ReviewSports medicine (Auckland, N.Z.)2018
Low Energy Availability in Athletes: A Review of Prevalence, Dietary Patterns, Physiological Health, and Sports Performance.
Review in Sports medicine (Auckland, N.Z.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
108 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Pooled it
- Effects of Low-Carbohydrate and Ketogenic Diets on Aerobic Performance in Trained Athletes: A Systematic Review and Meta-Analysis.Nutrients · 2026Pooled it
- Impaired neuromusculoskeletal response to training stimuli associated with low energy availability: a systematic review.British journal of sports medicine · 2026Pooled it
- Nutrition educational interventions for athletes related to low energy availability: A systematic review.PloS one · 2025Pooled it
- Using Statistical Parametric Mapping as a statistical method for more detailed insights in swimming: a systematic review.Frontiers in physiology · 2023Pooled it
- Pooled it
- Pooled it
- The Australian Institute of Sport (AIS) and National Eating Disorders Collaboration (NEDC) position statement on disordered eating in high performance sport.British journal of sports medicine · 2020Guideline
- Effect of tangeretin supplements on simulated precompetition weight loss in female combat sports athletes.Journal of the International Society of Sports Nutrition · 2026Trial
- Metabolic signature of short-term low energy availability.Physiological reports · 2025Trial
- The effect of nutrition education sessions on energy availability, body composition, eating attitude and sports nutrition knowledge in young female endurance athletes.Frontiers in public health · 2024Trial
- Energy Availability and Nutritional Intake during Different Training Phases of Wheelchair Athletes.Nutrients · 2023Trial
- Reducing energy availability in male endurance athletes: a randomized trial with a three-step energy reduction.Journal of the International Society of Sports Nutrition · 2022Trial
- Association of Daily Dietary Intake and Inflammation Induced by Marathon Race.Mediators of inflammation · 2019Trial
- Micronutrient intake and predictors of adequacy in female collegiate dancers consuming low-energy diets.Journal of the International Society of Sports Nutrition · 2026Article
- Dietary intake, nutrition knowledge, and behavior in youth team sport athletes: a scoping review and call to advance research and practice.Journal of the International Society of Sports Nutrition · 2026Article
- Association between dietary intake, energy availability, and recovery in young sub-elite Moroccan football players.Journal of the International Society of Sports Nutrition · 2026Article
- Similar Muscle Recovery but Greater Soreness in Active Vegans on Low-Protein Diets Compared to High-Protein Omnivores Following Exercise-Induced Damage.Nutrition bulletin · 2026Article
- Mediterranean Diet Adherence, Nutrition Knowledge and Lifestyle Factors in Physically Active Adults and Athletes: The NUTRI_ACTIVE Study.Nutrients · 2026Observational
- Methods of Calculating Energy Availability in Current Research: A Standardised Audit.Sports medicine (Auckland, N.Z.) · 2026Article
48 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
In a high-performance sports environment, athletes can present with low energy availability (LEA) for a variety of reasons, ranging from not consuming enough food for their specific energy requirements to disordered eating behaviors. Both male and female high-performance athletes are at risk of LEA. Longstanding LEA can cause unfavorable physiological and psychological outcomes which have the potential to impair an athlete's health and sports performance. This narrative review summarizes the prevalence of LEA and its associations with athlete health and sports performance. It is evident in the published scientific literature that the methods used to determine LEA and its associated health outcomes vary. This contributes to poor recognition of the condition and its sequelae. This review also identifies interventions designed to improve health outcomes in athletes with LEA and indicates areas which warrant further investigation. While return-to-play guidelines have been developed for healthcare professionals to manage LEA in athletes, behavioral interventions to prevent the condition and manage its associated negative health and performance outcomes are required.
Indexed as
Identifiers
28983802What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.