Decline in athletic performance in triathletes associated with energy imbalance
DOI:
https://doi.org/10.62305/biosana.v6i4.1273Keywords:
Hydration; fatigue; cramps; macronutrients; nutritional strategyAbstract
Triathlon requires proper nutritional and hydration planning due to high energy demands, fluid and electrolyte loss, and the risk of fatigue associated with prolonged training. The objective of this study was to assess the nutritional status, energy availability, and possible abnormalities related to dehydration in an amateur triathlete experiencing a decline in athletic performance. A descriptive, cross-sectional, observational case study was conducted using anthropometric measurements, dietary assessment, biochemical analysis, and recording of indicators associated with physical performance and subjective perception of fatigue. The results showed a BMI of 23.0 kg/m² and 14% body fat, values consistent with normal weight and adequate fitness for endurance sports. However, a 2-kg decrease in muscle mass, reduced ferritin, slightly low hemoglobin, decreased serum sodium, and potassium at the lower limit were identified, along with fatigue, cramps, and insufficient hydration. These findings suggest an energy and electrolyte imbalance associated with low carbohydrate intake, fluid deficit, and possible low energy availability. An individualized nutritional strategy aimed at improving hydration, recovery, and athletic performance is proposed.
Downloads
References
Cuba, A., Álvarez Y., García, O. (2022) Elite Triathlete Profiles in Draft-Legal Triathlons as a Basis for Talent Identification. Int. J. Environ. Res. Public Health 19, 881. https:// doi.org/10.3390/ijerph19020881.
Barley, O. R., Chapman, D. W., & Abbiss, C. R. (2020). Reviewing the current methods of assessing hydration in athletes. Journal of the International Society of Sports Nutrition, 17(1), 52. https://doi.org/10.1186/s12970-020-00381-6
Strüven, A., Brunner, S., Weis, G., Cohrdes, Y., Lackermair, S., Schlichtiger, J., Kellnar, A., & Lackermair, K. (2023). Impact of Preparticipation Hypohydration on Cognitive Performance and Concussion-like Symptoms in Recreational Athletes. Nutrients, 15(20), 4420. https://doi.org/10.3390/nu15204420
Hernández-Ponce Lisset, C.-G. M.-C.-U.-P. (2021). Nutrición e hidratación en el deportista, su impacto en el rendimiento deportivo. Boletín Científico Instituto de Ciencias de la Salud Universidad Autónoma del Estado de Hidalgo, 9(18), 141-152.
Jiménez-Alfageme, R. C.-M.-J.-S.-S. (2023). Development of an Instrument to Evaluate the Intake of Liquids, Food and Supplements in Endurance Competitions: Nutritional Intake Questionnaire for Endurance Competitions—NIQEC. Nutrients, 15(8), 1969. https://doi.org/https://doi.org/10.3390/nu15081969.
Pihlainen, K., Kyröläinen, H., Santtila, M., Ojanen, T., Raitanen, J. y Häkkinen, K. (2022). Efectos del entrenamiento combinado de fuerza y resistencia sobre la composición corporal, la condición física y las hormonas séricas durante una operación de manejo de crisis de 6 meses. Revista de investigación de fuerza y acondicionamiento, 36(9), 2361–2370. https://doi.org/10.1519/JSC.000000000000390
Rueda-Cordoba, M., Martin-Olmedo, J. J., Espinar, S., Ruiz, J. R., & Jurado-Fasoli, L. (2025). Multidimensional Differences Between Athletes of Endurance, Strength, and Intermittent Sports: Body Composition, Diet, Resting Metabolic Rate, Physical Activity, Sleep Quality, and Subjective Well-Being. Nutrients, 17(7), 1172. https://doi.org/10.3390/nu17071172
Podlogar, T. y Wallis, G. A. (2022). Nuevos horizontes en la investigación y aplicación de carbohidratos para atletas de resistencia. Medicina deportiva (Auckland, Nueva Zelanda), 52 (Supl 1), 5–23. https://doi.org/10.1007/s40279-022-01757-1
Rothschild, J. A., Kilding, A. E., & Plews, D. J. (2020). What Should I Eat before Exercise? Pre-Exercise Nutrition and the Response to Endurance Exercise: Current Prospective and Future Directions. Nutrients, 12(11), 3473. https://doi.org/10.3390/nu12113473
Mountjoy, M., Sundgot, J. K., Burke, L., Ackerman, K., Blauwet, C., Constantini, N., . . . Budgett, R. (2018). IOC consensus statement on relative energy . Br J Sports Med, 52, 687–697. https://doi.org/doi:10.1136/bjsports-2018-099193.
