This is my Chapter 11 CSCS study guide for Nutrition Strategies for Maximizing Performance. The big themes are simple but testable: fuel the event, protect the stomach, replenish glycogen, preserve lean mass, and know when nutrition advice needs a qualified referral.
This guide is designed as a quick-reference review, not a substitute for the full textbook or individualized nutrition advice.
How to use this guide
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1. High-Yield Numbers to Memorize
| Topic | Recommendation / Value | Exam hook |
|---|---|---|
| Daily protein – endurance | 1.2-2.0 g/kg body weight/day | About 0.54-0.91 g/lb. |
| Daily protein – strength/speed | 1.4-2.0 g/kg/day | About 0.64-0.91 g/lb. Team sports often use this range. |
| Protein during weight loss/cut | 1.8-2.7 g/kg/day, or 2.3-3.1 g/kg lean mass | Higher protein protects lean mass during a deficit. |
| Protein for weight gain | 1.6-2.2 g/kg/day | Pair with about a 500 kcal/day surplus. |
| Daily carbs – aerobic endurance | 8-10 g/kg/day for 1.5+ hr/day at 70%+ VO2max | Endurance athletes need the higher carbohydrate range. |
| Carb loading | 8-12 g/kg/day starting 3-4 days before, or 10-12 g/kg 36-48 hr pre-race | Best for long-duration aerobic events. Not a sprint or weightlifting magic wand. |
| Daily carbs – strength/speed/team sport | 5-6 g/kg/day | Use this for soccer, basketball, football, volleyball, sprint/power athletes. |
| Fat intake | 20-35% total calories/day | No athlete-specific g/kg fat recommendation. Saturated fat under 10%. |
| Precompetition, 4 hr | 1-4 g/kg carbs plus 0.15-0.25 g/kg protein; minimal fat | Earliest common window to include protein. Low fat/fiber. |
| Precompetition, 2 hr | 1 g/kg carbs, often no protein in simple exam examples | For an 80 kg athlete: 80 g carbs. |
| Precompetition, 1 hr | 0.5 g/kg carbs, often liquid | For a 60-70 kg athlete: about 30-35 g carbs. |
| During endurance exercise | Expanded course range: 28-144 g/hr. Common exam range: 30-90 g/hr multi-source carbs | Use practiced tolerance; glucose + fructose improves absorption. |
| Sport drink concentration | 5-10% carbohydrate, sodium chloride and potassium | 6% carb + sodium chloride + potassium is a classic best answer. |
| Sodium in sports drinks | 460-690 mg sodium/L | Sodium helps maintain fluid and replace sweat losses. |
| Post-endurance carbs | 1.2-2.0 g/kg within 30 minutes | Some quiz sources often test 1.5 g/kg as the best answer. |
| Post-endurance protein | 20-40 g within 2 hours | Supports repair and recovery. |
| Post-strength carbs | 30-100 g carbs | Strength/power athletes should usually consume carbs + protein post training. |
| Post-strength protein | Younger: 20-50 g; older: 40+ g, especially if fasted | Older adults often need the higher protein dose. |
| Leucine | Key EAA that triggers muscle protein synthesis | High-leucine, fast proteins are favored post-exercise. |
| Anabolic meal effect | 3-5 hours | Protein distribution matters across the day, not just immediately post workout. |
| Muscle sensitivity to amino acids after resistance training | 24-48 hours | The “anabolic window” is wider than old gym lore. |
| BMR contribution to TDEE | About 65-70% of calories | Biggest daily energy component. |
| Activity contribution to TDEE | About 25%, highly variable | Training is important, but BMR/RMR usually dominates daily expenditure. |
| Cunningham RMR | RMR = 500 + (22 x kg lean body mass) | Then multiply by activity factor for TDEE. |
| Weight change math | 3,500 kcal per lb | Deficit or surplus math is common. |
| Weight loss deficit | About 500 kcal/day, preserve protein and training | No single ideal diet. Adherence and total calories matter most. |
| Weight gain surplus | About 500 kcal/day | Gradual surplus to increase lean mass and body weight. |
| Optimal energy availability | About 45 kcal/kg fat-free mass/day | Low energy availability can point toward RED-S risk. |
| Dehydration target | Do not lose >2% body weight during practice | 2-3% loss decreases performance and increases fatigue. |
2. Scope of Practice: Coach vs Sports Dietitian
Strength and conditioning professional: can provide general nutrition education, hydration reminders, and performance-supportive suggestions.
