Nutrition Knowledge and Low Energy Availability Risk in Ladies Gaelic Football Players
Abstract
1. Introduction
2. Methods
2.1. Participants
2.2. Instruments
2.3. Statistical Analysis
3. Results
3.1. Participant Characteristics
3.2. Nutrition Knowledge (NK)
3.3. LEAF-Q Scores and Participant Characteristics
3.4. LEAF-Q Questions
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Thomas, D.T.; Erdman, K.A.; Burke, L.M. American College of Sports Medicine Joint Position Statement. Nutrition and Athletic Performance. Med. Sci. Sports Exerc. 2016, 48, 543–568. [Google Scholar]
- Heaney, S.; O’Connor, H.; Michael, S.; Gifford, J.; Naughton, G. Nutrition knowledge in athletes: A systematic review. Int. J. Sport Nutr. Exerc. Metab. 2011, 21, 248–261. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Holtzman, B.; Ackerman, K.E. Recommendations and Nutritional Considerations for Female Athletes: Health and Performance. Sports Med. 2021, 51, 43–57. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Mountjoy, M.; Sundgot-Borgen, J.; Burke, L.; Ackerman, K.E.; Blauwet, C.; Constantini, N.; Lebrun, C.; Lundy, B.; Melin, A.; Meyer, N.; et al. International Olympic Committee (IOC) Consensus Statement on Relative Energy Deficiency in Sport (RED-S): 2018 Update. Int. J. Sport Nutr. Exerc. Metab. 2018, 28, 316–331. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Loucks, A.B.; Kiens, B.; Wright, H.H. Energy availability in athletes. J. Sports Sci. 2011, 29, S7–S15. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Taylor, H.L.; Garabello, G.; Pugh, J.; Morton, J.; Langan-Evans, C.; Louis, J.; Borgersen, R.; Areta, J.L. Patterns of energy availability of free-living athletes display day-to-day variability that is not reflected in laboratory-based protocols: Insights from elite male road cyclists. J. Sports Sci. 2022, 40, 1849–1856. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Crouter, S.E.; Churilla, J.R.; Bassett, J.D.R. Estimating energy expenditure using accelerometers. Eur. J. Appl. Physiol. 2006, 98, 601–612. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Melin, A.; Tornberg, Å.B.; Skouby, S.; Faber, J.; Ritz, C.; Sjödin, A.; Sundgot-Borgen, J. The LEAF questionnaire: A screening tool for the identification of female athletes at risk for the female athlete triad. Br. J. Sports Med. 2014, 48, 540–545. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Condo, D.; Lohman, R.; Kelly, M.; Carr, A. Nutritional Intake, Sports Nutrition Knowledge and Energy Availability in Female Australian Rules Football Players. Nutrients 2019, 11, 971. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Magee, M.K.; Lockard, B.L.; Zabriskie, H.A.; Schaefer, A.Q.; Luedke, J.A.; Erickson, J.L.; Jones, M.T.; Jagim, A.R. Prevalence of Low Energy Availability in Collegiate Women Soccer Athletes. J. Funct. Morphol. Kinesiol. 2020, 5, 96. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Moss, S.L.; Randell, R.K.; Burgess, D.; Ridley, S.; Ocaireallain, C.; Allison, R.; Rollo, I. Assessment of energy availability and associated risk factors in professional female soccer players. Eur. J. Sport Sci. 2020, 21, 861–870. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Christensen, S.; Black, K.; Baker, D.; Sims, S.; Smith, B.; Kumar, J.; Groom, J. Low energy availability and cardiovascular disease risk in elite female rugby players: An observational study. In Proceedings of the Sport and Exercise Science New Zealand Conference, Dunedin, New Zealand, 26–27 October 2018; p. 15. Available online: https://sesnz.org.nz/wp-content/uploads/2019/11/SESNZ-conference-2018-Book-of-abstracts.pdf (accessed on 16 July 2026).
