Energy Deficiency and Athletic Performance

Istanbul University - Cerrahpasa (IUC)

Status

Not yet enrolling

Conditions

Female Athlete Triad

Treatments

Other: Routine Training Programme

Other: Modified Training Programme

Study type

Interventional

Funder types

Other

Identifiers

NCT06220240

4203*929*

Details and patient eligibility

About

Energy availability (EA) refers to the balance between daily energy intake and exercise energy expenditure. Athletically inadequate EA is defined as low energy availability (LEA). Energy deficits occur throughout life, from young athletes with a relative lack of energy in sports or the female athlete triad to older adults struggling with weight loss. Acute and/or chronic LEA can cause negative athletic and health outcomes in athletes.

It is known that LEA, as an energy saving mechanism, suppresses the reproductive system and causes disruption of the menstrual cycle, as well as causing many interrelated endocrine-related physiological consequences by changing other hormonal pathways. Menstrual dysfunction due to LEA causes various risks as it can disrupt the EC during training and competition. Therefore, low EA may contribute to poor sports performance due to detrimental endocrine effects.

Various parameters such as body mass and nutritional intake affect the performance of athletes, and LEA is frequently reported among athletes with intense training programs. LEA combined with high training volumes; It can cause negative consequences such as impaired protein synthesis/degradation rate, impaired hormonal and training response, increased risk of fatigue, and these can lead to decreased performance. Resting metabolic rate, which indicates the energy expended for basic body functions, is considered a potential objective indicator of energy availability.

Regulation of dietary energy intake in the management of LEA in athletes covers a wide area in the literature. However, LEA is caused not only by a deficiency in energy intake but also by an excess in energy expenditure. In the light of this information, the aim of the study is to examine the acute period effects of the training program in which exercise energy expenditure is reduced in terms of energy availability and athletic performance.

Full description

Voluntary participants who have been diagnosed with energy deficiency will be included in the study. Signed voluntary consent will be obtained from participants. Participants will be divided into two groups. Study groups will be as follows: a) Modified Training, b) Routine Training.

Enrollment

78 estimated patients

Sex

Female

Ages

18 to 35 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

18- 35 years old female gender
Body mass index being less than 18.50-24.99 kg/m2
Having a energy deficiency
Been interested in basketball professionally for at least one year
Must be training with the team at least 3 days a week
Performance levels should be 3-4

Exclusion criteria

Having a history of any fracture in the last year
Having had a sports injury in the last 8 months
Having had an infectious disease in the last 6 months being a smoker
Getting 2 or more points from the SCOFF survey
Having been using any medication regularly for the last 6 months

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

78 participants in 2 patient groups

Modified Training Group

Active Comparator group

Description:

It is a training program that will be carried out under the supervision of a physiotherapist. There will be 3-minute breaks between sets. A training program will be applied to the athletes based on revising the training program they use in their routine with eccentric contractions.

Treatment:

Other: Modified Training Programme

Routine Training Group

Active Comparator group

Description:

The training program that the athlete uses in her normal routine will be implemented under the supervision of a physiotherapist.

Treatment:

Other: Routine Training Programme