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

## TL;DR

This case study examines the health and performance effects of weight cycling in an elite female Muaythai athlete, revealing metabolic and physiological changes linked to Relative Energy Deficiency in Sport (REDs).

## Contribution

The study provides insights into the physiological and metabolic impacts of weight cycling in combat sports through a detailed case study of an elite athlete.

## Key findings

- Resting metabolic rate decreased by 253 kilocalories per day during the fight camp.
- Blood markers showed increased creatinine and urea levels, indicating potential renal strain.
- Maximum cycling power output dropped by 27%, suggesting performance decline linked to energy deficiency.

## Abstract

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.

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.

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.

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.