- Logue, D.M.; Heinen, M.; Delahunt, E.; Corish, C.A.; Madigan, S.M.; McDonnell, S.J. Screening for risk of low energy availability in athletic and recreationally active females in Ireland. Eur. J. Sport Sci. 2019, 19, 112–122. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Courtney, A.; Wyse, A.; Murphy, B.; McCarthy, E.; Kgosidialwa, O.; Tuthill, A. Screening for risk of low energy availability in female Gaelic game athletes in Ireland. Ir. J. Med. Sci. 2025, 194, 1617–1624. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Trakman, G.L.; Forsyth, A.; Hoye, R.; Belski, R. The nutrition for sport knowledge questionnaire (NSKQ): Development and validation using classical test theory and Rasch analysis. J. Int. Soc. Sports Nutr. 2017, 14, 26. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Alaunyte, I.; Perry, J.L.; Aubrey, T. Nutritional knowledge and eating habits of professional rugby league players: Does knowledge translate into practice? J. Int. Soc. Sports Nutr. 2015, 12, 17. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Rossi, F.E.; Landreth, A.; Beam, S.; Jones, T.; Norton, L.; Cholewa, J.M. The Effects of a Sports Nutrition Education Intervention on Nutritional Status, Sport Nutrition Knowledge, Body Composition, and Performance during Off Season Training in NCAA Division I Baseball Players. J. Sports Sci. Med. 2017, 16, 60–68. Available online: https://pmc.ncbi.nlm.nih.gov/articles/PMC5358033/ (accessed on 16 July 2026). [PubMed]
- Pai, N.N.; Brown, R.C.; Black, K.E. Risk of low energy availability and nutrition knowledge among female team sport athletes. J. Sports Med. Phys. Fit. 2024, 64, 446–454. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Trakman, G.L.; Forsyth, A.; Devlin, B.L.; Belski, R. A Systematic Review of Athletes’ and Coaches’ Nutrition Knowledge and Reflections on the Quality of Current Nutrition Knowledge Measures. Nutrients 2016, 8, 570. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Renard, M.; Kelly, D.T.; Chéilleachair, N.N.; Catháin, C.Ó. Evaluation of Nutrition Knowledge in Female Gaelic Games Players. Sports 2020, 8, 154. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Mitchell, L.; Lehane, P.; McCarthy, M.; O’Shea, K.; Tracey, M.; Whyte, T.; Neville, R. Nutrition knowledge of elite and non-elite Gaelic footballers. Sci. Med. Footb. 2022, 6, 159–163. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Sport Ireland. Irish Sports Monitor—Annual Report 2022; Sport Ireland: Dublin, Ireland, 2022; Available online: https://www.sportireland.ie/sites/default/files/media/document/2023-12/2022-ism-report.pdf (accessed on 14 March 2025).
- Ladies Gaelic Football Association (LGFA). About Us. Available online: https://ladiesgaelic.ie/the-lgfa/about-us/ (accessed on 14 March 2025).
- Keane, A.; Scott, M.A.; Reilly, T.; Dugdill, L. Fitness test profiles as determined by the Eurofit Test Battery in elite female Gaelic Football players. J. Strength Cond. Res. 2010, 24, 1502–1506. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Kelly, G.; Courtney, S.; Martin, D.; Collins, K.; McKenna, O.; Bradley, J. Benchmarking successful performances in elite Ladies Gaelic football. Int. J. Perform. Anal. Sport 2022, 22, 51–65. [Google Scholar] [CrossRef] [Scilit]
