Evidence map›Paper›PMID 36479178›Full record

ArticleDeutsche Zeitschrift fur Sportmedizin2022

Relative Energy Deficiency in Sport (RED-S): Scientific, Clinical, and Practical Implications for the Female Athlete.

H E Cabre, S R Moore, A E Smith-Ryan, A C Hackney

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Deutsche Zeitschrift fur Sportmedizin, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  10. Epidemiology, Work-Up, and Management of Common Track and Field Injuries.Current reviews in musculoskeletal medicine · 2026
    Review
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  12. Considerations of Fertility in Elite Sportswomen: A Narrative Review.BJOG : an international journal of obstetrics and gynaecology · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

H E CabreUNIVERSITY OF NORTH CAROLINA, Human Movement Science Curriculum, School of Medicine, Chapel Hill, NC, USA.
S R MooreUNIVERSITY OF NORTH CAROLINA, Human Movement Science Curriculum, School of Medicine, Chapel Hill, NC, USA.
A E Smith-RyanUNIVERSITY OF NORTH CAROLINA, Human Movement Science Curriculum, School of Medicine, Chapel Hill, NC, USA.
A C HackneyUNIVERSITY OF NORTH CAROLINA, Department of Exercise & Sport Science, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · US

Funding

PHYSICAL CONTRIBUTORS TO THROWING INJURIES: A PROSPECTIVE STUDYR03AR055262 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MYERS, JOSEPH BRIAN · 2009 to 2011
$210k
NIAMS NIH HHS R03 AR055262
6 · The paper itself

Abstract

Problem: If athletes develop low energy availability (LEA), it can lead to a Relative Energy Deficiency in Sport (RED-S) syndrome which has severe health consequences if not treated. Methodology: A narrative review of the most recent and pertinent literature on the topic, with special emphasis on women. Results: In assessing the current literature, we have synthesized: i) the scientific implications of LEA and RED-S, ii) the clinical manifestations of the conditions currently available for detection, as well as iii) the practical implications for healthcare and support for female athletes and teams in planning intervention or prevention strategies (maintaining EA >45 kcal/kg FFM/day). Discussion: The 'Female Athlete Triad" emerged in the 1990s as researchers understood more of the etiological adaptation of female athlete health to sports training. In the last 10 years, the scientific community has recognized that the 'Triad' approach was too narrow in focus, and the broader concept of RED-S emerged. Both the Triad and RED-S are consequences of a frequently prevalent LEA in athletes (<30 kcal/kg FFM/day). Developing LEA and RED-S compromises training adaptation, performance capacity, and health in athletes. For these reasons, it is critical that an athlete's support team recognize the behaviors that may indicate RED-S evolution. In this way, we can assist female athletes in reaching their full potential in sports while protecting their health.

Indexed as

Energy AvailabilityHormonesMenstrual HealthPerformanceStress

Identifiers

PMID36479178
PMCPMC9724109
OpenAlexW4311023048

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.