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Pelvic Floor Dysfunction in Female Athletes

Is Relative Energy Deficiency in Sport a Risk Factor?

Rebullido, Tamara Rial PhD, CSPS1; Stracciolini, Andrea MD, FAAP, FACSM2

Current Sports Medicine Reports: July 2019 - Volume 18 - Issue 7 - p 255–257
doi: 10.1249/JSR.0000000000000615
Invited Commentary

Due to the unique demands of sport participation on the body, female athletes are at increased risk for pelvic floor dysfunction (PFD) and relative energy deficiency in sport (RED-S). A high number of female athletes suffer from PFD, especially urinary incontinence. Several biomechanical and physiological risk factors may play a role in the development of PFD in female athletes. RED-S has been shown to be associated with PFD. The goal of this commentary is to discuss RED-S as a risk factor for PFD and propose a mechanism for this relationship.

1International Hypopressive & Physical Therapy Institute, Vigo, SPAIN; and

2Division of Sports Medicine, Boston Children’s Hospital, Harvard Medical School, Boston, MA

Address for correspondence: Andrea Stracciolini, MD, FAAP, FACSM, Division of Sports Medicine, Department of Orthopedics, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115; E-mail:

Copyright © 2019 by the American College of Sports Medicine.