Risk Of Low Energy Availability Research Articles

Risk and prevalence of Relative Energy Deficiency in Sport (REDs) among professional female football players

AbstractA high prevalence of low energy availability (LEA) has been reported in female football players. This is of concern as problematic LEA may evolve into a syndromic pattern known as relative energy deficiency in sport (REDs). Given the difficulties in accurately assessing LEA, our study shifts emphasis to measurable indicators of REDs, serving as proxies for health detriments caused by LEA. The present cross‐sectional study aimed to quantify the risk of REDs and to assess the prevalence of indicators indicative of the syndrome. 60 players (tiers 3 and 4) from three Norwegian football teams were analyzed as a single cohort but also stratified based on player position and menstrual status. The proportion of players at risk for REDs was 22%, that is, 17% with mild, 3% with moderate to high, and 2% with very high/extreme risk, respectively. The majority of the cohort (71%) presented with no primary indicators, while 20%, 7%, and 2% presented with one, two, and three primary indicators, respectively. Regarding secondary indicators, 57% had none, 33% had one, and 10% had two indicators. For associated indicators, 30% had none, 42% had one, 18% had two, 8% had three, and 2% had four indicators. Player position did not affect the prevalence of REDs indicators. Among noncontraceptive users (n = 27), secondary amenorrhea (AME) was reported by 30%. These findings indicate that health and performance teams should prioritize universal health promoting strategies rather than selective or indicative strategies. Particularly, focus on nutritional periodization to secure sufficient energy availability, mitigating the risk of problematic LEA and REDs should be addressed.

Risk of low energy availability and level of nutrition knowledge in recreational trail runners in Aotearoa/New Zealand

Trail running is an endurance sport growing in popularity. It is characterised by long event durations and extreme environments that are likely to result in high exercise energy expenditure. Energy availability is defined as the amount of energy available to support normal physiological functions after subtracting the energy cost of exercise from energy intake. Insufficient energy intake, increased exercise, or a combination of both can result in a state of low energy availability (LEA). While research shows a weak positive association between nutrition knowledge and diet quality, results are conflicting regarding associations between nutrition knowledge and LEA. Research has demonstrated a high prevalence of risk of LEA (~33%-85%) among both elite and recreational athletes, across both sexes and in endurance sports such as running. However, little is known about risk of LEA and nutrition knowledge in trail runners. The aim of this study was to determine the risk of LEA prevalence in recreational trail runners and investigate associations with nutrition knowledge. Risk of LEA was assessed using the ‘Low Energy Availability in Females Questionnaire’ (LEAF-Q)(1), and the ‘Low Energy Availability in Males Questionnaire’ (LEAM-Q)(2). Nutrition knowledge was measured via the ‘Platform for Evaluating Athlete Knowledge in Sports – Nutrition Questionnaire’ (PEAKS-NQ)(3). Demographics and trail-running experience questions were integrated into the survey. Data was analysed in SPSS version 29 (IBM Corporation). Comparisons between groups (e.g. ‘low risk’ vs ‘not low risk’) were performed using a chi-square test for categorical variables, and an independent samples t-test for continuous variables. The final survey sample was 217 (140 females, 42.01 ± 10.72 years; 77 males, 47.86 ± 12.05 years) for the LEAF-Q, LEAM-Q, and trail running questions; and 152 for the PEAKS-NQ. Thirty-one percent of females (n = 43) were classified as ‘not low risk’ of LEA based on the LEAF-Q cut-off of ≥8. Twenty-three percent of males (n = 18) were identified as having low sex drive, a marker of LEA risk. The LEAF-Q/sex drive score was higher in those ‘not at low risk’ (10.72 ± 2.28/4.50 ± 1.95) compared to those at low risk (3.94 ± 2.34/1.53 ± 1.12, p<0.001). Three quarters of general nutrition knowledge responses were correct (females, 78.60 ± 10.09%; males, 75.78 ± 10.67%). However, sports nutrition scores were lower (females, 66.31 ± 13.44%; males, 63.18 ± 15.53%) with the lowest mean scores observed for ‘fuel for during events’. There was no significant association between nutrition knowledge and risk of LEA in both sexes. The findings suggest that recreational trail runners are a group of active individuals who are at risk of LEA and that they might benefit from more sports-specific nutrition education.

