Relative energy deficiency (RED-S): recognition & management

RED-S has been most commonly described in aesthetic sports like gymnastics or ballet but can be present in any code.

Pressure to reduce weight is a common explanation for the frequent disordered eating among athletes. Further factors include starting sport-specific training at a young age, personality factors, frequent weight-cycling to “make weight” in weight category sports and certain coaching behaviours. Elite athletes and those who train particularly hard are at the highest risk.

It is important to appreciate that prolonged energy deficit can cause considerable morbidity.

Objectives of this course:

• Identify features of the RED-S and recognise athletes who may be at risk of this.
• Understand the pathophysiological mechanisms that underpin RED-S.
• Institute appropriate initial management of athletes presenting with features of RED-S.

Acknowledgements

This content was created by Dr Helen Joyce Fulcher MBChB, DipPaed, PGCertHSc (Sports Med) and updated by Connie Kang BPharm(Hons).