WHAT THE STUDY ACTUALLY SAYSThe same audit found high-performance female athletes well represented in the field — and that the studies generating prevalence figures lean on self-reported food records and MET lookup tables.
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WHAT THE STUDY ACTUALLY SAYSA tightly controlled crossover trial separated low energy availability from low carbohydrate availability for four days. One hormone moved clearly; most did not, and performance did not move at all.
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WHAT THE STUDY ACTUALLY SAYSIn 388 female athletes, a per cent fat Z-score below −1.0 more than doubled sensitivity for amenorrhoea against standard BMI thresholds. It gave up specificity to do it.
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WHAT THE STUDY ACTUALLY SAYSFourteen studies covering 265 elite athletes used six different methods to identify relative energy deficiency. The spread in the answers is mostly a spread in the definitions.
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