Low energy availability and high blood pressure in Division I HBCU athletes

Cardiovascular Outcomes and Relative Energy Deficiency in Division I HBCU Athletes: CORE-DI Study

Observational North Carolina Agriculture & Technical State University · NCT07583940

This project will test whether not eating enough for heavy training (low energy availability) is linked to higher blood pressure and stiffer arteries in Division I HBCU athletes ages 18–25.

Quick facts

Study typeObservational
Enrollment150 (estimated)
Ages18 Years to 26 Years
SexAll
SponsorNorth Carolina Agriculture & Technical State University Academic / other
Locations1 site (Greensboro, North Carolina)
Trial IDNCT07583940 on ClinicalTrials.gov

What this trial studies

This is an observational pilot study enrolling Division I athletes at an HBCU to measure links between low energy availability (LEA) and cardiometabolic signs such as hypertension and vascular stiffness. Participants will complete dietary and activity assessments, clinical blood pressure testing, and vascular stiffness measurements alongside blood tests for metabolic and inflammatory markers. The study aims to determine whether measurable associations exist between LEA and cardiovascular risk and to identify candidate mechanisms that could be targeted without medications. Findings will be used to plan scalable, nutrition-focused strategies to restore energy balance and reduce cardiovascular risk in this athlete population.

Who should consider this trial

Good fit: Ideal candidates are Division I HBCU collegiate athletes ages 18–25 with more than three years of competitive experience who are medically cleared for participation and not pregnant or having conditions that preclude safe testing.

Not a fit: People younger than 18, pregnant individuals, those with pacemakers, active orthopedic injuries or other medical conditions that prevent safe testing, non-collegiate athletes, or those whose hypertension stems from non-nutritional causes are unlikely to benefit directly from this study.

Why it matters

Potential benefit: If successful, the work could help identify at-risk athletes and support nutrition-based, non-drug strategies to lower blood pressure and long-term heart disease risk.

How similar studies have performed: Prior work and IOC guidance link LEA and RED-S to cardiometabolic risk, and small pilot data suggest a strong association with hypertension, but larger studies directly linking LEA to vascular stiffness are limited.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

Age: 18-25yrs Sex: Male and Female Training Status/Experience: HBCU Division I collegiate athletes with \>3yrs of previous competitive experience

Exclusion Criteria:

* Persons who self-report any known disease, or unknown issue precluding collegiate competitive participation: Excluded
* Those who have any orthopedic injuries, concussions, or conditions which would preclude safe testing: Excluded
* Individuals who are not yet adults \<18yrs (e.g.: infants, children, teenagers):

Excluded

* Persons who have a pacemaker: Excluded
* Persons who are pregnant: Excluded

Where this trial is running

Greensboro, North Carolina

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Vascular StiffnessHypertensionNutritional Deficiency Related Cardiovascular Risk in Athletesvascular stiffness,hypertensionnutritional deficiencyenergy balanceRED-S
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.