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. 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 Melinetal2014LEAFDownload BEDA9 – is a shorter 9 question survey and a great place to get started. Martinsen 2014 BEDA-q dvelopementDownload 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 Identification & Implication of Relative Engery Deficiency in Sport (RED-S) – Christina Cur...