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Female Athlete 7 min read

Low Energy Availability in Female Athletes: The Warning Signs Parents Should Know

Low energy availability rarely announces itself. It shows up as tiredness, niggles and a season that never quite gets going.

Key takeaways

  • Low energy availability is the underlying driver of RED-S.
  • Early signs are subtle: fatigue, mood changes, recurring niggles, plateaued performance.
  • Menstrual disruption is the clearest hard signal.
  • Early intervention is straightforward; late intervention is not.

What low energy availability means

Energy availability is the energy left for the body's basic functions after exercise has taken its share. When that residue is too small - because intake is low, training is high, or both, the body starts prioritising.

In a growing adolescent, growth itself is one of the competing demands, which is why the same shortfall matters more at 14 than at 24.

Early, easy-to-miss signs

  • Tiredness that does not improve with a lighter week.
  • Low mood, irritability or anxiety around training.
  • Recurring small injuries and niggles that move around.
  • Feeling cold much of the time.
  • Poor sleep despite being exhausted.
  • Reduced enthusiasm for sport she previously loved.

Harder signals

  • Periods becoming irregular, lighter, or stopping.
  • Delayed onset of periods in a heavily training athlete.
  • A bone stress injury, particularly a second one.
  • Measurable performance decline over a season.
  • Frequent illness or infections that linger.

Why it happens in ordinary families

This is not primarily a story about eating disorders, though they do occur and need specialist help. Far more often it is a busy schedule: training four or five times a week, long gaps between meals, a growth spurt raising requirements, and nobody adjusting the food.

Sport culture can contribute too - comments about physique, weight-focused coaching, and comparison in fitted kit all raise the risk of restriction in adolescent girls.

What to do first

  • Add food rather than removing training: an extra snack before and after every session.
  • Make carbohydrate at every meal the default for a training athlete.
  • Review the weekly training load and remove any low-value duplicated volume.
  • Protect sleep, 8–10 hours.
  • Re-check in four to six weeks: energy, mood, performance and cycle.

When to involve a professional

See a GP if periods are absent or have stopped for three months, if there has been a bone stress injury, if weight is falling, or if there is any sign of disordered eating. Ask specifically about bone health and iron status.

Addressed early, low energy availability usually resolves with straightforward changes to eating and scheduling. Left for a year, it can cost bone density that is difficult to recover.

Free guide

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Download the free 8-page guide - what it is, what to change this week, and how to build back to full sport. Pain around or behind the kneecap in active teenagers - a load and control problem, not a growth-plate injury.

References

  1. Desbrow, B., McCormack, J., Burke, L.M., et al. (2014) 'Sports Dietitians Australia position statement: sports nutrition for the adolescent athlete', International Journal of Sport Nutrition and Exercise Metabolism, 24(5), pp. 570-584.
  2. Mountjoy, M., Ackerman, K.E., Bailey, D.M., et al. (2023) '2023 International Olympic Committee's consensus statement on Relative Energy Deficiency in Sport (REDs)', British Journal of Sports Medicine, 57(17), pp. 1073-1097.

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