- Malone, S.; McGuinness, A.; Duggan, J.D.; Murphy, A.; Collins, K.; O’Connor, C. The running performance of elite ladies Gaelic football with respect to position and halves of play. Off. J. Ital. Soc. Exerc. Sport Sci. 2023, 19, 959–967. [Google Scholar] [CrossRef] [Scilit]
- Molohan, T.; Behan, S.; MacNamara, Á. Anthropometric and Physical Fitness Profile of Adolescent Inter-County Ladies’ Gaelic Football Players. Adolescents 2023, 3, 625–639. [Google Scholar] [CrossRef] [Scilit]
- Amirabdollahian, F.; Gray, S.; Alaunyte, I. Body composition and nutritional status of female Gaelic football players in comparison to soccer players. Ann. Nutr. Metab. 2015, 67, 194–195. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Gibbons, E.; Mc Monagle, G. Dietary intakes of calcium, iron, and vitamin D in club and county female Gaelic footballers. Proc. Nutr. Soc. 2018, 77, E76. [Google Scholar] [CrossRef] [Scilit]
- McCrink, C.M.; McSorley, E.M.; Grant, K.; McNeilly, A.M.; Magee, P.J. An investigation of dietary intake, nutrition knowledge and hydration status of Gaelic Football players. Eur. J. Nutr. 2021, 60, 1465–1473. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Renard, M.; Kelly, D.; Ní Chéilleachair, N.; Ó Catháin, C.; Malaguti, M. How Does the Dietary Intake of Female Field-Based Team Sport Athletes Compare to Dietary Recommendations for Health and Performance? A Systematic Literature Review. Nutrients 2021, 13, 1235. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Trakman, G.L.; Forsyth, A.; Hoye, R.; Belski, R. Development and validation of a brief general and sports nutrition knowledge questionnaire and assessment of athletes’ nutrition knowledge. J. Int. Soc. Sports Nutr. 2018, 15, 17. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Harris, P.A.; Taylor, R.; Thielke, R.; Payne, J.; Gonzalez, N.; Conde, J.G. Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. J. Biomed. Inform. 2009, 42, 377–381. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Jagim, A.; Luedke, J.; Erickson, J.; Kerksick, C. Sport Nutrition Knowledge and Perceptions of Dietary Requirements Among A Diverse Cohort of Collegiate Athletes. Med. Sci. Sports Exerc. 2021, 53, 273–274. [Google Scholar] [CrossRef] [Scilit]
- Jagim, A.R.; Fields, J.; Magee, M.K.; Kerksick, C.M.; Jones, M.T. Contributing Factors to Low Energy Availability in Female Athletes: A Narrative Review of Energy Availability, Training Demands, Nutrition Barriers, Body Image, and Disordered Eating. Nutrients 2022, 14, 986. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Wells, K.R.; Vlahovich, N.; Burke, L.M.; Hughes, D.; Jeacocke, N.A.; Appaneal, R.; Smith, H.D. The Australian Institute of Sport (AIS) and National Eating Disorders Collaboration (NEDC) position statement on disordered eating in high performance sport. Br. J. Sports Med. 2020, 54, 1247–1258. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Logue, D.; Madigan, S.M.; Delahunt, E.; Heinen, M.; Mc Donnell, S.J.; Corish, C.A. Low Energy Availability in Athletes: A Review of Prevalence, Dietary Patterns, Physiological Health, and Sports Performance. Sports Med. 2018, 48, 73–96. