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Durham University

Email and Telephone Directory

Staff Profile

Dr Nicky Keay

Honorary Research Fellow in the Department of Sport and Exercise Sciences

Contact Dr Nicky Keay (email at nicola.keay@durham.ac.uk)

Biography

Nicky was appointed Honorary Research Fellow to Department of Sport and Exercise Sciences, Durham University September 2018.

Nicky graduated inBA Medical Sciences Tripos 2(i), MB from Cambridge University and qualified as a medical doctor with MB, BChir (Cantab), followed by post graduation Membership of the Royal College of Physicians (MRCP).

Clinical experience spans 25 years NHS hospital medicine, specialising in Endocrinology. Clinical attachments include sports medicine clinics in Australia (Sydney, Olympic Medical Centre Melbourne, Australian Institute of Sport) and University of Geneva. Nicky is a Sport Endocrine specialist: co-founder and medical doctor in multidisciplinary team of EN:SPIRE clinic in Bath and London for dancers and athletes of all ages and levels. Currently Chief Medical Officer of Forth Edge, providing interpretation of blood markers to athletes to optimise health and performance. Recently appointed as medical advisor to Scottish Ballet and listed on One Dance healthcare practionner directory.

Research experience includes Research Fellow at St Thomas’ Hospital as part of the international medical team developing a test for growth hormone doping in athletes. With sport medicine grants, researched training effects on the Endocrine system, which resulted in research publications in Sports Endocrinology. Currently as Honorary Fellow Dept Sport and Exercise Sciences, Durham University, recent studies and publications have been in competitive male cyclists relating to relative energy deficiency in sports (RED-S) with sport research burasry. Currently researching awarenes and risk of RED-S in other sports and dancers.

Research Interests

  • Endocrine responses to exercise
  • Impact of athlete behaviours on hormones and bone health
  • Relative Energy Deficiency in Sport (RED-S) developemnt of clinical tools to idetifying those as risk in sport and dance specific contexts
  • Effective clinical maganent of RED-S

Awards

  • BASEM Research Bursary 2018
  • Nominated by National Institute of Dance Exercise and Science as top healthcare professional for dancers August 2018
  • Duke of Edinburgh Prize for Sports Medicine, Mason Medical Research Foundation
  • Young Investigator Award, National Osteoporosis Society
  • Porritt Fellowship for Sport Medicine Research
  • British Diabetic Association Award
  • Rolleston Scholarship, Cambridge
  • Lord Mayor’s Fund Scholarship
  • Ullman Travelling Scholarship
  • Bala Sankarian Memorial Scholarship
  • Central Bureau Bursary

International Conference Speaker

Author of British Association of Sport and Exercise Medicine (BASEM) educational website Health4Performance to raise awareness of RED-S and chair of BASEM conference 2018. Medical advisor and presenter for TrainBrave campaign. Invited presenter to Barca football club May 2019 and at forthcoming Barca inovation international conference October 2019.

  • 2018

National Institute of Dance Medicine and Science and International Association of Dance Medicine and Science (IADMS), presented at IADMS 2018 conference Helsinki. Royal National Orthopaedic Hospital, Metabolic Bone Unit. RED-S presentation. BDA Sports Nutrition Conference. Women in Sport and Exercise Conference 2018 Cardiff Sports & Exercise Medicine Society

  • 2017 & earlier

English Institute of Sport: National meeting of Sport and Exercise Medicine doctors. Society of Endocrinology, London. National Osteoporosis Society (Young Investigator Award), Bath, UK. Medical Research Society, Exercise and the Skeleton, London. International Olympic Committee, International Congress, Monaco. Dance UK Conference. Olympic Park Sports Medicine Centre, Melbourne, Australia. London Institute of Sports Medicine, Royal Society of Medicine

Publications

Keay N, Francis G, Eintwistle I, Hind K. Clinical evaluation of education relating to nutriti on and skeletal loading in competitive male road cyclists at risk of relative energy deficiency in sports (RED-S): 6-month randomised controlled trial BMJ Open in Sports and Exercise Medicine 2019 http://dx.doi.org/10.1136/bmjsem-2019-000523

Keay N, Francis G, Hind K. Low energy availability assessed by a sport-specific questionnaire and clinical interview indicative of bone health, endocrine profile and cycling performance in competitive male cyclists. BMJ Open in Sports and Exercise Medicine September 2018 http://dx.doi.org/10.1136/bmjsem-2018-000424

Keay N, Francis G Infographic. Energy availability: concept, control and consequences in relative energy deficiency in sport (RED-S) BJSM 2019 http://dx.doi.org/10.1136/bjsports-2019-100611

High Prevalence and Magnitude of Rapid Weight Loss in Mixed Martial Arts Athletes Hillier M, Sutton L, James L, Mojtahedi D, Keay N, Hind IJSME 2019

Keay N, Rankin A. Infographic. Relative energy deficiency in sport: an infographic guide BJSM 2019 http://dx.doi.org/10.1136/bjsports-2018-100354

Keay N, Frost M, Blake G, Patel R, Fogelman I. The effects of exercise training on bone mineral accumulation: a 3 year prospective study of peripubertal ballet dancers, musical theatre dancers and control girls.

