RED-S: A Review of the Screening, Diagnosis, Treatment, and Recovery

IF 2.2 4区医学 Q2 SPORT SCIENCES

Strength and Conditioning Journal Pub Date : 2023-10-16 DOI:10.1519/ssc.0000000000000816

Penelope A. Matkin-Hussey, Dane Baker, Megan Ogilvie, Sarah Beable, Katherine E. Black

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引用次数: 0

Abstract

ABSTRACT Relative energy deficiency in sport (RED-S) is a complex syndrome of endocrine, metabolic, and physiological maladaptation. Adverse effects on physiological and psychological health and the performance of the athlete may occur due to a prolonged exposure to low-energy availability (LEA). LEA occurs when there is an energy intake (EI) deficiency relative to exercise energy expenditure (EEE) and normal physiological functioning. Early detection of the state of LEA and RED-S is crucial to prevent long-term negative health consequences. Given that LEA is the underlying cause of RED-S, increasing the athlete's energy availability (EA) to an optimal level is the recommended treatment. This paper reviews the current evidence and recommendations for the screening and diagnostic tools of LEA and RED-S, the recommended treatment strategies including reducing EEE, increasing EI, carbohydrate availability, within-day EA, psychological support, and the multidisciplinary team's role, and finally, it reviews the literature on its recovery process. It aims to provide a comprehensive summary of the research to date, with practical recommendations for the identification, management, and treatment of RED-S.

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RED-S:筛查、诊断、治疗和康复的综述

运动中相对能量缺乏(RED-S)是一种内分泌、代谢和生理适应不良的复杂综合征。由于长期暴露于低能量可用性(LEA)，可能会对运动员的生理和心理健康以及表现产生不利影响。LEA发生在能量摄入(EI)相对于运动能量消耗(EEE)和正常生理功能不足的情况下。早期发现LEA和RED-S状态对于预防长期的负面健康后果至关重要。考虑到LEA是RED-S的潜在原因，建议将运动员的能量可用性(EA)提高到最佳水平。本文综述了目前LEA和RED-S筛查和诊断工具的证据和建议，推荐的治疗策略包括降低EEE，增加EI，碳水化合物可用性，日内EA，心理支持和多学科团队的作用，最后回顾了其恢复过程的文献。本文旨在对迄今为止的研究进行全面总结，并为RED-S的识别、管理和治疗提供实用建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Strength and Conditioning Journal 社会科学-运动科学

CiteScore

4.70

自引率

8.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Strength and Conditioning Journal is the professional journal for strength coaches, personal trainers, physical therapists, athletic trainers, and other health professionals working in the strength and conditioning field. The journal’s mission is to publish articles that report both the practical applications of research findings and the knowledge gained by experienced professionals.