ArticleFrontiers in sports and active living2022
Risk of Low Energy Availability, Disordered Eating, Exercise Addiction, and Food Intolerances in Female Endurance Athletes.
Article in Frontiers in sports and active living, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- 2025 Update to the Female Athlete Triad Coalition Consensus Statement Part 2: Clinical Guidelines for Screening, Diagnosis, Treatment, and Return to Play for Adolescents and Adults.Sports medicine (Auckland, N.Z.) · 2026Guideline
- Low Energy Availability and Relative Energy Deficiency in Sport: A Systematic Review and Meta-analysis.Sports medicine (Auckland, N.Z.) · 2025Pooled it
- Eating disorders and associated mental symptoms in Swedish elite athletes and a comparison group.Discover mental health · 2026Article
- Effects of intensive lifestyle modification incorporating calorie-carbohydrate restriction with or without time-restricted feeding on eating disorder psychopathology and diabetes-related distress in type 2 diabetes: a randomized controlled trial.Diabetology & metabolic syndrome · 2026Article
- Screening for eating disorders and low energy availability in female trail runners: A cross-sectional study.PloS one · 2026Article
- A community-based educational initiative to support awareness of relative energy deficiency in sport among adolescent athletes.Frontiers in public health · 2026Article
- Relative Energy Deficiency in Sport (REDs): Risk Assessment in Collegiate Female Athletes.International journal of exercise science · 2026Article
- Article
- Screening tool for the identification of relative energy deficiency in Sport risk: validation of the low energy availability in female questionnaire - Italian version (LEAFQ-ITA).Journal of the International Society of Sports Nutrition · 2025Article
- Article
- Screening for risk of low energy availability in female Gaelic game athletes in Ireland.Irish journal of medical science · 2025Article
- Exploring the presentation of REDs in ultra endurance sport: a review.Journal of eating disorders · 2025Review
- Exercise addiction and psychosocial health risks among adolescent athletes: Focus on sport type and performance level.Journal of behavioral addictions · 2025Article
- Boston Marathon athlete performance outcomes and intra-event medical encounter risk associated with low energy availability indicators.British journal of sports medicine · 2025Article
- Risk of Low Energy Availability, Disordered Eating, and Menstrual Dysfunction in Female Collegiate Runners.Journal of athletic training · 2025Article
- Risks for eating disorder in ultra-endurance athletes and the role of training volume: a cross-sectional study.Frontiers in sports and active living · 2025Article
- Association between the risk of relative energy deficiency in sport and cholesterol levels in Finnish endurance athletes.BMJ open sport & exercise medicine · 2025Article
- Does Relative Energy Deficiency in Sport (REDs) Syndrome Exist?Sports medicine (Auckland, N.Z.) · 2024Review
- Association between Physical Activity and Menstrual Cycle Disorders in Young Athletes.International journal of sports medicine · 2024Observational
- The Prevalence of Stress Fractures and the Associated LEAF-Q Responses, Self-Reported Exercise Volume and Dietary Behaviors in Female Recreational Runners.International journal of exercise science · 2024Article
Corrections and comments
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Authors and funding
11 authors at 8 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Relative energy deficiency in sport (RED-S) is a complex syndrome describing health and performance consequences of low energy availability (LEA) and is common among female endurance athletes. Various underlying causes of LEA have been reported, including disordered eating behavior (DE), but studies investigating the association with exercise addiction and food intolerances are lacking. Therefore, the aim of this cross-sectional study was to investigate the association between DE, exercise addiction and food intolerances in athletes at risk of LEA compared to those with low risk. Female endurance athletes, 18-35 years, training ≥5 times/week were recruited in Norway, Sweden, Ireland, and Germany. Participants completed an online-survey comprising the LEA in Females Questionnaire (LEAF-Q), Exercise Addiction Inventory (EAI), Eating Disorder Examination Questionnaire (EDE-Q), and questions regarding food intolerances. Of the 202 participants who met the inclusion criteria and completed the online survey, 65% were at risk of LEA, 23% were at risk of exercise addiction, and 21% had DE. Athletes at risk of LEA had higher EDE-Q and EAI scores compared to athletes with low risk. EAI score remained higher in athletes with risk of LEA after excluding athletes with DE. Athletes at risk of LEA did not report more food intolerances (17 vs. 10%,
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