What could be a potential cause of Anne’s nausea, intestinal cramping, and diarrhea during the race?
How does Anne’s new sports beverage compare with others on the market?
What recommendations would you give to Anne to prevent the symptoms from occurring in future races?
OR

Case 3: Fluids

Chad is a collegiate lacrosse player in Arizona. During the preseason and in-season training, the team will practice for hours, often in 80- to 90-degree weather. The coach incorporates fluid breaks during practice; however, he allows the athletes to consume only water. The coach believes that sports beverages hinder performance and therefore forbids the athletes to consume them. The athletes complain of feeling fatigued, lethargic, and light-headed by the end of practices.

What are the problems in this scenario?
What should the athletes do to feel better throughout their practices?
What hydration principles should the athletes follow?
OR

Case 4: Weight Management

Ian is an 18-year-old gymnast training in a private gym with many other male and female gymnasts. He is competing at an advanced level and is likely to make the next Olympic team. Lately, he has been finding some of his balance and strength moves on the rings and parallel bars more difficult. He has gone through a bit of a growth spurt and has gained approximately 5 pounds over the last year. He suspects the weight gain is causing his performance difficulties. He decides to try a weight loss program that will help you lose weight before his next big competition in six weeks. He is not sure how many calories to consume and therefore, arbitrarily decided to eat 1,500 kcal per day.

Which assessments are required to determine whether Ian needs to lose weight?
What type of diet and exercise plan would you recommend for Ian?
What additional concerns do you have for Ian’s health and sports performance?