One way to improve athletic performance without harming the athlete's health is diet manipulation. This article explores the relationship between muscular endurance and muscle glycogen and discusses a diet and training approach to competition. (Author/MT)

Exercise may be a useful element in teaching diabetic children to control the disease. Controlling glucose levels during exercise requires close regulation of diet and insulin. Practical and medical aspects of exercise for diabetics are discussed, as well as its physical benefits, such as a strengthened heart. (JL)

The article discusses who should be screened for cholestrol, what levels warrant various treatments, and whether drug therapy tempts patients to avoid exercise or to eat improperly. (Author/CB)

A study of eight diabetic adolescents with moderately well-controlled diabetes concludes that recreational activities are as effective in lowering blood glucose levels as structured exercise. This might allow diabetic adolescents to participate in a wider variety of sports activities. Research, methodology, and results are discussed. (Author/JL)

Clinical investigations have established that an aggressive approach to lowering cholesterol levels in coronary heart disease patients is warranted. This article describes optimal goals and discusses the role of diet, exercise, and medication in plasma lipids management. (IAH)

Study of the monocyte phagocytic function in nine competitive athletes before and after a two-week weight reduction (through calorie restriction) program revealed that their pre-program phagocytic activity was higher than in sedentary controls but decreased significantly after the program. This suggests calorie restriction may affect the human…

In response to a new state rule, the Wisconsin Minimum Weight Project curtails weight cutting among high school wrestlers. The project uses skinfold testing to determine a minimum competitive weight and nutrition education to help the wrestler diet safety. It serves as a model for other states and other sports. (Author/SM)

This article presents case studies of two athletes who wanted to affect a change in their body weight in order to enhance athletic performance. Each athlete's problem and the nutrition approach used to solve it are discussed. Caloric values of fast foods are listed. (JL)

Physically active adolescent girls and young women who eliminate meat from their diets risk developing protein, iron, and zinc deficiencies. Meatless diets signal the possibility of amenorrhea and/or disordered eating, with the attendant risk of osteoporosis. Physicians must educate young women, parents, and coaches about the risks of meatless…

Diabetes control involves the appropriate balance of exercise, diet, and medication. Regular exercise has many benefits for people with diabetes. Physicians can educate patients about ways to regulate and monitor blood glucose before, during, and after workouts. Patients need to understand the effects of exercise and diet on insulin requirements.…

Gymnastics coaches may place undue emphasis on thinness. Of the 42 gymnasts in this study, 26 reported using some form of pathogenic behavior to lose weight. The implications of the demands on gymnasts and the additional social pressure to maintain exceptional thinness are discussed. (JD)

Reviews the prevalence, natural history, causes, impact on performance, diagnosis, and treatment of iron deficiency in adolescent and young adult athletes. All athletes should be screened and treated. The best diagnosis involves determining serum ferritin and hemoglobin levels. Treatment requires therapeutic doses of oral ferrous iron for several…

Though leanness in athletes is often a natural state, it can pose long-term liability to some athletes' performance and/or health. The physician must determine when leanness is reason for clinical concern. Athletes who do not eat enough to sustain training must either reduce the exercise load or increase nutritional intake. (Author/SM)