A gymnast under extreme pressure to lose weight quickly is beginning to experience fatigue, mood swings, and recurring injuries. Which condition is she most likely developing?

Question

BlackTom AI · Accepted Answer

The scenario describes a gymnast under intense pressure to lose weight quickly who is experiencing fatigue, mood swings, and recurring injuries. This combination points toward a systemic issue affecting energy availability and overall physiological function rather than a single symptom.
Option 1: Acute Dehydration Syndrome. While dehydration can cause fatigue and reduced performance, it does not typically explain mood swings and a pattern of recurring injuries driven by energy deficiency. Dehydration is more about fluid balance and can worsen exercise performance acutely, but it doesn't capture the broader syndrome suggested by the question.
Option 2: Relative Energy Deficiency in Sport (RED-S). This is the best fit for the described picture. RED-S results from insufficient energy intake relative to expenditure, affecting multiple body systems including metabolism, bone health, hormonal function, immune response, and recovery. Fatigue, mood disturbances, and higher injury risk are common components because energy deficit impairs tissue repair, recovery, and endocrine balance. The emphasis on weight loss pressure aligns with energy availability problems that RED-S encompasses.
Option 3: Exercise-Induced Asthma. This condition involves airway constriction during or after exercise, presenting with coughing, wheezing, and shortness of breath. It does not account for fatigue, mood swings, or a pattern of injuries due to energy deficiency, making it an unlikely explanation for the full set of symptoms described.
Option 4: Chronic Cardiovascular Fatigue. While cardiovascular fatigue can occur with overtraining or insufficient recovery, it is not a widely recognized clinical term that directly captures the multi-system impact of energy deficiency in sport. It also doesn’t specifically address the root cause tied to energy availability and its consequences on performance, mood, and injury risk.
In summary, the combination of extreme weight-loss pressure, fatigue, mood changes, and recurring injuries best aligns with RED-S, given its holistic impact on energy balance and musculoskeletal and hormonal systems, whereas the other options fail to connect to the underlying energy deficiency and its broad effects.

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A gymnast under extreme pressure to lose weight quickly is beginning to experience fatigue, mood swings, and recurring injuries. Which condition is she most likely developing?

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