Relative Energy Deficiency – 602

Christina Curry-King joins Ray Olivo to discuss her presentation on Identification & Implication of Relative Energy Deficiency in Sport (RED-S) at the Memorial Hermann Sports Medicine Update.

Relative energy Deficiency, Christina Curry king

Baseline tools to ID REDs

Relative energy deficiency in sport (RED-S) is a syndrome in which disordered eating (or low energy availability), amenorrhoea/oligomenorrhoea, and decreased bone mineral density (osteoporosis and osteopenia) are present.


Questionnaires – leafq is a lengthy 50 – 75 questions

BEDA9 – is a shorter 9 question survey and a great place to get started.

What do you do after Identifying those at risk?

Sit down and get a 24-hour recall of what they are doing and eating.
– Could be inadvertent due to scheduling
– Or people who are struggling do to eliminating certain foods.

What about the subjective portion of the evaluation?

Athletes struggling with relative energy deficiency may report still being tired ad lethargic.

Try these things:

  • getting some good nutrient-rich food in around those training times
  • Ask about sleep
  • probe deeper
    • Are you fearful of certain foods?
    • Was it from reading an article
    • Weight gain
    • Hesitant to eat before or after the event
    • Not being able to perform
    • Bad experience with certain food

Recommendations for AT involvement with cafeteria 

Something is better than nothing

  • Add color
  • Bring some fruit and veggies from home
  • Pre-activity quick snack
  • Some sort of granola bar
  • Or banana
  • Applesauce
  • Shelf-stable and portable
  • Even juice like apple or orange on the way out the door

What about the fast-food budget family

Is there a grilled option or fruit and yogurt option?

Thoughts on supplementation?

You will get more bang for your buck by buying real food…you will get more energy in food then you will ever get in a supplement

Certain supplements have a place if the other standards are met first.

Sleep calculations – 

Hands down top recovery tool

8-9 hours per night sleep minimum is critical for injury prevention.

Watch the presentation on Relative Energy Deficiency

Contact us:

Christina Curry King –

Jeremy Jackson



Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU


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Relative Energy Deficiency, Frio Hydration; John Harmon