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Relative energy deficiency in dance (RED-D): a consensus method approach to REDs in dance
Allen, Nick Kelley, Shane Lanfear, Martin Mountjoy, Margo Reynolds, Andy Clarke, Richard Wolman, Roger
Allen, Nick
Kelley, Shane
Lanfear, Martin
Mountjoy, Margo
Reynolds, Andy
Clarke, Richard
Wolman, Roger
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2024-03-07
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Abstract
Relative Energy Deficiency in Sport (REDs) is a potentially severe, challenging, broad-spectrum syndrome with potential negative health and performance outcomes. The numerous research publications and International Olympic Committee consensus statements relating to REDs testify to the challenges faced in early identification or screening, diagnosis, and management. Like sport, dance, in its simplest form, can be identified as an activity resulting in physiological energy demands and, as such, requires appropriate energy availability concerning energy expenditures. However, the specificity of physiological and psychological demands in dance must be considered when considering REDs. An environment where physical activity can exceed 30 hours per week and where culture may instil a value that thinness is required puts dancers at increased risk for REDs. The purpose of this study was to provide dance specific guidance dance on this complex condition. A RAND/UCLA Delphi Panel method with nominal group technique was used to review the literature from REDs to evaluate how it may relate to dance. In addition to the EP, which was assembled from a multidisciplinary background with expertise in REDs and multiple genres of dance, six focus groups were commissioned. Four of the focus groups were drawn from the EP members and two additional focus groups formed by dancers and artistic leaders. These panels were used to guide the development of a RED-D Diagnosis Pathway, Management Plan and Risk stratification and Return to Dance Pathway. The dance specific pathways are designed to be a practical tool for guiding and supporting clinicians managing RED-D. Furthermore, this paper represents an important focus of this area in dance and serves to stimulate discussion and further research within the sector.
Citation
Allen, N., Kelley, S., Lanfear, M. et al. (2024) Relative energy deficiency in dance (RED-D): a consensus method approach to REDs in dance. BMJ Open Sport & Exercise Medicine, 10(1), Article No. e001858. doi: 10.1136/bmjsem-2023-001858
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Journal article
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en
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© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/
This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
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2055-7647
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2055-7647