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Körperliche Aktivität

Ernährungsspezifische Aspekte

Physical activity

Nutrition-specific aspects

  • Leitthema
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Monatsschrift Kinderheilkunde Zeitschrift für Kinder- und Jugendmedizin Aims and scope Submit manuscript

Zusammenfassung

In der kindlichen Entwicklung spielen Ernährung und die ausreichende Deckung des Energiebedarfs eine wichtige Rolle. Hauptenergielieferanten sind Kohlenhydrate und Fette, die bei Belastung im Vergleich zu Erwachsenen anders genutzt werden. Dies ist auf die abweichenden Stoffwechselprozesse mit Betonung der Fettverbrennung bei geringerer glykolytischer Kapazität usw. zurückzuführen. Körperliche Aktivität, insbesondere Training, fordert den wachsenden Organismus und führt zu einem höheren Nährstoffbedarf. Dieser ändert sich mit dem Wachstum und zunehmender Reife. Im Wesentlichen gelten aber prozentual hinsichtlich der Makronährstoffe die gleichen Empfehlungen wie bei inaktiven Kindern und Erwachsenen. Bezüglich der Mikronährstoffe weisen Ausdauerathleten, besonders weibliche, vermehrt Eisen- und Kalziumdefizite auf. Eine Vitamin- und Mineralstoffsupplementation ist jedoch nach bisheriger Datenlage, außer bei nachgewiesenen Mangelerscheinungen nicht erforderlich. Unbedingt unterstrichen werden muss die Bedeutung einer ausreichenden balancierten Kalorien- und Flüssigkeitszufuhr, um möglichen Folgeschäden vorzubeugen. Ausdrücklich nicht empfohlen werden zusätzliche leistungssteigernde Substanzen.

Abstract

Nutrition and an optimal coverage of the energy requirements are essential for proper growth and healthy development of children. Carbohydrates and fats are the main energy sources and compared with adults, children have a higher rate of fat oxygenation because of a reduced glycolytic capacity etc. Physical activity, especially training, alters the demands of the growing organism and leads to increased nutritional requirements. The recommended percentages for macronutrients are essential the same as for inactive children and adults. For micronutrients, endurance athletes, especially females, show increased deficits in iron and calcium levels. A vitamin and mineral supplementation is not recommended as no manifest deficiency occurs. The importance of an adequate energy and fluid supply must be emphasized to prevent possible subsequent damage (low bone mineral density, stress fractures, heat exhaustion etc.). An additional supplementation with performance enhancing substances is absolutely not recommended.

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Literatur

  1. American Academy of Pediatrics. Committee on Nutrition (1998) Pediatric nutrition handbook. American Academy of Pediatrics, Elk Grove Village, IL

  2. American Acedamy of Pediatrics. Committee on Sports Medicine and Fitness (2000) Intensive training and sports specialization in young athletes. Pediatrics 106: 154–157

    Article  Google Scholar 

  3. Ballauff A, Kersting M, Manz K (1988) Do children have an adequate intake? Water balance studies carried out at home. Ann Nutr Metab 32: 332–339

    PubMed  CAS  Google Scholar 

  4. Bar-Or O, Rowlands TW (2004) Pediatric exercise medicine. Human Kinetics Europe, Leeds

  5. Bar-Or O, Wilk B (1996) Water and electrolyte replenishment in the exercising child. Int J Sports Nutr 6: 93–99

    CAS  Google Scholar 

  6. Bar-Or O, Barr S, Bergeron M et al. (1997) Youth in sport: nutritional needs. Sports Sci Exchange Roundtable 8: 1–6

    Google Scholar 

  7. Bass S, Inge K (2006) Nutrition for children and young athletes. In: Burke L, Deakin V (eds) Clinical sports nutrition, 3 rd edn. McGraw-Hill, New York

  8. Berg A, Keul J (1988) Biochemical changes during exercise in children. In: Malina RM (ed) Young athletes. A biological, psychological and educational perspective. Human Kinetics, Champaign, IL, pp 61–67

  9. Boisseau N, Veromel M, Rance M et al. (2007) Protein requirements in male adolescent soccer players. Eur J Appl Physiol 100: 27–33

    Article  PubMed  CAS  Google Scholar 

  10. Bresson JL (1998) Protein and energy requirements in healthy and pediatric patients. Baillieres Clin Gastroenterol 12: 631–645

    Article  PubMed  CAS  Google Scholar 

  11. Cavadini C, Decarli B, Grin J et al. (2000) Food habits and sport activity during adolescence: differences between athletic and non-athletic teenagers in Switzerland. Eur J Clin Nutr 54: 16–20

    Google Scholar 

  12. Croll JK, Neumark-Sztainer D, Story M et al. (2006) Adolescents involved in weight-related and power team sports have better eating patterns and nutrient intakes than non-sport-involved adolescents. J Am Diet Assoc 106: 709–717

