Energy Availability Measurement is the precise quantification of the caloric intake remaining for physiological functions after accounting for the energy expended during physical exercise. This critical metric, typically expressed as kilocalories per kilogram of fat-free mass per day, determines whether sufficient energy remains to support essential biological processes, including endocrine regulation, immune function, and reproductive health. Chronic low energy availability represents a significant clinical stressor.
Origin
This term arose from sports medicine and endocrinology, specifically in the context of Relative Energy Deficiency in Sport (RED-S), recognizing that the balance between intake and expenditure, not just total intake, dictates hormonal status. The focus on fat-free mass normalizes the metric to the metabolically active tissue that requires consistent energy for maintenance. It provides a tangible, actionable number for nutritional and training protocols.
Mechanism
When energy availability drops below a critical threshold, the hypothalamus perceives a state of energy deficit, initiating a cascade of hormonal suppressions to conserve resources. This central mechanism leads to reduced pulsatile GnRH release, impacting the HPG axis, and subsequently lowering circulating levels of sex steroids and thyroid hormones. This systemic down-regulation of metabolism and reproductive function is a protective, yet ultimately detrimental, physiological adaptation to perceived starvation.
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