The relationship between nutrition knowledge and low energy availability risk in collegiate athletes

ObjectivesThis was a pilot study that examined the relationship between nutrition knowledge and risk for low energy availability (LEA) in NCAA athletes. MethodsAthletes (64.4 % female, 35.6 % male) completed the Abridged Nutrition for Sport Knowledge Questionnaire (A-NSKQ) and either the Low Energy Availability in Females Questionnaire (LEAF-Q) or Male Athlete Triad (MAT) screening questions. ResultsFemales at risk for LEA had higher nutrition knowledge, demonstrated by higher A-NSKQ scores, than those classified as low risk (16.5 vs 14.5, p = 0.01). There was a very weak correlation between MAT and A-NSKQ scores (R2 = 0.012).

Low Energy Availability and Eating Disorders Risk: A Comparison between Elite Female Adolescent Athletes and Ballet Dancers

This study examined the risk of low energy availability (LEA) and eating disorders among elite adolescent female athletes from a mixed-sport cohort and ballet dancers in Singapore, where the accelerated biological needs of adolescent growth and maturation overlap with the pursuit of sport/ballet excellence and high-stakes academic testing. All of these are competing demands for adequate fuelling and seeking timely treatment, which consequently affect the risk of LEA. Eighty-nine participants (41 athletes, 48 dancers; age 16.00 [3.00] years old) were screened for the risk of LEA and eating disorders using the Low Energy Availability in Females Questionnaire (LEAF-Q) and Brief Eating Disorder in Athletes Questionnaire (BEDA-Q), respectively. The main effects of athlete/ballet status and age (≤15 years old versus 15.1 years–18 years old) on LEAF-Q and BEDA-Q scores was be determined via Spearman’s correlation coefficient and linear regression analyses. The Mann–Whitney U test and Fisher’s exact test were used to compare the groups for the risk of LEA and ED. We observed that adolescent athletes and ballet dancers had a similar prevalence of being at risk of LEA (61.98% versus 54.17%, respectively, p = 0.529), with the risk of eating disorders absent in most of them. It appeared that the risk of LEA is likely of an unintentional nature in this study as the risk of ED was absent in 90.2% of the adolescent athletes/ballet dancers that were at risk of LEA. The age of the participants was significantly correlated with the risk of LEA, while the number of training hours was negatively correlated with the same factor. Age was also found to be negatively correlated with the number of training hours. The findings suggest that the risk of LEA in Singapore youth athletes and dancers are multifaceted, involving factors such as type of activity, age, and training hours. Targeted and tailored interventions and programmes are thus needed to promote adequate energy availability for optimal physical and psychological growth in sport and dance.

Risk of low energy availability, eating disorders and food insecurity amongst development female rugby league players.

There have been several published studies on the prevalence of low energy availability (LEA) risk amongst North American and European endurance athletes. Yet the prevalence and risk factors amongst rugby league players are less well understood. This study assessed the prevalence of low energy availability risk, eating disorder risk, and food security amongst players from a female National Rugby League squad in Australia. Players from one Australian professional rugby league club volunteered to participate in the study. An online questionnaire was conducted to determine the prevalence of low energy availability (Low Energy Availability in Females Questionnaire [LEAF-Q]), eating disorder risk (Eating Disorders Inventory [EDI-3]), and food security. Differences between those "at risk" and "not at risk" based on their total LEAF-Q score were determined. Of the 28 players, 64% (N.=18) were at risk of LEA. Raw scores for the EDI-3 subscales, body dissatisfaction (P=0.043), bulimia (P=0.002), composite score (P=0.038), were significantly higher for those at risk and not at risk of LEA. Forty percent of players had some level of food insecurity. The results suggest LEA risk is similar to other populations and those at risk of LEA are more likely to have an elevated clinical risk of eating disorders. Food security is also an issue in this population and could contribute to LEA risk for some. Future research is needed amongst team sports athletes to understand interplay between eating disorder risk and food insecurity with LEA risk.

Risk of low energy availability and nutrition knowledge among female team sport athletes.

