SFEIES24 Poster Presentations Diabetes & Metabolism (68 abstracts)
1Cork University Hospital, Cork, Ireland; 2University College Cork, Cork, Ireland; 3Cork Ladies Gaelic Football Association, Cork, Ireland
Relative Energy Deficiency in Sport (RED-S) is a syndrome caused by low energy availability (LEA), where an athletes energy intake is inadequate to match expenditure. In 2023 the International Olympic Committee released a consensus statement for REDS, with recommendations for studying health outcomes. 1 Our study aims to investigate if elite female Gaelic Athletic Association (GAA) players are at risk of LEA and RED-S. 44 female intercounty GAA players were recruited. Body composition was assessed with DXA scan and blood tests including FBC, renal profile, LFTs, TFTs, creatinine kinase (CK), lipid profile, glucose, insulin, c-peptide and micronutrients pre-season. Testing will be repeated mid-season and end-season. The following preliminary results are our baseline data set (n = 44). The average age was 23.5 years (range 18.8-33.9), BMI was 23.18 kg/m 2 (range 19.7-30.5) and body fat percentage was 25.17% (range 18-38%). Twenty-three (52%) players had a body fat percentage < 25%. Twenty-eight players (64%) had an elevated CK. Eighteen (41%) participants had abnormal lipid profiles (high cholesterol and/or LDL). Eight (19%) players were iron deficient (< 10.7 umol/l). Completed LEAF-Q questionnaires (to date) suggest that 68.75% (11/16) are at risk of LEA. This is the first study evaluating the potential health outcomes of RED-S in female GAA players, a significant proportion of whom are at risk of LEA. The median body fat percentage observed in our group is less than that reported by Jakeman et al., who looked at the body composition of Irish 18 to 29 year -year-old females. Elevated CK may represent the effect of gym-based pre-season strength and conditioning training. Abnormal lipids and iron deficiency have been reported in RED-S but other suggested indicators for monitoring, such a low haemoglobin were not apparent. Planned further analysis will evaluate the impact of high intensity training over the playing season.