From semi-starvation to the stage: a case report on indicators of low energy availability in a drug-free bodybuilder during contest preparation and peak week

Natural bodybuilding competitions involve periods of low energy availability (EA) combined with resistance training and high-protein diets to achieve extreme leanness. This study tracked a drug-free bodybuilder adopting evidence-based nutrition practices during 18 weeks of contest preparation. We me...

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Main Authors: Alex J. Ritson, Lyle McDonald, Joseph Agu, Laurent G. Bannock
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2024.1465001/full
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author Alex J. Ritson
Lyle McDonald
Joseph Agu
Laurent G. Bannock
author_facet Alex J. Ritson
Lyle McDonald
Joseph Agu
Laurent G. Bannock
author_sort Alex J. Ritson
collection DOAJ
description Natural bodybuilding competitions involve periods of low energy availability (EA) combined with resistance training and high-protein diets to achieve extreme leanness. This study tracked a drug-free bodybuilder adopting evidence-based nutrition practices during 18 weeks of contest preparation. We measured endocrine function, resting energy expenditure, respiratory exchange ratio, body composition, resting heart rate, oral temperature, mood, and strength performance. Endocrine function was remeasured after 2 days of energy repletion. From baseline to week 18, free triiodothyronine (T3) and total testosterone (TT) fell into clinically low (2.7 pmol/L−1) and sub-clinically low (9.1 nmol/L−1) ranges. Resting energy expenditure decreased by −519 kcal (REEratio 0.78), and respiratory exchange ratio decreased from 0.95 to 0.85. Body mass reduced by −5.1 kg, with a sum of eight skinfold loss of −15.7 mm. Correlations were observed between body mass and decreases in oral temperature (r = 0.674, p = 0.002) and resting heart rate (r = 0.560, p = 0.016). Mood remained stable until the final 2 weeks and relative one-repetition maximum decreased in the squat (−5.4%), bench (−2.6%), and deadlift (−3.6%). Following 2 days of modest energy repletion, free T3 increased (18.5%), returning to sub-clinically low values (3.2 pmol/L−1), whereas TT fell (−20.9%), reaching clinically low values (7.2 nmol/L−1). These results offer insight into the dynamics of T3 and TT following a short-term period of modest energy repletion and further information on indicators of low EA during chronic energy restriction.
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spelling doaj-art-d177cd222cd248ee8299af706181ae112025-08-20T02:14:38ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2024-11-011110.3389/fnut.2024.14650011465001From semi-starvation to the stage: a case report on indicators of low energy availability in a drug-free bodybuilder during contest preparation and peak weekAlex J. Ritson0Lyle McDonald1Joseph Agu2Laurent G. Bannock3Department of Education, Institute of Performance Nutrition, London, United KingdomBodyrecomposition Ltd., Austin, TX, United StatesSchool of Medicine, University of Nottingham, Nottingham, United KingdomDepartment of Education, Institute of Performance Nutrition, London, United KingdomNatural bodybuilding competitions involve periods of low energy availability (EA) combined with resistance training and high-protein diets to achieve extreme leanness. This study tracked a drug-free bodybuilder adopting evidence-based nutrition practices during 18 weeks of contest preparation. We measured endocrine function, resting energy expenditure, respiratory exchange ratio, body composition, resting heart rate, oral temperature, mood, and strength performance. Endocrine function was remeasured after 2 days of energy repletion. From baseline to week 18, free triiodothyronine (T3) and total testosterone (TT) fell into clinically low (2.7 pmol/L−1) and sub-clinically low (9.1 nmol/L−1) ranges. Resting energy expenditure decreased by −519 kcal (REEratio 0.78), and respiratory exchange ratio decreased from 0.95 to 0.85. Body mass reduced by −5.1 kg, with a sum of eight skinfold loss of −15.7 mm. Correlations were observed between body mass and decreases in oral temperature (r = 0.674, p = 0.002) and resting heart rate (r = 0.560, p = 0.016). Mood remained stable until the final 2 weeks and relative one-repetition maximum decreased in the squat (−5.4%), bench (−2.6%), and deadlift (−3.6%). Following 2 days of modest energy repletion, free T3 increased (18.5%), returning to sub-clinically low values (3.2 pmol/L−1), whereas TT fell (−20.9%), reaching clinically low values (7.2 nmol/L−1). These results offer insight into the dynamics of T3 and TT following a short-term period of modest energy repletion and further information on indicators of low EA during chronic energy restriction.https://www.frontiersin.org/articles/10.3389/fnut.2024.1465001/fullnatural bodybuildingrelative energy deficiency in sportendocrine functionIOC REDs CAT2case reporttotal testosterone
spellingShingle Alex J. Ritson
Lyle McDonald
Joseph Agu
Laurent G. Bannock
From semi-starvation to the stage: a case report on indicators of low energy availability in a drug-free bodybuilder during contest preparation and peak week
Frontiers in Nutrition
natural bodybuilding
relative energy deficiency in sport
endocrine function
IOC REDs CAT2
case report
total testosterone
title From semi-starvation to the stage: a case report on indicators of low energy availability in a drug-free bodybuilder during contest preparation and peak week
title_full From semi-starvation to the stage: a case report on indicators of low energy availability in a drug-free bodybuilder during contest preparation and peak week
title_fullStr From semi-starvation to the stage: a case report on indicators of low energy availability in a drug-free bodybuilder during contest preparation and peak week
title_full_unstemmed From semi-starvation to the stage: a case report on indicators of low energy availability in a drug-free bodybuilder during contest preparation and peak week
title_short From semi-starvation to the stage: a case report on indicators of low energy availability in a drug-free bodybuilder during contest preparation and peak week
title_sort from semi starvation to the stage a case report on indicators of low energy availability in a drug free bodybuilder during contest preparation and peak week
topic natural bodybuilding
relative energy deficiency in sport
endocrine function
IOC REDs CAT2
case report
total testosterone
url https://www.frontiersin.org/articles/10.3389/fnut.2024.1465001/full
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