Nutrition knowledge influences adequate dietary intake in athletes. Inadequate dietary intakes can result in low energy availability (LEA) which can lead to relative energy deficiency in sport (RED-S). To date, there is little information on the relationship between nutrition knowledge and the risk of LEA in female team sport athletes. This study investigates if general and sports nutrition knowledge are associated with the risk of LEA in female team athletes. A cross-sectional design was used. Female athletes (>16 years) who participate in team sports in New Zealand were asked to complete an online questionnaire. The LEA in Females Questionnaire and the Abridged Sport Nutrition Knowledge Questionnaire were included. LEA risk and general/sports nutrition knowledge were assessed. The relationship between LEA risk and knowledge was analyzed using the Kruskal-Wallis Test of independent variables and χ2 tests. Among 100 female athletes, 53% were at-risk for LEA, and 70% (N.=67) had poor nutrition knowledge. Athletes who were "at-risk" for LEA and those who were "not at-risk" for LEA did not differ statistically in terms of age (P=0.350) or BMI (P=0.576). Of those "not at risk" 54% had an A-NSK score between 50 and 60% (i.e., average knowledge), whereas 54% of the athletes who were "at risk" for LEA had poor nutrition knowledge. There was no statistical difference between the groups (P=0.273). The poor nutrition knowledge and the high rates of those "at risk" of LEA among team sports athletes indicates the need for more nutrition education in this population.

Risk of Low Energy Availability in New Zealand National Team and U20 Female Football Representatives

Background: Rates of low energy availability (LEA) in female footballers range from 12% to 66%, studies are limited, and no research has yet looked at the prevalence of LEA in a cohort of international players. Due to the negative consequences of LEA, more research is needed for a thorough investigation into prevalence rates and the associated risk factors of LEA within international environments. Methods: Twenty-two members of the New Zealand under 20 (U20) and National Women’s football teams (20.8 ± 3.5 years) participated in this study. Participants completed an online questionnaire composed of five independent validated surveys to assess LEA risk (Low Energy Availability in Females Questionnaire), eating disorder risk (Eating Disorder Examination Questionnaire), sleep quality (Athlete Sleep Score Questionnaire), nutrition knowledge, (Abridged Sport Nutrition Questionnaire), and mood (Profile of Mood States Questionnaire). Results: 59.1% (n = 13) of participants were identified as being at risk of problematic LEA. Players reporting menstrual disturbances (amenorrhea or oligomenorrhea) were 2.25 times more likely to be at risk of LEA than those who did not report a menstrual disturbance. Menstrual status (R = −.46, p = .030) and Profile of Mood States Questionnaire (r = −.46, p = .032) were significantly and positively associated with risk of LEA (R = −.46, p = .030). Conclusions: A significant proportion (59.1%) of players in the New Zealand national and U20 female football team are at risk of LEA. The positive and predictive relationship observed between mood disturbances, menstrual status, and risk of LEA suggests that regular monitoring of mood and menstrual cycle health may be used for the early identification of problematic LEA in national-level female footballers in New Zealand.

The risk of low energy availability among athlete females in Saudi Arabia: a cross-sectional study.

Low energy availability (LEA) is a state of inadequate energy reserves that results from a negative energy balance. This condition can lead to severe health risks such as amenorrhea and osteoporosis. Various causes for LEA, such as eating disorders and exercise addiction, have been reported in the literature. However, data in Saudi Arabia are lacking. This cross-sectional study measures the prevalence of LEA, eating disorders, and exercise addiction among adult females in Saudi Arabia and identifies possible associated risk factors. The sample comprised 119 female athletes who filled out an online survey adapted from the LEA in Females Questionnaire, the Eating Disorder Examination Questionnaire, and the Exercise Addiction Inventory. Participants showed a high prevalence of LEA (66.4%), eating disorder (33.6%), and exercise addiction (10.1%), confirming the association between normal weight and LEA in females living in Saudi Arabia (p < 0.00). With an increasing number of females in the country interested in following a healthy lifestyle, there is a need to raise the awareness of the population on the issues of LEA, eating disorders, and exercise addiction and their effects on the body by developing educational programs about energy intake and healthy physical activity routines.

The Crucial Role of Carbohydrate Intake for Female Long-Distance Runners : A Literature Review

This research is a literature study that aims to explore the relationship between carbohydrate consumption and athlete performance and health, especially female athletes who run long distances. This study uses the method of literature study or literature review using secondary data from scientific journal articles. Article searches are conducted through various platforms such as Google Scholar, EBSCO, ScienceDirect, and Proquest using keywords related to carbohydrate consumption in female long-distance runners. The inclusion criterion for articles is that they must be scientific journal research articles conducted in the UK with the main subject female athletes long-distance runners and the topic relates to carbohydrates. Articles that meet these criteria are then further analyzed Through an analysis of 8 scientific journal articles, it was concluded that carbohydrate intake has a crucial role in improving athletes' performance and endurance, as well as preventing the risk of low energy availability that can have a negative impact on health. In addition, research also highlights the need for adjustments in carbohydrate intake based on environment and stress to maximize athletes' training and recovery abilities. These findings affirm the importance of designing a balanced diet of carbohydrates and protein to achieve the desired results in improving athlete performance and supporting healthy weight loss. This study provides a deep understanding of the importance of carbohydrate intake in supporting the performance and health of female long-distance runners, and emphasizes the need for more inclusive research to develop better nutritional interventions.

