Does Relative Energy in Sport Undermine Bone Health?

Abstract

Relative Energy Deficiency in Sport (RED-S) is a term expanded from the female athlete triad the is inclusive to males and females and the negative physiological symptoms impacting athlete health and performance from low energy availability. Bone health is one of the ten health consequences of RED-S. Therefore, the purpose of this study is to investigate RED-S in female and male collegiate athletes and determine if there is an association with bone health. Thirteen participants completed an electronic survey containing the LEAF-Q and EAT-26, a three-day food diary and exercise log, and a DXA scan. Energy intake and exercise expenditure was analyzed using an ESHA food analysis processor. Participants at risk for RED-S had higher occurrences of injuries (p<0.022) and lower Z-scores (p<0.063) than those not at risk for RED-S. In conclusion, athletes at risk for RED-S may have higher occurrences of injuries and lower bone mineral density.