Weight cycling and relative energy deficiency in sport syndrome in an elite female muaythai athlete: a case study

Authors

BULÍNOVÁ Viktorie WAGNER Adam KUMSTÁT Michal

Year of publication 2025
Type Article in Periodical
Magazine / Source Frontiers in Sports and Active Living
MU Faculty or unit

Faculty of Sports Studies

Citation
web https://www.frontiersin.org/journals/sports-and-active-living/articles/10.3389/fspor.2025.1599131/full
Doi https://doi.org/10.3389/fspor.2025.1599131
Keywords weight loss; athlete; female; body composition; health outcomes; combat sports
Description Introduction: Weight cycling—defined as repeated, chronic, and often extreme weight loss is a widespread practice in combat sports. However, it may lead to symptoms related to Relative Energy Deficiency in Sport (REDs). This case study investigates the impact of a five-week fight camp on the health and performance of an elite female Muaythai athlete, with a particular focus on metabolic and physiological adaptations. Methods: A 23-year-old professional Muaythai fighter was monitored over a seven-week period, encompassing a control phase, a five-week fight camp, the fight week, and post-fight recovery. Measurements included body composition, resting metabolic rate (RMR), blood biomarkers, and performance in a cycling power test. Dietary intake and training load were also tracked. Results: The athlete's RMR decreased by 253 kilocalories per day. Blood markers indicated increased creatinine and urea levels, along with unfavorable changes in lipid profile. Maximum cycling power output decreased by 27%. Despite a significant energy deficit, fat-free mass loss was limited to 0.6. These findings suggest metabolic adaptations, signs of renal strain, and symptoms of REDs. Conclusion: Weight cycling induced physiological and metabolic adaptations consistent with REDs, negatively affecting health and performance. The results highlight the importance for individualized and evidence-based weight management strategies to mitigate negative health outcomes and enhance athletic performance in combat sports.
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