GLOSSARY

High-Calcium Diet emphasizes calcium supply for a defined need, with actual intake, source and clinical context assessed.

Bone health depends on adequate energy, relevant nutrients, mechanical loading, hormones and clinical factors. Calcium and vitamin D are important, but a supplement alone cannot correct all causes of low bone density. Osteopenia and osteoporosis require interpretation within the appropriate diagnostic framework, age and clinical context. Athletes with recurrent bone stress injury or signs of low energy availability need fuller assessment. Balance training and recovery rather than assuming that more exercise or more calcium is always the solution.

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.

Protein targets depend on body size, training, energy intake, age and clinical status. A high-protein label does not identify the actual amount, amino-acid quality or distribution. During weight reduction, adequate protein and resistance exercise can help preserve lean tissue, but neither removes the consequences of an excessive energy deficit. Kidney disease can require a different clinical approach. Do not transfer a healthy athlete's protein strategy directly to a person with impaired renal function.

For example, repeated bone stress injury in an athlete calls for assessment of energy supply, training and relevant clinical factors alongside calcium and vitamin D. Adding a supplement without addressing persistent underfueling leaves an important issue unresolved. Interpret bone-density information within the appropriate age and diagnostic context.

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.

Clinical nutrition translates assessment into an individualized intervention and evaluates the response. A disease name alone cannot define the prescription: disease stage, medication, symptoms, laboratory findings, intake and functional goals matter. Screening identifies possible risk, whereas a full assessment supports a nutrition diagnosis and care plan. A sports context adds training demands but does not remove clinical requirements. Coordinate care when medical and performance objectives interact instead of applying a standard athlete menu to every patient.

Nutrition follow-up compares intended goals with actual intake, symptoms, function, relevant measurements and the person's experience. Specify the time frame and what would justify adjustment, continuation or referral. A treatment response can be beneficial, absent or adverse, and adherence alone does not prove effectiveness. Retain enough documentation to understand what changed. For an athlete, consider health and training quality alongside body mass or laboratory results so that apparent progress in one measure does not hide deterioration elsewhere.