■该综述旨在总结用于诊断运动中相对能量不足(REDs)的标志物,并将其与REDsCAT2评分进行比较。
■在PubMed中进行了系统搜索,WebofScience,和2023年4月的SPORTDiscus数据库。使用的描述符是“运动员”和“REDs,“以及各自的条目条款。选择过程遵循了PRISMA2020建议,识别593条记录,最终选择了13项研究。确定了79个标记物,并将其分为六组:骨矿物质密度(BMD),代谢静息率,血液生物标志物,人体测量学,营养摄入,和性能参数。最常用的生物标志物包括BMD,人体测量参数(例如,身体质量指数,体重,和脂肪质量),和三碘甲状腺原氨酸(T3)浓度。
■根据REDsCAT2指向指标,生物标志物在研究中有所不同,而13项纳入研究中有7项与该工具达成≥60%的一致率。低能源可用性的普遍存在,REDs发展的病因因素,在13项研究中有4项检测到,平均为39.5%。
■总而言之,这篇综述强调了诊断REDs最常用的标志物,比如BMD,人体测量参数,和T3激素浓度。由于目前的不一致,标准化诊断方法对未来的研究至关重要。通过关注广泛使用的标记,这篇综述有助于未来的研究规划和结果解释,并指出不断发展的诊断工具需要方法学一致性。
■https://www.crd.约克。AC.英国/,PROSPERO(CRD42022320007)。
UNASSIGNED: The review aims to summarize the markers used in diagnosing relative energy deficiency in sport (REDs) and compare them with the REDs CAT2 score.
UNASSIGNED: A systematic search was performed in the PubMed, Web of Science, and SPORTDiscus databases during April 2023. The descriptors used were \"athlete\" AND \"REDs,\" along with respective entry terms. The selection process followed the PRISMA 2020 recommendations, identifying 593 records, from which 13 studies were ultimately selected. Seventy-nine markers were identified and categorized into six groups: bone mineral density (BMD), metabolic resting rate, blood biomarkers, anthropometrics, nutritional intake, and performance parameters. The most frequently utilized biomarkers included BMD, anthropometric parameters (e.g., body mass index, body mass, and fat mass), and the triiodothyronine (T3) concentration.
UNASSIGNED: According to the REDs CAT2 pointed indicators, the biomarkers varied among the studies, while 7 out of the 13 included studies achieved a ≥60% agreement rate with this tool. The prevalence of low energy availability, an etiological factor in the development of REDs, was detected in 4 out of 13 studies, with an average of 39.5%.
UNASSIGNED: In conclusion, this review highlights the most commonly used markers in diagnosing REDs, such as BMD, anthropometric parameters, and T3 hormone concentration. Due to the current inconsistencies, standardizing diagnostic methodologies is crucial for future research. By focusing on widely used markers, this review aids future research planning and result interpretation and points out the ongoing need for methodological consistency in evolving diagnostic tools.
UNASSIGNED: https://www.crd.york.ac.uk/, PROSPERO (CRD42022320007).