Sona C. Dave, F. M. (2022). Deficiencia relativa de energía en el deporte (RED – S). ELSEVIER, 52(8). doi:https://doi.org/10.1016/j.cppeds.2022.101242.
Gallant, T. L. (2025). Baja disponibilidad de energía y deficiencia relativa de energía en el deporte: una revisión sistemática y metanálisis. Medicina deportiva (Auckland, Nueva Zelanda), 55(2), 325–339. doi: 10.1007/s40279-024-02130-0
Zhunio-Carchipulla, P. R., & Moscoso-García, R. F. (2021). Somatotipo y Composición Corporal de Triatletas Élite y Proyección de la Provincia del Azuay. Revista Electrónica de Ciencias de la Educación, Humanidades, Artes y Bellas Artes, 4(1), 343-360. doi:http://dx.doi.org/10.35381/e.k.v4i1.1582.
Fuller, A., and Bird, S. P. (2025). A Strengths-Based Approach to Increasing Nutrition Knowledge in Student-Athletes: The ‘Eat 2 Win’ Pilot Program. Nutrients, 17(2), 361. https://doi.org/10.3390/nu1702036
Organización Mundial de la Salud (OMS). (2020). Clasificación del índice de masa corporal (IMC). https://www.who.int
American College of Sports Medicine (ACSM). (2021). ACSM’s Nutrition and Athletic Performance. Medicine & Science in Sports & Exercise, 53(5), 1041–1057.
Esteve-Ibáñez, H., Drehmer, E., da Silva, V. S., Souza, I., Silva, D. A. S., & Vieira, F. (2025). Relationship of Body Composition and Somatotype with Physical Activity Level and Nutrition Knowledge in Elite and Non-Elite Orienteering Athletes. Nutrients, 17(4), 714. https://doi.org/10.3390/nu17040714
Nowak, R., Turkiewicz, K., Sławiński, M., Clark, J. S. C., Szylińska, A., Proia, P., Jodko, Ł., Wojciuk, B., Sulżyc-Bielicka, V., y Kostrzewa-Nowak, D. (2025). El impacto del ejercicio de resistencia en los parámetros de laboratorio de rutina en individuos jóvenes entrenados. Revista de Medicina Clínica, 14(16), 5703. https://doi.org/10.3390/jcm14165703.
Cichoń-Woźniak, J., Dziewiecka, H., Ostapiuk-Karolczuk, J., Kasperska, A., Gruszka, W., Basta, P. y Skarpańska-Stejnborn, A. (2025). Efecto de los niveles basales de ferritina sobre el metabolismo del hierro después del ejercicio en remeros jóvenes de élite masculinos. Informes científicos, 15(1), 23440. https://doi.org/10.1038/s41598-025-07682-3
Casa, D. J., et al. (2021). National Athletic Trainers’ Association Position Statement: Fluid Replacement for Athletes. Journal of Athletic Training, 56(3), 259–273.
Brooks, G. A. (2020). The Precious Few Grams of Glucose During Exercise. International Journal of Molecular Sciences, 21(16), 5733. https://doi.org/10.3390/ijms21165733.
Ly, N. Q., Hamstra-Wright, K. L., & Horswill, C. A. (2023). Post-Exercise Rehydration in Athletes: Effects of Sodium and Carbohydrate in Commercial Hydration Beverages. Nutrients, 15(22), 4759. https://doi.org/10.3390/nu15224759
Jiménez Alfageme R, Aguirre López L, Mielgo-Ayuso J, Martínez-Sanz JM (2021). Análisis de la ingesta nutricional en corredores de montaña durante una prueba deportiva. Nutr Hosp;38(2):321-327 DOI: http://dx.doi.org/10.20960/nh.03388
Cao, W., He, Y., Fu, R., Chen, Y., Yu, J., & He, Z. (2025). A Review of Carbohydrate Supplementation Approaches and Strategies for Optimizing Performance in Elite Long-Distance Endurance. Nutrients, 17(5), 918. https://doi.org/10.3390/nu17050918.
Jeukendrup A. (2017) Entrenamiento del intestino para atletas. Sports Science Exchange. 28(178), 1-5.
