Human and Clinical Nutrition Commons^™

Low Energy Availability (Lea) And Its Relationship To Nutritional Status And Bone Health In Collegiate Athletes, Anthony Dempsey

UNH URC Open (2026 and after)

This project aims to identify low energy availability in a sample of collegiate athletes and explore the relationship with bone mineral density and nutrient deficiencies. Participants (n=3,407) were recruited from a northeast university and self-reported athlete status and physical activity via online questionnaire. Food records were used to calculate energy and nutrient intake. Anthropometrics including height, weight, body composition and bone mineral status were measured in duplicate. Energy availability (EA) was calculated as (Energy Intake (EI) -Exercising Energy Expenditure) (EEE)) /Fat Free Mass (FFM) (kg) and categorized as optimal (>45 kcal/kg FFM), subclinical, or clinically low (< 30 kcal/kg FFM). Fifteen percent of participants were characterized as athletes (club or division I varsity); mean EA was lower among athletes vs. nonathletes (17.90.7vs.21.90.3, p< .001). Males were more likely to have optimal EA status vs. females (8.8vs4.7%, p< .001). Most females (75.1%) were categorized as clinically LEA; 20.3% had subclinical LEA. Among men, athletes’ EA was similar to nonathletes (21.11.2vs22.20.5, p=.4); among females, athletes had lower EA vs. nonathletes (16.220.9vs21.70.3, p< .001). Males with clinically low EA were most likely to consume inadequate intakes of potassium, fiber, iron, and vitamin D (77.1,94.0,10.4 and 97.3%, respectively); similarly, females with clinically low EA, were most likely to consume inadequate intakes (81.9,87.6,88.3, and 99.5%, respectively). Bone z-scores were higher among athletes vs. non athletes (-.27±.06vs-.67±.02, p< .001) but were not different by EA status. Given the prevalence of LEA within the college athlete and nonathlete populations, further research and tailored nutritional education is needed for this at-risk population.

Diabetes, Edwin Espinosa Vazquez

CSU Tower Day

1.2 million Americans are affected with diabetes each year.

○ Increase in hospitalizations, emergency room visits

● Diabetes has a higher rate of prevalence among the middle aged, older aged and non- Americans in the US.

● Diabetes presents a high risk of Cardiovascular Disease, Kidney failure, blindness, etc.

● Exercise, dietary changes, and medication can prevent or delay from the onset of type 2 diabetes (T2D).

Impact Of High-Intensity Interval Training On Cardiometabolic Health In Patients With Diabesity: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials, Sameer Badri Al-Mhanna, Barry A. Franklin, Mark A. Tarnopolsky, John A. Hawley, John M. Jakicic, Emmanuel Stamatakis, Jonathan P. Little, Linda S. Pescatello, Deborah Riebe, Walter R. Thompson, James S. Skinner, Sheri R. Colberg, Jonathan K. Ehrman, George S. Metsios, Helen T. Douda, Norsuhana Omar, Abdullah F. Alghannam, Alexios Batrakoulis

Human Movement Studies & Special Education Faculty Publications

Aims This systematic review and meta-analysis aimed to evaluate the effects of high-intensity interval training (HIIT) on cardiometabolic health-related outcomes in patients with type 2 diabetes and obesity (diabesity).

Methods PubMed, Web of Science, Scopus, Science Direct, Cochrane Library, and Google Scholar databases were searched from inception up to November 2024. The search strategy encompassed the following keywords: diabetes, obesity, and HIIT. Randomized controlled trials (RCTs) recruiting adult participants with diabesity and comparing HIIT per se for ≥ 2 weeks in duration with non-exercise standard treatment were included.

Results A total of 18 RCTs qualified involving 504 patients (52/48 women/men …

The Association Between Aerobic Exercise And Changes In Hdl Quality Induced By Egg Consumption – A Post-Hoc Analysis Of A Randomized, Controlled, Crossover Dietary Intervention Study, Rachael Woodruff, Catherine J. Andersen

Honors Scholar Theses

Abstract

Objective: Daily intake of whole eggs and aerobic exercise have independently been shown to increase high-density lipoprotein cholesterol (HDL-C) and measures of HDL function, suggesting cardioprotective effects of these lifestyle interventions. However, it is unknown whether exercise volume can synergistically or differentially impact diet responses and egg effects on HDL. Therefore, we evaluated whether exercise volume was associated with distinct effects of consuming different egg-based diets on measures of HDL size, function, and composition.

