13:11,000 --> 00:13:13,860
all different diagnoses. So

434
00:13:13,000 --> 00:13:16,860
there's a specific criteria in

435
00:13:14,000 --> 00:13:18,860
the DSM five. It is a

436
00:13:17,000 --> 00:13:20,860
psychological condition that

437
00:13:19,000 --> 00:13:22,860
requires the help of a dietitian

438
00:13:21,000 --> 00:13:24,860
to help manage or treat that

439
00:13:23,000 --> 00:13:28,860
condition. But that is a very

440
00:13:25,000 --> 00:13:30,860
specific diagnosis. Reds could

441
00:13:29,000 --> 00:13:32,860
be anywhere along that spectrum.

442
00:13:31,000 --> 00:13:34,860
It just depends on each

443
00:13:33,000 --> 00:13:36,860
individual athlete. So treating

444
00:13:35,000 --> 00:13:38,860
reds can be very challenging

445
00:13:37,000 --> 00:13:40,860
because you don't treat

446
00:13:40,860 --> 00:13:44,720
them the way you would treat

447
00:13:42,860 --> 00:13:46,720
them. So it's a very specific

448
00:13:44,860 --> 00:13:48,720
issue. So, Amy, whatever the

449
00:13:46,860 --> 00:13:50,720
issue might be, at what point

450
00:13:48,860 --> 00:13:52,720
does somebody know when to seek

451
00:13:50,860 --> 00:13:56,720
help? If somebody is struggling

452
00:13:52,860 --> 00:14:00,720
with sleep, depression,

453
00:13:56,860 --> 00:14:02,720
injuries, frequent illness for

454
00:14:00,860 --> 00:14:04,720
our female athletes, any changes

455
00:14:02,860 --> 00:14:05,220
in their menstrual cycles, so if

456
00:14:04,860 --> 00:14:06,720
they're having fewer than nine

457
00:14:05,360 --> 00:14:08,720
menstrual cycles in a year,

458
00:14:06,860 --> 00:14:10,720
that's reason to seek help. And

459
00:14:10,720 --> 00:14:14,580
that's really important because

460
00:14:12,720 --> 00:14:16,580
of their bone health. So what

461
00:14:14,720 --> 00:14:18,580
happens is when you're under

462
00:14:16,720 --> 00:14:20,580
fueling, the body doesn't have

463
00:14:18,720 --> 00:14:22,580
enough calories for that basic

464
00:14:20,720 --> 00:14:24,580
physiological function and

465
00:14:22,720 --> 00:14:26,580
managing our hormones. So that

466
00:14:24,720 --> 00:14:28,580
lends us to missing periods,

467
00:14:26,720 --> 00:14:32,580
and that leads to bone issues.

468
00:14:28,720 --> 00:14:34,580
And we have done a feature in

469
00:14:32,720 --> 00:14:36,580
the past talking about an

470
00:14:34,720 --> 00:14:38,580
athlete that had an eating

471
00:14:36,720 --> 00:14:40,580
disorder, and you kind of dove

472
00:14:40,580 --> 00:14:44,440
into that. And I think that's

473
00:14:42,580 --> 00:14:46,440
the mental health part of it

474
00:14:44,580 --> 00:14:47,080
here at Nebraska to that you

475
00:14:46,580 --> 00:14:48,480
and Brett Haskell and that team

476
00:14:47,220 --> 00:14:50,480
can work together when there is

477
00:14:48,620 --> 00:14:52,440
an issue that that might come

478
00:14:50,620 --> 00:14:54,080
up from something like that.

479
00:14:52,580 --> 00:14:56,480
Yeah Anytime we're dealing with

480
00:14:54,220 --> 00:14:58,440
student athletes with injuries,

481
00:14:56,620 --> 00:15:00,480
sleep issues, psychological

482
00:14:58,580 --> 00:15:02,440
issues, nutrition issues. It is

483
00:15:00,620 --> 00:15:04,440
not just one discipline that's

484
00:15:02,580 --> 00:15:06,480
involved. It affects every

485
00:15:04,580 --> 00:15:07,120
aspect of their life. So Reds

486
00:15:06,620 --> 00:15:10,440
really is a multi disciplinary

487
00:15:10,440 --> 00:15:15,340
discipline. And we're not going

488
00:15:13,720 --> 00:15:17,340
to be looking for any risk

489
00:15:15,480 --> 00:15:19,340
factors that may pop up. So if

490
00:15:17,480 --> 00:15:21,240
it's just under fueling right?