Martínez, I. G., Mika, A. S., Biesiekierski, J. R., & Costa, R. J. S. (2023). The Effect of Gut-Training and Feeding-Challenge on Markers of Gastrointestinal Status in Response to Endurance Exercise: A Systematic Literature Review. Sports medicine (Auckland, N.Z.), 53(6), 1175–1200. https://doi.org/10.1007/s40279-023-01841-0.
Costa, R. J. S., Miall, A., Khoo, A., Rauch, C., Snipe, R., Camões-Costa, V., & Gibson, P. (2017). Gut-training: the impact of two weeks repetitive gut-challenge during exercise on gastrointestinal status, glucose availability, fuel kinetics, and running performance. Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme, 42(5), 547–557. https://doi.org/10.1139/apnm-2016-0453
Borra, V., De Brier, N., Berry, D., Zideman, D., Singletary, E., De Buck, E., (2025) Oral Rehydration Beverages for Treating Exercise Associated Dehydration: A Systematic Review, Part I. Carbohydrate-Electrolyte Solutions. Journal of Athletic Training, 60(1):34–54.DOI: 10.4085/1062-6050-0682.22.
Jeukendrup, A. E. (2014). Carbohydrate intake during exercise. Sports Medicine, 44(Suppl. 1), 25–33. DOI: 10.1007/s40279-014-0148-z
Ortega, Miguel Á., Rodríguez-Rodrigo, M.-A., Mielgo-Ayuso, J., y Calleja-González, J. (2025). Triatlón: Ergo Nutrition for Training, Competición y Recuperación. Nutrientes, 17(11), 1846. https://doi.org/10.3390/nu17111846
Sawka, M. N., Burke, L. M., Eichner, E. R., Maughan, R. J., Montain, S. J., & Stachenfeld, N. S. (2007). American College of Sports Medicine position stand: Exercise and fluid replacement. Medicine & Science in Sports & Exercise, 39(2), 377–390. DOI: 10.1249/mss.0b013e31802ca597
Amawi, A., AlKasasbeh, W., Jaradat, M., Almasri, A., Alobaidi, S., Hammad, A. A., Bishtawi, T., Fataftah, B., Turk, N., Saoud, H. A., Jarrar, A., & Ghazzawi, H. (2024). Athletes' nutritional demands: a narrative review of nutritional requirements. Frontiers in nutrition, 10, 1331854. https://doi.org/10.3389/fnut.2023.1331854.
Maymandinejad, I., Hemmatinafar, M., Jäger, R., Imanian, B., Koushkie Jahromi, M., & Suzuki, K. (2025). Synergistic Effects of Probiotic and Omega-3 Supplementation with Ultra-Short Race Pace Training on Sprint Swimming Performance. Nutrients, 17(14), 2296. https://doi.org/10.3390/nu17142296.
Huang, W. C., Wei, C. C., Huang, C. C., Chen, W. L., & Huang, H. Y. (2019). The Beneficial Effects of Lactobacillus plantarum PS128 on High-Intensity, Exercise-Induced Oxidative Stress, Inflammation, and Performance in Triathletes. Nutrients, 11(2), 353. https://doi.org/10.3390/nu11020353
Solberg, A., Reikvam, H., & Moksnes, H. (2023). Iron status and physical performance in athletes. Life, 13(10), 2007. https://doi.org/10.3390/life13102007
Torres G, Maia F, Nakamura FY, Neiva HP and Sousa A (2025) Rating of perceived exertion in continuous sports: a scoping review with evidence gap map. Front. Sports Act. Living 7:1553998. doi: 10.3389/fspor.2025.1553998.
Lundy, B., Torstveit, M. K., Stenqvist, T. B., Burke, L. M., Garthe, I., Slater, G. J., Ritz, C., & Melin, A. K. (2022). Screening for Low Energy Availability in Male Athletes: Attempted Validation of LEAM-Q. Nutrients, 14(9), 1873. https://doi.org/10.3390/nu14091873.
Dvořáková, K. D., Paludo, A. C., Wagner, A., Puda, D., Gimunová, M., & Kumstát, M. (2024). A literature review of biomarkers used for diagnosis of relative energy deficiency in sport. Frontiers in Sports and Active Living, 6, 1375740. https://doi.org/10.3389/fspor.2024.1375740
Soler-López, A., Moreno-V, A., Gómez, C. D., & Pino O, J. (2024). The Role of Biomarkers in Monitoring Chronic Fatigue Among Male Professional Team Athletes: A Systematic Review. Sensors, 24(21), 6862. https://doi.org/10.3390/s24216862
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 BIOSANA Health Scientific Journal. ISSN 2960-8481

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.