Methods: Twenty-six healthy men and women completed a 16-week randomized, controlled, crossover intervention study which aimed to investigate the effects of egg-free, egg-white, and whole-egg …

The Effect Of Intermittent Fasting, Caloric Restriction And Exercise On Aging And Longevity: Systematic Review, Romi Hardin

Honors Undergraduate Theses

The purpose of this study was to gain a better understanding of the effects of caloric restriction, intermittent fasting, and exercise on human longevity and aging, and explore their practical applications and inclusions into a healthy lifestyle. By reviewing the existing research and studies, this literature review focuses on identifying and explaining the biological mechanism behind these practices and exploring whether combining practices can be advantageous in extending not only lifespan but health span. The results generally indicate that following either caloric restriction or intermittent fasting and participating in regular exercise have immense results on promoting healthy aging in an …

The Effects Of Intermittent Fasting On Female Athletes: A Systematic Review, Courtnie Scarbrough

Theses and Dissertations

The intermittent fasting diet has a historical past, but recently, it has regained popularity as a weight loss strategy for the general public. Athletes have also picked up this specialized diet in search of a competitive edge. There are ample studies testing athletes of all levels, but most do not include females or report sex-specific results. This systematic review aimed to identify current research on the effects of intermittent fasting in the understudied population of female athletes. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive search was conducted in three databases, including PubMed, Cochrane, …

The Consequences Of Low Energy Availability Related To Relative Energy Deficiency In Male Athletes: A Systematic Review, Lauryn Bailey

Theses and Dissertations

RED-S is a syndrome that stems from low energy availability (LEA) in athletes. It can impact numerous physiological and psychological functions, as well as negatively affect performance. Because RED-S is a relatively new syndrome, there are few studies showing the impact of RED-S on performance and physiological factors. The aim of this systematic review was to examine the consequences of induced LEA in relation to RED-S in male athletes. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, Five studies were deemed eligible based on inclusion and exclusion criteria. Studies measured risk of RED-S through body composition, bone …

Editorial: Inter-Organ Crosstalk During Exercise In Health And Disease: Extracellular Vesicles As New Kids On The Block, Kenneth Verboven, Ivan Jose Vechetti Jr

Department of Nutrition and Health Sciences: Faculty Publications

Within exercise physiology, the study of factors potentially mediating interorgan crosstalk during and after exercise is a fascinating field of research. As exercise activates a plethora of metabolic pathways in several tissues, organs and systems, examining the underlying biological mechanisms contributing to exercise related metabolic benefits is imperative. Since two decades, the skeletal muscle is known to secrete humoral factors into the circulation in response to exercise, originally described as “myokines” by Pedersen et al. (2003). These myokines are now well known and extensively studied in the field of exercise science (Pedersen and Febbraio, 2012). Interestingly, exercise also triggers other …

Dfend Wrap Up, Jamie Baum, Erin Howie

Diet, Food, Exercise, and Nutrition (D-FEND)

This is an overview of DFEND from the beginning and what was learned and shared.

Social Influences On Behavior Change, Regina Schreiber

Diet, Food, Exercise, and Nutrition (D-FEND)

What is Social Influence and why does it matter?

Introduction To Dfend 3 And Behavior Change And Determinants Of Behavior, Jamie Baum, Erin Howie

Diet, Food, Exercise, and Nutrition (D-FEND)

The purpose of the study is to learn more about the effect of behavioral, nutrition, and physical activity education and goal setting on personal health goals using online lectures, virtual coaches, and social media.

“Learning is the relatively permanent change in a person’s knowledge or behavior due to experience. This definition has three components: 1) the duration of the change is long-term rather than short term; 2) the focus of the change is the content and structure of knowledge in memory or the behavior of the learner; 3) the cause of the change is the learner’s experience in the environment …

Vulnerable And Resilient Phenotypes In A Mouse Model Of Anorexia Nervosa, Jeff A. Beeler, Devry Mourra, Roseanna M. Zanca, Abigail Kalmbach, Celia Gellman, Benjamin Y. Klein, Rebecca Ravenelle, Peter Serrano, Holly Moore, Stephen Rayport, Susana Mingote, Nesha Burghard

Advanced Science Research Center

Background

Increased physical activity is a common feature of anorexia nervosa (AN). Although high activity levels are associated with greater risk of developing AN, particularly when combined with dieting, most individuals who diet and exercise maintain a healthy body weight. It is unclear why some individuals develop AN while most do not. A rodent model of resilience and vulnerability to AN would be valuable to research. Dopamine, which is believed to play a crucial role in AN, regulates both reward and activity and may modulate vulnerability.

