s4/e02 What is Relative Energy Deficiency in Sport (RED-S) and Why You Should Care! with Melissa Lodge, MS, PhD(c)
Jan 19, 2024
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Melissa Lodge, an elite runner and researcher, discusses RED-S in endurance athletes. They explore the history, causes, and culture of RED-S, as well as the impact of teammates and within-day deficits. Melissa emphasizes the need for education and intervention to improve outcomes for female athletes and girls in sport.
RED-S can affect athletes of any gender and ability level, not just elite athletes.
Addressing within-day energy deficits and ensuring regular carbohydrate availability is crucial for optimal health and performance in endurance athletes.
Both unintentional and intentional low energy availability can significantly impact an athlete's health and performance, necessitating the need for help and support from professionals.
Deep dives
What is Reds or relative energy deficiency in sport?
Reds describes a syndrome of poor health and declining athletic performance due to inadequate fuel through food to support the energy demands of daily lives and training. It can affect athletes of any gender and ability level, not just elite athletes. Melissa Lodge, a doctoral candidate studying Reds, discusses its prevalence and the need to address it in endurance athletes at all levels.
Melissa Lodge's personal connection to Reds
Melissa Lodge, an elite runner and Reds researcher, shares her personal experience with the condition. She suffered from stress fractures and low energy availability in high school. Through treatment, she learned about the interrelationship between low bone density, underfueling, menstrual dysfunction, and disordered eating. Her experience led her to become a reds researcher and advocate for intervention in women's sports.
Understanding Reds and its impact on health and performance
Reds, previously known as the female athlete triad, is a condition characterized by low energy availability, impaired bone health, menstrual dysfunction, and various other health and performance consequences. Recent research has highlighted the importance of addressing within-day energy deficits and ensuring regular carbohydrate availability. Fueling properly with carbohydrates is critical for optimal health, recovery, and performance in endurance athletes.
The role of unintentional and intentional low energy availability
Low energy availability can be unintentional, arising from lack of understanding or education about fueling requirements, or intentional, driven by disordered eating behaviors. Both scenarios can have a significant impact on an athlete's health and performance. It's essential to seek help, education, and support from registered dietitians and healthcare professionals to address unintentional underfueling and mental health issues associated with intentional underfueling.
Consequences of Low Carbohydrate Availability
Low carbohydrate intake or availability poses health and performance challenges. It can lead to impaired bone health and growth and development, as well as increased risk of osteoporosis in the long term. Peak bone mass, which is reached in our 20s or 30s, can be negatively affected by low carbohydrate availability, resulting in greater vulnerability to bone loss as we age. Proper carbohydrate intake and availability are critical for athletes, and addressing this issue is essential for maintaining long-term health and performance.
Implications of RED-S in Athletes
RED-S, or Relative Energy Deficiency in Sport, has significant implications for athletes. It can lead to retirement or premature endings of careers due to various health consequences. RED-S can result in stress fractures, impaired bone mineral density, and impaired growth and development, especially in female athletes who reach their peak bone mass in their 20s. Additionally, RED-S can have long-term consequences, such as the acceleration of osteoporosis, impacting the overall well-being and quality of life of athletes in their later years. It is vital to address RED-S, provide appropriate support and resources, and educate athletes about the long-term consequences to ensure their well-being throughout their athletic and post-athletic life.
Relative energy deficiency in sport (RED-S) describes a syndrome of poor health and declining athletic performance that happens when athletes do not get enough fuel through food to support the energy demands of their daily lives and training. RED-S can and does affect athletes of any gender and ability level. Melissa Lodge, PhD(c) is an elite runner and researcher studying RED-S in endurance athletes, and she joins the show to talk about RED-S and her work!
What is RED-S?
The history of RED-S & evolution of understanding
How RED-S happens
The effect of teammates/friends/training partners
The "culture" of endurance running as a risk factor for RED-S
How much is intentional vs unintentional underfueling?
Within-day deficits as a contributing risk factor
Low Carbohydrate Availability as a contributing risk factor
How many professional athletes have retired from RED-S?
And more!
Melissa (Mel) Lodge, MS is a health sciences doctoral student, elite runner, and REDs researcher at URI. Her research focuses on the influence of low energy availability (LEA) and Relative Energy Deficiency in Sport (REDs) on markers of health and performance, specifically in female athletes across the lifespan. Melissa is interested in exploring intervention-based models, such as education, to improve outcomes for female athletes and girls in sport in the future. Melissa runs an educational platform @FED_collaborative where she provides translational research on female athlete physiology, LEA, REDs, and eating disorders/disordered eating. She continues to run competitively in track & field and road racing and competed in the 2023 USATF Indoor Championship (1500m)
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