Sports dietitian / CSSD: registered dietitian with sports nutrition specialization who can provide individualized nutrition advice and manage nutrition for medical conditions.
Refer out when: the athlete has complex nutrition needs, disordered eating, nutrient deficiencies, medical conditions, or needs individualized meal planning.
First order of consult: clarify the athlete’s objectives/goals before building a nutrition plan.
Missed-question emphasis
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3. Precompetition Nutrition
Primary goals: support hydration, maximize blood glucose and stored glycogen, include enough protein to reduce soreness, and minimize GI distress.
Meal composition: high carbohydrate, low fat, low fiber, moderate protein when far enough from competition.
GI distress prevention: individualize food choice, practice foods during training, avoid unfamiliar supplements, avoid sugar alcohols such as xylitol/sorbitol, and choose lower-fiber/lower-fat foods close to competition.
Low vs high GI before competition: either can work, depending on preference and tolerance. Low-GI carbs may blunt blood glucose spikes, but do not assume high GI automatically harms performance.
| Time before event | Carbohydrate target | Protein/fat guidance | Example |
|---|---|---|---|
| 4 hours | 1-4 g/kg carbohydrate | 0.15-0.25 g/kg protein; minimal fat | 65 kg soccer athlete: around 140 g carbs + 10-20 g protein is appropriate. |
| 2 hours | 1 g/kg carbohydrate | Keep simple; many exam examples use carbs only | 80 kg marathoner: 80 g carbohydrate, no protein. |
| 1 hour | 0.5 g/kg carbohydrate | Often liquid; low fat/fiber | 60 kg athlete: 30 g carbohydrate. |
Exam trap
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4. Carbohydrate Loading
Purpose: maximize muscle glycogen stores before long-duration aerobic endurance events.
Best candidates: marathoners, ultramarathoners, long-course triathletes, and long endurance events where glycogen depletion is likely.
Not the primary priority for: sprinters, high jumpers, weightlifters, or short-duration power events.
Modern protocol: 8-12 g/kg/day starting 3-4 days before competition. Some endurance-focused examples also use 10-12 g/kg/day during the final 36-48 hours before a race.
Older depletion phase: a reduction/depletion phase before loading is NOT required.
Female athletes: may have a harder time effectively carbohydrate loading because lower total calorie intake can make the high carb target harder to hit.
Missed-question emphasis
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5. During-Competition Nutrition
Endurance events: during-event carbohydrate intake becomes important in marathon, triathlon, ultramarathon, and prolonged multiple-event days.
Expanded course range: 28-144 g carbohydrate per hour from multiple carbohydrate types, with a 5-10% carbohydrate concentration.
Common exam phrasing: 30-90 g/hour of multi-source carbohydrates, such as glucose + fructose.
Multiple transportable carbohydrates: glucose + fructose can increase absorption and oxidation compared with a single carbohydrate source.
Mouth rinse: carbohydrate mouth rinsing may stimulate oral receptors and enhance central nervous system activation, even without swallowing the solution.
GI tolerance rule: competition day is not the time to test a higher intake than the athlete has practiced.
| Athlete / event | Best intra-event approach |
|---|---|
| Half marathon runner who practiced 60 g/hr without GI distress | Use 60 g/hr, not an untested 120 g/hr, even though 120 g/hr may fall within the broad range. |
| Hot two-hour football practice | Use a sport drink with 5-10% carbohydrate plus sodium chloride and potassium. |
| Tennis player who cannot drink continuously | Aim for practical hydration, about 200-400 mL per changeover where appropriate; carbs can help preserve stroke quality. |
Missed-question emphasis
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6. Postcompetition / Postworkout Nutrition
Postcompetition goals: rehydration, glycogen replenishment, muscle repair, and preparation for the next training or competition bout.
