TOUR: What is RED-S, Dr Großhauser?
Dr Mareike Großhauser: In connection with sport, one speaks of Relative Energyddeficit in the Sport, or RED-S for short, when too little is eaten during high training loads. The body is then left with too little energy for important organ activities, meaning that the perceived stress can have far-reaching consequences depending on the duration and level of the inadequate supply.
TOUR: Which ones, for example?
Dr Mareike Großhauser: RED-S is very versatile, as all organ systems can be affected. It can manifest itself in mental discomfort, anxiety, increased stress levels, stress fractures, bone oedema, thyroid dysfunction, increased susceptibility to infections, cycle irregularities, poor regenerative capacity, lack of performance development or insomnia.
TOUR: Who is particularly at risk?
Dr Mareike Großhauser: Anyone who does a lot of sport can be a potential candidate. Inadequate food intake does not have to be deliberate, but can "happen" due to a lack of appetite, lack of time or during the growth phase.
TOUR: What can be done with RED-S?
Dr Mareike Großhauser: Anyone who recognises symptoms should seek support at an early stage. As a rule, gynaecologists or sports physicians will refer you to a sports-related nutritionist. Ideally, interdisciplinary support can be provided with the involvement of a trainer, sports psychologist and sports physician or gynaecologist. With the help of an individual roadmap, which primarily includes an increase in energy intake and optimisation of the macronutrient supply, the aim is to regenerate the body, which - depending on the severity - can take a few months.