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- Title:
Case Study: Improving Energy Status in a Wheelchair Athlete With Suppressed Resting Energy Expenditure
- Document type:
- Zeitschriftenaufsatz
- Author(s):
- Flueck, Joelle Leonie; Koehler, Karsten
- Abstract:
- Purpose: Wheelchair athletes experience a reduction in fat-free mass due to the underlying condition and/or muscle disuse. This leads to a lower resting energy expenditure (REE), as well as a lower energy expenditure during exercise or daily activities. Traditional markers of low energy availability (LEA), including amenorrhea and low bone mineral density, are often inconclusive in wheelchair athletes. This case study provides data from a professional female wheelchair badminton player with multiple sclerosis who presented with a reduced measured-to-predicted REE ratio (REEratio), a common indicator of LEA in able-bodied athletes. Furthermore, a nutrition and exercise intervention was conducted to restore REE. Methods: REE and body composition were measured using indirect calorimetry and dual-energy X-ray absorptiometry, respectively. The predicted REE of the REEratio was calculated using 2 separate approaches. An REEratio <0.9 was considered an indicator for LEA. A nutrition and exercise intervention was implemented to normalize REE and induce weight loss through increased meal frequency, a 200- to 400-kcal/d increase in energy intake, and added endurance exercise. Results: The athlete (33 y, 78 kg, 154 cm) initiallly showed an REEratio of 0.65 to 0.70, which increased to 1.00 to 1.09 after 1 year. The athlete lost 11.8 kg, almost exclusively (11 kg) in the form of fat mass. The athlete reported reduced fatigue and higher perceived fitness. Conclusion: The nutrition and exercise intervention successfully restored energy status, induced sustainable weight loss, and reduced fatigue in a wheelchair athlete with multiple sclerosis with presumed LEA. Methods to assess LEA in this population require further validation.
- Dewey Decimal Classification:
- 570 Biowissenschaften, Biologie; 610 Medizin und Gesundheit; 790 Sport, Spiele, Unterhaltung
- Journal title:
- International Journal of Sports Physiology and Performance
- Year:
- 2022
- Pages contribution:
- 1-4
- Reviewed:
- ja
- Language:
- en
- Fulltext / DOI:
- doi:10.1123/ijspp.2021-0336
- Publisher:
- Human Kinetics
- Print-ISSN:
- 1640-5544
- E-ISSN:
- 1555-02651555-0273
- Impact Factor:
- 4,010
- Scimago Quartil:
- Q1
- Submitted:
- 09.07.2021
- Accepted:
- 03.04.2022
- Date of publication:
- 01.01.2022
- Semester:
- SS 22
- TUM Institution:
- Professur für Bewegung, Ernährung und Gesundheit
BibTeX
Occurrences:
- mediaTUM GesamtbestandEinrichtungenSchools TUM School of Medicine and HealthDepartmentsHealth and Sport SciencesProfessur für Bewegung, Ernährung und Gesundheit (Prof. Köhler)
- mediaTUM GesamtbestandHochschulbibliographie2022Schools und FakultätenSport- und GesundheitswissenschaftenProfessur für Bewegung, Ernährung und Gesundheit (Prof. Köhler)