A.I.S. CARBS

Carbohydrate is a critical fuel source for the muscle and central nervous system. The availability of carbohydrate fuel plays a key role in the performance of prolonged exercise - exercise lasting an hour or more. Therefore, sports nutrition guidelines promote carbohydrate intake before, during and after exercise to meet the fuel requirements of the activity. Sometimes, however, these guidelines have been confusing to understand and achieve.
Carbohydrate intakes - should they be described as percentages or grams?
Nutrition guidelines for the community express goals for carbohydrate intake in terms of the percentage of total energy they should provide - for example 55% of energy intake should come from carbohydrate. This works because the message is general and the emphasis is on a relative change in fat and carbohydrate consumption. This message for "healthy eating" is appropriate when muscle fuel needs are moderate - for example, for people who are undertaking less than a hour of exercise each day, or doing exercise that is of low intensity.

However, in situations where maximal glycogen storage is desirable or the athlete must meet the fuel bill of prolonged exercise sessions, carbohydrate needs are higher and more specific. Studies have determined the absolute requirement of the muscle for carbohydrate in these situations (see Table). However, some sports nutritionists have continued to describe the increased needs for carbohydrate in terms of energy ratios - for example, an endurance athlete should eat 70% of energy from carbohydrate.

We think, in these specific situations, that it is best to set definite carbohydrate intake goals for athletes, scaled to their body size and therefore, their muscle mass. A guideline to consume 7-10 g of carbohydrate per kilogram body mass (BM) is not only tailored to the muscle's needs, but is more "user-friendly" for the athlete. An athlete can calculate a definite carbohydrate target in grams, and use food tables or information on food labels to plan meals to reach this goal. Even better, the athlete can see a sports dietitian for advice to further narrow this target range according to their specific situation, and have an individualised meal plan fitted to their needs.

Summary of carbohydrate intake goals for the athlete
Situation Recommended carbohydrate intake
Daily refuelling needs for training programs less than 60-90 min per day or low intensity exercise Daily intake of 5-7 g per kg BM
Daily refuelling for training programs greater than 90-120 min per day Daily intake of 7-10 g per kg BM
Daily refuelling for athletes undertaking extreme exercise program - 6-8 hours per day (cycling tour) Daily intake of 10-12+ g per kg BM
Carbohydrate loading for endurance and ultra-endurance events Daily intake of 7-10 g per kg BM
Pre-event meal Meal eaten 1-4 hours pre-competition 1-4 g per kg BM
Carbohydrate intake during training sessions and competition events greater than 1 hour 1 g per min or 60 g per hour
Rapid recovery after training session or multi-day competition, especially when there is less than 8 h until next session Intake of 1 g per kg BM in the first 30 min after exercise, repeated every 1-2 hours until regular meal patterns are resumed
Why is it confusing to continue to use % energy targets for athletes with high energy needs
The amount of carbohydrate needed to fuel the gruelling training or competition schedules of many athletes is higher than the typical carbohydrate intakes of most people. And it may require an athlete to devote more of their total energy intake to 'fuel foods' to do so. Typically, it might require the athlete to earmark 60-70% of their energy intake for carbohydrate needs. However, in practice the total energy needs and the muscle fuel needs of an athlete are not always synchronised, so this energy ratio is not fixed. Some large athletes have very high energy requirements to cover the cost of growth as well as their training. For these athletes, total intakes of 800-1000 g of carbohydrate representing 8-10 grams per kilogram BM may be consumed from only 45% of their energy budget. On the other hand, athletes who are restricting their energy intake to stay lean may need to devote 70% of their energy budget to achieve a carbohydrate intake of even 6-7 grams per kilogram. Therefore, it is difficult and confusing to give carbohydrate intake guidelines on the basis of an energy ratio alone. It is not certain that this will guarantee the absolute amount of carbohydrate that the muscle needs.
So can you tell if an athlete is fuelling up well enough if they are eating more than 50% of their energy from carbohydrate?
Some people judge the fuel intake of an athlete to be 'deficient' or 'inadequate' based on the percentage of energy derived from carbohydrate. However, as in the situation described above, an athlete might be consuming a large intake of carbohydrate in grams, adequate in terms of their fuel requirements, but be judged to be following an inadequate carbohydrate intake from the perspective of energy ratio. On the other hand an athlete might be eating a very high proportion of their limited energy intake from carbohydrate foods, and still only eat a small number of grams of carbohydrate. So, percentage figures are not a good guide.

And although total amounts of carbohydrate in grams may be a better guide, they still must be regarded with some flexibility. In all areas of nutrition, judgements of adequacy or deficiency cannot be made from a single piece of evidence. This is particularly the case when the evidence comes from a food record or another type of self-reported dietary assessment. Athletes, just like sedentary people, are not necessarily accurate in describing their real food intake - and most often they underestimate or under-reporte their true intake of food and nutrients.

Dietary assessments should be done by an expert such as a sports dietitian, who will work with an individual athlete to collect different sources of information related to their nutritional needs and eating patterns. Specific information about the athlete's training load and their ability to recover between sessions may help to fine- tune carbohydrate intake targets. It is important, particularly in terms of judging everyday carbohydrate intake, to regard guidelines as an approximation rather than a fixed rule. Generally, though, for athletes who have an important or increased need for carbohydrate needs, it is both more reliable and more practical to set guidelines in terms of a fixed amount of carbohydrate, rather than an energy percentage.

