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The cyclical changes in sex hormones across the menstrual cycle (MC) are associated with various biological changes that may alter resting metabolic rate (RMR) and body composition estimates. Hormonal contraceptive (HC) use must also be considered given their impact on endogenous sex hormone concentrations and synchronous exogenous profiles. The purpose of this study was to determine if RMR and dual-energy X-ray absorptiometry body composition estimates change across the MC and differ compared with HC users. This was accomplished during a 5-week training camp involving naturally cycling athletes (n = 11) and HC users (n = 7 subdermal progestin implant, n = 4 combined monophasic oral contraceptive pill, n = 1 injection) from the National Rugby League Indigenous Women's Academy. MC phase was retrospectively confirmed via serum estradiol and progesterone concentrations and a positive ovulation test. HC users had serum estradiol and progesterone concentrations assessed at the time point of testing. Results were analyzed using general linear mixed model. There was no effect of MC phase on absolute RMR (p =.877), relative RMR (p =.957), or dual-energy X-ray absorptiometry body composition estimates (p >.05). There was no effect of HC use on absolute RMR (p =.069), relative RMR (p =.679), or fat mass estimates (p =.766), but HC users had a greater fat-free mass and lean body mass than naturally cycling athletes (p =.028). Our findings suggest that RMR and dual-energy X-ray absorptiometry body composition estimates do not significantly differ due to changes in sex hormones in a group of athletes, and measurements can be compared between MC phases or with HC usage without variations in sex hormones causing additional noise. [ABSTRACT FROM AUTHOR]

Endurance exercise can disturb intestinal epithelial integrity, leading to increased systemic indicators of cell injury, hyperpermeability, and pathogenic translocation. However, the interaction between exercise, diet, and gastrointestinal disturbance still warrants exploration. This study examined whether a 6-day dietary intervention influenced perturbations to intestinal epithelial disruption in response to a 25-km race walk. Twenty-eight male race walkers adhered to a high carbohydrate (CHO)/energy diet (65% CHO, energy availability = 40 kcal·kg FFM−1·day−1) for 6 days prior to a Baseline 25-km race walk. Athletes were then split into three subgroups: high CHO/energy diet (n = 10); low-CHO, high-fat diet (LCHF: n = 8; <50 g/day CHO, energy availability = 40 kcal·kg FFM−1·day−1); and low energy availability (n = 10; 65% CHO, energy availability = 15 kcal·kg FFM−1·day−1) for a further 6-day dietary intervention period prior to a second 25-km race walk (Adaptation). During both trials, venous blood was collected pre-, post-, and 1 hr postexercise and analyzed for markers of intestinal epithelial disruption. Intestinal fatty acid-binding protein concentration was significantly higher (twofold increase) in response to exercise during Adaptation compared to Baseline in the LCHF group (p =.001). Similar findings were observed for soluble CD14 (p <.001) and lipopolysaccharide-binding protein (p =.003), where postexercise concentrations were higher (53% and 36%, respectively) during Adaptation than Baseline in LCHF. No differences in high CHO/energy diet or low energy availability were apparent for any blood markers assessed (p >.05). A short-term LCHF diet increased intestinal epithelial cell injury in response to a 25-km race walk. No effect of low energy availability on gastrointestinal injury or symptoms was observed. [ABSTRACT FROM AUTHOR]

Purpose: To examine the effects of a high-carbohydrate diet (HCHO), periodized-carbohydrate (CHO) diet (PCHO), and ketogenic low-CHO high-fat diet (LCHF) on training capacity. Methods: Elite male racewalkers completed 3 weeks of periodic training while adhering to their dietary intervention. Twenty-nine data sets were collected from 21 athletes. Each week, 6 mandatory training sessions were completed, with additional sessions performed at the athlete's discretion. Mandatory sessions included an interval session (10 × 1-km efforts on a 6-min cycle), tempo session (14 km with a 450-m elevation gain), 2 long walks (25–40 km), and 2 easy walks (8–12 km) where "sleep-low" and "train-low" dietary strategies were employed for PCHO. Racewalking speed, heart rate, rating of perceived exhaustion, and