Risk of Red-S Syndrome among Individuals Who Regularly Engage in Physical Activity
References
- Polańska S., Karykowska A., Pawelec Ł. (2024). Associations between chronotype and physical activity and well-being in adults. Chronobiology international 41(4), 521-529. DOI: 10.1080/07420528.2024.2321942
- Luo X., Wang Y., Wang L., Shen Y., Ren M. (2024). Association between female androgen levels, metabolic syndrome, and cardiovascular disease: An NHANES Analysis (2013-2016). International Journal of Women ’ s Health 16, 2087-2101. DOI: 10.2147/IJWH.S475149
- Logue D.M., Madigan S.M., Melin A., Delahunt E., Heinen M. et al. (2020). Low energy availability in athletes 2020: An updated narrative review of prevalence, risk, within-day energy balance, knowledge, and impact on sports performance. Nutrients 12(3), 835. DOI: 10.3390/nu12030835
- Mountjoy M., Ackerman K.E., Bailey D.M., Burke L.M., Constantini N. et al. (2023). 2023 International Olympic Committee’s (IOC) consensus statement on Relative Energy Deficiency in Sport (REDs). British Journal of Sports Medicine 57(17), 1073-1097. DOI: 10.1136/bjsports-2023-106994
- World Health Organization. (2024). Physical activity. Geneva: World Health Organization.
- Kljajević V., Stanković M., Đorđević D., Trkulja-Petković D., Jovanović R. et al. (2022). Physical activity and physical fitness among university students—A systematic review. International Journal of Environmental Research and Public Health 19(1), 158. DOI: 10.3390/ijerph19010158
- Bede F., Cumber S.N., Nkfusai C.N., Venyuy M.A., Ijang Y.P. et al. T. (2020). Dietary habits and nutritional status of medical school students: the case of three state universities in Cameroon. The Pan African Medical Journal 35, 15. DOI: 10.11604/pamj.2020.35.15.18818
- Shirreffs S.M. (2009). Hydration in sport and exercise: water, sports drinks and other drinks. Nutrition Bulletin 34(4), 374-379. DOI: 10.1111/j.1467-3010.2009.01790.x
- Kim K.M., Choi S.H., Lim S., Moon J.H., Kim J.H. et al. (2014). Interactions between dietary calcium intake and bone mineral density or bone geometry in a low calcium in-take population (KNHANES IV 2008-2010). The Journal of Clinical Endocrinology and Metabolism 99(7), 2409-2417. DOI: 10.1210/jc.2014-1006
- Sukur A., Lubis J., Fitrianto E.J., Hartono F.V., Jauhari M. et al. (2022). Nutritional status and adequacy of disabled athletes from Indonesia. Journal of Physical Education and Sport 22(12), 2939-2946. DOI: 10.7752/jpes.2022.12371
- Mehta J., Thompson B., Kling J.M. (2018). The female athlete triad: It takes a team. Cleveland Clinic Journal of Medicine 85(4), 313-320. DOI: 10.3949/ccjm.85a.16137
- Nazem T.G., Ackerman K.E. (2012). The female athlete triad. Sports Health 4(4), 302-311. DOI: 10.1177/1941738112439685
- Teixidor-Batlle C., Ventura C., Andrés A. (2021). Eating disorder symptoms in elite Spanish athletes: Prevalence and sport-specific weight pressures. Frontiers in Psychology 11, 559832. DOI: 10.3389/fpsyg.2020.559832
- Ghazzawi H.A., Alhaj O.A., Nemer L.S., Amawi A.T., Trabelsi K., Jahrami H.A. (2022). The prevalence of “at Risk” eating disorders among athletes in Jordan. Sports 10(11), 182. DOI: 10.3390/sports10110182
- Krebs P.A., Dennison C.R., Kellar L., Lucas J. (2019). Gender differences in eating disorder risk among NCAA Division I Cross Country and track student-athletes. Journal of Sports Medicine 5035871. DOI: 10.1155/2019/5035871
- Krug S., Jordan S., Mensink G.B., Müters S., Finger J., Lampert T. (2013). Physical activity: results of the German health interview and examination survey for adults (DEGS1). Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz 56(5-6), 765-771. DOI: 10.1007/s00103-012-1661-6 [in German]
- Besor O., Redlich N., Constantini N., Weiler-Sagie M., Monsonego Ornan E. et al. (2024). Assessment of Relative Energy Deficiency in Sport (REDs) risk among adolescent acrobatic gymnasts. Journal of Personalized Medicine 14(4), 363. DOI: 10.3390/jpm14040363
- Jeukendrup A.E., Areta J.L., Van Genechten L., Langan-Evans C., Pedlar C.R. et al. (2024). Does Relative Energy Deficiency in Sport (REDs) syndrome exist? Sports Medicine 54(11), 2793-2816. DOI: 10.1007/s40279-024-02108-y
- Mifflin M.D., St Jeor S.T., Hill L.A., Scott B.J., Daugherty S.A., Koh Y.O. (1990). A new predictive equation for resting energy expenditure in healthy individuals. The American Journal of Clinical Nutrition 51(2), 241-247. DOI: 10.1093/ajcn/51.2.241
- James W.P.T. (1976). Research on obesity: A report of the DHSS/MRC group. London: Her Majesty’s Stationery Office.
