RED-s
What is RED-S, and Why is it Important?
For athletes and active individuals, staying energised and well-fueled is critical to achieving peak performance in training, work, and everyday life. When our bodies don’t get enough fuel to meet these demands, they adjust by conserving energy, redirecting it away from essential functions. This condition is known as Relative Energy Deficiency in Sport, or RED-S, and it can significantly impact both short- and long-term health.
At Wright Dietitian, we help our clients understand the importance of balanced nutrition for high performance and long-term well-being. Here’s what you need to know about RED-S, how it affects your performance, and how you can fuel to avoid it.
The Impact of RED-S on Health and Performance
RED-S doesn’t just cause fatigue; it affects a range of bodily systems. Common signs and symptoms include:
Increased risk of injuries: Without sufficient energy, the body’s ability to repair tissues is compromised, leading to more stress fractures and injuries.
Chronic fatigue: Low energy levels impact stamina and make it hard to keep up in training.
Decreased muscle strength and endurance: Without enough fuel, muscle strength and endurance both take a hit.
Slower recovery and performance plateaus: Inadequate nutrient intake slows recovery and can make progress difficult.
Reduced focus and mental sharpness: RED-S even affects brain function, leading to decreased concentration and coordination.
One of the challenges of identifying RED-S is that it doesn’t always cause noticeable weight changes. This means athletes and active individuals can experience these symptoms even if their weight remains stable, making RED-S easy to overlook.
Are You at Risk for RED-S?
Once thought to affect only female athletes, RED-S is now known to be a concern for both men and women. Athletes in endurance sports (e.g., long-distance running, cycling), weight-class sports (e.g., wrestling, boxing), or sports that emphasize leanness (e.g., gymnastics) are particularly at risk. RED-S can also develop in athletes who increase their training intensity or volume without boosting their energy intake.
How to Avoid RED-S and Fuel Your Body for Optimal Performance
At Wright Dietitian, we know that well-planned nutrition can make all the difference in training and performance. Here’s how to fuel your body to support energy needs and reduce the risk of RED-S:
Carbohydrates Carbohydrates are the primary energy source for both the brain and muscles. Choosing the right type and timing can help you get the most out of your training:
High-GI carbs (fast-release) provide a quick source of energy and are great just before or during intense exercise. Examples include sports drinks, jam on white bread, dried fruit, and energy gels.
Low-GI carbs (slow-release) offer sustained energy and are best consumed a few hours before or right after training. Try whole grains, peanut butter on grainy crackers, oatmeal, or a chicken wrap with whole-grain bread.
Protein Protein supports muscle repair and growth, making it essential around training. Here are some convenient, high-protein options:
High-protein yogurt drinks: Portable and packed with protein, perfect for recovery.
Protein smoothies: Blend Greek yogurt or a scoop of protein powder with fruits like berries and bananas for a nutrient-rich snack.
Banana and walnut ricotta toast: Spread ricotta on whole-grain toast, add banana slices, and sprinkle with walnuts for a delicious, high-protein snack.
On-the-Go Snacks to Support an Active Lifestyle
If you’re juggling a busy schedule, convenient snack options make it easier to keep energy levels up and prevent RED-S. Here are some ideas from Wright Dietitian:
Trail mix with nuts, seeds, and dried fruit for a balanced mix of healthy fats and carbs.
Rokeby Farm Protein Smoothie or Up and Go Energise
High protein yoghurt with fresh fruit, offering a balance of protein and carbs.
Museli Bars
Could RED-S Be Affecting You?
If you’re noticing symptoms like chronic fatigue, slower recovery, frequent injuries, or changes in mood, it may be time to assess your energy intake. These symptoms are potential signs of RED-S, even if your weight hasn’t changed. At Wright Dietitian, our Accredited Practising Dietitians work with clients to create personalised nutrition plans that meet their unique energy needs, supporting both performance and well-being.
Think you might need more fuel? Reach out to Wright Dietitian to schedule an appointment. We’ll help you create a tailored plan to support your goals and help you feel your best every day.
Creatine
Unlocking Performance with Creatine: What It Is and How It Works
Creatine is a naturally occurring compound found primarily in skeletal muscle (and also in the brain), which is obtained from food sources like meat and fish and also produced by the body. But what exactly does it do, and how can it help boost your performance?
What is Creatine?
Creatine plays a key role in energy production in our muscles. When we engage in activities requiring quick bursts of energy—think sprinting, lifting weights, or any high-intensity exercise—creatine steps in to support our energy levels. It does this by helping to increase the availability of a molecule called adenosine triphosphate (ATP), which our muscles use for energy.
How Does Creatine Work in the Body?
When you exercise, your muscles rely on ATP to fuel movement. However, your body can only store a limited amount of ATP, which means you’ll need a quick way to regenerate it during intense workouts. This is where creatine becomes essential:
Energy Production: During high-intensity exercise, creatine combines with phosphate in your muscles to form phosphocreatine. This substance serves as a reserve for ATP production.
ATP Regeneration: When ATP levels start to drop, phosphocreatine donates its phosphate to ADP (adenosine diphosphate), converting it back into ATP. This regeneration process allows you to produce energy more rapidly.
Quick Energy for High-Intensity Activities: The quick conversion of ADP back to ATP allows you to maintain energy levels during short, high-intensity activities, helping you perform better for longer periods.
How Creatine Helps Performance
In simpler terms, creatine acts as a quick energy booster for your muscles. This allows you to push harder during workouts, which can result in better performance and greater outcomes over time. Whether you’re lifting weights, running sprints, or engaging in other power-based activities, creatine can provide that extra edge.
Is Creatine Safe?
Absolutely! Creatine is one of the most researched ergogenic aids (performance-enhancing supplements) available. Decades of research have shown that it’s not only effective in improving strength and power but is also safe for long-term use when taken as recommended. Studies consistently support its safety profile, and it is widely used by athletes, bodybuilders, and active individuals worldwide.
However, as with any supplement, it’s essential to use it correctly and consult a healthcare professional, particularly if you have any pre-existing health conditions.
How to Use Creatine: Dosage Recommendations
There are two common ways to start taking creatine:
Loading Phase: This approach involves taking 5 grams of creatine four times a day (20 grams total) for 5-7 days to quickly saturate your muscle stores. After this, you transition to a maintenance phase.
Maintenance Phase: After the loading phase, continue with a daily dose of 3-5 grams per day to maintain creatine levels in the muscles.
Alternatively, you can skip the loading phase and start directly with the maintenance dose of 3-5 grams daily. This approach will still help you reach optimal creatine levels, but it may take longer (around 3-4 weeks) to achieve full saturation.
Should You Consider Creatine?
Creatine is especially beneficial for individuals involved in activities requiring short bursts of power and strength, like weightlifting, sprinting, and sports involving quick acceleration. Its ability to regenerate ATP quickly helps boost performance and endurance during high-intensity activities.
However, as with any supplement, it’s important to assess your needs and consult with a healthcare provider or dietitian to make sure creatine is right for you.
The Bottom Line
Creatine acts as a fast energy booster for muscles, allowing you to push harder during workouts, leading to improved performance outcomes. With extensive research supporting its benefits and safety, creatine remains one of the top choices for athletes and active individuals looking to enhance their performance in a safe, effective way.
Training in the heat
Understanding Heat and Hydration During Exercise: A Guide to Preventing Heat Stress
When we engage in physical activity, our body undergoes several changes to keep up with the demands of exercise. One major change is an increase in body temperature, caused by the energy produced in our muscles to fuel movement. Understanding how our body manages this heat, the role of sweat in cooling, and the importance of hydration can help prevent heat stress and optimise performance.
Why Does Exercise Make Us Hot?
During physical activity, our muscles contract, generating the energy needed for movement. This results as 75-80% of it is lost as heat, which raises our body temperature over time. This increase in temperature is a natural byproduct of metabolism, especially as our muscles work harder.
In warmer climates or under direct sunlight, our body may gain even more heat from the environment, making it more challenging to regulate our internal temperature. When the body’s heat production surpasses its ability to cool down, we start experiencing the early stages of heat stress.
