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Eating disorder pathology in elite adolescent athletes
Abstract
Objective: We aimed to investigate eating disorder pathology in German elite adolescent athletes. Evidence suggests that eating disorder pathology is more common in adult elite sports, especially in female athletes and in sports emphasizing leanness. There is a scarcity of studies in elite adolescent athletes who are in a vulnerable developmental stage and are affected by general as well as sport‐specific risk factors. Method: Our data was derived from the German Young Olympic Athletes' Lifestyle and Health Management Study (GOAL) which conducted a survey in 1138 elite adolescent athletes. In this sample, we assessed body weight, weight control behavior, body acceptance and screened overall for core symptoms of eating disorders, depression and anxiety. We performed a tree analysis to identify high risk groups for eating disorder pathology. Results: High risk groups comprised (a) athletes competing in weight dependent sports, and among athletes competing in disciplines other than weight dependent sports (b) athletes who are high on negative affectivity, (c) female athletes and (d) male athletes competing in endurance, technical or power sports. Athletes competing in weight dependent disciplines reported wide spread use of compensatory behaviors to influence body weight. Athletes reporting eating disorder pathology showed higher levels of depression and anxiety than athletes without eating disorder pathology. Discussion: Increased psychosocial burden in athletes with eating disorder pathology suggests that eating disorder symptoms should not be accepted as an unproblematic and functional part of elite sports. The prevention and management of eating disorder pathology is especially important in weight dependent sports. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:553–562)
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“a lack of precise terminology for DE and the focus of most of these studies on specific groups (males or females) from particular types of sports or not including non-athletic participants from the same age group being studied make it difficult to reach a definite and clear result about this subject (145, 147, 148).”
From Junior athletes’ nutritional demands: a narrative review of consumption and prevalence of eating disorders (2024) · cites this paper as [147]
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“Eating disorders can have a negative impact and irreversible consequences on an individual’s overall health, psychological well-being, educational and sports performance, self-admiration, concentration, and social connections. Furthermore, it may lead to menstrual irregularities (amenorrhea) and bone demineralization, higher rates of anxious-depressive symptoms, a history of psychological,”
From Junior athletes’ nutritional demands: a narrative review of consumption and prevalence of eating disorders (2024) · cites this paper as [147]
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Cited by
Mental health in elite athletes: International Olympic Committee consensus statement (2019)
Reardon, C. L., Hainline, B., Aron, C. M., Baron, D., Baum, A. L., Bindra, A., Budgett, R., Campriani, N., Castaldelli-Maia, J. M., Currie, A., et al. (2019) · British Journal of Sports Medicine · doi:10.1136/bjsports-2019-100715 · Cited by 1,277
IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update
Mountjoy, M., Sundgot-Borgen, J. K., Burke, L. M., Ackerman, K. E., Blauwet, C., Constantini, N., Lebrun, C., Lundy, B., Melin, A. K., Meyer, N. L., et al. (2018) · British Journal of Sports Medicine · doi:10.1136/bjsports-2018-099193 · Cited by 883
Gouttebarge, V., Castaldelli-Maia, J. M., Gorczynski, P., Hainline, B., Hitchcock, M. E., Kerkhoffs, G. M., Rice, S. M., & Reardon, C. L. (2019) · British Journal of Sports Medicine · doi:10.1136/bjsports-2019-100671 · Cited by 604
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Energy Availability in Athletics: Health, Performance, and Physique
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Metadata
- Authors
- Giel, K. E., Hermann‐Werner, A., Mayer, J., Diehl, K., Schneider, S., Thiel, A., Zipfel, S., & for the GOAL study group
- Affiliations
- Department of Psychosomatic Medicine and Psychotherapy Medical University Hospital Tübingen Germany
- Institute of Sport Science, University of Tübingen Germany
- Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University Germany
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2016-02-15
- Volume
- 49
- Issue
- 6
- Pages
- 553-562
- ISSN
- 0276-3478
- 1098-108X
- Cited by
- 97
- References
- 2
- Language
- en
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- Giel, K. E., Hermann‐Werner, A., Mayer, J., Diehl, K., Schneider, S., Thiel, A., Zipfel, S., & for the GOAL study group. (2016). Eating disorder pathology in elite adolescent athletes. International Journal of Eating Disorders. https://doi.org/10.1002/eat.22511
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