The Relative Energy Deficiency in Sport Decision-based Return-to-Play Model (modified from Creighton et al143)
| Steps | Risk modifiers | Criteria | Red-S-specific criteria |
|---|---|---|---|
| Step 1 Evaluation of health status | Medical factors | Patient demographics Symptoms Medical history Signs 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 modifiers | Type of sport Position played Competitive level | Weight sensitive, leanness sport Individual vs team sport Elite vs Re-creational |
| Step 3 Decision modification | Decision modifiers | Timing 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.