Clinical trial NCT06116097: Effect of Nutrition Education on Energy Availability, Body Composition, Eating Attitude and Sports Nutrition Knowledge
Official title: The Effect of Nutrition Education Sessions on Energy Availability, Body Composition, Eating Attitude and Sports Nutrition Knowledge in Young Female Endurance Athletes
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Relative Energy Deficiency in Sport
Lead sponsor: Medipol University
Sponsor class: OTHER
First posted: 2023-11-03
Enrollment: 100
Sex: FEMALE
Minimum age (years): 14
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Intervention model description: A total of 83 adolescent female elite athletes from 3 different sport clubs (football n=34, basketball n=16 and volleyball n=33) between 15 and 18 years(mean 17.2 ± 2.0) were included in the study.They were divided into either the intervention or the control groupby simple randomization. Fortyfem participants took 6 physical nutrition education lectures and the other group (n=38) didn't have any nutrition education. All of them filled the LEAF-Q (Low energy availability in athletes questionnaire),EAT-26(Eating Attitude Test)and SNKQ (Sports Nutrition Knowledge Questionnaire).Energy and nutrient intakes were assessed based on 3-day food records. Activity logs were analysed to measure exercise energy expenditure. All of the tests have been repeated after 6 months. Nutrition education was comprised of 6 physical 60 minutes sessions given every week in a school class. Each session was consisted of a different subject. Participants got written information as a printed booklet.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This study investigates the effects of a series of nutrition education sessions conducted by a registered dietitian on energy availability, various anthropometric measurements, eating attitudes, and sports nutrition knowledge in young female endurance athletes aged 15-18 years (football, basketball, volleyball) who engage in training for more than 10 hours per week (n=83).

Detailed description: Participants were randomly divided into two groups with 45 individuals receiving six physical nutrition education lectures, and the remaining 38 participants receiving no nutrition education. Participants completed the The low energy availability in females questionnaire (LEAF-Q), Eating Attitude Test (EAT-26) and Sports Nutrition Knowledge Questionnaire (SNKQ). Energy and nutrient intakes were evaluated thorough 3-day food records, while exercise energy expenditure was assessed using 3-day activity logs. All of the questionnaires were repeated after a 6-months period.

At baseline, the prevalence of LEA among athletes was determined to be 63.8%. In the intervention group, energy availability (EA) and SNKQ scores increased, and LEAF-Q scores decreased significantly (p \< 0.05). However, there was no significant change in EAT-26 scores between the two groups. Energy intake, weight, fat free mass and resting metabolic rate has been increased significantly in the intervention group (p \< 0,05). These findings suggest that nutrition education proves beneficial in enhancing dietary intake, positively influencing body composition and improving nutrition knowledge, ultimately contributing to increased energy availability in female athletes over the short term.

Eligibility criteria: Inclusion Criteria:

Non-contraceptive using Competitive female endurance athletes 14-18 years of age training minimum 6 hours a week not taking a break from sports for more than 3 months due to injury

Exclusion Criteria:

Pregnancy or planned pregnancy chronic diseases (e.g. diabetes, crohn's disease, thyroid dysfunction) Use of any medication that may disturb hormonal balance

Primary outcomes:
measure: Energy Availability
timeFrame: 6 months
measure: Low Energy Availability Questionnaire (LEAF-Q)
timeFrame: 6 months
Secondary outcomes:
measure: Sports nutrition knowledge questionnaire (SNKQ)
timeFrame: 6 months
measure: Eating Atittude Test (EAT-26)
timeFrame: 6 months
measure: Dietary intake
timeFrame: 6 months
measure: Exercise Energy Expenditure
timeFrame: 6 months
measure: Fat-free mass
timeFrame: 6 months
measure: Body Mass Index (BMI)
timeFrame: 6 months
measure: Basal metabolic rate (BMR)
timeFrame: 6 months
measure: Fat mass
timeFrame: 6 months
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Baltalimanı Research and Training Hospital
state: Sarıyer
Study officials:
affiliation: Medipol University
name: Cansu T Akman, MS
role: PRINCIPAL_INVESTIGATOR
References: