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Association between Low Energy Availability (LEA) and Impaired Sleep Quality in Young Rugby Players
Abstract
Low energy availability (LEA) has been associated with several physiological consequences, but its impact on sleep has not been sufficiently investigated, especially in the context of young athletes. This study examined the potential association between energy availability (EA) status and objective sleep quality in 42 male rugby players (mean age: 16.2 ± 0.8 years) during a 7-day follow-up with fixed sleep schedules in the midst of an intensive training phase. Participants’ energy intake was weighed and recorded. Exercise expenditure was estimated using accelerometry. Portable polysomnography devices captured sleep on the last night of the follow-up. Mean EA was 29.3 ± 9.14 kcal·kg FFM−1·day−1, with 47.6% of athletes presenting LEA, 35.7% Reduced Energy Availability (REA), and 16.7% Optimal Energy Availability (OEA). Lower sleep efficiency (SE) and N3 stage proportion, along with higher wake after sleep onset (WASO), were found in participants with LEA compared to those with OEA (p = 0.04, p = 0.03 and p = 0.005, respectively, with large effect sizes). Segmented regression models of the EA-sleep outcomes (SE, sleep onset latency [SOL]), WASO and N3) relationships displayed two separate linear regions and produced a best fit with a breakpoint between 21–33 kcal·kg FFM−1·day−1. Below these thresholds, sleep quality declines considerably. It is imperative for athletic administrators, nutritionists, and coaches to conscientiously consider the potential impact of LEA on young athletes’ sleep, especially during periods of heavy training.
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“another study found that nearly half of adolescent rugby players met the criteria for LEA using a validated threshold of < 30 kcal·kg⁻¹ FFM·day⁻¹ [70].”
From Dietary intake, nutrition knowledge, and behavior in youth team sport athletes: a scoping review and call to advance research and practice (2026) · cites this paper as [70]
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Nutrition and Athletic Performance
(2016) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000852 · Cited by 1,305 · cited 1×
“Therefore, during an intensive training period for young athletes, EA needs to be satisfied to maximize adaptation to training [38].”
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 974 · cited 4×
“EA was calculated as the amount of dietary energy remaining after EEE, normalized to fat-free mass (FFM) [24,33].”
BackgroundMethodInfluentialISSN exercise & sports nutrition review update: research & recommendations
Kerksick, C. M., Wilborn, C. D., Roberts, M. D., Smith-Ryan, A., Kleiner, S. M., Jäger, R., Collins, R., Cooke, M., Davis, J. N., Galvan, E., et al. (2018) · Journal of the International Society of Sports Nutrition · doi:10.1186/s12970-018-0242-y · Cited by 945 · cited 1×
“In this context, it is well established that adolescence is a life stage during which dietary requirements for energy, macronutrients, and micronutrients increase due to the demands of growth and development processes [12,13].”
BackgroundSleep in elite athletes and nutritional interventions to enhance sleep
Halson, S. L. (2014) · Sports Medicine · doi:10.1007/s40279-014-0147-0 · Cited by 502
Does Elite Sport Degrade Sleep Quality? A Systematic Review
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Muscle Glycogen Content during Endurance Training under Low Energy Availability
KOJIMA, C., ISHIBASHI, A., TANABE, Y., IWAYAMA, K., KAMEI, A., TAKAHASHI, H., & GOTO, K. (2020) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002098 · Cited by 55
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Jurov, I., Keay, N., Spudić, D., & Rauter, S. (2022) · European Journal of Applied Physiology · doi:10.1007/s00421-021-04857-4 · Cited by 34
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Cited by
Irwin, N., Ó Catháin, C., Ward, C., & Kelly, D. T. (2026) · Journal of the International Society of Sports Nutrition · doi:10.1080/15502783.2026.2671431 · Cited by 4
Sleep, Dietary Patterns, and Energy Availability Status in Adolescent Female Artistic Gymnasts
K. Eberhardt, H., J. Ormsbee, M., & G. Saracino, P. (2026) · International Journal of Exercise Science · doi:10.70252/ijes2026218
Metadata
- Authors
- Saidi, O., Souabni, M., Del Sordo, G. C., Maviel, C., Peyrel, P., Maso, F., Vercruyssen, F., & Duché, P.
- Affiliations
- Laboratory Youth-Physical Activity and Sports-Health (JAP2S), Toulon University, F-83041 Toulon, France
- Psychology Department, New Mexico State University, 1780 E University Blvd, Las Cruces, NM 88003, USA
- Department of Kinesiology, Laval University, Quebec City, QC G1V 0A6, Canada
- Rugby Training Center of the Sportive Association Montferrandaise, F-63100 Clermont-Ferrand, France
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2024-02-23
- Volume
- 16
- Issue
- 5
- Pages
- 609
- ISSN
- 2072-6643
- Cited by
- 18
- References
- 10
- Language
- en
- Funders
- Sportive Association Montferrandaise (ASM)
- Toulon University
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