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Low energy availability surrogates correlate with health and performance consequences of Relative Energy Deficiency in Sport
  1. Kathryn E Ackerman1,2,
  2. Bryan Holtzman1,
  3. Katherine M Cooper1,
  4. Erin F Flynn1,
  5. Georgie Bruinvels3,4,
  6. Adam S Tenforde5,
  7. Kristin L Popp6,
  8. Andrew J Simpkin4,7,
  9. Allyson L Parziale1
  1. 1 Female Athlete Program, Division of Sports Medicine, Boston Children’s Hospital, Boston, Massachusetts, USA
  2. 2 Neuroendocrine Unit, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA
  3. 3 UCL Division of Surgery and Interventional Science, University College London, London, UK
  4. 4 Orreco Ltd, National University of Ireland Business Innovation Centre, Galway, Ireland
  5. 5 Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, Massachusetts, USA
  6. 6 Division of Endocrinology, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA
  7. 7 Insight Centre for Data Analytics, National University of Ireland, Galway, Ireland
  1. Correspondence to Dr Kathryn E Ackerman, Female Athlete Program, Division of Sports Medicine, Boston Children’s Hospital, Boston MA 02115, USA; kathryn.ackerman{at}childrens.harvard.edu

Footnotes

  • Contributors KEA: Conceptualisation of project, survey development, drafting and revision of manuscript, confirmation of final version to be published. BH: Contributions to data analysis, drafting and revision of manuscript. KMC and EFF: Contributions to data collection, revision of manuscript. GB: Contributions to advanced statistical analysis, drafting and revision of manuscript. AST: Contributions to survey development and revision of manuscript. KLP: Contributions to survey development, statistical consultation, drafting and revision of manuscript. AJS: Statistical consultation, drafting and revision of manuscript. ALP: Survey development and implementation, directed data collection, drafting and revision of manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Ethics approval This study was approved by the Boston Children’s Hospital Institutional Review Board.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement No unpublished data were used in the preparation of this manuscript.

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Footnotes

  • Contributors KEA: Conceptualisation of project, survey development, drafting and revision of manuscript, confirmation of final version to be published. BH: Contributions to data analysis, drafting and revision of manuscript. KMC and EFF: Contributions to data collection, revision of manuscript. GB: Contributions to advanced statistical analysis, drafting and revision of manuscript. AST: Contributions to survey development and revision of manuscript. KLP: Contributions to survey development, statistical consultation, drafting and revision of manuscript. AJS: Statistical consultation, drafting and revision of manuscript. ALP: Survey development and implementation, directed data collection, drafting and revision of manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Ethics approval This study was approved by the Boston Children’s Hospital Institutional Review Board.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement No unpublished data were used in the preparation of this manuscript.

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