blood metabolites were collected around key sessions. Results: LCHF covered less total distance than HCHO and PCHO (P <.001); however, no differences in training load between groups were evident (P =.285). During the interval sessions, walking speed was slower in LCHF (P =.001), equating to a 2.8% and 5.6% faster speed in HCHO and PCHO, respectively. LCHF was also 3.2% slower in completing the tempo session than HCHO and PCHO (P =.001). Heart rate was higher (P =.002) and lactate concentrations were lower (P <.001) in LCHF compared to other groups, despite slower walking speeds during the interval session. No between-groups differences in rating of perceived exhaustion were evident (P =.077). Conclusion: Athletes adhering to an LCHF diet showed impaired training capacity relative to their high-CHO-supported counterparts, completing lower training volumes at slower speeds, with higher heart rates. [ABSTRACT FROM AUTHOR]

We examined performance across one menstrual cycle (MC) and 3 weeks of hormonal contraceptives (HC) use to identify whether known fluctuations in estrogen and progesterone/progestin are associated with functional performance changes. National Rugby League Indigenous Women's Academy athletes [n = 11 naturally menstruating (NM), n = 13 using HC] completed performance tests [countermovement jump (CMJ), squat jump (SJ), isometric mid‐thigh pull, 20 m sprint, power pass and Stroop test] during three phases of a MC or three weeks of HC usage, confirmed through ovulation tests alongside serum estrogen and progesterone concentrations. MC phase or HC use did not influence jump height, peak force, sprint time, distance thrown or Stroop effect. However, there were small variations in kinetic and kinematic CMJ/SJ outputs. NM athletes produced greater mean concentric power in MC phase four than one [+0.41 W·kg−1 (+16.8%), p = 0.021] during the CMJ, alongside greater impulse at 50 ms at phase one than four [+1.7 N·s (+4.7%), p = 0.031] during the SJ, without differences between tests for HC users. Among NM athletes, estradiol negatively correlated with mean velocity and power (r = −0.44 to −0.50, p < 0.047), progesterone positively correlated with contraction time (r = 0.45, p = 0.045), and both negatively correlated with the rate of force development and impulse (r = −0.45 to −0.64, p < 0.043) during the SJ. During the CMJ, estradiol positively correlated to 200 ms impulse (r = 0.45, p = 0.049) and progesterone to mean power (r = 0.51, p = 0.021). Evidence of changes in testing performance across a MC, or during active HC use, is insufficient to justify "phase‐based testing"; however, kinetic or kinematic outputs may be altered in NM athletes. Highlights: Evidence of changes in testing performance across a menstrual cycle, or during active hormonal contraceptives use, is insufficient to justify "phase‐based testing" at a group or team‐based level among female rugby league athletes.Kinetic or kinematic outputs in jumping movements may be altered in naturally menstruating athletes; however it could not be determined if the observed alterations exceeded between‐day variability. [ABSTRACT FROM AUTHOR]

Previous research investigating single bouts of exercise have identified baseline iron status and circulating concentrations of interleukin-6 (IL-6) as contributors to the magnitude of postexercise hepcidin increase. The current study examined the effects of repeated training bouts in close succession on IL-6 and hepcidin responses. In a randomized, crossover design, 16 elite male rowers completed two trials, a week apart, with either high (1,000 mg) or low (<50 mg) calcium pre-exercise meals. Each trial involved two, submaximal 90-min rowing ergometer sessions, 2.5 hr apart, with venous blood sampled at baseline; pre-exercise; and 0, 1, 2, and 3 hr after each session. Peak elevations in IL-6 (approximately 7.5-fold, p <.0001) and hepcidin (approximately threefold, p <.0001) concentrations relative to baseline were seen at 2 and 3 hr after the first session, respectively. Following the second session, concentrations of both IL-6 and hepcidin remained elevated above baseline, exhibiting a plateau rather than an additive increase (2 hr post first session vs. 2 hr post second session, p = 1.00). Pre-exercise calcium resulted in a slightly greater elevation in hepcidin across all time points compared with control (p =.0005); however, no effect on IL-6 was evident (p =.27). Performing multiple submaximal training sessions in close succession with adequate nutritional support does not result in an amplified increase in IL-6 or hepcidin concentrations following the second session in male elite rowers. Although effects of calcium intake require further investigation, athletes should continue to prioritize iron consumption around morning exercise prior to exercise-induced hepcidin elevations to maximize absorption. [ABSTRACT FROM AUTHOR]