The Role of Sweat in Cooling
Sweating is the body’s primary way to regulate temperature during exercise. As sweat evaporates from the skin, it dissipates heat, helping to cool us down. However, this cooling process is influenced by several external factors:
Sweat Rate: The amount of sweat we produce affects how effectively our body can cool down. An insufficient sweat rate can hinder cooling.
Humidity: High absolute humidity reduces sweat evaporation, limiting the body's ability to cool itself.
Clothing: Certain types of clothing can trap heat and moisture, preventing sweat from evaporating and thereby reducing cooling efficiency.
When these factors interfere with sweat evaporation, the body struggles to maintain its core temperature, which can lead to symptoms of heat stress.
What Are the Consequences of Heat Stress?
Heat stress occurs when the body’s cooling mechanisms fail to keep up with rising temperatures. This can lead to several physiological effects, including:
Increased Heart Rate: The heart works harder to circulate blood to the skin for cooling, leading to a higher heart rate at the same level of exercise intensity.
Digestive Discomfort: Blood flow is diverted from the gastrointestinal tract to aid cooling, which may cause nausea or other digestive issues.
Central Nervous System Excitability: Heat stress can affect brain function, leading to symptoms like confusion, dizziness, and even aggression in severe cases.
Common Signs of Heat Stress:
Elevated heart rate
Low blood pressure
Rapid breathing
Dizziness and headache
Nausea and vomiting
Mental confusion or agitation
Recognizing these signs early is essential. If you or someone else begins to experience these symptoms, it’s vital to take immediate steps to cool down, such as resting in a shaded area, drinking cool water, and applying ice packs if available.
Hydration: The Key to Preventing Heat Stress
Hydration plays a crucial role in supporting our body’s cooling mechanisms. Dehydration impairs sweat production and circulation, which can exacerbate heat stress. Here are some essential tips for staying hydrated:
Pre-Hydration: Begin drinking water well before exercise, aiming for 6-10 ml per kilogram of body weight 2-3 hours prior to your workout. This helps to ensure you start your activity in a well-hydrated state.
Monitor Hydration Levels: A simple way to assess hydration status is to check the color of your urine. A pale straw color indicates good hydration, while darker urine suggests that you may need more fluids.
During Exercise: Stay hydrated throughout your workout, taking small, frequent sips of water. Avoid excessive drinking, as overhydration can lead to complications such as hyponatremia (low sodium levels).
Post-Exercise Hydration: After working out, aim to replace about 150% of the fluids lost through sweat over the next 2-3 hours. Rehydrating slowly and steadily after exercise helps the body recover its fluid balance without causing discomfort.
To get a more precise understanding of your hydration needs, you can calculate your sweat rate. Here’s how:
Sweat Rate (ml) = (Body weight before exercise - Body weight after exercise) x 1000
Whole Body Sweat Rate (ml/hr) = Total sweat loss / Exercise duration (hr)
This calculation gives you a personalized insight into how much fluid you need to replace during and after exercise.
Active Cooling?
Active cooling involves methods that help reduce the body’s temperature or the sensation of warmth, allowing you to manage heat more effectively during exercise. While these strategies may not directly reduce the risk of heat-related illness, they can help to alleviate the discomfort and strain of high temperatures, allowing you to exercise with less perceived heat stress.
1. Pre-Cooling with Cold Fluids or Ice Slushies
Drinking cold fluids or ice slushies before exercise has been shown to help lower core body temperature, providing a cooling effect that lasts as you begin your workout. Although drinking cold fluids during exercise also provides hydration and some cooling, pre-cooling is generally more effective for keeping the body cool during the early stages of activity.
How to use it: Drink a cold beverage or an ice slushy about 20-30 minutes before starting your workout.
Benefits: Pre-cooling reduces the body's initial temperature, making it easier to manage heat during the workout.
2. Cold Water Submersion for Arms and Feet
Submerging your arms and feet in cold water is another effective way to cool down, as these areas contain numerous blood vessels close to the surface. Cooling the blood in these regions can help lower the temperature of the blood circulating through the rest of your body.
How to use it: Place your hands, forearms, or feet in a bucket of cold water for several minutes before beginning exercise.
