Defining Energy Availability
The most precise definition describes energy availability as the amount of dietary energy left for the body's physiological functions after subtracting the energy expended during exercise. It is typically expressed relative to the individual's fat-free mass (FFM), as this is the most metabolically active tissue. The standard formula is: $Energy Availability = (Energy Intake - Exercise Energy Expenditure) / Fat-Free Mass$
This calculation helps determine if an individual, particularly an athlete, is consuming enough calories to support both their training load and the body's essential metabolic processes, such as growth, immunity, and hormonal regulation. Adequate energy availability is crucial for long-term health and sustainable athletic performance.
The Crucial Distinction: Energy Availability vs. Energy Balance
While the terms 'energy availability' and 'energy balance' both relate to energy consumption and expenditure, they are not interchangeable, especially in the context of sports and fitness. Energy balance simply compares total energy intake with total energy expenditure. A person can achieve a state of energy balance (intake equals expenditure) and still experience the negative effects of low energy availability if their exercise energy expenditure is very high. This happens because a large portion of the energy consumed is used for exercise, leaving insufficient energy for the body's non-exercise physiological processes.
Comparison of Energy Balance vs. Energy Availability
| Feature | Energy Balance (EB) | Energy Availability (EA) |
|---|---|---|
| Core Concept | Total energy in vs. total energy out. | Energy left for physiological functions after exercise. |
| Calculation | Dietary Energy Intake - Total Daily Energy Expenditure. | (Dietary Energy Intake - Exercise Energy Expenditure) / Fat-Free Mass. |
| What it reflects | Net change in body weight over time (stable weight = balance). | Adequacy of energy supply for non-exercise functions. |
| Relevance | Good for general population weight management. | Critical for athletes and highly active individuals. |
| Flaw for Athletes | An athlete can be in a state of 'balance' but still have physiological dysfunctions from undereating relative to exercise load. | Provides a more accurate picture of metabolic health for active people. |
The Health Consequences of Low Energy Availability (LEA)
When energy availability drops below a certain threshold (often cited as ≤30 kcal/kg FFM/day), the body enters a state of metabolic conservation to prioritize essential survival functions. This is known as Low Energy Availability (LEA). Over time, this can lead to a multisystem impairment known as Relative Energy Deficiency in Sport, or RED-S.
The physiological effects of LEA are widespread and can include:
- Reproductive Dysfunction: In females, this can lead to menstrual irregularities or complete loss of menses (amenorrhea). In males, it can result in reduced libido and lower testosterone levels.
- Decreased Bone Health: Inadequate energy disrupts hormones crucial for bone formation, increasing the risk of osteopenia, osteoporosis, and stress fractures.
- Impaired Immune Function: The immune system can be weakened, leading to an increased susceptibility to illness and infections.
- Cardiovascular Issues: Changes in lipid profiles and cardiovascular function can occur with chronic low energy intake.
- Mental and Psychological Effects: Symptoms often include irritability, depression, and poor concentration.
Who is at risk for low energy availability?
While often associated with endurance sports like running, cycling, and swimming, LEA can affect any athlete, male or female, with a high training load relative to their energy intake. Athletes in weight-sensitive or aesthetic sports (e.g., gymnastics, wrestling, ballet) are also at a higher risk due to a tendency to restrict calories in pursuit of a lean physique. Unintentional LEA can also occur simply due to a lack of awareness or poor fueling strategies during periods of intense training. The core issue is the gap between energy consumed and energy used for exercise, leaving a deficit for all other biological processes.
How to Measure and Manage Energy Availability
Accurately measuring energy availability can be complex and is often difficult for free-living athletes. It requires precise tracking of both dietary energy intake and exercise energy expenditure, along with an assessment of fat-free mass.
Common methods for measurement include:
- Dietary Records: Recording food intake over several days to estimate calorie consumption.
- Exercise Tracking: Using a heart rate monitor, GPS device, or other technology to estimate calories burned during exercise.
- Body Composition Analysis: Techniques like Dual-Energy X-ray Absorptiometry (DXA) or bioelectrical impedance analysis (BIA) to determine fat-free mass.
For athletes and coaches, the goal is to maintain a healthy energy availability level, typically above 45 kcal/kg FFM/day for females and 40 kcal/kg FFM/day for males. If low energy availability is suspected, management strategies often involve increasing energy intake, especially around training sessions, and potentially reducing exercise load. Professional guidance from a sports dietitian or physician is recommended to develop a safe and effective plan.
Conclusion
Ultimately, the definition of energy availability is a crucial concept for understanding the metabolic health of active individuals. It goes beyond the simple energy balance equation by focusing on the energy remaining for vital physiological processes after exercise demands are met. A clear understanding of this definition and its calculation is the first step toward preventing the damaging effects of low energy availability and supporting an athlete's long-term health and performance. Recognizing the signs and symptoms of LEA is essential for coaches and athletes to address the issue proactively. Adopting needs-based nutritional strategies that ensure sufficient fueling for both training and normal bodily functions is fundamental to avoiding health problems and reaching full athletic potential. For more information on Relative Energy Deficiency in Sport (RED-S), consult the resources available from authoritative sports science organizations, such as the International Olympic Committee's consensus statement.