Research Impact: This study examined the prevalence of reduced carbohydrate (CHO) intake and fasted training among 327 elite endurance athletes and their association with bone injuries. Findings revealed that 28% of athletes intentionally reduced CHO intake, primarily for body composition management, though misconceptions about CHO-rich foods and intake levels were common. Fasted training was more prevalent (38%) and linked to a 1.61-fold increased risk of bone injuries compared to non-users. While no direct association was found between reduced CHO intake and bone injuries, the findings highlight the need for better education on nutrition practices and their implications for performance and bone health.
Raleigh, C., Madigan, S., Sinnott-O’Connor, C., Sale, C., Norton, C., & Carson, B. P. (2024). Prevalence of reducing carbohydrate intake and fasted training in elite endurance athletes and association with bone injury. European journal of sport science, 24(9), 1341–1349. https://doi.org/10.1002/ejsc.12170
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