Clinical management of RED-S

RED-S exists on a continuum from optimal energy availability and physiological health to low energy availability (with or without an eating disorder) severely impacting on physiological health (e.g. menstrual dysfunction, bone health, etc.). The 2014 IOC Consensus statement: beyond the Female Athlete Triad—Relative Energy Deficiency in Sport (RED-S), opens in a new tab provided a simplified diagram of the various health consequences of RED-S, which range from metabolic, to immunological, cardiovascular, and psychological:

• Figure 1: Health Consequences of Relative Energy Deficiency in Sport (RED-S), opens in a new tab.

Additionally, the potential performance effects can include: increased injury risks and decreased performance and training responses, as well as mood changes, depression, and irritability.

• Figure 2: Potential Performance Effects of Relative Energy Deficiency in Sport (RED-S), opens in a new tab.

36037_Clinical-Management-of-Red-S-030621.pdf