The Role Of Athlete Support Teams In The Development And Treatment Of REDS In Female University Endurance

Objective: Relative energy deficiency in sports (REDs) results from chronically low energy availability (when calories consumed cannot support calories expended) and is known to affect athletes' health and performance – particularly female athletes in endurance and aesthetic sports. University programs and support staff (coaches, physiotherapist, dietitians etc.) can profoundly impact athlete health behaviours both positively and negatively. Therefore, it is critical to examine how support staff may impact the development and management of REDs, specifically in high-risk populations.

Methodology: This study employed a mixed-method design (network analysis followed by qualitative interviews) with 20 female USport cross country athletes to explore: 1) what support staff are available for female USports cross country athletes and 2) athletes' perspectives on how their support system relates to the prevention and management of REDs.

Results: Results indicate that culture around REDs is positively shifting, however, there is still a need for greater awareness and open dialogue about REDs and symptoms. Athlete comfort around discussing REDs depends on their relationship with support team members, support staff’s expressed openness to discuss REDs, and perceived knowledge and experience of support staff. Additionally, athletes tend to be more comfortable discussing REDs with female staff members - particularly when a strong relationship does not exist. Barriers to athlete disclosure of REDs symptoms include prioritization of immediate performance and stigma associated with disordered eating. University athletic departments should create environments that emphasize interdisciplinary support, and open dialogue around REDs, emphasizing the long-term performance and health detriments associated with it.