Risk of Low Energy Availability, Disordered Eating, and Menstrual Dysfunction in Female Collegiate Runners.

Collegiate female distance runners may be at risk for low energy availability (LEA) due to increased exercise energy expenditure with or without decreased energy intake. Furthermore, this population has increased risk of disordered eating (DE), which can lead to LEA and negative health consequences, such as menstrual dysfunction (MD). 1) investigate risk of LEA and DE, 2) compare DE, training volume, and weight dissatisfaction among female collegiate runners at risk vs not at risk for LEA, and 3) compare risk for LEA between NCAA (National Collegiate Athletics Association) Division I, II, and III female collegiate runners. Cross-sectional study. Free-living. Female runners (n = 287) who competed on an NCAA (National Collegiate Athletics Association) Division I, II, or III cross-country and/or track team. A 45 question questionnaire was completed which included the Low Energy Availability in Females Questionnaire (LEAF-Q) and the Disordered Eating Screening Assessment (DESA-6). 54.5% (n = 156) of runners were at risk for LEA (score ≥ 8 on LEAF-Q), and 40.8% (n = 117) were at risk for DE (DESA-6 score ≥ 3), and 56.5% (n = 162) reported MD (LEAF-Q subsection MD score ≥ 4). Athletes "at risk" for LEA had significantly higher DESA-6 scores than athletes "not at risk" for LEA (p < 0.001). Athletes "at risk" for LEA had significantly greater weight dissatisfaction than those not at risk for LEA (X23, 156 = 15.92, p = 0.001). Higher weekly training volumes was not associated with risk for LEA (X22, 156 = 4.20, p = 0.112). A substantial percentage of collegiate female runners were found to be at risk for LEA, DE, and report MD. These findings demonstrate that risk for DE, MD, and weight dissatisfaction are associated with risk for LEA.

Surfboard riders are at risk of low energy availability - A pilot study.

Surfing is a rapidly growing sport and recreational activity. The previously reported, intermittent high-intensity energetics of surfing place athletes and recreational participants at risk of low energy availability (LEA). As such, this pioneering study aims to be the first to investigate LEA risk and the second to investigate dietary intake in surfers. Twenty-one intermediate and advanced surfers (female - 5, male - 16) were recruited to complete an online self-administered questionnaire and 4 consecutive 24-hour food logs to establish LEA risk and asses dietary intake. The Low Energy Availability in Female Questionnaire and Eating Disorder Examination Questionnaire were used to identify at-risk individuals in females and males, respectively, with respective cut-off's of ≥8 and ≥2.3. Fifty-seven percent were classed as at-risk of LEA (50% and 80% in males and females, respectively). No significant relationship of competitive status, surfing ability and body mass index on risk classification was found. However, a non-significant medium effect of age was observed (p = 0.338, R = 0.549). And 77% of the 70 total analysed food records showed inadequate carbohydrate (CHO) consumption. In summary, an alarmingly high portion of surfers are at risk of LEA and dietary inadequacy. Future studies should confirm whether surfing organisations need to intervene, by addressing limitations of the present study including a small sample, which was heavily biased away from female and high-level competitors.

Prevalence of low energy availability in 25 New Zealand elite female rowers – A cross sectional study

ObjectivesTo quantify energy availability (EA) in elite female rowers, determine its association with bone mineral density (BMD), and examine the ability of the low energy availability in females-questionnaire (LEAF-Q) and brief eating disorder in athletes-questionnaire (BEDA-Q) to distinguish between low and normal EA. DesignObservational cross-sectional study. MethodsTwenty-five elite female rowers participated in the study. EA was calculated by means of a 4-day food intake diary and analysis of training load. Low energy availability (LEA) was defined as EA <30 kCal * kg−1 * FFM−1 * day−1. Dual-energy X-ray absorptiometry (DXA) was used to assess fat free mass (FFM) and BMD Z-scores. LEA risk was assessed using the LEAF-Q and BEDA-Q. ResultsThe mean EA was 23.2 ± 12.2 kCal * kg−1 * FFM−1 * day−1. Prevalence of LEA was 64 %. The mean BMD Z-score was 1.6 ± 0.6 (range: 0.7 to 2.9). Athletes with LEA had a significantly higher BEDA-Q score than the group with normal EA (mean 0.30 ± 0.17 vs. 0.09 ± 0.11, P < 0.05), but LEAF-Q score was not different between groups (mean 10.4 ± 4.6, 8.2 ± 4.5, P = 0.29). ConclusionLow energy availability is common amongst elite female rowers in New Zealand and is positively correlated with higher scores on the BEDA-Q. Bone mineral density was normal irrespective of EA status.

