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.

wikipedia

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

https://www.facebook.com/sportsmedicinebroadcast/videos/835425556841786/

Jeremy Jackson

Christina Curry King – christina.curry@memorialhermann.org

Contact Us:

Jeremy Jackson

Shawn Readyshawnreadyatc@gmail.com

Dr. Mark Knoblauchmaknobla@Central.UH.EDU

Dr. Layci Harrisonlharris5@Central.UH.EDU

Bob MarleyBob.Marley@uth.tmc.edu

ATCornerPodcastATCornerds@gmail.com

Joseph Eberhardteberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Frio Hydration – Superior Hydration products.

Donate and get some swag (like Patreon but for the school)

HOIST – No matter your reason for dehydration DRINK HOIST

MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.

Marc Pro – Use “THESMB” to recover better.

Relative Energy Deficiency, Frio Hydration; John Harmon

Nutritional Concerns for the Physically Active – 87

Bob Marley allowed us to record and interview the guests of the Memorial Hermann 13th Annual Sports Medicine Update.  In the course of two days we conducted about 24 interviews, streamed live for about 16 hours, and had a lot of help from Dr. Josh Yellen, Dr. Mark Knoblauch, Bill Hale, former student / future Athletic Trainer Jazmin Dozal, and current SAT Sarah Avina.

Here is our interview with Roberta Anding, RD for the Houston Texans.  Since this recording comes from a live conference, some elements are lost due to lack of visual props and some crowd noise can be heard.  The stellar content more than makes up for the difference in sound quality.

Roberta Anding

Masters of Athletic Training at U of H

Registered Dietitian, Not a Nutritionist – 31

Episode 31 Not a Nutritionist

Registered Dietician for Memorial Hermann Ironman Sports Medicine Institue  Dr. Penny Wilson comes to talk nutrition basics with our students.  As I figured we could not get through everything we wanted so we will look to bring her back next semester.

Dr. Penny Wilson, Kalyn, Deisy, Karen, podcast, Sports Medicine Broadcast, Memorial Hermann, eat4performance, eating4performance, Ironman institute, Jeremy Jackson, Nutritionist, Registered Dietitician

Websites: Eating for Performance Informed Choice

NSF Certified for Sport Information on Creatine

@eat4performance  @houstonhospital