This study's objective was to identify differences in risk for low energy availability and athletic clearance level by comparing scores on Female Athlete Triad Cumulative Risk Assessment (Triad CRA) and Relative Energy Deficiency in Sport Clinical Assessment Tool (RED-S CAT). A total of 1,000 female athletes aged 15-30 years participating in ≥4 hr of physical activity/week for the previous ≥6 months completed an extensive survey assessing health, athletic history, family disease history, and specific Triad/RED-S risk factors. Retrospective chart review ascertained laboratory and bone mineral density measures. Triad CRA and RED-S CAT were used to assign each athlete's risk level (low, moderate, and high), and case-by-case comparison measured the level of agreement between the tools. We hypothesized that the tools would generally agree on low-risk athletes and that the tools would be less aligned in the specific elevated risk level (moderate or high). Most of the sample was assigned moderate or high risk for Triad CRA and RED-S CAT (Triad: 54.7% moderate and 7.9% high; RED-S: 63.2% moderate and 33.0% high). The tools agreed on risk for 55.5% of athletes. Agreement increased to 64.3% when only athletes with bone mineral density measurements were considered. In conclusion, Triad CRA and RED-S CAT provide consensus on the majority of athletes at elevated (moderate or high) risk for low energy availability, but have less agreement on the specific risk level assigned.

中文翻译：

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在运动临床评估工具中使用女运动员三合会累积风险评估和相对能量缺乏来表征风险量化差异。

本研究的目的是通过比较女运动员三合会累积风险评估 (Triad CRA) 和运动临床评估工具中的相对能量缺乏 (RED-S CAT) 的分数，确定低能量可用性和运动清除水平的风险差异。共有 1,000 名 15-30 岁的女运动员在过去 6 个月内每周每周进行 ≥4 小时的体育活动，完成了一项广泛的调查，评估健康、运动史、家族病史和特定的三联征/RED-S 风险因素. 回顾性图表审查确定了实验室和骨矿物质密度测量值。Triad CRA 和 RED-S CAT 用于分配每个运动员的风险级别（低、中和高），逐案比较测量工具之间的一致性水平。我们假设这些工具通常适用于低风险运动员，并且这些工具在特定的高风险水平（中等或高）上不太一致。大多数样本被指定为三合会 CRA 和 RED-S CAT 的中度或高度风险（三合会：54.7% 中度和 7.9% 高；RED-S：63.2% 中度和 33.0% 高）。这些工具同意 55.5% 的运动员的风险。当仅考虑进行骨矿物质密度测量的运动员时，一致性增加到 64.3%。总而言之，Triad CRA 和 RED-S CAT 对大多数处于高（中或高）风险低能量可用性的运动员达成了共识，但对指定的特定风险水平的共识较少。大多数样本被指定为三合会 CRA 和 RED-S CAT 的中度或高度风险（三合会：54.7% 中度和 7.9% 高；RED-S：63.2% 中度和 33.0% 高）。这些工具同意 55.5% 的运动员的风险。当仅考虑进行骨矿物质密度测量的运动员时，一致性增加到 64.3%。总而言之，Triad CRA 和 RED-S CAT 对大多数处于高（中或高）风险低能量可用性的运动员达成了共识，但对指定的特定风险水平的共识较少。大多数样本被指定为三合会 CRA 和 RED-S CAT 的中度或高度风险（三合会：54.7% 中度和 7.9% 高；RED-S：63.2% 中度和 33.0% 高）。这些工具同意 55.5% 的运动员的风险。当仅考虑进行骨矿物质密度测量的运动员时，一致性增加到 64.3%。总而言之，Triad CRA 和 RED-S CAT 对大多数处于高（中或高）风险低能量可用性的运动员达成了共识，但对指定的特定风险水平的共识较少。