HLTH-150 • Nutrition for Sports and Exercise / Nutrición para el Deporte y el Ejercicio

Mod 13 Lab & Simulation: Energy Availability & Safe Fueling Audit

Lab Overview: EA Math, Fat-Free Mass & Clinical Referral Protocols

In clinical practice, community health initiatives, and competitive athletics, evaluating energy availability requires precise mathematical calculations of dietary intake, exercise expenditure, and fat-free mass anchored in federal and IOC standards.

In this lab, you will calculate Energy Availability (EA), evaluate values against the critical clinical threshold of 30 kcal/kg FFM/day anchored in PAGA 2018 standards, and use the Gemini AI Tool Kit with secure triple-hash delimiters (###) to audit an individualized RED-S recovery protocol across your chosen career track.

Lab 9-Box Command Center Consult ([WHAT] Ring 3 • "Toolkit" in Course Navigation • Open 9-Box Command Center (exwtoolkit.com)): In your Coaching Sprint ([HOW]), you calibrated a single-rule /simulators/* micro-widget. Now in this Lab Assignment ([WHAT]), use the full 9-Box Command Center along the workflow Step 1: Biometrics Box → 3. Fuel Box (RMR, TDEE & Macronutrients) → 9. Solve Box ("Copy for Canvas Submission") to synthesize your complete 4-part clinical consult (verify all outputs against 2025-2030 Dietary Guidelines for Americans (Real-Food Focus)).

PAGA Physical Activity & Nutrition Tool Kit PWA ("PAGA" in Course Navigation • Open PAGA PWA): Open Nutrition Coach (DGA 2025–2030) • USOPC Athlete Plates • Activity Audit • My Dashboard → Paste your ### delimited case to cross-check federal guidelines and build your Pattern / Rule / Solve audit.

Centro de Comando de 9 Cajas para el Laboratorio ([WHAT] Anillo 3 • "Toolkit" y "PAGA"): Después de calibrar el micro-simulador en su Sprint, use el Centro de Comando de 9 Cajas en "Toolkit" (https://exwtoolkit.com → Step 1: Biometrics Box → 3. Fuel Box (Tasa Metabólica y Macronutrientes) → 9. Solve Box) y "PAGA" (paga2018.dev → Nutrition Coach (DGA 2025–2030), Platos del Atleta USOPC y Activity Audit) para respaldar su entrega completa de 4 partes verificando cada dato contra la Fuente de Verdad.

Perform the following calculations step-by-step for your selected track:

1. Fat-Free Mass (FFM): Calculate Mass (kg) multiplied by [1 minus (Body Fat Percentage divided by 100)].
2. Energy Availability (EA): Calculate [Dietary Intake (kcal) minus Exercise Expenditure (kcal)] divided by Fat-Free Mass (kg).
3. Clinical Threshold Audit: Compare calculated EA against the critical 30 kcal/kg FFM/day threshold. State whether the client is in a state of low energy availability.
4. Restoration Caloric Target: Determine the recommended dietary intake increase required to elevate EA to a safe operating level (40 to 45 kcal/kg FFM/day).

Safety Auditor Protocol: HLTH-150 RED-S Tool Box ###:
Role: Clinical Sports Dietitian and Endocrinologist.
SSoT: Physical Activity Guidelines for Americans (PAGA 2018, 2nd Ed.) and U.S. Dietary Guidelines for Americans (DGA).

Instructions:
Step 1: Audit the student's manual calculation of Fat-Free Mass (FFM), Energy Availability (EA), Clinical Threshold Audit, and Restoration Caloric Target.
Step 2: Evaluate the client's risk for RED-S pathology, bone stress injuries, or endocrine suppression based on their calculated EA value.
Step 3: Formulate a multidisciplinary recovery protocol (Nutritional Energy Restoration, Interdisciplinary Referral, Return-to-Play Standards) tailored to the client's setting.

Client Data Input ###:
Career Track: [Insert Track 1, 2, or 3]
Client Body Mass: [Insert kg] | Body Fat Percentage: [Insert %]
Dietary Intake: [Insert kcal/day]
Exercise Energy Expenditure: [Insert kcal/day]
Student Calculated Fat-Free Mass: [Insert kg]
Student Calculated Energy Availability: [Insert kcal/kg FFM/day]
Student Calculated Restoration Target: [Insert kcal/day]
End Client Data ###:
End Safety Auditor Protocol ###:

Copy and paste the template below into the Canvas submission box to complete your Lab assignment:

(Click inside the box below to select all text, then press Ctrl + C / Cmd + C to copy)

HLTH-150 Module 13 Lab Submission ###:
Selected Career Track: [Track 1: Clinical | Track 2: Community | Track 3: Athletic Performance]

Step 1: Pattern Recognition & Energy Availability Calculations:
Key Point: Client Body Mass: ___ kg | Body Fat: ___ %
Key Point: Calculated Fat-Free Mass (FFM): ___ kg
Key Point: Dietary Intake: ___ kcal/day | Exercise Expenditure: ___ kcal/day
Key Point: Calculated Energy Availability (EA): ___ kcal/kg FFM/day
Key Point: Exceeds Low Energy Availability Threshold (<30 kcal/kg): [Yes/No]

Step 2: Rule Application (IOC RED-S / PAGA 2018 Standards):
Key Point: Analysis of endocrine and bone health risks for this client:
Key Point: Physiological necessity of restoring EA to 40 - 45 kcal/kg FFM/day:

Step 3: Problem Solving & Multidisciplinary Recovery Protocol:
Key Point: Nutritional Energy Restoration Strategy (Caloric Increase & Whole Foods):
Key Point: Interdisciplinary Referral Plan (Sports Medicine Physician & Registered Dietitian):
Key Point: Return-to-Play Clearance & Training Reduction Criteria:

Step 4: AI Tool Kit Audit Reflection:
Key Point: Summary of Gemini AI's audit of your calculations and delimiter compliance:
Key Point: Adjustments made to your final recovery prescription based on AI feedback:
End Submission ###:

Live Yuma Heat Safety & OER Verification: Check hourly NWS KNYL / KYNL (MCAS Yuma) Outdoor Activity Color Flags at the top of Toolkit (exwtoolkit.com) (click ? for User Guide; Light/Dark mode in toolbar) and verify all guidelines in PAGA (paga2018.dev).

Seguridad de Calor en Yuma y Verificación: Consulte el clima por hora de NWS KNYL / KYNL (MCAS Yuma) y sus banderas de color arriba en Toolkit y verifique cada regla en PAGA.

Universal Design & Accessibility / Accesibilidad Universal

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