Carbohydrate priority: especially important for endurance athletes or athletes with multiple competitions/training sessions close together.
Protein priority: supports repair, recovery, and muscle protein synthesis. Leucine is the key amino acid signal.
Anabolic window nuance: older wording says within 30-60 minutes, but muscle remains sensitive to protein for 24-48 hours after resistance training. Timing matters more when the athlete is fasted or has another event soon.
| Scenario | Carb recommendation | Protein recommendation |
|---|---|---|
| Endurance postworkout | 1.2-2.0 g/kg within 30 minutes | 20-40 g within 2 hours |
| Rapid glycogen replenishment between events | 0.7-3.0 g/kg every 2-3 hours until stores are replenished | Include protein as needed for recovery |
| Strength/power postworkout | 30-100 g carbs | Younger: 20-50 g; older: 40+ g if fasted |
Missed-question emphasis
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7. Daily Nutrition for Athlete Types
| Athlete type | Protein | Carbohydrate | Fat |
|---|---|---|---|
| Aerobic endurance | 1.2-2.0 g/kg/day | 8-10 g/kg/day; 10-12 g/kg 36-48 hr pre-race | 20-35% total calories/day |
| Strength and speed | 1.4-2.0 g/kg/day | 5-6 g/kg/day | 20-35% total calories/day |
| Weight gain / lean mass emphasis | 1.6-2.2 g/kg/day | Enough to support training and surplus | Within total calories, often 20-35% |
| Weight loss / cutting while preserving lean mass | 1.8-2.7 g/kg/day, or 2.3-3.1 g/kg lean mass | Maintain enough to train; avoid crash dieting | Avoid extremely low-fat crash approaches |
Team sports: commonly resemble strength/speed targets, especially 1.4-2.0 g/kg protein and 5-6 g/kg carbs.
Large or elite athletes: often need the higher end of the range.
Macronutrient planning order at maintenance: 1) determine calories, 2) set protein by g/kg, 3) set carbs by g/kg, 4) set fat at 20-35% of calories.
8. Maintenance Macro Math
Protein calories: grams x 4 kcal/g.
Carbohydrate calories: grams x 4 kcal/g.
Fat calories: grams x 9 kcal/g.
Fat percent: fat calories divided by total calories, then multiply by 100.
Worked example: 75 kg soccer athlete maintaining body weight
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9. Metabolic Rate, TDEE, and Weight Change
BMR: basal metabolic rate, measured under stricter conditions. It is the calories needed to maintain normal body functions.
RMR: resting metabolic rate. Usually not fasted and is about 10-20% higher than BMR due to normal activity and the thermic effect of food.
BMR/RMR contribution: largest piece of total daily energy expenditure, about 65-70%.
Activity contribution: often around 25% but highly variable.
Thermic effect: protein has the greatest thermic effect among macronutrients.
| Activity factor | Meaning |
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| 1.2 | Little or no exercise per week |
| 1.375 | Light exercise/sports 1-3 days/week |
| 1.55 | Moderate exercise/sports 3-5 days/week |
| 1.725 | Hard exercise/sports 6-7 days/week |
| 1.9 | Very hard exercise/sports and physical job, or two-a-day training |
Cunningham equation steps
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Worked example from the Chapter 11 quiz
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Weight change math
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Missed-question emphasis
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10. Weight Gain, Weight Loss, BMI, and Rapid Weight Loss
Weight gain: use about a 500 kcal/day surplus and 1.6-2.2 g/kg/day protein.
Weight loss: use about a 500 kcal/day deficit, high protein, and resistance training to preserve lean mass.
Most important weight-loss predictors: adherence and reducing total calorie intake.
