Relative Energy Deficiency in Sport (RED-S) and Bone Stress Injuries

IF 0.4 4区 医学 Q4 SPORT SCIENCES
Daniel R. Kim, Kathleen Weber
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引用次数: 0

Abstract

Relative Energy Deficiency in Sport (RED-S) is a syndrome caused by low energy availability that has significant physiological consequences. Bone stress injuries (BSIs), including stress fractures, are overuse injuries that occur when there is an imbalance of bone microdamage and its removal and replacement via bone remodeling. Female athletes are at particular risk of RED-S, which can manifest as bone stress injury, as well as associated pathologies including disordered eating and oligomenorrhea/amenorrhea. Female athletes should be screened for risk factors for RED-S so that it can be identified and treated early. BSIs can be diagnosed by patient history and physical examination, with imaging used for confirmation. Management of BSIs differ according to their location, with high-risk injuries requiring a highly nuanced treatment approach in the context of shared decision-making. These athletes should also be concurrently evaluated for low energy availability, which if identified may require addressing disordered eating, hormone deficiency, and inadequate nutrition with an interdisciplinary team. Return to sport decisions should be individualized while informed by published guidelines.

运动中的相对能量缺乏(RED-S)和骨应激损伤
运动中相对能量缺乏症(RED-S)是一种由能量不足引起的综合征,具有显著的生理后果。骨应激性损伤(Bone stress injury, bsi),包括应力性骨折,是由于骨微损伤及其通过骨重塑的移除和替换不平衡而发生的过度使用性损伤。女运动员患RED-S的风险特别高,表现为骨应激性损伤,以及饮食失调和少经/闭经等相关病理。女性运动员应筛查RED-S的危险因素,以便及早发现和治疗。bsi可通过病史和体格检查诊断,影像学检查证实。脑损伤的处理因其位置不同而不同,高风险损伤需要在共同决策的背景下采用高度细致的治疗方法。这些运动员也应该同时评估低能量可用性,如果确定可能需要解决饮食失调,激素缺乏和营养不足的跨学科团队。回归运动的决定应根据已公布的指导方针进行个性化。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
46
审稿时长
93 days
期刊介绍: Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.
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