The IOC consensus statement: beyond the Female Athlete Triad--Relative Energy Deficiency in Sport (RED-S).
Margo Mountjoy, Jorunn Sundgot-Borgen, Louise Burke...
https://pubmed.ncbi.nlm.nih.gov/24620037/Actively Recruiting
Led by Case Western Reserve University · Updated on 2026-03-04
300
Participants Needed
1
Research Sites
4 weeks
Total Duration
This research aims to improve nutrition screening and support for NCAA Division III student athletes to combat under-fueling before, during, and after their competitive season. The study seeks to assess the feasibility of expanding nutrition support to a larger athlete population and to evaluate how such support affects athlete health and performance. It builds on previous research at Case Western Reserve University that showed benefits of nutrition support for athlete health and performance. Athletes will undergo standard, low-risk nutrition screening methods including measurements of height, weight, grip strength, and body composition, along with completing questionnaires. Sports dietitians will provide nutrition advice based on these screenings throughout the competitive season. Data collection will occur at three timepoints before the season starts, mid-season, and after the season ends. Some athletes may also provide additional voluntary data such as aerobic fitness, resting metabolic rate, physical activity, and sports performance metrics. Participants will be actively involved in screenings and nutrition support sessions during the season. Researchers will assess multiple health and wellness outcomes including grip strength, body composition, and responses to questionnaires addressing low energy availability, eating behaviors, body image, and muscle dysmorphia. The primary outcome measure focuses on grip strength at pre-season, mid-season, and post-season. The study will also monitor secondary outcomes like body fat, fat-free mass, and various mental and physical health metrics. The total participation spans the athletic season from August to December 2025.
CONDITIONS
Preventing Athlete Under-fueling Through Nutrition.
K
Kristyen Tomcik, PhD
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Case Western Reserve University
Lead Sponsor
Pennington Biomedical Research Center
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Screening and dietitian-guided nutrition support | Typical nutrition support in NCAA athletes |
|---|---|---|
| What it is | Systematic screening for low energy availability and individualized nutrition counseling with a sports dietitian throughout the competitive season. | Athletes generally receive nutrition information according to team or institutional practices; systematic low energy availability screening and regular dietitian-led nutrition support are not standard. |
| Role in trial | All enrolled NCAA athletes receive the intervention as part of a single-arm behavioral study. | Not a trial arm; shown solely for context regarding typical nutrition support outside the study. |
| Primary use | Identify and address low energy availability in athletes through assessment, monitoring, and individualized nutrition planning. | Basic general nutrition education without routine screening or targeted intervention for low energy availability. |
| How it is given or performed | Athletes undergo seasonal screening for low energy availability, strength and body composition assessments, and receive regular personalized nutrition guidance from a sports dietitian. | Nutrition advice is typically provided through group education, handouts, or informal resources, often without regular sports dietitian involvement or ongoing monitoring. |
| Evidence status | Efficacy for preventing or reducing low energy availability among collegiate athletes remains under investigation; no published outcome data are yet available for this specific intervention. | Limited efficacy for preventing low energy availability, as routine screening and tailored nutrition support are not widely implemented in practice. |
| Important limitations | Single-group design without a randomized comparator limits ability to attribute any observed benefits directly to the intervention. Participant willingness and engagement may influence outcomes. Results may not generalize beyond NCAA athletes at a single institution. | Commonly lacks structured assessment for low energy availability, which may delay identification and intervention. Variability exists in access to dietitians and the quality of general nutrition education. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Approximately 4 months covering pre-season, mid-season, and post-season
Participants receive nutrition screening and support from sports dietitians during the competitive season, with assessments of strength, body composition, and questionnaires.
3 visits (pre-season, mid-season, and post-season)
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
OTHER
Number of Arms
1
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Margo Mountjoy, Jorunn Sundgot-Borgen, Louise Burke...
https://pubmed.ncbi.nlm.nih.gov/24620037/D Travis Thomas, Kelly Anne Erdman, Louise M Burke
https://pubmed.ncbi.nlm.nih.gov/26920240/Case Western Reserve University
Lead Sponsor
Pennington Biomedical Research Center
Collaborating Sponsor