Methods

Adolescent and young adult female C57BL/6N mice were tested in the activity-based anorexia …

Diet And Exercise: What To Eat And When, Brittany Allman

Diet, Food, Exercise, and Nutrition (D-FEND)

Learning Objectives:

Define nutrient timing

Understand the importance of nutrient timing

Understand the different types of carbohydrates

Understand how eating patterns can affect sleep

Nutrition, Exercise, And Mental Health, Jamie Baum

Diet, Food, Exercise, and Nutrition (D-FEND)

Understand factors that can impact our mental health

Understand how certain foods can benefit our mental health

Understand how exercise can benefit our mental health

The Science Of Dietary Fat, Elisabet Borsheim

Diet, Food, Exercise, and Nutrition (D-FEND)

Dr. Elisabet Borsheim shares about the science of dietary fat with these learning objectives:

-Define functions of fat for humans

-Define types of dietary fat

-Identify Dietary Guidelines for fat intake

-Identify effects of exercise on fat metabolism

-Identify effects of meal timing on fat metabolism

Introduction To Diet, Food, Exercise, And Nutrition (D-Fend) 2.0, Jamie Baum

Diet, Food, Exercise, and Nutrition (D-FEND)

An Introduction to project DFEND 2.0!

Effects Of Acute Dietary Polyphenols And Post-Meal Physical Activity On Postprandial Metabolism In Adults With Features Of The Metabolic Syndrome, Dustin W. Davis, James W. Navalta, Graham R. Mcginnis, Reimund Serafica, Kenneth Izuora, Arpita Basu

Kinesiology and Nutrition Sciences Faculty Research

Approximately 22% of U.S. adults and 25% of adults globally have metabolic syndrome (MetS). Key features, such as dysglycemia and dyslipidemia, predict type 2 diabetes, cardiovascular disease, premature disability, and death. Acute supplementation of dietary polyphenols and post-meal physical activity hold promise in improving postprandial dysmetabolism. To our knowledge, no published review has described the effects of either intervention on postprandial glucose, insulin, lipids, and markers of oxidative damage and inflammation in adults with features of MetS. Thus, we conducted this review of controlled clinical trials that provided dietary polyphenols from oils, fruits, teas, and legumes during a dietary challenge, …

Does Macronutrient Consumption Affect Aerobic Capacity?, Jordan Bush-Means

Health, Human Performance and Recreation Undergraduate Honors Theses

Background: Fitness in the United States is declining as the prevalence of obesity rises. It is known generally that exercise and diet both play a part in becoming fit, therefore veering away from being obese and/or overweight. Although people are aware they need to eat healthy foods and participate in physical activity, the role that dietary behaviors have on exercise, particularly aerobic capacity, remains unresolved. Purpose: The purpose of this study was to analyze dietary behaviors and to examine associations with maximal aerobic capacity. We hypothesize that those who consume each food group will have a higher volume …

Sex-Specific Relationships Among Iron Status Biomarkers, Athletic Performance, Maturity, And Dietary Intakes In Pre-Adolescent And Adolescent Athletes, Marni E. Shoemaker, Zachary M. Gillen, Brianna D. Mckay, Nicholas A. Bohannon, Sydney M. Gibson, Karsten Koehler, Joel T. Cramer

Department of Nutrition and Health Sciences: Faculty Publications

Background: The purpose of this study was to examine relationships among biomarkers of iron status, athletic performance, growth and development, and dietary intakes in pre-adolescent and adolescent male and female athletes.

