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Determining the Contribution of the Energy Systems During Exercise
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运动中的相对能量缺乏症候群 (REDs) 是否存在?
Asker E Jeukendrup1,2, Jose L Areta3, Lara Van Genechten2
1Loughborough University, Loughborough, UK.
运动中的相对能量缺乏 (REDs) 诊断面临挑战,因为难以测量能量可用性和通用症状. 建议采用专注于运动员健康的公正方法,考虑所有潜在的原因.
科学领域:
- 运动医学 运动医学
- 运动生理学 运动生理学
- 运动员健康 运动员健康
背景情况:
- 运动中的相对能量缺陷 (REDs) 模型于2023年更新,解释了运动员的低能量可用性 (LEA) 对健康和表现的不利影响.
- 实践者越来越多地根据症状来诊断RED,但该模型的科学严谨性和诊断过程受到质疑.
研究的目的:
- 批判性地评估REDs概念和支持该模型的经验证据.
- 挑战围绕REDs的教条,并促进运动员健康评估的严格科学过程.
主要方法:
- 对REDs现有的文献进行批判性审查,重点关注测量能源可用性的挑战,并孤立LEA的影响.
- 讨论当前诊断方法的局限性,包括基于症状的诊断和症状的多因素性质.
- 引入运动员健康和准备性检查清单 (AHaRC) 作为一个公正,全面的运动员健康评估工具.
主要成果:
- 准确地测量能源的可用性被认为是不可能的,这导致基于症状的REDs诊断可能是有偏见的.
- 从实验上来说,将LEA的影响与类似症状的其他原因分离起来是很有挑战性的,这使得REDs模型难以伪造.
- 现有证据主要显示LEA和症状之间的关联,而不是因果关系,长期观察数据有限.
结论:
- 由于测量困难和症状的多因素病因,REDs模型的诊断方法可能存在缺陷.
- 优先考虑运动员整体健康并考虑所有潜在的促成因素的公正方法比特定于REDs的诊断更有益.
- 运动员健康和准备性检查清单 (AHaRC) 为全面评估运动员健康和表现问题提供了实际框架.
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