491
00:15:19,480 --> 00:15:21,840
If an athlete is under fueled,

492
00:15:21,380 --> 00:15:22,340
what are some of the foods or

493
00:15:21,980 --> 00:15:27,340
that you go to immediately to

494
00:15:22,480 --> 00:15:29,340
grab? If an athlete is

495
00:15:27,480 --> 00:15:31,340
struggling with under fueling

496
00:15:29,480 --> 00:15:33,280
and I was to approach them and

497
00:15:31,480 --> 00:15:35,340
say, Ooh, actually, you need

498
00:15:33,420 --> 00:15:37,340
another 500 or 1000 calories

499
00:15:35,480 --> 00:15:38,340
today. That's not going to be

500
00:15:37,480 --> 00:15:40,340
really effective. That scares

501
00:15:40,340 --> 00:15:44,300
them. So what are the

502
00:15:42,380 --> 00:15:46,300
components of those meals? What

503
00:15:44,440 --> 00:15:48,340
is the amount of calories that

504
00:15:46,440 --> 00:15:48,940
an athlete is if they're

505
00:15:48,480 --> 00:15:50,480
currently eating three meals

506
00:15:49,080 --> 00:15:52,300
during the day and a snack?

507
00:15:50,600 --> 00:15:54,400
What are the components of

508
00:15:52,440 --> 00:15:55,040
those meals? Are we missing a

509
00:15:54,540 --> 00:15:56,580
group of macronutrients at

510
00:15:55,180 --> 00:15:58,240
lunchtime? For example, maybe

511
00:15:56,700 --> 00:16:00,340
they have a salad with a piece

512
00:15:58,380 --> 00:16:00,980
of salmon, but they don't have

513
00:16:00,480 --> 00:16:02,500
any carbohydrates to fuel the

514
00:16:01,100 --> 00:16:03,100
activity they're going to be

515
00:16:02,640 --> 00:16:03,700
doing in the afternoon, so we

516
00:16:03,240 --> 00:16:06,600
might add some carbohydrates at

517
00:16:03,840 --> 00:16:08,440
lunch. Maybe their afternoon

518
00:16:08,440 --> 00:16:12,280
meal is a salad with a piece of

519
00:16:10,280 --> 00:16:14,300
salmon, but they're not doing

520
00:16:12,400 --> 00:16:14,900
anything at bedtime because

521
00:16:14,440 --> 00:16:16,440
they've heard through our diet

522
00:16:15,040 --> 00:16:18,340
culture that we shouldn't eat

523
00:16:16,580 --> 00:16:20,300
after seven PM. Most athletes

524
00:16:18,480 --> 00:16:22,280
should have a bedtime snack,

525
00:16:20,440 --> 00:16:24,340
so we're going to encourage

526
00:16:22,400 --> 00:16:26,300
encourage another snack that's

527
00:16:24,480 --> 00:16:28,380
high in protein and

528
00:16:26,440 --> 00:16:29,000
carbohydrates. A yogurt parfait

529
00:16:28,500 --> 00:16:32,400
with fresh berries and granola,

530
00:16:29,140 --> 00:16:33,000
potentially a bowl of oatmeal

531
00:16:32,540 --> 00:16:34,380
made with milk, peanut butter

532
00:16:33,140 --> 00:16:36,300
and a banana sliced in there.

533
00:16:34,500 --> 00:16:38,380
Maybe a deli meat sandwich with

534
00:16:38,380 --> 00:16:42,240
a slice of avocado in there.

535
00:16:40,420 --> 00:16:42,880
Maybe we can add some of the

536
00:16:42,380 --> 00:16:44,440
opportunities in their current

537
00:16:43,020 --> 00:16:46,480
fueling pattern where we can

538
00:16:44,580 --> 00:16:48,280
add something else in whether

539
00:16:46,620 --> 00:16:50,320
it's a piece of cheese on the

540
00:16:48,420 --> 00:16:52,380
burger they're already eating.

541
00:16:50,440 --> 00:16:52,980
Maybe a slice of avocado in

542
00:16:52,520 --> 00:16:56,440
their stir fry bowl or

543
00:16:53,120 --> 00:16:58,440
enhancing their snack. And we

544
00:16:56,580 --> 00:17:00,480
we've already covered a lot of

545
00:16:58,580 --> 00:17:02,380
information in three episodes,

546
00:17:00,620 --> 00:17:03,020
but and I know this something

547
00:17:02,520 --> 00:17:04,520
you guys go to school for, but

548
00:17:03,140 --> 00:17:06,380
how do you continue to stay up

549
00:17:04,640 --> 00:17:08,320
with all the knowledge and not

550
00:17:08,320 --> 00:17:13,240
just the

551
00:17:10,180 --> 00:17:13,880
information that you have?

