How To Support a Loved One through REDs

By Amanda Tierney

Relative energy deficiency in sport (REDs) is prevalent among athletes of all ages, sexes, genders, abilities, and competition statuses. Early detection and intervention are essential to support optimal recovery. 

If your loved one has REDs, they might feel or experience:

  • An overall sense of weakness and fatigue

  • Muscle loss/soreness that lingers longer than typically expected

  • Slow recovery times (post physical exertion)

  • Plateau in strength, conditioning and overall performance decline

  • Loss of passion for their sport/performance

NOTE: That athletic performance may not initially decline! Keep in mind that your loved one may be dangerously medically compromised even if they don’t display many of these signs and symptoms. Their vital signs and labs may fall within normal ranges. Your loved one may continue to report feeling “fine” and underplaying their struggle feeling confident that they can manage any difficulties on their own! Performance may even be enhanced in the short term, but a low energy state is not sustainable and could create more health risks.

Therefore, it is critical to educate yourself on the various factors and bodily functions that are impacted by improper fueling and training.  See the International Olympic Committee’s consensus statement of Relative Energy Deficiency in Sport (RED-S – 2023) to learn more.

Remember that RED-S is not a sign of weakness. It is a collection of medical conditions that require treatment.

REDs = Metabolic Injury

Following is a list to ensure that your loved one receives appropriate and adequate care.

  • Be familiar with the signs and symptoms of eating disorders and/or unwholesome relationship to exercise

  • Advocate for appropriate care for your loved one

  • Seek out REDs informed and sensitive professionals – their impact has lasting meaning! 

  • Confirm that your loved one’s coaches/support staff create a safe and supportive training environment

  • Educate yourself and your loved one about proper fueling strategies and training habits as well as rest and recovery days

  • Develop a supportive and non-judgmental space for communication

  • Communicate and collaborate with your loved one’s treatment team to provide consistent messaging and support

  • Understand and acknowledge the shifts that have be made (no matter how small) during the process of healing 

  • Get to know your local eating disorder treatment providers

  • Be sure that treatment providers are working within their scope of practice and expertise

  • Show your loved that you care about their short and long-term health and that you are there to talk if they are struggling with unbalanced eating or exercise habits

  • Emphasize the importance of their overall well-being

  • Set boundaries to preserve your own emotional well-being

  • Be aware of the added (sport/body) pressures that high performing individuals face from coaches, peers, siblings, parents, judges, and the media

High Performance does NOT always = Good health

Lastly, evaluate your own relationship with your body, food choices and exercise habits. Be curious about the messages that you send to your loved one about food, weight and movement. Imagine how these messages impact them.

Remember, you will play a key role in the treatment process by supporting your loved one and encouraging them to follow through with treatment appointments and recommendations. Hold the line with unified treatment guidelines, in a supportive and compassionate way.

If you or a loved one is working through REDs and are in need of support, please reach out to Athlete Insight today. We are here to help.

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