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Burke, L.M.; Castell, L.M.; Casa, D.J.; Close, G.L.; Costa, R.J.S.; Desbrow, B.; Halson, S.L.; Lis, D.M.; Melin, A.K.; Peeling, P.; et al. International Association of Athletics Federations Consensus Statement 2019: Nutrition for Athletics. Int. J. Sport Nutr. Exerc. Metab. 2019, 29, 73–84. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Abood, D.A.; Black, D.R.; Birnbaum, R.D. Nutrition education intervention for college female athletes. J. Nutr. Educ. Behav. 2004, 36, 135–139. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Valliant, M.W.; Pittman Emplaincourt, H.; Kieckhaefer Wenzel, R.; Hilson Garner, B. Nutrition Education by a Registered Dietitian Improves Dietary Intake and Nutrition Knowledge of a NCAA Female Volleyball Team. Nutrients 2012, 4, 506–516. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Tam, R.; Beck, K.L.; Manore, M.M.; Gifford, J.; Flood, V.M.; O’Connor, H. Effectiveness of Education Interventions Designed to Improve Nutrition Knowledge in Athletes: A Systematic Review. Sports Med. 2019, 49, 1769–1786. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Fahrenholtz, I.L.; Melin, A.K.; Garthe, I.; Hollekim-Strand, S.M.; Ivarsson, A.; Koehler, K.; Logue, D.; Lundström, P.; Madigan, S.; Wasserfurth, P.; et al. Effects of a 16-Week Digital Intervention on Sports Nutrition Knowledge and Behavior in Female Endurance Athletes with Risk of Relative Energy Deficiency in Sport (RED-S). Nutrients 2023, 15, 1082. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Lydon, R.; McCloat, A.; Mooney, E.; Kelly-Blakeney, E. Recipes for Success: Lessons learned from the implementation of a food skills and nutrition education workshop with Gaelic athletic players on the Island of Ireland (IOI). Health Educ. J. 2023, 82, 41–53. [Google Scholar] [CrossRef] [Scilit]
- O’Brien, L.; Collins, K.; Amirabdollhian, F. Exploring Sports Nutrition Knowledge in Elite Gaelic Footballers. Nutrients 2021, 13, 1081. [Google Scholar] [CrossRef] [Scilit] [PubMed]

| Characteristic | All Participants (n = 58) | LEAF-Q < 8 (n = 25) | LEAF-Q ≥ 8 (n = 33) | |
|---|---|---|---|---|
| Age (years) | 24.6 ± 5.6 | 24.4 ± 6.2 | 24.8 ± 5.2 | |
| Height (cm) | 166.9 ± 6.60 | 165.1 ± 6.0 | 168.3 ± 6.8 | |
| Weight (kg) | 66.43 ± 12.3 | 65.4 ± 11.4 | 67.2 ± 13.1 | |
| BMI (kg/m2) | 23.9 ± 4.5 | 24.1 ± 4.8 | 23.7 ± 4.3 | |
| Highest level of education | ||||
| Secondary School | 22 (37.9%) | 11 (44.0%) | 11 (33.3%) | |
| Undergraduate | 25 (43.1%) | 10 (40.0%) | 15 (45.5%) | |
| Postgraduate | 11 (19.0%) | 4 (16%) | 7 (21.2%) | |
| Nutrition education | ||||
| Yes | 16 (27.5%) | 0 (0.0%) | 16 (45.7%) | |
| No | 42 (72.5%) | 25 (100%) | 17 (51.5%) | |
| Playing calibre | ||||
| Non-elite | 41 (70.6%) | 14 (56.0%) | 27 (81.8%) | |
| Elite | 17 (29.3%) | 11 (44.0%) | 6 (18.8%) | |
| Training volume (h/week) | ||||
| <10 | 33 (55.9%) | 13 (52%) | 20 (60%) | |
| ≥10 | 25 (43.1%) | 12 (48%) | 13 (40%) | |
| ANSKQ Rating | ||||
| Poor | 17 (29.3%) | 9 (36.0%) | 8 (24.2%) | |
| Average | 31 (62.1%) | 10 (40.0%) | 21 (63.6%) | |
| Good | 10 (8.6%) | 6 (24.0%) | 4 (12.1%) | |
| Excellent | 0 (0.0%) | 0 (0.0%) | 0 (0.0%) | |
