Review
Nutrition & Dietetics
Melissa T. Lodge, Christie L. Ward-Ritacco, Kathleen J. Melanson
Summary: This narrative review examines the health and performance consequences of low carbohydrate availability (LCA) in female endurance athletes. Low energy availability (LEA) and LCA are common in female athletes and are associated with various health and performance consequences. The study suggests that LCA may have independent effects on health and performance, and highlights the need for more research on the specific adaptations and hormone responses in female athletes.
Article
Sport Sciences
Rachel K. Langbein, Daniel Martin, Jacquelyn Allen-Collinson, Lee Crust, Patricia C. Jackman
Summary: This study qualitatively explored athlete experiences of RED-S and found that regardless of how it was initiated, all athletes experienced a multitude of physiological impairments accompanied by significant psychological distress.
JOURNAL OF SPORTS SCIENCES
(2021)
Review
Psychology, Clinical
Alexiaa Sim, Stephen F. Burns
Summary: Multiple questionnaires are available to identify Low Energy Availability (LEA) and Relative Energy Deficiency in Sport (RED-S) risk in athletic populations, but better validation and more questionnaires tailored for male athletes are needed.
JOURNAL OF EATING DISORDERS
(2021)
Article
Nutrition & Dietetics
Muhammad Irfan Haiqal Marzuki, Mohd Izham Mohamad, Wen Jin Chai, Nor M. F. Farah, Nik Shanita Safii, Jasmiza Khuzairi Jasme, Nor Aini Jamil
Summary: This study investigated the prevalence of RED-S among national athletes in Malaysia. Most athletes (67.2%) were classified as having a medium/high RED-S risk. Females (41.2%), weight-class (23.9%), and intermittent sports (20.3%) had the highest prevalence of medium/high RED-S risk. These findings support the need for RED-S screening in the athletic community.
Article
Neurosciences
Mikkel Oxfeldt, Stuart M. Phillips, Ole Emil Andersen, Frank Ted Johansen, Maj Bangshaab, Jeyanthini Risikesan, James McKendry, Anna Katarina Melin, Mette Hansen
Summary: Low energy availability may have negative effects on skeletal muscle protein synthesis in females undergoing exercise training.
JOURNAL OF PHYSIOLOGY-LONDON
(2023)
Article
Sport Sciences
Thomas J. J. O'leary, Charlotte V. V. Coombs, Caitlin Perrett, Rebecca L. L. Double, Nicky Keay, Sophie L. L. Wardle, Julie P. P. Greeves
Summary: This study investigates the associations between menstrual function, eating disorders, and risk of low energy availability with musculoskeletal injuries in British servicewomen. The results show that women at high risk of disordered eating and low energy availability are more likely to have bone stress injuries and musculoskeletal injuries.
MEDICINE & SCIENCE IN SPORTS & EXERCISE
(2023)
Article
Sport Sciences
Amy-Lee M. Bowler, Vernon G. Coffey, Gregory R. Cox
Summary: This study investigated the assessment and management practices employed by Sports Dietitians when dealing with athletes at risk of low energy availability (LEA). The results showed that Sports Dietitians primarily rely on dietary intake and training load to assess LEA, and collaborative approaches in LEA management are lacking. Sports Dietitians may need access to reliable assessment methods and collaborative management approaches to improve athlete care when LEA is suspected.
JOURNAL OF SCIENCE AND MEDICINE IN SPORT
(2022)
Article
Nutrition & Dietetics
Oona Kettunen, Maria Heikkila, Vesa Linnamo, Johanna K. Ihalainen
Summary: The study showed that young female cross-country skiers had difficulties meeting recommendations for optimal energy availability and carbohydrate intake, both at home and during training camps. Better nutrition knowledge may help these young athletes to meet these recommendations.
Article
Sport Sciences
Marcus S. Dasa, Oddgeir Friborg, Morten Kristoffersen, Gunn Pettersen, Jorn V. Sagen, Jorunn Sundgot-Borgen, Jan H. Rosenvinge
Summary: This study investigated the applicability of the LEAF-Q in a cohort of sixty professional female football players and found that the LEAF-Q is not effective in detecting LEA and Triad conditions among female football players.
SPORTS MEDICINE-OPEN
(2023)
Article
Nutrition & Dietetics
Kristin L. Jonvik, Birna Vardardottir, Elizabeth Broad
Summary: This narrative review discusses the deficits and complexities when assessing RED-S and LEA in Para athletes, and provides suggestions for future progress in this important area of sports nutrition.
Article
Sport Sciences
Carl Langan-Evans, Mark Germaine, Mario Artukovic, David L. Oxborough, Jose L. Areta, Graeme L. Close, James P. Morton
Summary: The study showed that under low energy availability, reductions in body weight and fat mass can occur without disturbances to physiological systems associated with the Male Athlete Triad and RED-S. However, consequences of the Male Athlete Triad and RED-S become evident when energy availability falls below a certain threshold.
MEDICINE & SCIENCE IN SPORTS & EXERCISE
(2021)
Article
Nutrition & Dietetics
Bronwen Lundy, Monica K. Torstveit, Thomas B. Stenqvist, Louise M. Burke, Ina Garthe, Gary J. Slater, Christian Ritz, Anna K. Melin
Summary: A questionnaire-based screening tool (LEAM-Q) for male athletes at risk of low energy availability (LEA) was developed, and it was found that low sex drive was the most effective self-reported symptom in identifying male athletes requiring further clinical assessment for LEA.
