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Energy Deficiency and Nutritional Supplementation in Sports and Exercise

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Sports Nutrition".

Deadline for manuscript submissions: 25 June 2025 | Viewed by 3280

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Laboratory of Evaluation of Human Biological Performance, School of Physical Education and Sport Science at Thessaloniki, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
Interests: exercise biochemistry; exercise metabolism; sports nutrition; lipid metabolism
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Special Issue Information

Dear Colleagues,

Energy deficiency in sports and exercise, characterized by an imbalance between energy intake and energy expenditure, can adversely affect athletes' health and performance. The Female Athlete Triad—a condition that includes low energy availability, menstrual dysfunction, and decreased bone mineral density—is a common consequence of energy deficiency in female athletes. However, the broader concept of Relative Energy Deficiency in Sports (RED-S) extends beyond females, affecting both male and female athletes, encompassing a range of negative effects on physiological health and performance. Managing energy deficiencies through proper sport nutrition is crucial but often challenging, especially in sports where body weight is a critical factor, such as rhythmic gymnastics, weight-class sports, and sports involving jumping events. As a result, many athletes turn to nutritional supplements to optimize health, enhance performance, and support recovery. A personalized approach that considers the athlete's specific needs, sport type, and training demands is essential to prevent or mitigate the effects of RED-S and promote long-term athletic success.

This Special Issue aims to collect high-quality research articles that delve into the vital topic of energy deficiency and nutritional supplementation in sports and exercise. We welcome both original research articles and review papers that address these critical issues

I look forward to receiving your contributions. 

Dr. Anatoli Petridou
Guest Editor

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Keywords

  • energy deficiency
  • nutritional supplementation
  • female athlete triad
  • relative energy deficiency in sports (RED-S)
  • athletic performance
  • energy availability
  • sport nutrition
  • bone health
  • menstrual dysfunction

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Published Papers (1 paper)

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Research

17 pages, 3389 KiB  
Article
A Preliminary Study of Nutrients Related to the Risk of Relative Energy Deficiency in Sport (RED-S) in Top-Performing Female Amateur Triathletes: Results from a Nutritional Assessment
by Dorota Langa, Marta Naczyk, Robert K. Szymczak, Joanna Karbowska and Zdzislaw Kochan
Nutrients 2025, 17(2), 208; https://doi.org/10.3390/nu17020208 - 7 Jan 2025
Viewed by 2878
Abstract
Background/Objectives: As an endurance multi-sport race, triathlon places significant energy demands on athletes during performance and training. Insufficient energy intake from food can lead to low energy availability (LEA) and Relative Energy Deficiency in Sport (RED-S). We aimed to measure symptoms related to [...] Read more.
Background/Objectives: As an endurance multi-sport race, triathlon places significant energy demands on athletes during performance and training. Insufficient energy intake from food can lead to low energy availability (LEA) and Relative Energy Deficiency in Sport (RED-S). We aimed to measure symptoms related to LEA, examine the risk of RED-S, and find how diet relates to the risk of RED-S in highly trained female amateur triathletes. Methods: Our sample was 20 top-performing female triathletes competing in Quarter Ironman (IM), Half IM, IM, or Double IM triathlons for 5.5 ± 2.5 y who were during the preparatory phase of training (training load 11 ± 3.76 h/week, a single workout 84 ± 25 min). Triathletes completed 3-day food diaries, training diaries, and the Low Energy Availability in Females Questionnaire (LEAF-Q). Exercise energy expenditure was estimated using wrist-worn activity trackers. To examine dietary patterns related to the first signs of LEA, predating RED-S, we created two groups: the L-LEA group (LEAF-Q score 0–5, no symptoms related to LEA, low risk of RED-S, n = 10) and the H-LEA group (LEAF-Q ≥ 6, at least one LEA-related symptom, high risk of RED-S, n = 10). Results: The risk of RED-S was prevalent in 30% of female triathletes, and 50% showed at least one symptom related to LEA. Macronutrient intake was similar in all participants, but triathletes from the H-LEA group tended to eat more plant-sourced protein and fiber. They consumed less saturated fatty acids but ingested more significant amounts of n-6 polyunsaturated fatty acids (PUFAn6). Conclusions: We conclude that foods higher in plant proteins, fiber, and PUFAn6 might predispose female triathletes to LEA by reducing the diet’s energy density. Full article
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