Keay N, The modifiable factors affecting bone mineral accumulation in girls: the paradoxical effect of exercise on bone. Nutrition Bulletin 2000, vol 25, no 3. 219-222.

Keay N, The effects of exercise training on bone mineral accumulation in adolescent girls. Journal of Bone and Mineral Research. Vol 15, suppl 1 2000.

Keay N, Logobardi S, Ehrnborg C, Cittadini A, Rosen T, Healy ML, Dall R, Bassett E, Pentecost C, Powrie J, Boroujerdi M, Jorgensen JOL, Sacca L. Growth hormone (GH) effects on bone and collagen turnover in healthy adults and its potential as a marker of GH abuse in sport: a double blind, placebo controlled study. Journal of Endocrinology and Metabolism. 85 (4) 1505-1512. 2000.

Keay N, Frost M, Blake G, Patel R, Fogelman I. Study of the factors influencing the accumulation of bone mineral density in girls. Osteoporosis International. 2000 vol 11, suppl 1. S31.

Wallace J, Cuneo R, Keay N, Sonksen P. Responses of markers of bone and collagen turover to exercise, growth hormone (GH) administration and GH withdrawal in trained adult males. Journal of Endocrinology and Metabolism 2000. 85 (1): 124-33.

Keay N, Skeletal changes in dancers. Osteoporosis international 1999 vol 9, no 4, 371.

Keay N, The effects of growth hormone misuse/abuse. Use and abuse of hormonal agents: Sport 1999. Vol 7, no 3, 11-12.

Wallace J, Cuneo R, Baxter R, Orskov H, Keay N, Sonksen P. Responses of the growth hormone (GH) and insulin-like factor axis to exercise,GH administration and GH withdrawal in trained adult males: a potential test for GH abuse in sport. Journal of Endocrinology and Metabolism 1999. 84 (10): 3591-601.

Keay N, Logobardi S, Ehrnborg C, Cittadini A, Rosen T, Healy ML, Dall R, Bassett E, Pentecost C, Powrie J, Boroujerdi M, Jorgensen JOL, Sacca L. Growth hormone (GH) effects on bone and collagen turnover in healthy adults and its potential usefulness as in the detection of GH abuse in sport: a double blind, placebo controlled study. Accepted Endocrine Society Conference 1999

New S, Samuel A, Lowe S, Keay N. Nutrient intake and bone health in ballet dancers and healthy age matched controls: preliminary findings from a longitudinal study on peak bone mass development in adolescent females, Proceedings of the Nutrition Society, 1998.

Wallace J, Cuneo R, Keay N. Bone markers and growth hormone abuse in athletes. Growth hormone and IGF Research, vol 8: 4: 348.

Cuneo R, Wallace J, Keay N. Use of bone markers to detect growth hormone abuse in sport. Proceedings of Annual Scientific Meeting, Endocrine Society of Australia. August 1998, vol 41, p55.

Keay N, Fogelman I, Blake G. Effects of dance training on development, endocrine status and bone mineral density in young girls. Current Research in Osteoporosis and bone mineral measurement 103, June 1998.

Jenkins P, Taylor L, Keay N. Decreased serum leptin levels in female dancers are affected by menstrual status. Annual Meeting of the Endocrine Society. June 1998.

Keay N, Dancing through adolescence. Editorial, British Journal of Sports Medicine, vol 32 no 3 196-7, September 1998.

Keay N, Effects of dance training on development, endocrine status and bone mineral density in young girls, Journal of Endocrinology, November 1997, vol 155, OC15.

Keay N, Fogelman I, Blake G. Bone mineral density in professional female dancers. British Journal of Sports Medicine, vol 31 no2, 143-7, June 1997.

Keay N. Bone mineral density in professional female dancers. IOC World Congress on Sports Sciences. October 1997.

Keay N, Bone Mineral Density in Professional Female Dancers, Journal of Endocrinology, November 1996, volume 151, supplement p5.

Keay N, Bone Mineral Density in Female Dancers, abstract Clinical Science, Volume 91, no1, July 1996, 20p. 

Contributions to following books:

Fit to Dance? Report of National inquiry into dancers’ health

Fit to Dance 2 Dance UK

Fit but fragile. National Osteoporosis Society

Bone health and fractures in children. National Osteoporosis Society

Your body your risk. Dance UK

Bare bones – the facts about the silent epidemic: osteoporosis

Strenuous exercise and bone health. The Independent

Breaking Pointe Marie Claire no.153 May 2001