Allen Nick, Kelly Shane, Lanfear Martin, Reynolds Andy, Clarke Richard, Mountjoy Margo Lynn, Wyon Matthew, Wolman Roger
Medical, Birmingham Royal Ballet, Birmingham, UK.
Centre for Sports and Exercise Medicine, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
BMJ Open Sport Exerc Med. 2024 Mar 7;10(1):e001858. doi: 10.1136/bmjsem-2023-001858. eCollection 2024.
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. An 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.
运动中的相对能量缺乏症（REDs）是一种潜在严重、具有挑战性的广谱综合征，可能对健康和运动表现产生负面结果。众多关于REDs的研究出版物和国际奥委会的共识声明证明了在早期识别或筛查、诊断和管理方面所面临的挑战。与运动一样，舞蹈，以其最简单的形式，可被视为一种产生生理能量需求的活动，因此，需要有与能量消耗相适应的能量供应。然而，在考虑REDs时，必须考虑舞蹈中生理和心理需求的特殊性。在一种身体活动每周可能超过30小时且文化中可能灌输瘦为必需观念的环境中，舞者患REDs的风险会增加。本研究的目的是针对这种复杂情况提供舞蹈方面的具体指导。采用带有名义群体技术的兰德/加州大学洛杉矶分校德尔菲专家小组方法，回顾了关于REDs的文献，以评估其与舞蹈的关联。除了由具有REDs和多种舞蹈类型专业知识的多学科背景人员组成的专家小组外，还委托了六个焦点小组。其中四个焦点小组由专家小组成员组成，另外两个焦点小组由舞者和艺术领袖组成。这些小组被用于指导制定RED-D诊断途径、管理计划、风险分层以及重返舞蹈途径。舞蹈方面的具体途径旨在成为指导和支持管理RED-D的临床医生的实用工具。此外，本文代表了舞蹈领域这一重要关注点，有助于激发该领域的讨论和进一步研究。