This study determined the impact of heat stress on postexercise inflammation and hepcidin levels. Twelve moderately trained males completed three, 60-min treadmill running sessions under different conditions: (a) COOL, 18 °C with speed maintained at 80% maximum heart rate; (b) HOTHR, 35 °C with speed maintained at 80% maximum heart rate; and (c) HOTPACE, 35 °C completed at the average running speed from the COOL trial. Venous blood samples were collected pre-, post-, and 3-hr postexercise and analyzed for serum ferritin, interleukin-6 (IL-6), and hepcidin concentrations. Average HR was highest during HOTPACE compared with HOTHR and COOL (p < .001). Running speed was slowest in HOTHR compared with COOL and HOTPACE (p < .001). The postexercise increase in IL-6 was greatest during HOTPACE (295%; p = .003). No differences in the IL-6 response immediately postexercise between COOL (115%) and HOTHR (116%) were evident (p = .992). No differences in hepcidin concentrations between the three trials were evident at 3 hr postexercise (p = .407). Findings from this study suggest the IL-6 response to exercise is greatest in hot compared with cool conditions when the absolute running speed was matched. No differences in IL-6 between hot and cool conditions were evident when HR was matched, suggesting the increased physiological strain induced from training at higher intensities in hot environments, rather than the heat per se, is likely responsible for this elevated response. Environmental temperature had no impact on hepcidin levels, indicating that exercising in hot conditions is unlikely to further impact transient alterations in iron regulation, beyond that expected in temperate conditions. [ABSTRACT FROM AUTHOR]

This study implemented a 2-week high carbohydrate (CHO) diet intended to maximize CHO oxidation rates and examined the iron-regulatory response to a 26-km race walking effort. Twenty international-level, male race walkers were assigned to either a novel high CHO diet (MAX = 10 g/kg body mass CHO daily) inclusive of gut-training strategies, or a moderate CHO control diet (CON = 6 g/kg body mass CHO daily) for a 2-week training period. The athletes completed a 26-km race walking test protocol before and after the dietary intervention. Venous blood samples were collected pre-, post-, and 3 hr postexercise and measured for serum ferritin, interleukin-6, and hepcidin-25 concentrations. Similar decreases in serum ferritin (17–23%) occurred postintervention in MAX and CON. At the baseline, CON had a greater postexercise increase in interleukin-6 levels after 26 km of walking (20.1-fold, 95% CI [9.2, 35.7]) compared with MAX (10.2-fold, 95% CI [3.7, 18.7]). A similar finding was evident for hepcidin levels 3 hr postexercise (CON = 10.8-fold, 95% CI [4.8, 21.2]; MAX = 8.8-fold, 95% CI [3.9, 16.4]). Postintervention, there were no substantial differences in the interleukin-6 response (CON = 13.6-fold, 95% CI [9.2, 20.5]; MAX = 11.2-fold, 95% CI [6.5, 21.3]) or hepcidin levels (CON = 7.1-fold, 95% CI [2.1, 15.4]; MAX = 6.3-fold, 95% CI [1.8, 14.6]) between the dietary groups. Higher resting serum ferritin (p =.004) and hotter trial ambient temperatures (p =.014) were associated with greater hepcidin levels 3 hr postexercise. Very high CHO diets employed by endurance athletes to increase CHO oxidation have little impact on iron regulation in elite athletes. It appears that variations in serum ferritin concentration and ambient temperature, rather than dietary CHO, are associated with increased hepcidin concentrations 3 hr postexercise. [ABSTRACT FROM AUTHOR]