Methods: Two-hundred and forty-nine male (n = 179) (mean ± standard deviation for age = 12.0 ± 2.1 years, height = 156.3 ± 13.9 cm, and weight = 49.1 ± 16.5 kg) and female (n = 70) (12.0 ± 2.2 years, 152.4 ± 12.3 cm, 45.3 ± 14.5 kg) athletes volunteered for capillary blood sample, anthropometric, athletic performance, and dietary intake assessments. Outcomes included maturity offset from peak height …

Alcohol Use, Dietary, And Exercise Behaviors: A Latent Profile Analysis Of Young Adult Lifestyle Behaviors, Ryan Wesley Grant

Graduate Theses and Dissertations

As individuals enter adulthood, their lifestyles and lifestyle behaviors begin to change drastically. These lifestyle behavior changes in emerging adulthood provide a foundation for future health behaviors that often persist through all of adulthood. The aim of this study was to use Latent profile analyses (LPA) to discover distinct profiles of homogenous groups of young adults based on alcohol, diet, and exercise behaviors. Overall, five distinct profiles for both males and females were identified: Moderates, Unhealthy Eaters, Medium Drinkers, Healthier Eaters and Exercisers, and Heavy Drinkers. Heavy Drinkers and Unhealthy Eaters were the highest risk groups and reported the highest …

Differences In Physical Activity And Diet Patterns Between Non-Rural And Rural Adults., Lacey Mccormack, Howard Wey, Jessica R. Meendering, Bonny Specker

Health and Nutritional Sciences Faculty Publications

BACKGROUND: It is unclear how rural occupations and lifestyles may play a role in shaping physical activity and diet behaviors that contribute to the rural⁻urban obesity disparity.
METHODS: Data come from the prospective and observational South Dakota Rural Bone Health Study, which included adults aged 20⁻66 years in three groups: (1) non-rural non-Hutterite, (2) rural non-Hutterite, and (3) rural Hutterite. Physical activity data were collected using 7-day physical activity questionnaires, and hours per day in physical activity categories are reported. Diet data were collected using food frequency questionnaires, and food group servings per day (svg/day) are reported. Mixed models were …

Teens Implementing A Childhood Obesity Prevention Program In The Community: Feasibility And Perceptions Of A Partnership With Hsta And Icook 4-H., Rebecca L. Hagedorn, Jade A. White, Lisa Franzen-Castle, Sarah E. Colby, Kendra Kattelmann, Adrienne A. White, Melissa D. Olfert

Health and Nutritional Sciences Faculty Publications

High school student researchers and teen leaders from the Health Science Technology Academy (HSTA), under the supervision of HSTA teachers, led a childhood obesity prevention (COP) program (iCook 4-H). The objective was to evaluate the feasibility and perceptions of having teen leaders implement a COP program for dyads of youth (9⁻10 years old) and their primary adult food preparer. Behavior change and perceptions were assessed through surveys and open-ended interviews. Across eight HSTA organizations, 43 teen leaders participated in teaching the iCook 4-H program to 24 dyads. Increased frequency of culinary skills, physical activity and mealtime behavior were reported by …

Physical Activity And Associated Energy Intake In Undergraduate College Students, Erin Marie Fejes

Theses and Dissertations

Background: College students often develop unhealthy eating habits. Poor eating habits can lead to chronic disease.

Methods: Energy intake and physical activity data from 35 undergraduate students enrolled in a 100-level kinesiology class were recorded and analyzed. Energy intake data was self-reported, while physical activity data was recorded via an activity tracker.

Results: Data points were analyzed twice: each day separately and as averages for each participant. When analyzed as averages, grams of total fat and grams of carbohydrate were the most significantly correlated with minutes of moderate to vigorous+ physical activity (both p<0.01). When analyzed by day, grams of protein, total fat, saturated fat, carbohydrate, sugar, and fiber were all found to be significantly correlated with minutes of moderate to vigorous physical activity to the p≤0.01 level.

Conclusion: An increase in physical activity …

Optimal Nutrition For Endurance Exercise: A Systematic Review, Sarah E. Andrus Ms, Bruce W. Andrus Md Ms

Dartmouth Scholarship

Introduction

As fatigue in endurance events correlates with depletion of muscle glycogen, the traditional approach to nutritional support has been carbohydrate loading. However, there has been recent interest in improving athletic endurance performance by novel diets in the days to weeks prior to endurance events, the pre-event meal, and during exercise.

Methods

We searched PubMed and SCOPUS for randomized trials published from 1992-2017 with a primary endpoint of endurance performance. We identified 407 citations which were examined against our inclusion criteria of randomization or crossover allocation to diet and for which a primary outcome was endurance performance.

