Group of ballet girls waiting backstage

About RED‑D

RED‑D Explained

What is RED‑D?

RED-D is a physiological and psychological syndrome that occurs when dancers fail to consume enough energy, through calorie intake, to meet the demands of their daily activities, training and performance. 

It’s an extension of REDs (Relative Energy Deficiency in Sport), a condition recognised in athletes across various disciplines, but RED-D specifically addresses the unique demands and risks faced by dancers. This energy deficiency can lead to a range of health issues, including hormonal imbalances, poor bone health, impaired performance, increased risk of injury, and negative effects on mental well-being.

Who is at risk?

Dance blends artistry with athleticism, but the intense physical demands of this art form puts dancers at risk for REDs.

This condition can develop due to an energy imbalance, either intentionally (through deliberate calorie restriction) or unintentionally (by underestimating energy needs). Difficulties with body image or disordered eating can contribute to the development of REDs.

Several factors contribute to RED-D risk, including:

  • Growth and development in younger dancers

  • A physically demanding training schedule

  • A culture that emphasises leanness and body aesthetics

  • Long training or rehearsal hours (high training load)

  • Limited knowledge of adequate nutrition for dancers

  • Irregular schedules and high-performance expectations

These pressures can make it difficult for dancers to meet their energy needs, increasing the risk of RED-D.

Symptoms of RED‑D

Hormonal Disruption

Reduced Bone Density

Impaired Immune Function

Fatigue

Psychological Health

Why it matters

RED-D is often a hidden disorder, particularly in the dance world where outward appearance may take precedence over long-term health. The impact of RED-D is not just physical but extends to the emotional and mental wellbeing of dancers. It is critical that those within the dance community, including instructors, choreographers, and medical professionals, recognise the signs of RED-D to prevent long-term consequences and foster a healthier environment for dancers to thrive.

Fuel

Rest

Refuel

Recover