The urinary excretion of hydroxyproline (Hyp), abundant in collagen protein, may serve as a biomarker of habitual collagen intake, assisting with investigations of current interest in the role of dietary collagen intake in supporting the synthesis of collagenous body tissues. This study investigated the time course of urinary Hyp excretion in "free-living," healthy, active males following the ingestion of a standardized bolus (20 g) of collagenous (gelatin and a hydrolyzed collagen powder) and dairy (calcium caseinate and hydrolyzed casein) proteins. The excretion of Hyp was assessed over a 24-hr period, separated into three collection periods: 0-6, 6-12, and 12-24 hr. Hyp was elevated for 0-6 hr after the consumption of collagen-containing supplements (gelatin 31.3 ± 8.8 mmol/mol and hydrolyzed collagen 33.7 ± 22.0 mmol/mol vs. baseline: gelatin 2.4 ± 1.7 mmol/mol and hydrolyzed collagen 2.8 ± 1.5 mmol/mol; p < .05), but not for the dairy protein supplements (calcium caseinate 3.4 ± 1.7 mmol/mol and hydrolyzed casein 4.0 ± 3.7 mmol/mol; p > .05). Therefore, urinary Hyp reflects an acute intake of collagenous protein, but is not suitable as a biomarker for quantifying habitual collagen intake, provided through regular dietary practices in "free-living," healthy, active males. [ABSTRACT FROM AUTHOR]

Key points: Brief (5–6 days) adaptation to a low carbohydrate high fat diet in elite athletes increased exercise fat oxidation to rates previously observed with medium (3–4 weeks) or chronic (>12 months) adherence to this diet, with metabolic changes being washed out in a similar time frame.Increased fat utilisation during exercise was associated with a 5–8% increase in oxygen cost at speeds related to Olympic Programme races.Acute restoration of endogenous carbohydrate (CHO) availability (24 h high CHO diet, pre‐race CHO) only partially restored substrate utilisation during a race warm‐up. Fat oxidation continued to be elevated above baseline values although it was lower than achieved by 5–6 days' keto adaptation; CHO oxidation only reached 61% and 78% of values previously seen at exercise intensities related to race events.Acute restoration of CHO availability failed to overturn the impairment of high‐intensity endurance performance previously associated with low carbohydrate high fat adaptation, potentially due to the blunted capacity for CHO oxidation. We investigated substrate utilisation during exercise after brief (5–6 days) adaptation to a ketogenic low‐carbohydrate (CHO), high‐fat (LCHF) diet and similar washout period. Thirteen world‐class male race walkers completed economy testing, 25 km training and a 10,000 m race (Baseline), with high CHO availability (HCHO), repeating this (Adaptation) after 5–6 days' LCHF (n = 7; CHO: <50 g day−1, protein: 2.2 g kg−1 day−1; 80% fat) or HCHO (n = 6; CHO: 9.7 g kg−1 day−1; protein: 2.2 g kg−1 day−1) diet. An Adaptation race was undertaken after 24 h HCHO and pre‐race CHO (2 g kg−1) diet, identical to the Baseline race. Substantial (>200%) increases in exercise fat oxidation occurred in the LCHF Adaptation economy and 25 km tests, reaching mean rates of ∼1.43 g min−1. However, relative V̇O2 (ml min−1 kg−1) was higher (P < 0.0001), by ∼8% and 5% at speeds related to 50 km and 20 km events. During Adaptation race warm‐up in the LCHF group, rates of fat and CHO oxidation at these speeds were decreased and increased, respectively (P < 0.001), compared with the previous day, but were not restored to Baseline values. Performance changes differed between groups (P = 0.009), with all HCHO athletes improving in the Adaptation race (5.7 (5.6)%), while 6/7 LCHF athletes were slower (2.2 (3.4)%). Substrate utilisation returned to Baseline values after 5–6 days of HCHO diet. In summary, robust changes in exercise substrate use occurred in 5–6 days of extreme changes in CHO intake. However, adaptation to a LCHF diet plus acute restoration of endogenous CHO availability failed to restore high‐intensity endurance performance, with CHO oxidation rates remaining blunted. Key points: Brief (5–6 days) adaptation to a low carbohydrate high fat diet in elite athletes increased exercise fat oxidation to rates previously observed with medium (3–4 weeks) or chronic (>12 months) adherence to this diet, with metabolic changes being washed out in a similar time frame.Increased fat utilisation during exercise was associated with a 5–8% increase in oxygen cost at speeds related to Olympic Programme races.Acute restoration of endogenous carbohydrate (CHO) availability (24 h high CHO diet, pre‐race CHO) only partially restored substrate utilisation during a race warm‐up. Fat oxidation continued to be elevated above baseline values although it was lower than achieved by 5–6 days' keto adaptation; CHO oxidation only reached 61% and 78% of values previously seen at exercise intensities related to race events.Acute restoration of CHO availability failed to overturn the impairment of high‐intensity endurance performance previously associated with low carbohydrate high fat adaptation, potentially due to the blunted capacity for CHO oxidation. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Hydrotherapy strategies such as cold, hot and contrast water immersion are used by athletes on completion of, and in preparation for, training and competition. The current study investigated the acute (<36 h) effects of post-exercise hydrotherapy on lower-body performance following a whole-body resistance exercise session. METHODS: Junior, international, male, volleyball athletes (n=15, 19.8 ± 3.7 y, 192.5 ± 11.8 cm, 80.2 ± 8.4 kg) were assessed for squat jump (SJ), counter-movement jump (CMJ) and isometric mid-thigh pull (IMTP) performance before and after a single whole-body resistance exercise and post-exercise hydrotherapy session. Athletes completed one of four 15min recovery strategies (control [CON]: passive seated rest at 23.7 ± 0.4°C; cold water immersion [CWI]: 14.8 ± 0.2°C; contrast water therapy [CWT]: 7 x 2 min, alternating hot 39.1 ± 0.5°C and cold 14.8 ± 0.2°C; and hot water immersion [HWI]: 39.1 ± 0.5°C), in a randomised crossover design, with >96 h between trials. SJ, CMJ and IMTP performance was assessed pre (-8 h) and at 0, 2, 4, 12 and 36 h post-resistance exercise. Mean percent change (%Δ) was calculated using a post-exercise (0 h) baseline. Jump height and vertical velocity was determined for SJ (SJ-HT%Δ and SJ-VEL%Δ) and CMJ (CMJ-HT%Δ and CMJ-VEL%Δ). Absolute (IMTP-PF%Δ) and relative (IMTP-relPF%Δ) peak force was determined for IMTP. Eccentric Utilization Ratio (EUR) and Dynamic Strength Index (DSI_SJ:IMTP and DSI_CMJ:IMTP) was calculated. Repeated-measures ANOVA was used to analyse main and interaction effects with significance accepted at p<0.10. The magnitude of change is interpreted using partial eta squared (ƞ²) and Cohen d effect size statistics. RESULTS: No significant main interactions were observed for SJ and CMJ variables (SJ-HT%Δ: p=0.679, ƞ²=0.039; SJ-VEL%Δ: p=0.642, ƞ²=0.041; CMJ-HT%Δ: p=0.545, ƞ²=0.043; CMJ-VEL%Δ: p=0.527, ƞ²=0.045). A significant main interaction was observed for IMTP-relPF%Δ (p=0.095, ƞ²=0.086) with relative IMTP peak force significantly (p=0.09, d=0.41) lower 12 h post-exercise in CWI (367.0 ± 52.6 N.kg-1) vs HWI (388.4 ± 60.1 N.kg-1), however there was no significant main interaction in IMTP-PF%Δ (p=0.43, ƞ²=0.051). No significant main interactions were observed for EUR (p=0.777, ƞ²=0.03), DSI-SJ:IMTP (p=0.242, ƞ²=0.083) or DSI-CMJ:IMTP (p=0.224, ƞ²=0.065). DISCUSSION: Previous research is inconsistent on the application of CWI as a post-exercise recovery strategy, with negative and positive effects on subsequent muscular performance. This research suggests that hydrotherapy strategies such as CWI and CWT do not appear to substantially influence post-exercise changes in SJ, CMJ and IMTP for <36 h following a single bout of resistance exercise. However, HWI optimises maximum isometric strength when compared with CWI at 12 h post-resistance exercise. PRACTICAL APPLICATION: Choice of hydrotherapy strategy may influence muscular contractions for up to 36 h post-exercise with small to medium interaction effects observed in dynamic strength indices. On days where multiple, same day resistance exercise bouts are performed, this data suggests that hydrotherapy would not be beneficial in between sessions. However, when resistance exercise is performed on subsequent days (~12 h apart), practitioners should prescribe post-exercise HWI to maximise isometric strength performance, while being cognisant of the effects that diurnal variation may have on muscular performance. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Following resistance training the acute effects of cold water immersion (CWI), contrast water therapy (CWT) and hot water immersion (HWI) on performance and perceived muscle soreness are not well characterised. This study assessed the effects of an acute bout of hydrotherapy compared with passive seated rest for 15 min (CON) on recovery (<48h) after a single, whole-body resistance training session. METHODS: Male sub-elite volleyball players (n=19, 24.1±5.5y, 181.9±8.9m, 78.4±11.2kg) were assessed for perceived muscle soreness (DOMS) and countermovement jumps (CMJ) performance prior to and immediately following a resistance training session. Athletes completed one of four 15min