Female Athlete Triad
2018 update
what do we know and what do we not know
what was the new model in 2014
just more fsctors
What does the 2023 Consensus Statement introduce and summarize?
Summarizes the current literature on REDs
Introduces the REDs Model
Introduces the IOC REDs CAT2 (Clinical Assessment Tool, version 2)
Provides research guidelines for future studies
wqhat is reds
relative energy deficiency in sport
problomtic low energy
whats lea
low energy avilibilty
you take in less energy then you put out
low energy avalibilty whos at risk
teens and young women
endurance sport and sport that requires a lean physice
15-62 % femal athlets have weight control prolems
Q: What is the continuum of Disordered Eating (DE) and what are the main types of Eating Disorders (ED)?
Continuum of eating behaviour:
Healthy dieting → Restrictive eating → Abnormal eating → Clinical eating disorder
Major Eating Disorders:
Anorexia Nervosa:
Refusal to eat, extreme weight loss
Distorted body image
Intense fear of gaining weight
Bulimia Nervosa:
Recurrent binge eating
Compensatory behaviours (vomiting, fasting, excessive exercise, laxatives)
Feelings of guilt after episodes
Binge Eating Disorder:
Large food intake in short time
No purging behaviors
Strong shame and guilt afterward
Other specified/unspecified feeding or eating disorders (OSFED/UFED)
Eumenorrhea
Regular cycles between
21-35 day
Primary amenorrhea
Absence of achieving
menarche
by age 15 years
Secondary amenorrhea
Absence of 3 or more
consecutive cycles after
onset of menstruation
Oligomenorrhea
enstrual cycle length
greater than 35 days (in
adolescents 45 days)
Functional Hypothalamic
Amenorrhea:
Type of secondary
amenorrhea
Male Athletes and REDs
Males can experience LEA situation when there is a
mismatch between energy intake and energy expenditure
Changes in hormone levels, poor immune function,
detriments to bone health, poor performance
High risk sports: Cycling, rowing, running, ski jumping,
weight class sports
valid way of measuring body compostion
dxa
skinfold
b-mode ultra sound
assesments for athlets under 19 should be
only done for medical purposes and for heath first and by athlete trained help
ioc reds clinica; assesment tool
step 1; population screening test
step 2 risk assesment
step 3; postion diagnosis (management plan)
no single valid methode for diagnosis of reds
prevention and treatment of reds
prevention
-educate
treatment
-restre energy balance
- early intervention and montiring
-multiple displinare teans