| Group | (n) | ANSKQ (%) | GNK (%) | SNK (%) | |
|---|---|---|---|---|---|
| Total sample | 58 | 53.1 ± 7.6 | 63.3 ± 16.2 | 48.2 ± 8.5 | |
| Age (years) | |||||
| 18–24 | 34 | 52.7 ± 8.6 | 65.5 ± 17.3 | 46.5 ± 8.5 | |
| 25–30 | 14 | 51.9 ± 6.5 | 59.1 ± 15.4 | 48.4 ± 8.3 | |
| >30 | 10 | 56.2 ± 4.9 | 61.8 ±13.4 | 53.5 ± 6.8 | |
| BMI (kg/m2) | |||||
| <18 | 2 | 51.5 ± 10.4 | 59.1 ± 6.4 | 47.8 ± 12.3 | |
| 18–24.9 | 37 | 52.4 ± 7.9 | 60.1 ± 15.7 | 48.1 ± 8.1 | |
| >25 | 19 | 53.1 ± 7.6 | 68.8 ± 16.9 | 47.8 ± 9.4 | |
| Education level | |||||
| Secondary School | 22 | 53.5 ± 7.5 | 65.7 ± 15.3 | 47.6 ± 9.3 | |
| Undergraduate | 25 | 53.2 ± 7.2 | 62.9 ± 18.5 | 48.5 ± 6.5 | |
| Postgraduate | 11 | 52.1 ± 9.6 | 59.5 ± 12.4 | 48.6 ± 11.1 | |
| Nutrition education | |||||
| Yes | 16 | 55.5 ± 8.8 | 68.2 ± 19.1 | 49.5 ± 8.2 | |
| No | 42 | 52.2 ± 7.0 | 61.5 ± 14.9 | 47.7 ± 8.6 | |
| Playing calibre | |||||
| Elite | 17 | 50.2 ± 8.8 | 61.0 ± 17.8 | 45.0 ± 9.7 | |
| Non-elite | 41 | 54.3 ± 6.9 | 64.3 ± 15.7 | 49.5 ± 7.6 | |
| Training volume (h/week) | |||||
| <10 | 33 | 52.5 ± 7.2 | 62.2 ± 15.4 | 47.8 ± 8.7 | |
| ≥10 | 25 | 53.9 ± 8.3 | 64.7 ± 17.5 | 48.7 ± 8.2 | |
| At risk of LEA | |||||
| Yes | 33 | 54.4 ± 7.7 | 65.6 ± 16.4 | 49.0 ± 7.7 | |
| No | 25 | 51.5 ± 7.4 | 60.4 ± 15.9 | 47.1 ± 9.4 | |
| (A) Continuous Variables | ||||
| Variable | LEAF-Q < 8 (n = 25) | LEAF-Q ≥8 (n = 33) | p-Value | |
| LEAF-Q score | 5.0 ± 2.1 | 12.9 ± 3.7 | <0.001 | |
| Age (years) | 24.5 ± 6.1 | 24.8 ± 5.2 | 0.841 | |
| Height (cm) | 165.1 ± 6.0 | 168.3 ± 6.8 | 0.071 | |
| Weight (kg) | 65.4 ± 11.4 | 67.2 ± 13.1 | 0.579 | |
| BMI (kg/m2) | 24.1 ± 4.8 | 23.7 ± 4.3 | 0.731 | |
| Training volume (h/week) | 9.6 ± 3.1 | 9.9 ± 3.9 | 0.796 | |
| GNK (%) | 60.3 ± 15.9 | 65.6 ± 16.3 | 0.229 | |
| SNK (%) | 47.1 ± 9.5 | 49.0 ± 7.7 | 0.403 | |
| ANSKQ (%) | 51.4 ± 7.4 | 54.4 ± 7.7 | 0.146 | |
| (B) Categorical Variables | ||||
| Variable | LEAF-Q < 8 (n = 25) | LEAF-Q > 8 (n = 33) | p-Value | |
| Education level | ||||
| Secondary | 11 (44.0%) | 11 (33.3%) | ||
| Undergraduate | 10 (40.0%) | 15 (45.5%) | ||
| Postgraduate | 4 (16.0%) | 7 (21.2%) | 0.695 | |
| Nutrition education | ||||
| Yes | 0 (0.0%) | 16 (48.5%) | ||
| No | 25 (100.0%) | 17 (51.5%) | <0.001 | |
| Playing calibre | ||||
| Elite | 11 (44.0%) | 6 (18.2%) | ||
| Non-elite | 14 (56.0%) | 27 (81.8%) | 0.032 | |
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Connolly, J.M.; McNeilly, A.M. Nutrition Knowledge and Low Energy Availability Risk in Ladies Gaelic Football Players. Nutrients 2026, 18, 2413. https://doi.org/10.3390/nu18152413
Connolly JM, McNeilly AM. Nutrition Knowledge and Low Energy Availability Risk in Ladies Gaelic Football Players. Nutrients. 2026; 18(15):2413. https://doi.org/10.3390/nu18152413
Chicago/Turabian StyleConnolly, Jennifer M., and Andrea M. McNeilly. 2026. "Nutrition Knowledge and Low Energy Availability Risk in Ladies Gaelic Football Players" Nutrients 18, no. 15: 2413. https://doi.org/10.3390/nu18152413
APA StyleConnolly, J. M., & McNeilly, A. M. (2026). Nutrition Knowledge and Low Energy Availability Risk in Ladies Gaelic Football Players. Nutrients, 18(15), 2413. https://doi.org/10.3390/nu18152413