So how can you do a quick check of the amount of carbohydrate you eat each day, or plan a menu to meet a sports nutrition guideline?
The following ready reckoner provides information about the carbohydrate content of common foods, with food portions being organised to provide a 50 g serve of carbohydrate. Use this information to plan a daily menu, or specific pre-event meals and post-exercise recovery meals to meet the carbohydrate intake targets provided in Table 1. These carbohydrate-rich foods should form the basis of meals and snacks, with other nutrient-rich foods added to round out the meal.
Ready reckoner of 50 g CHO portions from CHO-rich foods
(taken from Peak Performance: training and nutritional strategies for sport J. Hawley and L. Burke.  Sydney: Allen & Unwin, 1998.)

Each of the selections provide approximately 50 grams of carbohydrate:

CEREALS

 SERVING

Wheat biscuit cereal (e.g. Weetabrix) 60g (5 biscuits)
'Light' breakfast cereal (e.g. Cornflakes, Weeties) 60 g (2 cups)
'Muesli' flake breakfast cereal 65 g (1-1.5 cups)
Toasted muesli 90 g (1 cup)
Porridge - made with milk 350 g (1.3 cups)
Porridge - made with water 550 g (2.5 cups)
Rolled oats 90 g (1 cup)
Muesli bar 2.5
Rice cakes 6 thick or 10 thin
Rice, boiled 180g (1 cup)
Pasta or noodles, boiled 200 g (1.3 cups)
Canned spaghetti 440 g (large can)
Crispbreads and dry biscuits 6 large or 15 small
Fruit filled biscuits 5
Plain sweet biscuits 8-10
Cream filled/chocolate biscuits 6
Bread 110 g (4 slices white or 3 thick wholegrain)
Bread rolls 110 g (1 large or 2 medium)
Pita and Lebanese bread 100 g (2 pita)
Chapati 150 g (2.5)
English muffin 120 g (2 full muffins)
Crumpet 2.5
Cakestyle muffin 115 g (1 large or 2 medium
Pancakes 150 g (2 medium)
Scones 125 g (3 medium)
Iced fruit bun 105 g (1.5)
Croissant 140 g (1.5 large or 2 medium)
Ricecream 300 g (1.5 cups)
FRUIT

 SERVING

Fruit crumble 1 cup
Fruit packed in heavy syrup 280 g (1.3 cups)
Fruit stewed/canned in light syrup 520 g (2 cups)
Fresh fruit salad 500 g (2.5 cups)
Bananas 2 medium-large
Mangoes, pears, grapefruit and other large fruit 2-3
Oranges, apples and other medium size fruit 3-4
Nectarines, apricots and other small fruit 12
Grapes 350 g (2 cups)
Melon 1,000 g (6 cups)
Strawberries  1,800 g (12 cups)
Sultanas and raisins 70 g (4 Tbsp)
Dried apricots 115 g (22 halves)
VEGETABLES AND LEGUMES

 SERVING

Potatoes 350 g (1 very large or 3 medium)
Sweet potato 350 g (2.5 cups)
Corn  300 g (1.2 cups creamed corn or 2 cobs)
Green Beans 1,800 g (14 cups)
Baked beans 440 g (1 large can)
Lentils  400 g (2 cups)
Soy beans and kidney beans 400 g (2 cups)
Tomato puree 1 litre (4 cups)
Pumpkin and peas 700 g (5 cups)
DAIRY PRODUCTS and DESSERTS

 SERVING

Milk 1 litre
Flavoured milk 560 ml
Custard 300 g
(1.3 cup or half 600 g carton ready made)
'Diet' yoghurt and natural yoghurt 800 g (4 individual tubs)
Flavoured non-fat yoghurt 350 g (2 individual tubs)
Icecream 250 g (10 Tbsp)
Fromage frais 400 g (2 tubs)
Rice pudding/creamed rice 300g (1.5 cups)
SUGARS AND CONFECTIONERY

 SERVING

Sugar 50 g
Jam 3 Tbsp
Syrups 4 Tbsp
Honey 3 Tbsp
Chocolate 80 g
Mars Bar and other 50-60 g bars 1.5 bars
Jubes and jelly babies 60 g
MIXED DISHES

 SERVING

Pizza 200 g (medium -1/4 thick or 1/3 thin)
Hamburgers 1.3 Big Macs
Lasagne 400 g serve
Fried rice 200 g (1.3 cups)
DRINKS

 SERVING

Fruit juice - unsweetened 600 ml
Fruit juice - sweetened 500 ml
Cordial 800 ml
Soft drinks and flavored mineral water 500 ml
Fruit smoothie 250-300 ml
SPORTS FOODS

 SERVING

Sports drink 700 ml
Carbohydrate loader supplement  250 ml
Liquid meal supplement  250-300 ml
Sports bar 1-1.5 bars
Sports gels 2 sachets
Glucose polymer powder 60 g
- source: AIS Australian Institute of Sport