TableĀ 2

The Relative Energy Deficiency in Sport Decision-based Return-to-Play Model (modified from Creighton et al143)

StepsRisk modifiersCriteriaRed-S-specific criteria
Step 1
Evaluation of health status
Medical factorsPatient demographics
Medical history
Laboratory tests
Psychological health
Potential seriousness
Age, sex (see Yellow light column of table 1)
Recurrent dieting, menstrual health, bone health
Weight loss/fluctuations, weakness
Hormones, electrolytes, ECG and DXA
Depression, anxiety, disordered eating/eating disorder
Abnormal hormonal and metabolic function
Stress fracture
Step 2
Evaluation of participation risk
Sport risk modifiersType of sport
Position played
Competitive level
Weight sensitive, leanness sport
Individual vs team sport
Elite vs Re-creational
Step 3
Decision modification
Decision modifiersTiming and season
Pressure from sthlete
External pressure
Conflict of interest
Fear of litigation
In/out of season, travel, environmental factors
Desire to compete
Coach, team owner, athlete family and sponsors
If restricted from competition
  • DXA, dual-energy X-ray absorptiometry.