Relative energy deficiency in sport (REDs): the role of the physiotherapist

Abstract

Knowledge of relative energy deficiency in sport (REDs) has grown significantly between 2018 and 2022 with over 170 original publications in this period. The latest International Olympic Committee (IOC) consensus statement on REDs was published in 2023 in the British Journal of Sports Medicine in a dedicated edition with 10 accompanying narrative reviews and editorials.1 The 2023 IOC REDs consensus statement includes the following: Figure 1 REDs health conceptual model. The effects of LEA exist on a continuum. While some exposure to LEA is mild and transient termed adaptable LEA (arrow depicted in white), problematic LEA is associated with a variety of adverse REDs outcomes (arrow depicted in red). *Mental health issues can either precede REDs or be the result of REDs. LEA, low energy availability; REDs, relative energy deficiency in sport. As recommended in the consensus statement, a multidisciplinary approach is essential when managing REDs. This includes the creation of a safe and trusting therapeutic relationship, which includes active listening and the prioritisation of holistic care.1 Members of the multidisciplinary athlete health and performance team should be knowledgeable in REDs-related science and have clinical competence in the recognition and treatment of REDs. Gillbanks et al identified a lack of vigilance for the signs or symptoms of REDs among physiotherapists, as well …