Review
Sport Sciences
Rebecca Jane Gould, Ashley Jane Ridout, Julia L. Newton
Summary: Being physically active during adolescence has many benefits, but exercising in a low energy environment can have negative effects on health. Relative energy deficiency in sport can lead to various problems like injuries, irregular menstruation, stress, and low mood. Promoting physical activity in adolescence is crucial, and there is a need to increase awareness and education about relative energy deficiency in sport.
INTERNATIONAL JOURNAL OF SPORTS MEDICINE
(2023)
Article
Nutrition & Dietetics
Margot A. Rogers, Michael K. Drew, Renee Appaneal, Greg Lovell, Bronwen Lundy, David Hughes, Nicole Vlahovich, Gordon Waddington, Louise M. Burke
Summary: The LEAF-Q questionnaire can be used as a screening tool to rule out the risk of conditions related to low energy availability (LEA) or to create low-risk groups, but it cannot be used for diagnosing LEA.
INTERNATIONAL JOURNAL OF SPORT NUTRITION AND EXERCISE METABOLISM
(2021)
Article
Physiology
Iva Jurov, Nicola Keay, Darjan Spudic, Samo Rauter
Summary: This study aimed to induce low energy availability in male endurance athletes by reducing energy intake, finding that it affects explosive power, lactate metabolism, and psychological well-being. The research also discovered a positive correlation between reduced energy availability and cognitive restriction.
EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY
(2022)
Article
Nutrition & Dietetics
Kevin Deighton, Andy J. King, Jamie Matu, Oliver M. Shannon, Oliver Whiteman, Alice Long, Matthew D. Huby, Miroslav Sekula, Adrian Holliday
BRITISH JOURNAL OF NUTRITION
(2019)
Article
Physiology
Andy J. King, John P. O'Hara, Nicola C. Arjomandkhah, Josh Rowe, Douglas J. Morrison, Thomas Preston, Roderick F. G. J. King
EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY
(2019)
Article
Sport Sciences
Andy J. King, Louise M. Burke, Shona L. Halson, John A. Hawley
Review
Nutrition & Dietetics
Andy J. King, Joshua T. Rowe, Louise M. Burke
INTERNATIONAL JOURNAL OF SPORT NUTRITION AND EXERCISE METABOLISM
(2020)
Article
Nutrition & Dietetics
Andy J. King, Rebecca C. Hall
Summary: The study found that cyclists training or racing indoors did not meet current carbohydrate intake recommendations for optimal cycling performance, possibly due to the short and high-intensity nature of some training sessions, limiting the need for feeding during exercise.
BRITISH JOURNAL OF NUTRITION
(2022)
Article
Sport Sciences
Joshua T. Rowe, Roderick F. G. J. King, Andy J. King, Douglas J. Morrison, Thomas Preston, Oliver J. Wilson, John P. O'hara
Summary: This study investigated the effects of a carbohydrate solution containing sodium alginate and pectin (hydrogel) on endurance running performance. The results showed that ingestion of the hydrogel improved endurance performance, exogenous carbohydrate oxidation, and reduced gastrointestinal symptoms.
MEDICINE & SCIENCE IN SPORTS & EXERCISE
(2022)
Article
Endocrinology & Metabolism
K. F. Axelsson, M. N. Woessner, H. Litsne, M. Wheeler, A. Flehr, A. J. King, M. Kalen, L. Vandenput, M. Lorentzon
Summary: This retrospective cohort study showed that individuals with eating disorders are at higher risk of injurious falls and hip fractures. It highlights the need to prevent falls and fractures in both men and women with eating disorders.
OSTEOPOROSIS INTERNATIONAL
(2022)
Article
Nutrition & Dietetics
Andy J. King, Naroa Etxebarria, Megan L. Ross, Laura Garvican-Lewis, Ida A. Heikura, Alannah K. A. McKay, Nicolin Tee, Sara F. Forbes, Nicole A. Beard, Philo U. Saunders, Avish P. Sharma, Stephanie K. Gaskell, Ricardo J. S. Costa, Louise M. Burke
Summary: This study investigated the effects of different carbohydrate supply strategies on athletes using a multi-pronged approach. The results showed improved gastrointestinal function after exercise, but the changes were likely clinically insignificant. Additionally, increasing carbohydrate intake did not confer additional advantages in performance.
Review
Nutrition & Dietetics
Javier T. Gonzalez, Andy J. King
Summary: Isotopic tracers can provide insights into metabolism and substrate fate, particularly in studying carbohydrate metabolism during exercise. Accurate and quantifiable data can be obtained through careful consideration of methodological principles, including standardization, tracer choice, and exercise parameters.
INTERNATIONAL JOURNAL OF SPORT NUTRITION AND EXERCISE METABOLISM
(2023)
Article
Endocrinology & Metabolism
Andy J. King, Katie Pickering, Andy Pringle, Nicky Kime
Summary: The study found that participants tended to see themselves as cyclists rather than type 1 diabetics, using a variety of self-management strategies to control blood sugar levels in ultra-endurance exercise, all based on a trial-and-error approach to determine successful practices.
PRACTICAL DIABETES
(2022)
Meeting Abstract
Endocrinology & Metabolism
A. J. King, N. Kime, K. Pickering, E. L. Williams, M. D. Campbell
Meeting Abstract
Sport Sciences
Andy J. King, John P. O'Hara, Douglas Morrison, Tom Preston, Roderick F. G. J. King
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
(2015)
Article
Physiology
Andy J. King, John P. O'Hara, Douglas J. Morrison, Tom Preston, Roderick F. G. J. King
PHYSIOLOGICAL REPORTS
(2018)