Risk Of Low Energy Availability, Disordered Eating, And Menstrual Dysfunction In Female Collegiate Runners

Risk Of Low Energy Availability, Disordered Eating, And Menstrual Dysfunction In Female Collegiate Runners

Risk Of Low Energy Availability, Disordered Eating, And Menstrual Dysfunction In Female Recreational Runners

Risk Of Low Energy Availability, Disordered Eating, And Menstrual Dysfunction In Female Recreational Runners

Disordered Eating, Exercise Dependence, Fueling Strategies, And Risk For Low Energy Availability In Trail Runners

Disordered Eating, Exercise Dependence, Fueling Strategies, And Risk For Low Energy Availability In Trail Runners

Evaluating the Suitability of the Low Energy Availability in Females Questionnaire (LEAF-Q) for Female Football Players

BackgroundThe Low Energy Availability in Females Questionnaire (LEAF-Q) is a screening tool developed to detect endurance athletes and dancers at risk for development of persistent low energy availability (LEA) and the female athlete triad (Triad). This study investigated the applicability of the LEAF-Q in a cohort of sixty professional female football players.MethodsThe participants were classified as at risk (≥ 8) or not at risk (< 8) for persistent LEA and the Triad according to their LEAF-Q score, before being compared. Receiver operating curves were then conducted to examine the ability of the overall LEAF-Q and subcategories to correctly determine the presence of clinically defined markers of the Triad. Additionally, Youden’s index was calculated to determine the best fitting cut-off values.ResultsThirty-two percent of participants were classified as at risk by the LEAF-Q. We found no statistically significant differences between the two groups for any markers associated with persistent LEA. Except for acceptable accuracy in determining menstrual status, all other LEAF-Q components exhibited poor accuracy and predictive values. Youden’s index scores imply that increasing the overall and injury cut-off values to ≥ 10 and ≥ 5 respectively, would yield increased performance.ConclusionsOur findings do not support the use of the LEAF-Q for the purpose of detecting LEA and Triad conditions among female football players.

Description of the menstrual cycle status, energy availability, eating behavior and physical performance in a youth female soccer team

The aim of the study was to describe the menstrual status and perception, risk of low energy availability (LEA) and the presence of orthorexia nervosa (ON) in youth female from a soccer team. Also, verify the possible effect of LEA and ON on physical performance. Data from 19 female players (14.6 ± 1.42 yr) belonging to a soccer team from Cyprus was taken during pre-season. The menstrual cycle status was evaluated by specific questions, LEA by the Low Energy Availability in Females Questionnaire (LEAF-Q), ON by the ORTO-R questionnaire and physical performance by jump, handgrip and cardiorespiratory exercise tests. Players were separated into the risk of LEA and ON. Comparison and correlation tests were performed with a significance set at p < 0.05. As the main results, 66.7% of players perceived that the menstrual period affects their performance in the game, 83.3% did not communicate with coaches about their menstrual cycle; the prevalence of risk of LEA was 26.3%; players with risk of LEA also presented higher scores ON; neither LEA nor ON presented a significant association with players performance. The findings highlighted that youth players perceived an impact of the menstrual period on performance, but did not communicate with the coach about it. Players with the risk of LEA and high values of ON seem not to be associated with a decrease in physical performance during the pre-season evaluation. Attention is required as the players were assessed once. Monitoring these parameters throughout the sports season is recommended to obtain better clarification about the topic.

