An absolute energy availability threshold of 30 kcal/kg fat free mass/day, below which menstrual disturbances are induced in exercising women, is not supported.

Energy availability should be used in conjunction with other measurements of metabolic status and eating behaviors to assess an at-risk profile for Triad sequelae, such as body weight and composition, resting metabolic rate, and measures of restrictive or under-eating.

There is evidence for a similar Triad-like syndrome in men where energy deficiency/low energy availability impacts reproductive function and bone health; however, men appear to require more severe energy deficits than women for an impact to be observed.