Results

Twenty full …

Relationship Between Body Composition, Fitness, And Eating Behaviors And Markers Of Metabolic Suppression In Exercising Men, Mikayla K. Locke, Karsten Koehler

UCARE: Research Products

Introduction: Chronic dieting can result in characteristic metabolic adaptations such as a suppression of resting metabolic rate (RMR). Previous research has focused on health outcomes related to metabolic suppression in female athletes, which include impaired menstrual and bone health. The study purpose was to assess the relationship between metabolic suppression and body composition, fitness, and eating behavior traits in exercising men.

Approach: Cross-sectional study comparing exercising men who display evidence of metabolic suppression (MS) and a control group (Con). RMR was used as a surrogate marker of metabolic suppression.

Results and Discussion: When compared to Con, MS …

A Low-Carbohydrate Ketogenic Diet Combined With Six Weeks Of Crossfit Training Improves Body Composition And Performance, Rachel M. Gregory

Masters Theses, 2010-2019

A low-carbohydrate ketogenic diet (LCKD) is a popular approach to weight and fat loss. CrossFit is a high-intensity power training (HIPT) type exercise for all levels of age and fitness that has gained recognition as one of the fasting growing sports in America. No previous research has been found which examines body composition changes or performance in individuals consuming a LCKD and participating in CrossFit training. PURPOSE: The purpose of this research was to examine the effects of a 6-week LCKD and CrossFit program on body composition and performance. METHODS: Twenty-seven non-elite CrossFit subjects (mean ± SD age = …

Low Energy Availability In Exercising Men Is Associated With Reduced Leptin And Insulin But Not With Changes In Other Metabolic Hormones, Karsten Koehler, Neele R. Hoerner, Jenna C. Gibbs, Christoph Zinner, Hans Braun, Mary Jane De Souza, Wilhelm Schaenzer

Department of Nutrition and Health Sciences: Faculty Publications

Low energy availability, defined as low caloric intake relative to exercise energy expenditure, has been linked to endocrine alterations frequently observed in chronically energy-deficient exercising women. Our goal was to determine the endocrine effects of low energy availability in exercising men. Six exercising men (V_O2peak : 49.3 ± 2.4 ml · kg⁻¹ · min⁻¹) underwent two conditions of low energy availability (15 kcal · kg⁻¹ fat-free mass [FFM] · day⁻¹) and two energy-balanced conditions (40 kcal · kg⁻¹ FFM · day⁻¹) in randomized order. During one low energy availability and …

Exercise And Diet Program For The College Student, Brooks Briel

Senior Theses

Oftentimes college students can be seen going to the gym with simply no direction in exercise or nutrition. They go through the motions of exercising, but have no real understanding of what they are doing. These students may see some progress, but plateau early and find it discouraging to continue to workout. The goal of this project was to create a personal diet and exercise program that could be used by the average college student to improve their physical fitness levels. The exercise program attempts to improve body composition, cardiovascular fitness, muscular strength and endurance, and flexibility. This is done …

A Community-Based Exercise Intervention Transitions Metabolically Abnormal Obese Adults To A Metabolically Healthy Obese Phenotype, Lance C. Dalleck, Gary Van Guilder, Tara B. Richardson, Donald L. Bredle, Jeffery M. Janot

Health and Nutritional Sciences Faculty Publications

Background: Lower habitual physical activity and poor cardiorespiratory fitness are common features of the metabolically abnormal obese (MAO) phenotype that contribute to increased cardiovascular disease risk. The aims of the present study were to determine 1) whether community-based exercise training transitions MAO adults to metabolically healthy, and 2) whether the odds of transition to metabolically healthy were larger for obese individuals who performed higher volumes of exercise and/or experienced greater increases in fitness. Methods and results: Metabolic syndrome components were measured in 332 adults (190 women, 142 men) before and after a supervised 14-week community-based exercise program designed to reduce …

Vitamin D Status And Bone Mineral Density In Triathletes, Michelle Konstantarakis

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: The purposes of this study were first to assess the vitamin D status and bone mineral density (BMD) in male and triathletes (N=15), female triathletes (N=13), and non-athletes (N=14), and to determine if circulating vitamin D was correlated with body composition, BMD, dietary calcium and vitamin D intake in triathletes. The second purpose was to determine if triathletes have a different level of serum vitamin D, body composition, BMD, dietary calcium and vitamin D intake then non-athletes. The third purpose was to determine if BMD was correlated with body composition (body mass, percent body fat, BMI) in triathletes.

Methods: …