    Article  PubMed  Google Scholar 

  13. Delamarche P, Monnier M, Gratas-Delamarche A et al. (1992) Glucose and free fatty acid utilization during prolonged exercise in prepubertal boys in relation to catecholamine responses. Eur J Appl Physiol Occup Physiol 65: 66–72

    Article  PubMed  CAS  Google Scholar 

  14. Delamarche P, Gratas-Delamarche A, Monnier M et al. (1994) Glucoregulation and hormonal changes during prolonged exercise in boys and girls. Eur J Appl Physiol Occup Physiol 68: 3–8

    Article  PubMed  CAS  Google Scholar 

  15. DSB (2005) Bestandserhebung 2004. Deutscher Sportbund, Frankfurt am Main

  16. Eichner E, King D, Myhal M et al. (1999) Muscle builder supplements. Sports Sci Exchange Roundtable 10: 1–4

    Google Scholar 

  17. Fogelholm M, Rankinen T, Isokaanta M et al. (2000) Growth, dietary intake, and trace element status in pubescent athletes and schoolchildren. Med Sci Sports Exerc 32: 738–746

    Article  PubMed  CAS  Google Scholar 

  18. Kersting M (2007) Ernährung. In: Graf C, Dordel S, Reinehr T (Hrsg) Bewegungsmangel und Fehlernährung. Deutscher Ärzteverlag, Köln

  19. Hansen MA, Overgaard K, Riis BJ et al. (1991) Role of peak bone mass and bone loss in postmenopausal osteoporosis: 12-year study. BMJ 303: 961–964

    PubMed  CAS  Google Scholar 

  20. Haralambie G (1979) Skeletal muscle enzyme activities in female subjects of various ages. Bull Eur Physiopathol Respir 15: 259–267

    PubMed  CAS  Google Scholar 

  21. Leiper JB, Carnie A, Maughan RJ (1996) Water turnover rates in sedentary and exercising middle-aged men. Br J Sports Med 30: 24–26

    PubMed  CAS  Google Scholar 

  22. Malina RM (1994) Physical growth and biological maturation of young athletes. Exerc Sports Sci Rev 22: 389–434

    CAS  Google Scholar 

  23. Maughan R (2002) The athlete’s diet: nutritional goals and dietary strategies. Proc Nutr Soc 61: 87–96

    Article  PubMed  Google Scholar 

  24. Petrie HJ, Stover EA, Horswill CA (2004) Nutritional concerns for the child and adolescent competitor. Nutrition 20: 620–631

    Article  PubMed  CAS  Google Scholar 

  25. Rankinen T, Fogelholm M, Kujala U et al. (1995) Dietary intake and nutritional status of athletic and nonathletic children in early puberty. Int J Sport Nutr 5: 136–150

    PubMed  CAS  Google Scholar 

  26. Riddell M, Bar-Or O, Wilk B et al. (2001) Substrate utilization during exercise with glucose and glucose plus fructose ingestion in boys ages 10–14 yr. J Appl Physiol 90: 903–911

    PubMed  CAS  Google Scholar 

  27. Rowland TW (1985) Aerobic response to endurance training in prepubescent children: a critical analysis. Med Sci Sports Exerc 17: 493–497

    PubMed  CAS  Google Scholar 

  28. Sundgot-Borgen J (1994) Eating disorders in female athletes. Sports Med 17: 176–188

    Article  PubMed  CAS  Google Scholar 

  29. Tanner JM (1990) Foetus into man: physical growth from conception to maturity. Havard University Press, Cambridge, MA

  30. Tarnopolsky M, MacDougall J, Atkinson S (1988) Influence of protein intake and training status on nitrogen balance and lean body mass. J Appl Physiol 66: 187–193

    Google Scholar 

  31. Timmons BW, Bar-Or O, Riddell MC (2003) Oxidation rate of exogenous carbohydrate during exercise is higher in boys than in men. J Appl Physiol 94: 278–284

    PubMed  CAS  Google Scholar 

  32. Timmons BW, Bar-Or O, Riddell MC (2007) Energy substrate utilization during prolonged exercise with and without carbohydrate intake in preadolescent and adolescent girls. J Appl Physiol 103: 995–1000

    Article  PubMed  CAS  Google Scholar 

  33. Unnithan VB, Goulopoulou S (2004) Nutrition for the pediatric athlete. Current Sports Med Rep 3: 206–211

    Article  Google Scholar 

  34. Wilk B, Bar-Or O (1996) Effect of drink flavor and NaCl on voluntary drinking and hydration in boys exercising in the heat. J Appl Physiol 80: 1112–1117

    Article  PubMed  CAS  Google Scholar 

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Graf, C., Holtz, K. Körperliche Aktivität. Monatsschr Kinderheilkd 156, 33–38 (2008). https://doi.org/10.1007/s00112-007-1660-0

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