Impact of Low Energy Availability on Skeletal Health in Physically Active Adults

Popp, Kristin L.; Cooke, Laura M; Bouxsein, Mary L.; Hughes, Julie M.

doi:10.1007/s00223-022-00957-1

Cited by 12 publications

(3 citation statements)

References 98 publications

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“…Involvement of a sport and exercise physician might be helpful in managing athletes with stress fractures to assess for relative energy deficiency (RED) syndrome, 10 where caloric intake is insufficient for the duration and intensity of training undertaken. RED syndrome can also be associated with menstrual cycle irregularities and poor bone health in older age, 11 which reinforces the importance of systemic management for these patients. Assessment of nutritional deficiencies, including eating disorders, food group restriction (eg lactose intolerance) and alcohol intake, should be undertaken.…”

Section: Stress Fracturesmentioning

confidence: 86%

Foot pain from exercise: Diagnosis and treatment

Touzell

2024

Aust J Gen Pract

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Section: Stress Fracturesmentioning

confidence: 86%

Foot pain from exercise: Diagnosis and treatment

Touzell

2024

Aust J Gen Pract

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“…There is a large body of literature showing that regular, moderate physical activity can lower resting levels of inflammatory markers, which may be useful, especially for people suffering from obesity and other diseases associated with chronic inflammation [ 33 , 34 ]. However, it is stressed that the health benefits of regular exercise are highly dependent on adherence to a proper diet, which should, above all, provide sufficient energy [ 35 , 36 ]. The present study showed that both female and male students whose diets were the least inflammatory (Q1 groups) had significantly higher calorie intakes than the others.…”

Section: Discussionmentioning

confidence: 99%

Diet Inflammatory Index among Regularly Physically Active Young Women and Men

Pietrzak,

Kęska,

Iwańska

2023

Nutrients

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Recently, special attention has been paid to the relationship between diet and inflammation in the body. A factor that influences both diet and inflammation is physical activity. The aim of this study was to assess the inflammatory potential of the diets of young people engaging in regular physical activity. The participants were physical education students (n = 141 men and n = 151 women). The measurements included basic anthropometric parameters and a 4-day nutritional history from which the dietary inflammatory index (DII) was calculated. The average DII for female students was 2.09 ± 1.52, and that for male students was 0.21 ± 1.69. Consumption of all macro- and micronutrients was significantly higher among women and men with the lowest DII value (corresponding to an anti-inflammatory diet). The female and male students consuming anti-inflammatory diets were characterized by greater lean body mass (LBM), and, for the male students, a lower body fat content, compared to those whose diets were pro-inflammatory. Young and regularly physically active people are also exposed to the pro-inflammatory nature of their diets, whose long-term effects may lead to health problems.

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“…It is critical to prevent RED-S early, as long-term consequences to muscle and bone health can persist throughout the life span. This can lead to an increased risk of injuries, low bone mineral density, and subsequently osteoporosis, fractures, and frailty later in life [ 6 ]. These are serious conditions that can create a vicious cycle of reduced independence and low quality of life [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Nutritional Intake and Interests in Educational Content of Athletes and Sport Professionals Toward the Development of a Clinician-Supported Mobile App to Combat Relative Energy Deficiency in Sport: Formative Research and a Description of App Functions

Mey¹,

Karpinski²,

Yang³

et al. 2023

JMIR Form Res

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Background Relative energy deficiency in sport (RED-S) as a consequence of athlete malnutrition remains a prominent issue. However, it remains underrecognized, in part due to the perceived outward health of athletes. The Eat2Win app was designed to combat RED-S and athlete malnutrition by providing education, behavior modification, and direct communication with expert sports dietitians to athletes and sport professionals (professionals who work with athletes, eg, sport coaches and athletic trainers). Objective The purpose of this formative research was to gain critical insight on motivators and barriers to optimal nutritional intake from both the athletes’ and sport professionals’ perspectives. Additionally, since these 2 groups represent the primary end users of an app aimed at improving athlete nutrition and reducing the risk of RED-S, a secondary objective was to gain insight on the preferences and perceptions of app-based educational content and functionality. Methods An electronic survey was developed by an interdisciplinary team of experts. Survey questions were established based upon prevailing literature, professional dietetic field experience, and app design considerations to obtain respondent knowledge on key sports nutrition topics along with motivations and barriers to meal choices. Additionally, the survey included questions about the development of an integrative, clinician-support app aimed at addressing RED-S. These questions included preferences for educational content, modes of in-app information, and communication delivery for the target population (app end users: athletes and sport professionals). The survey was distributed through Research Electronic Data Capture (REDCap) to athletes and sport professionals using targeted email, social media, and community engagement campaigns. The electronic survey was available from May 4 to August 2, 2022. Results Survey respondents (n=1352) included athletes and professionals who work with athletes from a variety of settings, like high school, collegiate, professional, and club sports. Respondents reported high interest in 8 core sports nutrition topics. The preferred modes of information and communication delivery were visual formats (eg, videos and infographics) and in-app alerts (eg, direct messaging and meal reminders). Only athlete respondents were asked about motivators and barriers that influence meal choices. “Health” and “sports performance” were the highest scoring motivators, while the highest scoring barriers were “cost of food,” “easy access to unhealthy food,” and “time to cook or prepare food.” Notably, survey respondents provided positive feedback and interest using a novel function of the app: real-time meal feedback through food photography. Conclusions The Eat2Win app is designed to combat RED-S and athlete malnutrition. Results from this study provide critical information on end-user opinions and preferences and will be used to further develop the Eat2Win app. Future research will aim to determine whether the Eat2Win app can prevent RED-S and the risk of athlete malnutrition to improve both health and performance.

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Impact of Low Energy Availability on Skeletal Health in Physically Active Adults

Cited by 12 publications

References 98 publications

Foot pain from exercise: Diagnosis and treatment

Foot pain from exercise: Diagnosis and treatment

Diet Inflammatory Index among Regularly Physically Active Young Women and Men

Factors Influencing Nutritional Intake and Interests in Educational Content of Athletes and Sport Professionals Toward the Development of a Clinician-Supported Mobile App to Combat Relative Energy Deficiency in Sport: Formative Research and a Description of App Functions

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