IOC Consensus Statement Flashcards
The syndrome of RED-S refers to
impaired physiological function including but not limited to; metabolic rate, menstrual function, bone health, immunity, protein synthesis, cardiovascular health caused by relative energy deficiency
EA is calculated as
EI - energy cost of exercise relative to fat free mass
Energy balance in health adults =
45 kcal/kg FFM/day
Restricted diets =
<30 kcal/kg FFM/day
Primary Amenorrhoea
no menarche by age 15
Secondary Amenorrhoea
absence of 3 consecutive cycles post-menarche
Oligomenorrhea
cycle length greater than 45 days
Functional Hypothalamic Amenorrhea
reduction in EA that disrupts LH pulsatility by affecting the hypothalamic gonadatropin-releasing hormone output
Peak Bone Mass
- women
- men
women = 19 men = 20.5
What increases uptake of calcium into blood?
Estrogen
* uptake into blood and deposition into bone
Low testosterone in male athletes has been associated with what?
low bone mineral density
BEDA-Q
Brief Eating Disorder in Athletes Questionnaire - for female athletes only
Once low EA is established, reintroduce by introducing this calorie increase daily
~300-600 kcal spread over the day
Strongest predictor of recovery of normal menstrual function
weight gain
athlete calcium needs
1500 mg/day from food and supplement sources
