What are the three components of a female athlete triad?
*Energy availability
*Menstrual function
*Bone health
What does RED’s stand for?
Relative Energy
Deficiency in Sport
What is REDs?
Low energy availability (LEA) -Impaired physiological functioning
What is LEA?
Mismatch between energy intake (diet) and the energy expended in
exercise → inadequate energy to support the functions required to maintain
optimal health and performance
Who is at risk of LEA?
-Teens and young women
-Endurance sport and sport that
requires a lean physique
-15-62% female athletes have
pathologic weight-control behaviors
(1-3% of general female population)
What is the outcome of READS for male athletes?
Changes in hormone levels, poor immune function, detriments to bone health, poor performance
Disordered Eating (DE)
&
Eating Disorders (ED)
-Anorexia Nervosa
-Bulimia Nervosa
-Binge Eating
Eating disorders are prevalent in what population?
*Prevalence higher in
*Female athletes vs. Male athletes
*Athletes vs. Non-athletes
High risk sports for male athletes and RED’s
Cycling, rowing, running, ski jumping, weight class sports
When do male athletes experience LEA?
When there is a mismatch between energy intake and energy expenditure
Oligomenorrhea:
Menstrual cycle length greater than 35 days (in adolescents 45 days)
Eumenorrhea:
Regular cycles between 21-35 days
Primary amenorrhea:
Absence of achieving menarche by age 15 years
Secondary amenorrhea:
Absence of 3 or more consecutive cycles after onset of menstruation
Functional Hypothalamic Amenorrhea
Type of secondary amenorrhea
Concept Statements Body composition
Body compaction is particular important in “leanness” demanding sport - this can lead to developmental and eating disorders
Concept statement IOC REDs CAT2
1: Population Screening
2: Risk Assessment (Traffic Light)
3: Position Diagnostic (Management Plan)
Concept statement for Prevention & Treatment
Prevention:
-Educate athletes, couches and staff on how to fuel
Treatment:
-Retore energy balance,
-early intervention
-multiple disciplinary teams