552
00:17:13,380 --> 00:17:14,480
Because it I got to imagine it

553
00:17:14,020 --> 00:17:16,380
changes from time to time to

554
00:17:14,620 --> 00:17:18,280
right. Well it does, because

555
00:17:16,520 --> 00:17:18,920
when I was here over 20 years

556
00:17:18,420 --> 00:17:21,020
ago, we only had the female

557
00:17:19,040 --> 00:17:23,180
athlete triad and now 20 years

558
00:17:21,140 --> 00:17:23,820
later, we have reds, which

559
00:17:23,320 --> 00:17:26,420
incorporates our male and our

560
00:17:23,940 --> 00:17:28,320
female athletes who are under

561
00:17:26,540 --> 00:17:30,220
fueling and it's continuously

562
00:17:28,440 --> 00:17:30,840
changing. So we do attend a

563
00:17:30,340 --> 00:17:32,480
lot of conferences. I just

564
00:17:30,980 --> 00:17:32,980
came back with our team

565
00:17:32,620 --> 00:17:36,380
physician, Dr Janet selling. We

566
00:17:33,120 --> 00:17:38,280
were out in Boston for a week

567
00:17:38,280 --> 00:17:42,180
and we were just trying to get

568
00:17:40,340 --> 00:17:44,180
our kids back to school and

569
00:17:42,300 --> 00:17:44,800
continuously getting educated

570
00:17:44,300 --> 00:17:46,380
and trying to bring some of

571
00:17:44,940 --> 00:17:48,300
those new things we learn back

572
00:17:46,500 --> 00:17:50,280
to this environment. One of

573
00:17:48,440 --> 00:17:50,880
the things just for people that

574
00:17:50,400 --> 00:17:52,300
when we were talking about

575
00:17:51,000 --> 00:17:52,900
eating disorders, what happens

576
00:17:52,440 --> 00:17:56,280
when someone wants to dig in

577
00:17:53,040 --> 00:17:58,280
their feet and not. Listen not

578
00:17:56,400 --> 00:17:58,840
eat and whether it be

579
00:17:58,400 --> 00:18:00,400
disordered, eating eating

580
00:17:58,980 --> 00:18:02,200
disorders or that reds that

581
00:18:00,540 --> 00:18:02,800
you're talking about when they

582
00:18:02,340 --> 00:18:04,300
are not really wanting to hear

583
00:18:02,940 --> 00:18:06,200
what you're trying to tell them

584
00:18:04,440 --> 00:18:08,180
that their body needs, right?

585
00:18:08,180 --> 00:18:12,040
So that's one of the things

586
00:18:10,180 --> 00:18:14,040
that we do when we talk about

587
00:18:12,180 --> 00:18:16,040
eating disorder. Oftentimes we

588
00:18:14,180 --> 00:18:18,040
have to pull them out of sport

589
00:18:16,180 --> 00:18:18,640
initially to get them the help

590
00:18:18,180 --> 00:18:20,040
that they need. There are risk

591
00:18:18,780 --> 00:18:20,640
to themselves if they are

592
00:18:20,180 --> 00:18:24,040
trying to train and compete

593
00:18:20,780 --> 00:18:26,040
under fueled. So that means

594
00:18:24,180 --> 00:18:28,040
I'm usually going to our team

595
00:18:26,180 --> 00:18:28,640
physician athletic trainer

596
00:18:28,180 --> 00:18:32,040
talking to them about what I'm

597
00:18:28,780 --> 00:18:32,640
seeing. And they're going to

598
00:18:32,180 --> 00:18:33,240
ultimately be the ones that

599
00:18:32,780 --> 00:18:36,140
pull that student athlete out

600
00:18:33,380 --> 00:18:38,040
of sport. Um student athletes

601
00:18:38,040 --> 00:18:41,900
and I'm going to be the one

602
00:18:39,980 --> 00:18:43,900
that completes a way for

603
00:18:42,040 --> 00:18:44,500
outpatient treatment, maybe

604
00:18:44,040 --> 00:18:46,000
partial residential or

605
00:18:44,640 --> 00:18:46,600
intensive outpatient something

606
00:18:46,140 --> 00:18:49,900
more than what we can provide

607
00:18:46,740 --> 00:18:51,900
for them here. Someone might

608
00:18:50,040 --> 00:18:52,500
be listening and might need

609
00:18:52,040 --> 00:18:53,900
help or know somebody that

610
00:18:52,640 --> 00:18:54,500
needs help. Do you have a

611
00:18:54,040 --> 00:18:57,940
resource that they could go to

612
00:18:54,640 --> 00:18:59,900
to seek out help? Um I would

613
00:18:58,080 --> 00:19:02,000
ask them to follow up with

614
00:19:00,040 --> 00:19:03,980
their physician and or ask for

615
00:19:02,140 --> 00:19:04,600
a referral to a dietitian that

616
00:19:04,100 --> 00:19:07,900
works in the sports related

617
00:19:07,900 --> 00:19:11,900
field. So that's that's that's

618
00:19:11,100 --> 00:19:12,500
it for this week. We're back

619
00:19:12,040 --> 00:19:14,140
with the Oscar performance

620
00:19:12,640 --> 00:19:15,760
nutrition, the director of

621
00:19:14,260 --> 00:19:16,360
performance nutrition here.

622
00:19:15,900 --> 00:19:18,000
We're back with another

623
00:19:16,500 --> 00:19:18,640
episode of the Oscars

624
00:19:18,140 --> 00:19:20,160
performance podcast next week.

625
00:19:18,760 --> 00:19:20,760
So keep it right here on the

626
00:19:20,300 --> 00:19:22,400
Oscars Radio Network podcast.

627
00:19:20,900 --> 00:19:23,000
Make sure you subscribe and

628
00:19:22,540 --> 00:19:24,060
life wherever you listen to

629
00:19:24,060 --> 00:19:49,420
this podcast. Thank you.