Body Composition, Energy Availability, Risk of Eating Disorder, and Sport Nutrition Knowledge in Young Athletes

94 male (n = 42) and female (n = 52) mean ± SD age: 18.09 ± 2.44 y; height: 172.6 ± 9.8 cm; body mass: 68.7 ± 14.5 kg; BMI: 22.91 ± 3.3 kg·m-2) athletes completed a body composition assessment and electronic versions of the abridged sports nutrition knowledge questionnaire (ASNK-Q), brief eating disorder in athletes questionnaire (BEDA-Q), and the low energy availability for females questionnaire (LEAF-Q; females only). 52.1% of female athletes were classified as being at risk for LEA. Moderate inverse relationships existed for computed LEAF-Q scores and BMI (r = -0.394; p < 0.01). A total of 42.9% of males (n = 18) and 68.6% of females (n = 35) were at risk for eating disorders, with females being at greater risk (p < 0.01). Body fat percentage was a predictor (β = -0.095; p = -0.01) for eating disorder risk status. For every 1 unit increase in body fat percentage, athletes were 0.909 (95% CI: 0.845-0.977) times less likely to be classified as at risk for an eating disorder. Male (46.5 ± 13.9) and female (46.9 ± 11.4) athletes scored poorly on the ASNK-Q, with no differences between sex (p = 0.895). Female athletes were at a greater risk for eating disorders. No relationships existed between sport nutrition knowledge and %BF. Female athletes with a higher %BF had a lower risk for an eating disorder and risk for LEA.

Menstrual Function, Eating Disorders, Low Energy Availability, and Musculoskeletal Injuries in British Servicewomen.

This study aimed to investigate associations between menstrual function, eating disorders, and risk of low energy availability with musculoskeletal injuries in British servicewomen. All women younger than 45 yr in the UK Armed Forces were invited to complete a survey about menstrual function, eating behaviors, exercise behaviors, and injury history. A total of 3022 women participated; 2% had a bone stress injury in the last 12 months, 20% had ever had a bone stress injury, 40% had a time-loss musculoskeletal injury in the last 12 months, and 11% were medically downgraded for a musculoskeletal injury. Menstrual disturbances (oligomenorrhea/amenorrhea, history of amenorrhea, and delayed menarche) were not associated with injury. Women at high risk of disordered eating (Female Athlete Screening Tool score >94) were at higher risk of history of a bone stress injury (odds ratio (OR; 95% confidence interval (CI)), 2.29 (1.67-3.14); P < 0.001) and time-loss injury in the last 12 months (OR (95% CI), 1.56 (1.21-2.03); P < 0.001) than women at low risk of disordered eating. Women at high risk of low energy availability (Low Energy Availability in Females Questionnaire score ≥8) were at higher risk of bone stress injury in the last 12 months (OR (95% CI), 3.62 (2.07-6.49); P < 0.001), history of a bone stress injury (OR (95% CI), 2.08 (1.66-2.59); P < 0.001), a time-loss injury in the last 12 months (OR (95% CI), 9.69 (7.90-11.9); P < 0.001), and being medically downgraded with an injury (OR (95% CI), 3.78 (2.84-5.04); P < 0.001) than women at low risk of low energy availability. Eating disorders and risk of low energy availability provide targets for protecting against musculoskeletal injuries in servicewomen.

Seasonal health tracking of Australian Football League Women’s athletes

ABSTRACT Background Studies evaluating the dietary intake of Australian Football League Women’s (AFLW) athletes are few and limited to the preseason. This prospective observational study aims to evaluate seasonal changes in dietary intake and health parameters of professional AFLW athletes. Methodology Dietary intake (3-day weighed food records), body composition (bioelectrical impedance analysis, skinfolds), physical performance (global positioning system, GPS), and iron status (fasted blood sample) were assessed in 19 athletes (24 ± 5 years, 170 ± 6 cm, 22.8 ± 2.1 kg/m2) at three timepoints: start of preseason, end of preseason, and end of competition season. Sociodemographic information, sports nutrition knowledge (SNK), and risk of low energy availability (LEA) questionnaires were completed at the start of preseason. Results Mean daily energy and carbohydrate (CHO) intakes were lower than recommendations across all seasons (p < 0.05). Mean daily CHO intake was highest at start of preseason (3.6 g/kg/day), decreased during preseason (3.1 g/day) and remained low during competition (3.2 g/day); >80% of players did not meet minimum recommendations at each timepoint (all, p < 0.05). The sum of seven skinfolds and fat mass (%) decreased during preseason (both, p < 0.05). Serum iron fell within recommended ranges for 95% of athletes at all timepoints. The total distance (m) and number of Very High Intensity (>21 km/h) efforts significantly increased across preseason and decreased during competition (all, p < 0.05). Nutrition knowledge was ‘poor’, and 42% of athletes were at risk of LEA. Conclusions AFLW athletes do not meet energy and carbohydrate requirements across the preseason and competition seasons, which may impact health and performance if deficits are sustained.