Cardiovascular Outcomes and Relative Energy Deficiency in Division I HBCU Athletes: CORE-DI Study

What this Trial Is About

Researchers are investigating the link between low energy availability (LEA), where the body lacks enough calories for daily activities and exercise, and cardiometabolic disease (CMD) risks such as high blood pressure and heart disease. This study focuses on Black Division I collegiate athletes, a group that may have a higher risk of serious heart problems despite assumptions of overall good health. The goal is to better understand how LEA affects cardiovascular health and to identify early signs that can inform care and prevention strategies. The study observes over 120 Black Division I athletes aged 18 to 25 years from various sports with an equal number of males and females. Participants will be tested twice, about four months apart, once during their competitive season and once off-season. Measurements include pulse wave velocity (PWV), an indicator of arterial stiffness linked to cardiovascular risk, and assessments of energy availability. Questionnaires will also gather information on social determinants of health (SDOH) such as food security, health literacy, nutrition knowledge, and experiences of discrimination. Throughout the study, participants will undergo non-invasive cardiovascular assessments and complete questionnaires to evaluate factors that may influence cardiovascular risk and energy balance. The study aims to measure how LEA relates to vascular aging and whether social factors affect this relationship. Participants' health and nutrition information will be monitored to support the development of practical strategies to lower cardiovascular risks in this athlete population. The total study duration from enrollment to the second assessment will not exceed 26 weeks.

Low Energy Availability and Hypertension in Division I HBCU Athletes