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Association of energy availability with resting metabolic rates in competitive female teenage runners : a cross-sectional study

Kinoshita, Norimitsu ; Uchiyama, Eriko ; Ishikawa-Takata, Kazuko ; Yamada, Yuka and Okuyama, Kenta LU (2021) In Journal of the International Society of Sports Nutrition 18(1).
Abstract

Background: Resting metabolic rate (RMR) has been examined as a proxy for low energy availability (EA). Previous studies have been limited to adult athletes, despite the serious health consequences of low EA, particularly during adolescence. This study aimed to explore the relationship between RMR and EA in competitive teenage girl runners. Methods: Eighteen girl runners (mean ± standard-deviation; age, 16.8 ± 0.9 years; body mass, 45.6 ± 5.2 kg, %fat, 13.5 ± 4.2 %) in the same competitive high-school team were evaluated. Each runner was asked to report dietary records with photos and training logs for seven days. Energy intake (EI) was assessed by Registered Dietitian Nutritionists. The runners were evaluated on a treadmill with an... (More)

Background: Resting metabolic rate (RMR) has been examined as a proxy for low energy availability (EA). Previous studies have been limited to adult athletes, despite the serious health consequences of low EA, particularly during adolescence. This study aimed to explore the relationship between RMR and EA in competitive teenage girl runners. Methods: Eighteen girl runners (mean ± standard-deviation; age, 16.8 ± 0.9 years; body mass, 45.6 ± 5.2 kg, %fat, 13.5 ± 4.2 %) in the same competitive high-school team were evaluated. Each runner was asked to report dietary records with photos and training logs for seven days. Energy intake (EI) was assessed by Registered Dietitian Nutritionists. The runners were evaluated on a treadmill with an indirect calorimeter to yield individual prediction equations for oxygen consumption using running velocity and heart rate (HR). Exercise energy expenditure (EEE) was calculated by the equations based on training logs and HR. Daily EA was calculated by subtracting EEE from EI. The daily means of these variables were calculated. RMR was measured early in the morning by whole-room calorimetry after overnight sleep on concluding the final day of the seven-day assessment. The ratio of measured RMR to predicted RMR (RMR ratio) was calculated by race, age, sex-specific formulae, and Cunningham’s equation. Body composition was measured using dual-energy X-ray absorptiometry. Bivariate correlation analyses were used to examine the relationship between variables. Results: RMR, EI, EEE, and EA were 26.9 ± 2.4, 56.8 ± 15.2, 21.7 ± 5.9, and 35.0 ± 15.0 kcal⋅kg−1 FFM⋅d−1, respectively. RMR reduced linearly with statistical significance, while EA decreased to a threshold level (30 kcal⋅kg−1 FFM⋅d−1) (r= 0.58, p= 0.048). Further reduction in RMR was not observed when EA fell below the threshold. There was no significant correlation between RMR ratios and EA, irrespective of the prediction formulae used. Conclusions: These results suggest that RMR does not reduce with a decrease in EA among highly competitive and lean teenage girl runners. RMR remains disproportionally higher than expected in low EA states. Free-living teenage girl runners with low EA should be cautiously identified using RMR as a proxy for EA change.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adaptive thermogenesis, Adolescence, Dual-energy X-ray absorptiometry, Female athlete triad, Long-distance running, Whole room calorimeter
in
Journal of the International Society of Sports Nutrition
volume
18
issue
1
article number
70
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85119121136
  • pmid:34784926
ISSN
1550-2783
DOI
10.1186/s12970-021-00466-w
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2021, The Author(s).
id
884818ef-eab9-4cde-9c91-656b010798db
date added to LUP
2021-12-02 16:51:08
date last changed
2024-06-15 22:01:52
@article{884818ef-eab9-4cde-9c91-656b010798db,
  abstract     = {{<p>Background: Resting metabolic rate (RMR) has been examined as a proxy for low energy availability (EA). Previous studies have been limited to adult athletes, despite the serious health consequences of low EA, particularly during adolescence. This study aimed to explore the relationship between RMR and EA in competitive teenage girl runners. Methods: Eighteen girl runners (mean ± standard-deviation; age, 16.8 ± 0.9 years; body mass, 45.6 ± 5.2 kg, %fat, 13.5 ± 4.2 %) in the same competitive high-school team were evaluated. Each runner was asked to report dietary records with photos and training logs for seven days. Energy intake (EI) was assessed by Registered Dietitian Nutritionists. The runners were evaluated on a treadmill with an indirect calorimeter to yield individual prediction equations for oxygen consumption using running velocity and heart rate (HR). Exercise energy expenditure (EEE) was calculated by the equations based on training logs and HR. Daily EA was calculated by subtracting EEE from EI. The daily means of these variables were calculated. RMR was measured early in the morning by whole-room calorimetry after overnight sleep on concluding the final day of the seven-day assessment. The ratio of measured RMR to predicted RMR (RMR ratio) was calculated by race, age, sex-specific formulae, and Cunningham’s equation. Body composition was measured using dual-energy X-ray absorptiometry. Bivariate correlation analyses were used to examine the relationship between variables. Results: RMR, EI, EEE, and EA were 26.9 ± 2.4, 56.8 ± 15.2, 21.7 ± 5.9, and 35.0 ± 15.0 kcal⋅kg<sup>−1</sup> FFM⋅d<sup>−1</sup>, respectively. RMR reduced linearly with statistical significance, while EA decreased to a threshold level (30 kcal⋅kg<sup>−1</sup> FFM⋅d<sup>−1</sup>) (r= 0.58, p= 0.048). Further reduction in RMR was not observed when EA fell below the threshold. There was no significant correlation between RMR ratios and EA, irrespective of the prediction formulae used. Conclusions: These results suggest that RMR does not reduce with a decrease in EA among highly competitive and lean teenage girl runners. RMR remains disproportionally higher than expected in low EA states. Free-living teenage girl runners with low EA should be cautiously identified using RMR as a proxy for EA change.</p>}},
  author       = {{Kinoshita, Norimitsu and Uchiyama, Eriko and Ishikawa-Takata, Kazuko and Yamada, Yuka and Okuyama, Kenta}},
  issn         = {{1550-2783}},
  keywords     = {{Adaptive thermogenesis; Adolescence; Dual-energy X-ray absorptiometry; Female athlete triad; Long-distance running; Whole room calorimeter}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{Journal of the International Society of Sports Nutrition}},
  title        = {{Association of energy availability with resting metabolic rates in competitive female teenage runners : a cross-sectional study}},
  url          = {{http://dx.doi.org/10.1186/s12970-021-00466-w}},
  doi          = {{10.1186/s12970-021-00466-w}},
  volume       = {{18}},
  year         = {{2021}},
}