Relative Energy Deficiency

Consultant in Sport, Exercise and Musculoskeletal Medicine, Dr Farrah Jawad writes about what Relative Energy Deficiency is and what action to take should you find yourself in an energy deficient state.

We all require energy to support our daily activities. Having enough energy is crucial for our bodies to function normally. If an athlete does not receive enough energy from their diet to sustain their level of physical activity, they can be rendered in a state of energy deficiency. This is known as Relative Energy Deficiency (REDS).

Relative Energy Deficiency can often occur in aesthetic sports such as gymnastics, long distance running, cycling and weight-making sports such as boxing. It may occur inadvertently, as an individual may not realise they are not consuming enough good quality calories to sustain their activities.

Being in an energy deficient state can affect just about every organ system, and can cause several different types of symptoms which can make it challenging to diagnose. REDS can cause:

  • stress reactions or stress fractures of bones 
  • long-term brittle bones (osteoporosis)
  • absent or infrequent periods in the female athlete 
  • difficulty conceiving
  • stress and depression 
  • negative effects on the immune system responsible for fighting infections 
  • negative effects on athletic performance 

A management plan should focus on redressing positive energy balance by increasing good quality calorie intake across the day, ensuring adequate refuelling post-exercise and by making training adjustments. Management plans will need to be individualised as everybody is different, and may need to involve several clinicians such as a Consultant in Sport, Exercise and Musculoskeletal Medicine, Dietician, Strength and Conditioning Coach and a Physiotherapist, particularly if an injury has occurred as a result of REDS.

For some people, relationships with food and exercise can be complex and have a negative effect on one’s wellbeing. In that scenario, it is also possible to involve a Sports Psychologist if the individual wishes.

If you think you may be affected by REDS, and would like to make an appointment with one of our Consultants in SEM, please contact your closest clinic.


Posted

15 days ago