Nordic skiers seem unable to increase energy intake sufficiently during the preparation period, leading up to the competitive season, as demonstrated by a large discrepancy between changes in energy intake, especially CHO, and exercise volume. The correlations between energy intake and BMD, RMR, VAT, and HR underscore the clinical consequences of insufficient energy intake, which may arise if individuals focus on low body mass and body fat percentage without sufficient knowledge. VAT, tOC, and the P1NP/CTX-ratio are promising indicators for monitoring dietary interventions in individuals with REDs and should be considered in future research on REDs treatment strategies.
Lundberg et al. (Sun,) studied this question.