Benefits: Reduces core body temperature and provides a cooling effect that can last into the workout.
3. Water Dousing with a Spray Bottle
Spraying cool water onto your skin is a simple, effective way to encourage evaporative cooling. This technique increases the surface moisture, allowing sweat to evaporate more effectively, which helps cool your body.
How to use it: Use a spray bottle filled with cool water to mist your skin, especially around the face, neck, and arms, before and during exercise.
Benefits: Enhances the body’s natural cooling process by promoting sweat evaporation, which can reduce perceived temperature.
4. Ice Packs or Ice Towels Around the Neck
Applying ice packs or a towel filled with crushed ice around the neck is another powerful cooling technique. The neck is a key area for cooling because it has several major blood vessels close to the skin’s surface, which helps to lower body temperature more quickly.
How to use it: Place an ice pack or a damp towel with crushed ice around your neck for a few minutes before or during breaks in exercise.
Benefits: Lowers core temperature and provides a quick feeling of relief from the heat.
5. Electric Fans and Misting Fans
Fans can aid in cooling by increasing air circulation, which speeds up the evaporation of sweat. Misting fans, which combine airflow with a light mist of water, are especially effective in hot and dry conditions, as the water mist enhances the cooling process.
How to use it: Position an electric or misting fan nearby, especially if you’re working out outdoors or in a well-ventilated area.
Benefits: Increases the efficiency of sweat evaporation, which can reduce perceived temperature and delay the onset of heat stress.
6. Menthol: The Sensation of Coolness Without Temperature Change
Menthol, a natural compound found in peppermint, is widely used in products like freeze sprays, certain foods, and cooling balms. While menthol doesn’t actually lower body temperature, it creates a cooling sensation by activating cold-sensitive receptors in the skin, which tricks the brain into perceiving a cooler environment.
How to use it: Consider menthol-containing foods like Fisherman’s Friends or menthol sprays to provide a cooling effect before or during exercise.
Benefits: Offers temporary relief from the feeling of heat without affecting actual body temperature. However, be mindful that menthol doesn’t reduce the risk of heat-related illness—it only provides a cooling sensation.
A Note on the Limitations of Cooling Techniques
While these active cooling methods can make exercise more comfortable in hot conditions, it’s crucial to remember that they do not eliminate the risk of heat stress or heat-related illness. The actual body temperature might still rise depending on the intensity of exercise and environmental conditions. To stay safe, pair active cooling with regular hydration, recognise early signs of heat stress, and adjust exercise intensity based on the temperature and humidity.
Final Thoughts on Staying Cool During Exercise
Managing body temperature effectively is an important part of exercising safely in hot weather. By combining active cooling techniques with hydration and an awareness of your body’s signals, you can help mitigate the effects of heat. Remember:
Pre-cool with ice slushies or cold water submersion when possible.
Use spray bottles or misting fans to promote evaporative cooling.
Apply ice packs or cool towels around the neck for a quick chill.
Try menthol products for a cooling sensation, but don’t rely on them to prevent heat illness.
Electrolytes and Exercise: Do You Really Need Them?
When it comes to hydration and athletic performance, electrolytes often come up as an important component in replenishing lost fluids. But do you really need them? The answer depends on the intensity, duration, and conditions of your workout, as well as your individual sweating habits. Here’s a breakdown of when electrolytes might be beneficial, how they work, and practical tips for incorporating them into your routine.
What Are Electrolytes?
Electrolytes are minerals like sodium, potassium, calcium, and magnesium that carry an electric charge. These minerals are essential for many bodily functions, including muscle contraction, nerve function, and fluid balance. During exercise, particularly intense or prolonged sessions, electrolytes are lost through sweat. Replenishing them can help maintain optimal performance and prevent issues like cramps, fatigue, and dehydration.
Do You Need Electrolytes?
While there are no universal guidelines on the recommended amount of electrolytes needed during exercise, some situations make electrolyte intake more beneficial. For most people, a balanced diet provides adequate electrolytes. However, in specific circumstances—like high-intensity workouts or endurance activities—additional electrolyte supplementation may be helpful.
