The male athletes affected by REDs

• Relative Energy Deficiency in Sport (REDs) affects male athletes across endurance disciplines, not just females, requiring heightened clinical awareness during athlete health assessments
• REDs can cause significant physiological consequences including impaired bone health, cardiovascular dysfunction, and metabolic disturbance, necessitating screening protocols for at-risk male athletes
• Early recognition and multidisciplinary management involving sports medicine, nutrition, and psychology is essential, as high-performing athletes may not spontaneously disclose energy deficit concerns

BBC Sport speaks to long-distance runner Jake Smith and former Olympic champion Jonny Brownlee about their experiences with relative energy deficiency in sport.

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