hydrotherapy strategies (CWI: 15°C; CWT: 7x2min, alternating hot 38°C and cold; HWI: 38°C), in a randomised order with at least 96h between trials with DOMS and CMJ reassessed immediately (0), 2, 24 and 48h post-resistance training. Flight time to contraction time (FT:CT) and a modified Reactive Strength Index (RSImod) were calculated from each CMJ. Data are presented as mean percent (%) change x/÷ 90% confidence intervals (CI) factor with the magnitude interpreted using effect size (ES, partial eta squared) and a linear mixed model was used to analyse the main and interaction effects. RESULTS: Immediately post-intervention RSImod and FT:CT increased compared to baseline (<8.1% x/÷ 0.02, p=0.02, ES=0.35-0.46) in CON and small effects were observed for CWI and CWT (<7.7% x/÷ 0.06, ES=0.37-0.53). Performance decreased 2h post exercise in CWT and HWI conditions (-5% x/÷ 0.05, ES=0.20). During CON RSImod and FT:CT (8x/÷ 0.02, ES=0.31-0.36) were increased at 48h while other conditions returned to baseline. Large correlations were observed between FT:CT and RSImod across all time points (r=0.77-0.94); however, greater main effects were observed in FT:CT. No significant intervention x group interaction for FT:CT and RSImod was observed. DOMS increased in all conditions at 24 and 48h (p<0.03, ES=0.80-1.61) with the large effects observed in CWT and HWI (ES=1.40-1.61). DISCUSSION: Hydrotherapy does not appear to influence CMJ performance following a resistance training bout, but may substantially effect the perception of recovery. Although a large correlation was observed between jumping variables across time, an increased number of effects were observed for FT:CT. Suggesting, that in a semi-elite male habituated jumping cohort, FT:CT has a greater sensitivity to fatigue post-resistance training than RSImod. PRACTICAL APPLICATIONS: When monitoring neuromuscular fatigue using CMJ, FT:CT may provide a more sensitive measure. CON may be more effective for recovery post-resistance training at 48h than CWI, CWT and HWI on jumping performance. HWI and CWT may have detrimental effects on jump performance 2h post resistance-training and therefore, should be used with caution if prescribed as an intervention between successive training sessions performed on the same day. [ABSTRACT FROM AUTHOR]

Purpose: To investigate the temporal effects of ~1,800 m altitude exposure and energy availability (EA) manipulation on resting metabolic rate (RMR)., Methods: Twenty elite female race walkers underwent a 3-week training camp at an altitude of ~1,800 m. During the first two weeks, athletes consumed a high EA (HEA) diet of 45 kcal·kg fat free mass (FFM) -1 ·day -1 . During the final week, half the athletes consumed a low EA (LEA) diet of 15 kcal·kg FFM -1 ·day -1 while the others continued on a HEA diet. Athletes followed individualized training plans throughout the study. To assess the effect of altitude on RMR, athletes in the HEA group had RMR measured at baseline (~580 m) prior to altitude exposure (Pre-alt), at 36-hours (36 h-alt), 2 weeks (Wk2-alt) and 3 weeks into altitude exposure (Wk3-alt), and at 36 hours post-altitude exposure at ~580 m (36 h-post). To assess the effect of LEA exposure on RMR while at altitude, athletes in the LEA group underwent RMR measurements at Pre-alt and before (Wk2-alt) and after the 7-days of LEA (Wk3-alt)., Results: Compared to Pre-alt, the RMR of HEA athletes was increased at 36 h-alt (+5.3 ± 3.1%; p = 0.026) and Wk2-alt (+4.9 ± 4.9%; p = 0.049), but was no longer elevated at Wk3-alt (+1.7 ± 4.2%; p = 0.850). The RMR of HEA athletes at 36 h-post was lower than all timepoints at altitude (p < 0.05) but was not different from Pre-alt (-3.9 ± 7.2%; p = 0.124). The 7-day period of LEA exposure at altitude did not affect RMR (p = 0.347)., Conclusions: RMR was transiently increased with ~1,800 m altitude exposure in female athletes and was unaffected by short-term LEA. However, the altitude-induced increase was small (~25-75 kcal/day) and was unlikely to have clinically significant implications for daily energy requirements., Competing Interests: Conflict of Interest and Funding Source: The authors acknowledge support of this work by the Wu Tsai Human Performance Alliance and the Joe and Clara Tsai Foundation, Athletics Australia, and Australian Catholic University. The authors declare no conflict of interest., (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American College of Sports Medicine.)