BMI: body mass divided by height squared, useful for population screening but limited for athletes because it does not account for fat distribution or fat-free mass.
BMI obesity cutoff: BMI >= 30 is obesity. BMI 25-29.9 is overweight.
Rapid weight loss: often involves fasting, dehydration, sauna/sweat suit use, laxatives/diuretics, spitting, or excessive exercise. Risks include loss of lean mass, headache, fatigue, low blood pressure, and electrolyte imbalance.
Missed-question emphasis
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11. RED-S and Low Energy Availability
Definition: Relative Energy Deficiency in Sport results from low energy availability, where intake is not enough to cover expenditure plus normal physiological function.
Optimal energy availability: about 45 kcal/kg fat-free mass/day.
Possible signs/effects: injury, endocrine disruption, cardiovascular problems, poor bone health, poor immunity, menstrual dysfunction/amenorrhea, iron deficiency, depression, low energy, performance decreases.
Coach role: watch for signs, avoid normalizing chronic underfueling, and refer to qualified professionals when indicated.
12. Hydration and Electrolytes
Prehydration: fluid with electrolytes several hours before exercise; urine specific gravity should be below 1.020 for euhydration.
Performance threshold: 2-3% body weight loss from dehydration decreases performance and increases fatigue.
Mechanisms: dehydration decreases stroke volume, cardiac output, blood pressure, and blood flow to muscles.
During training: use a sport drink with sodium chloride and potassium and 5-10% carbohydrate when appropriate.
After training: 1 lb lost = about 3 cups fluid; 1 kg lost = about 1.5 L fluid.
Hyponatremia: dangerously low blood sodium, possible when replacing heavy sweat losses with water only. Symptoms include nausea, headache, vomiting, muscle cramps, swollen hands/feet, restlessness, and disorientation.
Missed-question emphasis
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13. Eating Disorders and Disordered Eating
Professional boundary: the strength and conditioning professional should not diagnose or treat eating disorders. Refer to medical and mental health professionals.
Anorexia nervosa: distorted body image, intense fear of weight gain, restricted intake, repeated weighing, very low body weight, highest mortality rate among eating disorders.
Bulimia nervosa: recurrent binge eating followed by compensatory behaviors such as self-induced vomiting, laxative use, diuretics, fasting, or excessive exercise. Often normal body weight; worn tooth enamel and sore throat are clues.
Binge-eating disorder: recurrent binge eating without purging. Often associated with overweight, shame, and eating alone.
ARFID: lack of interest in eating, nutritional deficiency, possible enteral feeding or supplements, and limited growth in children.
Pica: ingestion of nonnutritive substances; rumination disorder involves regurgitation of food.
Missed-question emphasis
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14. Missed-Question Trapboard
| Topic | Correct answer | Why this gets missed |
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| BMI category | Obesity = above 30 | 25-29.9 is overweight, not obesity. |
| Carb mouth rinse | Enhances CNS activation | It is a neural/oral receptor effect, not digestion. |
| Post-exercise carbs | 1.2-2.0 g/kg within 30 min; 1.5 g/kg often tested | Do not choose 0.5 g/kg when rapid glycogen replenishment is the goal. |
| Athlete nutrition goals | Not “low BMI” | Low BMI is not a performance goal and can be risky. |
| Lean mass gain protein | About 1.5-2.0 or 1.6-2.2 g/kg/day depending source/options | 2-2.7 g/kg is more cutting/deficit territory. |
| Older adult protein dose | 40 g | Older adults need more protein to stimulate MPS. |
| Bulimia | Binge eating + purging, often normal body weight | Do not confuse with binge eating disorder, which lacks purging. |
| Female basketball calorie estimate | 2,800 kcal in your missed question | Activity level can push needs higher than casual estimates. |
| Carb loading amount | Updated course range: 8-12 g/kg/day | If options only include 8-10 g/kg, choose that over 11-15 g/kg. |
| Sports drink composition | 5-10% carbohydrate + sodium chloride + potassium | Do not pick iron or overly concentrated carb drinks. |
| Macronutrient element distinction | Nitrogen | Protein contains nitrogen; carbs and fats do not. |
| Caffeine concern | Anxiety | Dehydration is the tempting but weaker answer here. |
| Thiamin UL | No upper limit | B1 is water-soluble and no UL is established. |
| Sucrose | Disaccharide | Sucrose = glucose + fructose. |
| Vitamin D toxicity | Heart arrhythmias / calcium-related toxicity | Do not choose decreased blood calcium. |
| GI low food | GI <55 | A food ranked 45 is low; 55-69 is moderate; 70+ high. |
| Vitamin E food | Peanut butter | Vitamin E is associated with oils/nuts/seeds. |
