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- W2806443068 abstract "The International Olympic Committee (IOC) proposed the term Relative Energy Deficiency in Sport (RED-S) to describe the health and performance consequences beyond the well-established Female Athlete Triad (Triad). Both the IOC and the Triad Coalition have developed return-to-play (RTP) criteria to guide clinical decision making on clearance for participation in sports based on health assessment. PURPOSE: To determine the agreement between the RED-S Clinical Assessment Tool (RED-S CAT) and Triad risk assessment criteria (Triad-RA) for sports participation clearance levels for female athletes. METHODS: 1000 female athletes (ages 15-30 years) presenting to a sports medicine clinic completed a comprehensive, 400+ question survey covering topics related to RED-S, including Triad risk factors, and sports participation. Clearance level/risk assessment for each athlete was assigned according to each syndrome’s model as low (green light), moderate (yellow light), or high risk (red light). Clearance level by each model was compared within each athlete. RESULTS: Using the RED-S CAT, 26.6% of athletes were green light (full clearance), 29.7% were yellow light (provisional/limited clearance), and 43.7% were red light (fully restricted). Using the Triad-RA, 30.2% of athletes were low risk, 61.9% were moderate risk, and 7.9% were high risk. Overall the models agreed that 86% of the athletes were at elevated risk (moderate or high). The most discordance occurred for athletes deemed to be at high risk by RED-S CAT, but moderate risk by Triad-RA; these athletes accounted for 37.3% of all subjects. The Triad-RA cleared 8.8% of the sample for full participation that the RED-S CAT categorized as elevated risk; the RED-S CAT cleared 5.2% of the sample for full participation that the Triad-RA categorized as elevated risk. CONCLUSIONS: Most female athletes surveyed met elevated risk categories using both RED-S CAT and Triad-RA. The RTP criteria for both syndromes should be further refined for use in primary care settings as part of pre-participation examinations to appropriately categorize athletes needing further medical care and potential restriction from sport." @default.
- W2806443068 created "2018-06-13" @default.
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- W2806443068 date "2018-05-01" @default.
- W2806443068 modified "2023-09-24" @default.
- W2806443068 title "Differences In Return To Play Guidelines Using Red-s Cat And Triad Risk Assessment Guidelines For Female Athletes" @default.
- W2806443068 doi "https://doi.org/10.1249/01.mss.0000538449.02728.8c" @default.
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