Evidence map›Paper›PMID 32245088›Full record

ReviewNutrients2020

Low Energy Availability in Athletes 2020: An Updated Narrative Review of Prevalence, Risk, Within-Day Energy Balance, Knowledge, and Impact on Sports Performance.

Danielle M Logue, Sharon M Madigan, Anna Melin, Eamonn Delahunt, Mirjam Heinen, Sarah-Jane Mc Donnell, Clare A Corish

3 registry-linked trialsOpen access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 141 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 7 pooled it
27.0field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT05259969 unknown statusnot on this mapstarted 2022, after this paper: background citation

Energy Availability, Eating Disorder and RED-S Risk, Health Biomarkers, Gut Microbiota Composition and Performance in Competitive Male Athletes Across the Season

TypeobservationalSponsorUniversity of PrimorskaRan2022 to 2024Enrolled25ConditionsRelative Energy Deficiency in Sport
NCT06220240 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Does a Modified Training Program Affect Energy Deficiency and Sportive Performance?

TypeinterventionalSponsorIstanbul University - CerrahpasaRan2024 to 2025Enrolled78ConditionsFemale Athlete TriadArmsModified Training Programme, Routine Training Programme
NCT06371963 completednot on this mapstarted 2022, after this paper: background citation

The Relative Energy Deficiency in Sports (REDs) in Swedish Athletes Study

TypeobservationalSponsorLinnaeus UniversityRan2022 to 2024Enrolled44ConditionsRED S, Eating Disorders
3 · Its place in the literature

Who cites it

141 citing papers in PubMed, 7 syntheses or guidelines pooled it, 277 citations in OpenAlex.

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81 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Danielle M LogueSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, V04 V1W8 Dublin 4, Ireland.ORCID 0000-0003-3983-163X
Sharon M MadiganSport Ireland Institute, Sports Campus Ireland, Abbotstown, D15 PNON Dublin, Ireland.
Anna MelinDepartment of Sports Science, Linnaeus University, 392 34 Kalmar, Sweden.
Eamonn DelahuntSchool of Public Health, Physiotherapy and Sports Science and Institute for Sport and Health, University College Dublin, V04 V1W8 Dublin, Ireland.
Mirjam HeinenAssistant Professor Mirjam Heinen, School of Public Health, Physiotherapy and Sports Science, University College Dublin, V04 V1W8 Dublin, Ireland.ORCID 0000-0002-0876-1395
Sarah-Jane Mc DonnellSport Ireland Institute, Sports Campus Ireland, Abbotstown, D15 PNON Dublin, Ireland.
Clare A CorishAssociate Professor Clare Corish, School of Public Health, Physiotherapy and Sports Science, University College Dublin, V04 V1W8 Dublin, Ireland.
University College Dublin · IESport Ireland · IELinnaeus University · SE

Funding

Irish Research Council EPS-PG-2015-99
6 · The paper itself

Abstract

Low energy availability (EA) underpins the female and male athlete triad and relative energy deficiency in sport (RED-S). The condition arises when insufficient calories are consumed to support exercise energy expenditure, resulting in compromised physiological processes, such as menstrual irregularities in active females. The health concerns associated with longstanding low EA include menstrual/libido, gastrointestinal and cardiovascular dysfunction and compromised bone health, all of which can contribute to impaired sporting performance. This narrative review provides an update of our previous review on the prevalence and risk of low EA, within-day energy deficiency, and the potential impact of low EA on performance. The methods to assess EA remain a challenge and contribute to the methodological difficulties in identifying "true" low EA. Screening female athletic groups using a validated screening tool such as the Low Energy Availability in Females Questionnaire (LEAF-Q) has shown promise in identifying endurance athletes at risk of low EA. Knowledge of RED-S and its potential implications for performance is low among coaches and athletes alike. Development of sport and gender-specific screening tools to identify adolescent and senior athletes in different sports at risk of RED-S is warranted. Education initiatives are required to raise awareness among coaches and athletes of the importance of appropriate dietary strategies to ensure that sufficient calories are consumed to support training.

Indexed as

AthletesAthletic PerformanceEnergy IntakeAdolescentAdultAgedAged, 80 and overEnergy MetabolismFeeding and Eating DisordersFemaleHumansMaleMalnutritionMiddle AgedNutritional StatusPrevalencehealth and performancelow energy availabilityrelative energy deficiency in sport

Identifiers

PMID32245088
PMCPMC7146210
OpenAlexW3012153241

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.