- Jarosz M., Rychlik E., Stoś K., Charzewska J. (2020). Nutrition standards for the Polish population and their application. Warsaw: Institute of Food and Nutrition. [in Polish]
- Marzuki M.I.H., Mohamad M.I., Chai W.J., Farah N.M.F., Safii N.S. et al. (2023). Prevalence of Relative Energy Deficiency in Sport (RED-S) among national athletes in Malaysia. Nutrients 15(7), 1697. DOI: 10.3390/nu15071697
- Williams N.I., Helmreich D.L., Parfitt D.B., Caston-Balderrama A., Cameron J.L. (2001). Evidence for a causal role of low energy availability in the induction of menstrual cycle disturbances during strenuous exercise training. The Journal of Clinical Endocrinology and Metabolism 86(11), 5184-5193. DOI: 10.1210/jcem.86.11.8024
- Williams N.I., Leidy H.J., Hill B.R., Lieberman J.L., Legro R.S., De Souza M.J. (2015). Magnitude of daily energy deficit predicts frequency but not severity of menstrual disturbances associated with exercise and caloric restriction. American Journal of Physiology, Endocrinology and Metabolism 308(1), 29-39. DOI: 10.1152/ajpendo.00386.2013
- Lieberman J.L., DE Souza M.J., Wagstaff D.A., Williams N.I. (2018). Menstrual disruption with exercise is not linked to an energy availability threshold. Medicine and Science in Sports and Exercise 50(3), 551-561. DOI: 10.1249/MSS.0000000000001451
- Coelho A.R., Cardoso G., Brito M.E., Gomes I.N., Cascais M.J. (2021). The female athlete triad/Relative Energy Deficiency in Sports (RED-S). Revista Brasileira de Ginecologia e Obstetr í cia: revista da Federa çã o Brasileira das Sociedades de Ginecologia e Obstetr í cia 43(5), 395-402. DOI: 10.1055/s-0041-1730289
- Skarakis N.S., Mastorakos G., Georgopoulos N., Goulis D.G. (2021). Energy deficiency, menstrual disorders, and low bone mineral density in female athletes: a systematic review. Hormones 20(3), 439-448. DOI: 10.1007/s42000-021-00288-0
- Koehler K., Achtzehn S., Braun H., Mester J., Schaenzer W. (2013). Comparison of self-reported energy availability and metabolic hormones to assess adequacy of dietary energy intake in young elite athletes. Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquee, Nutrition et Metabolisme 38(7), 725-733. DOI: 10.1139/apnm-2012-0373
- Slater J., McLay-Cooke R., Brown R., Black K. (2016). Female recreational exercisers at risk for low energy availability. International Journal of Sport Nutrition and Exercise Metabolism 26(5), 421-427. DOI: 10.1123/ijsnem.2015-0245
- Abdulsalam R., Alsadah A., Alkhuboli M., Muala D., Hussein A., Elmoselhi A.B. (2022). Hydration status assessment and impinging factors among university students in the UAE. European Review for Medical and Pharmacological Sciences 26(18), 6451-6458. DOI: 10.26355/eurrev_202209_29744
- Olzinski S., Beaumont J., Toledo M., Yudell A., Johnston C.S., Wardenaar F.C. (2019). Hydration status and fluid needs of Division I Female Collegiate athletes exercising indoors and outdoors. Sports 7(7), 155. DOI: 10.3390/sports7070155
- Frączek B., Krzysztofiak H., Krzywański J. (2019). Sports nutrition. PZWL Wydawnictwo Lekarskie. [in Polish]
- Yerzhanova Y., Sabyrbek Z., Dilmachambetov E., Madijeva G., Milašius K. (2018). Mode and food habits of athletes of Kazakhstan. Pedagogics, Psychology, Medical-Biological Problems of Physical Training and Sports 22(6), 328-336. DOI: 10.15561/18189172.2018.0608
- Graja K., Suchanecka M. (2018). Assessment of dietary habits and physical activity levels among individuals attending fitness clubs in Wrocław. Rozprawy Naukowe AWF we Wroc ł awiu 61, 61-76. [in Polish]
- Sprake E.F., Russell J.M., Cecil J.E., Cooper R.J., Grabowski P. et al. (2018). Dietary patterns of university students in the UK: a cross-sectional study. Nutrition Journal 17(1), 90. DOI: 10.1186/s12937-018-0398-y
- Liu Y., Le S., Liu Y., Jiang H., Ruan B. et al. (2022). The effect of calcium supplementation in people under 35 years old: A systematic review and meta-analysis of randomized controlled trials. eLife 11, e79002. DOI: 10.7554/eLife.79002
- Wrzosek M., Woźniak J., Kozioł-Kaczorek D., Włodarek D. (2019). The assessment of the supply of calcium and vitamin D in the diet of women regularly practicing sport. Journal of Osteoporosis 2019, 9214926. DOI: 10.1155/2019/9214926
- Balk E.M., Adam G.P., Langberg V.N., Earley A., Clark P. et al. (2017). Global dietary calcium intake among adults: a systematic review. Osteoporosis International: a Journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA 28(12), 3315-3324. DOI: 10.1007/s00198-017-4230-x
- Rondanelli M., Faliva M.A., Barrile G.C., Cavioni A., Mansueto F. et al. (2021). Nutrition, physical activity, and dietary supplementation to prevent bone mineral density loss: A food pyramid. Nutrients 14(1), 74. DOI: 10.3390/nu14010074
- Rohilla R., Therattil P. (2024). Optimising bone health in female athletes: A narrative review. Sports Science & Health Advances 2(2), 316-321. DOI: 10.60081/SSHA.2.2.2024.316-321
Language: English
Page range: 26 - 30
Submitted on: Oct 25, 2025
Accepted on: Mar 20, 2026
Published on: Apr 2, 2026
Published by: University of Physical Education in Warsaw
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
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© 2026 Anna Wiktoria Martyniuk, Anna Galczak-Kondraciuk, Kazimierz Ciołek, Krystyna Górniak, published by University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.