GLOSSARY

Energy Deficiency An energy supply insufficient for the relevant demands over the specified period, which may affect health and function.

Energy availability describes dietary energy remaining after exercise expenditure, expressed relative to fat-free mass over a defined period. It differs from whole-day energy balance and from body-fat percentage. Calculations are sensitive to errors in food records, exercise expenditure and body-composition estimates. No single threshold or short observation establishes a diagnosis for every athlete. Persistent fatigue, impaired recovery or other concerning changes warrant assessment in the broader health and training context rather than a conclusion from one calculated value.

Relative energy deficiency in sport describes impaired health or function associated with problematic low energy availability and can affect female and male athletes. The duration, severity and individual context matter. No isolated body weight, symptom, hormone value or calculated energy-availability threshold can diagnose every case. Clinical assessment integrates history, signs, measurements and alternative explanations. The IOC assessment framework supports trained clinicians; it is not a self-scoring clearance tool. Management addresses energy supply and training while considering psychological support and the athlete's overall safety.

For example, a busy athlete can unintentionally miss meals after a rise in training volume. Ask about practical barriers as well as intentional restriction. Add accessible eating opportunities and review health and performance rather than interpreting low intake only as a lack of nutrition knowledge or a desire to lose weight.

External training load describes the work performed, such as distance, power or repetitions. Internal load describes the athlete's response, such as heart rate or perceived exertion. Volume, intensity and duration contribute differently, so one summary number does not reveal all nutritional demands. Two sessions with similar duration can differ greatly in carbohydrate use and recovery needs. Food planning should reflect the actual work and subsequent schedule, while persistent mismatch between intake and load deserves review.

Food availability describes what is present, whereas accessibility includes whether a person can obtain and use it. Cost, transport, opening hours, kitchen facilities, disability and team arrangements can all affect intake. Food insecurity concerns unreliable access to sufficient suitable food and is not resolved by telling someone to make better choices. Ask respectfully about constraints and identify practical support. A technically ideal sports menu is ineffective if the athlete cannot afford, prepare, store or reach the foods at the required time.

An adequate diet provides sufficient energy and essential nutrients while fitting health needs. A high score for variety or a healthy food label cannot independently demonstrate adequacy. Review what is actually eaten, including foods excluded and suitable replacements. Athletes can consume many vegetables yet still lack enough energy or carbohydrate for training. Assess the overall pattern, distribution and relevant nutrient risks rather than assuming that a single food or supplement makes the entire diet balanced.

Disordered eating spans harmful patterns that may or may not meet criteria for a specific eating disorder. Eating disorders can occur at any body size and in any sex or sport. Restriction, recurrent bingeing, compensatory behaviors and marked distress deserve sensitive assessment; a scale reading alone cannot determine severity. Support should coordinate medical, nutrition and mental-health care when indicated. Avoid prescribing further restriction or praising rapid weight loss when the person's eating behavior or health is deteriorating.