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per se, or failure to optimally integrate the periodization of exercise, nutrition, and recovery. Low energy availability occurs where nutritional intake is not sufficient to cover expenditure from training and resting metabolic rate. In this situation the body goes into energy saving mode, including

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Kendra R. Todd and Kathleen A. Martin Ginis

amount of oxygen consumed (or energy expended) during 1 min at rest and is approximately 3.5 ml VO 2 · kg –1 · min –1 of oxygen for a 70-kg person ( Jette, Sidney, & Blümchen, 1990 ). However, the resting metabolic rate for persons with SCI has been shown to be 14–27% lower than for able