Energy availability in male and female elite wheelchair athletes over seven consecutive training days
Open accessAbstract
Background: Low energy availability (LEA) is a major problem as athletes often restrict their energy intake. It has been shown that LEA occurs often in female and endurance athletes and in athletes from weight-sensitive or aesthetic sports. The purpose of this study was to investigate energy availability (EA) in elite wheelchair athletes. Methods: Fourteen elite wheelchair athletes (8 males; 6 females) participated. Data were collected using a weighed seven-day food and training diary to estimate energy intake and exercise energy expenditure. Resting energy expenditure and body composition were measured, whereas energy balance (EB) was calculated. Results: Measured over 7 days, EA was significantly different (36.1 ± 6.7 kcal kg−1 FFM day−1) in male compared to female (25.1 ± 7.1 kcal kg−1 FFM day−1) athletes (p < 0.001). From all analyzed days, LEA occurred in 73% of the days in female athletes and in 30% of the days in male athletes. EB was positive in male athletes (+169.1 ± 304.5 kcal) and negative (−288.9 ± 304.8 kcal) in female athletes. Conclusions: A higher prevalence of LEA was found in female compared to male athletes. A higher energy intake would be recommended to meet energy needs and to maximize training adaptation.
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Another study of EA estimates in wheelchair athletes reported that nearly the entire cohort fulfilled criteria of LEA across at least one 24-hour period during the week-long study.
“Another study of EA estimates in wheelchair athletes reported that nearly the entire cohort fulfilled criteria of LEA across at least one 24-hour period during the week-long study.114”
From 2023 international olympic committee's (IOC) consensus statement on relative energy deficiency in sport (REDs) (2023) · cites this paper as [114]
The Results (section 3; page unavailable) report LEA on 73% of analyzed days for female athletes and 30% for male athletes during the seven-day study. The paper does not state that nearly all 14 athletes had at least one day of LEA. Its conclusion that 13 of 14 had suboptimal EA concerns a different threshold and does not establish the claimed count. (LLM, conf=0.86)
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Energy Availability in Athletics: Health, Performance, and Physique
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Stellingwerff, T. (2018) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.2017-0312 · Cited by 72 · see citing works
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Cited by
Sorted by citations
Mountjoy, M., Ackerman, K. E., Bailey, D. M., Burke, L. M., Constantini, N., Hackney, A. C., Heikura, I. A., Melin, A., Pensgaard, A. M., Stellingwerff, T., et al. (2023) · British Journal of Sports Medicine · doi:10.1136/bjsports-2023-106994 · Cited by 724 · see citing works
- Authors
- Egger, T., & Flueck, J. L.
- Affiliations
- ETH Zurich (CH)
- Institute for Sports Medicine, Swiss Paraplegic Centre, 6207 Nottwil, Switzerland
- ORCID
- Egger, Thomas
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2020-10-25
- Volume
- 12
- Issue
- 11
- Pages
- 3262
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC7693577
- OpenAlex
- W3094507376
- Cited by
- 30
- References
- 4
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 4 · 2023: 2 · 2022: 5 · 2021: 7 · 2020: 1
- FWCI
- 3.75
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Repository for Publications and Research Data (ETH Zurich) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- ETH Zürich Research Collection (cc-by)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- energy availability, wheelchair athletes, energy balance, energy intake, exercise energy expenditure, sex differences, elite athletes, body composition, resting energy expenditure, dietary intake
- MeSH terms
- Para-Athletes, Adult, Basal Metabolism, Body Composition, Energy Intake, Energy Metabolism, Female, Humans, Male, Nutritional Status, Sex Factors, Time Factors, Diet Records, Sports Nutritional Physiological Phenomena, Sports for Persons with Disabilities
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