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Module 20

Sports Nutrition Brain-Fuel Guide

What active kids need before, during, and after exercise to protect both performance and cognitive function

How to Use This

How to Use This: Start with the daily calorie table to confirm your young athlete is eating enough total calories. Then use the pre/during/post exercise sections to structure fueling around training. Review the RED-S red flags checklist to rule out under-fueling.

Key Terms

Key terms: Glycogen is stored carbohydrate energy in muscles and liver — the body's primary fuel during exercise. RED-S (Relative Energy Deficiency in Sport) is a syndrome caused by chronically eating too few calories relative to activity, harming bones, hormones, brain, and immune function. Myelinating means building the insulation layer on brain nerve fibers, critical during adolescence.

Active adolescents face a double demand: fueling physical performance AND rapid brain development. The adolescent brain is still under heavy construction — pruning synapses, myelinating connections, developing executive function. Under-fueling doesn't just hurt athletic performance. It impairs learning, mood regulation, and brain maturation. Most young athletes are chronically under-eating, especially girls.

Daily Calorie & Macronutrient Needs

Moderately ActiveVery Active (daily training)Competitive/Elite
Calories (girls 13-18)2,000-2,2002,400-2,8002,800-3,200+
Calories (boys 13-18)2,200-2,6002,800-3,2003,200-4,000+
Protein1.0-1.2 g/kg/day1.2-1.6 g/kg/day1.4-2.0 g/kg/day
Carbs3-5 g/kg/day5-7 g/kg/day6-10 g/kg/day
Fat25-35% of calories25-35% of calories25-35% of calories (don't cut fat — brain needs it)

Pre-Exercise Fueling (1-3 Hours Before)

The goal: top off glycogen stores, provide steady energy, avoid GI distress. Carbohydrate-dominant with moderate protein. Low fat and low fiber close to game time.

TimingWhat to EatPortion GuideExamples
3 hours beforeFull meal: carbs + protein + small amount of fatPlate-sized mealPasta with chicken and marinara; rice bowl with salmon and veggies; turkey sandwich + fruit
1-2 hours beforeLighter meal: mostly carbs + some proteinSnack to small mealOatmeal with banana; PB&J on white bread; yogurt parfait with granola
30-60 min beforeSimple carbs only — easy to digestSmall snackBanana; applesauce pouch; few crackers; dried fruit; sports drink

During Exercise

DurationHydrationFuelNotes
Under 60 minWater: 4-8 oz every 15-20 minNone neededWater is sufficient for short, moderate activity
60-90 minWater or diluted sports drinkOptional: 15-30g carbs (half a banana, few orange slices)Important in heat or high-intensity sport
90+ minSports drink: 4-8 oz every 15-20 min30-60g carbs per hour (sports drink covers this, or add a bar, gels, fruit)Critical for endurance sports, tournaments with multiple games

Important

Avoid energy drinks (Monster, Red Bull, Bang). These contain 150-300 mg caffeine — the AAP recommends adolescents consume no more than 100 mg/day. Energy drinks also contain stimulants and sugars that cause crashes. Stick to water and real sports drinks for hydration.

Post-Exercise Recovery (Within 30-60 Minutes)

The recovery window matters. Glycogen replenishment is 50% more efficient within the first 30 minutes after exercise. Protein synthesis peaks in the 2 hours post-exercise. Don't let them skip post-workout nutrition.

Recovery GoalWhat to EatExamples
Replenish glycogen0.5-0.8 g carbs per kg body weightChocolate milk (top research-backed recovery drink); banana + granola bar; rice + chicken
Repair muscle15-25g proteinGreek yogurt (18g per cup); 3 oz chicken (24g); chocolate milk (8g per cup); 2 eggs (12g)
Reduce inflammationOmega-3 fats + antioxidantsSalmon; berries; tart cherry juice (research-backed for muscle recovery); nuts
Rehydrate16-24 oz fluid per pound lost during exerciseWater + electrolytes. Weigh before and after practice to estimate sweat loss.

Brain-Specific Nutrients for Active Adolescents

NutrientWhy Athletes Need MoreDaily TargetTop Sources
IronLost in sweat and foot-strike hemolysis (running). Female athletes are at highest risk. Low iron = brain fog, fatigue, poor concentration.Girls: 15 mg/day; Boys: 11 mg/dayRed meat, liver, lentils, fortified cereal, dark leafy greens
Calcium & Vitamin DPeak bone building happens NOW. Low intake = stress fractures + long-term osteoporosis risk.1,300 mg calcium; 600+ IU vitamin DDairy, fortified alternatives, sardines, broccoli. Vitamin D: sunlight + supplement.
MagnesiumLost in sweat. Involved in 300+ enzymatic reactions. Low = cramps, poor sleep, impaired recovery.360-410 mg/dayPumpkin seeds, almonds, dark chocolate, spinach, avocado, bananas
DHA/Omega-3Anti-inflammatory, neuroprotective. Reduces exercise-induced brain inflammation and supports concussion recovery.250-500 mg DHA/dayFatty fish 2-3x/week, fish oil supplement, algae DHA
ZincLost in sweat. Critical for growth hormone production, immune function, and wound healing.8-11 mg/dayRed meat, oysters, pumpkin seeds, chickpeas, yogurt
B VitaminsIncreased demand for energy metabolism. B12 and folate needed for red blood cell production.Varied by B vitaminMeat, eggs, dairy, legumes, whole grains, leafy greens

Red Flags: Signs of Under-Fueling (RED-S)

Relative Energy Deficiency in Sport — affects brain, bones, hormones, and immune function

Missed or irregular periods in girlsAny loss of period in an active girl is a medical concern — not normal "athletic amenorrhea"
Stress fractures or frequent injuriesLow energy availability weakens bones
Declining academic performanceThe brain is the first organ to suffer from chronic under-fueling
Constant fatigue despite adequate sleep
Frequent illness (more than 3-4 colds per year)Under-fueling suppresses immune function
Mood changes: irritability, anxiety, depression
Restrictive eating patterns or food rules"Clean eating" in teen athletes frequently masks disordered eating
Growth plateau or delayed puberty in younger athletes

The Chocolate Milk Secret

Low-fat chocolate milk is one of the most research-validated recovery beverages available. It delivers the ideal 3:1 carb-to-protein ratio, electrolytes, fluid, and calcium. Multiple studies show it performs as well as or better than commercial recovery drinks. Cost: about $0.50 per serving. Keep it stocked.

Important

If your teen athlete shows 3 or more RED-S red flags, seek medical evaluation promptly. Under-fueling during adolescence can cause irreversible bone density loss, hormonal disruption, and impaired brain development. Do not wait for performance decline — early intervention matters.

Next Steps

Next Steps: Calculate your teen's approximate daily calorie needs from the table, then compare it to what they actually eat. If there's a gap, use the pre/during/post fueling templates to add structured eating around training. Review the Nutrient Gap Identifier for brain-specific nutrients.

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