Situations Where Electrolytes May Be Beneficial:
High-Intensity Workouts or Endurance Activities
During long, intense workouts, the body loses significant amounts of sodium and other electrolytes through sweat. Electrolytes can help replace what’s lost, reducing the risk of cramps and fatigue and supporting sustained energy levels.
High Sweat Rates
If you have a high sweat rate, you’re likely losing more sodium and other minerals than average. Some people naturally sweat more than others, and some even have a “salty” sweat, noticeable by a salty residue on their skin or clothes after a workout. For these “salty sweaters,” electrolytes can play an important role in maintaining balance and preventing dehydration.
Multiple Training Sessions in a Day
Athletes and fitness enthusiasts who engage in multiple training sessions within the same day may benefit from electrolytes. This is especially true if the time between sessions is short, as electrolytes can enhance fluid retention, allowing your body to rehydrate more effectively before the next workout.
Aggressive Fluid Replacement
In cases where rapid rehydration is necessary, such as after intense exercise in hot or humid conditions, electrolytes can aid in fluid absorption and retention, making rehydration more efficient.
How Do Electrolytes Support Fluid Retention?
Electrolytes, particularly sodium, play a crucial role in the body’s ability to retain fluids. When electrolytes are present in your system, they help maintain osmotic balance, which keeps water in your cells and blood vessels. This can be especially helpful when you’re trying to quickly replace fluids lost through heavy sweating, as it ensures that the water you drink doesn’t simply pass through your system without being absorbed.
Do You Need a Sweat Sodium Test?
A sweat sodium test measures the amount of sodium lost in sweat, which can be useful for certain athletes. However, this test isn’t practical or necessary for most people. Instead, listen to your body and observe any symptoms of electrolyte deficiency or dehydration, like muscle cramps, extreme thirst, dizziness, or fatigue. If you’re frequently experiencing these symptoms during or after exercise, it might be worth experimenting with electrolyte supplementation.
Sources of Electrolytes
You don’t necessarily need expensive sports drinks to get your electrolytes. Many foods naturally contain the minerals you need to replenish after exercise. Here are some food-based sources of common electrolytes:
Sodium: Salted foods, soups, olives, and pickles
Potassium: Bananas, potatoes, avocados, and spinach
Calcium: Dairy products, leafy greens, and fortified plant-based milk
Magnesium: Nuts, seeds, whole grains, and dark leafy greens
For more intense workouts or quick replacement, electrolyte tablets or powders can be added to your water. Many sports drinks also contain a balanced mix of electrolytes, though it’s best to look for options low in added sugars.
When and How to Take Electrolytes
For most regular workouts, you don’t need to focus on taking electrolytes during or before exercise if your diet is balanced. However, if you’re participating in high-intensity exercise, training in extreme heat, or need to rehydrate quickly, consider the following tips:
Before Exercise: If you’re exercising in hot or humid conditions, consider pre-hydrating with a drink that contains electrolytes, particularly if you tend to sweat a lot or have a high sweat rate.
During Exercise: For endurance events or workouts over an hour, sip on a sports drink or water mixed with electrolyte tablets. This can help maintain your energy levels and prevent cramps.
After Exercise: Rehydrate with an electrolyte drink or electrolyte-rich food if you’ve lost a lot of sweat or have another workout planned soon. This helps replace lost minerals and supports recovery.
Additional Tips for Avoiding Heat Stress
Beyond hydration, here are some practical tips to minimize heat stress during exercise:
Choose Appropriate Clothing: Opt for lightweight, breathable, and moisture-wicking fabrics that allow sweat to evaporate. Avoid dark colors, as they absorb more heat from the sun.
Exercise in Cooler Conditions: If possible, schedule workouts during cooler parts of the day, such as early morning or late evening, to avoid peak heat.
Acclimatise Gradually: If you’re not used to working out in hot weather, ease into it gradually. Your body will adapt to the heat over time, making it more efficient at managing higher temperatures.
Take Breaks: Incorporate short breaks during exercise, especially if you’re in direct sunlight or a humid environment. Resting allows your body to cool down and reduces the risk of heat stress.