| Medium GI example | Honey | Whole wheat bread may be high in the GI table. |
15. Practice Questions – Chapter 11
1. A 65 kg soccer midfielder needs a meal 4 hours before competition. Which is best?
Answer: About 140 g carbohydrate plus 10-20 g protein, minimal fat. This matches the 4-hour window and avoids fat/fiber GI problems.
2. A 67 kg wrestler has TDEE 3,100 kcal and wants to gain weight. What daily calorie and protein target fits best?
Answer: About 3,600 kcal/day and 107-147 g protein/day. Use +500 kcal/day and 1.6-2.2 g/kg protein.
3. An athlete wants to cut while maintaining muscle. What is the minimum protein target from the studied range?
Answer: 1.8 g/kg/day. The range is 1.8-2.7 g/kg/day.
4. A dehydrated weight-class athlete arrives lethargic and fatigued. What should the coach do first?
Answer: Assist with rehydration and recommend medical referral.
5. A 50 kg swimmer at 18% body fat trains hard 6 days/week. Calculate TDEE with Cunningham.
Answer: Lean mass = 41 kg. RMR = 500 + 22×41 = 1,402. TDEE = 1,402 x 1.725 = 2,418 kcal/day.
6. A half marathoner has practiced 60 g/hr carbs without distress. What should she use in competition?
Answer: 60 g/hr. Practiced tolerance beats jumping to an untested higher number.
7. Normal body weight athlete disappears after meals, has worn enamel and sore throat. Most likely disorder?
Answer: Bulimia nervosa.
8. 75 kg soccer athlete eats 95 g protein, 440 g carbs, 86 g fat. What change is most appropriate?
Answer: Increase protein only. Protein is below 105 g minimum; carbs and fat are in range.
16. One-Page Final Review
| Cue in the question | Think |
|---|---|
| 4 hours precompetition | Carbs + some protein, low fat/fiber. |
| 2 hours precompetition | 1 g/kg carbs. |
| 1 hour precompetition | 0.5 g/kg carbs, often liquid. |
| Endurance event during exercise | 30-90 g/hr or expanded 28-144 g/hr range, multi-source carbs. |
| Sport drink | 5-10% carbs + sodium chloride + potassium. |
| Post-endurance glycogen | 1.2-2.0 g/kg carbs within 30 min. |
| Strength/power post training | 30-100 g carbs + 20-50 g protein; older may need 40+ g. |
| Cutting while preserving muscle | 500 kcal deficit, 1.8-2.7 g/kg protein, resistance training. |
| Gaining weight | 500 kcal surplus, 1.6-2.2 g/kg protein. |
| Cunningham equation | RMR = 500 + 22 x kg lean mass. Then multiply by activity factor. |
| Low energy availability | RED-S risk; optimal around 45 kcal/kg FFM/day. |
| BMI question for athlete | Limited because it ignores fat distribution and fat-free mass. |
| Worn tooth enamel + purging | Bulimia nervosa. |
| Fear of weight gain + restriction + very low body weight | Anorexia nervosa. |
Author Note
Author note: This post is a personal CSCS study resource. It is not individualized nutrition advice. Athletes with medical nutrition needs, eating-disorder concerns, nutrient deficiencies, or disease-related nutrition questions should be referred to a qualified medical or nutrition professional.
