Can we reduce eating disorder risk factors in female college athletes? A randomized exploratory investigation of two peer-led interventions
Open accessAbstract
Female athletes are at least as at risk as other women for eating disorders (EDs) and at risk for the female athlete triad (i.e., inadequate energy availability, menstrual disorders, and osteoporosis). This study investigated whether two evidence-based programs appear promising for future study if modified to address the unique needs of female athletes. Athletes were randomly assigned to athlete-modified dissonance prevention or healthy weight intervention (AM-HWI). ED risk factors were assessed pre/post-treatment, and 6-week and 1-year follow-up. Results (analyzed sample, N=157) indicated that both interventions reduced thin-ideal internalization, dietary restraint, bulimic pathology, shape and weight concern, and negative affect at 6 weeks, and bulimic pathology, shape concern, and negative affect at 1 year. Unexpectedly we observed an increase in students spontaneously seeking medical consultation for the triad. Qualitative results suggested that AM-HWI may be more preferred by athletes.
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Short-term education programmes have been shown to improve nutritional knowledge and reduce signs of dieting and body image concerns in female and male athletes.
“Short-term education programmes, using various delivery methods and focusing on factors associated with EDs, DE behaviours, and REDs have been shown to improve nutritional knowledge and reduce signs of dieting and body image concerns in female and male athletes.70 152-158”
From 2023 international olympic committee's (IOC) consensus statement on relative energy deficiency in sport (REDs) (2023) · cites this paper as [156]
The Abstract and Discussion report that short peer-led interventions reduced dietary restraint and shape or weight concerns in female college athletes at six weeks. The Methods describe nutrition-related content and self-ratings of learning, but the paper does not establish improved nutritional knowledge or report intervention outcomes for male athletes. (LLM, conf=0.88)
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Disordered eating is not associated with musculoskeletal injury in university athletes
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Editorial: Towards a more sophisticated approach to eating disorders in sport research
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Investigating pre-professional dancer health status and preventative health knowledge
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REbeL peer education: A model of a voluntary, after-school program for eating disorder prevention
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Female athlete triad for the primary care pediatrician
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Eating Disorders and Disordered Eating in Athletes During Times of Transition
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Female Athlete Triad and RED-S
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- Authors
- Becker, C. B., McDaniel, L., Bull, S., Powell, M., & McIntyre, K.
- Affiliations
- Trinity University (US)
- Corresponding author
- Becker, Carolyn Black
- Venue
- Body Image
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 9
- Issue
- 1
- Pages
- 31-42
- ISSN
- 1740-1445 (ISSN-L)
- PMC
- PMC3246101
- OpenAlex
- W1995821218
- Cited by
- 163
- References
- 58
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 6 · 2023: 20 · 2022: 16 · 2021: 10 · 2020: 13 · 2019: 9 · 2018: 11 · 2017: 12 · 2016: 14 · 2015: 9 · 2014: 13 · 2013: 14 · 2012: 1
- FWCI
- 9.00
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Body Image (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons - Trinity University (Trinity University) (submittedVersion)
- Funders
- National Institute of Mental Health (R15MH077659, MH 077659)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
- Keywords
- eating disorders, female collegiate athletes, female athlete triad, thin-ideal internalization, dietary restraint, shape concern, weight concern, negative affect, peer-led intervention, energy availability, menstrual disorders, osteoporosis
- MeSH terms
- Adolescent, Affect, Feeding and Eating Disorders, Cognitive Dissonance, Diet, Reducing, Female, Follow-Up Studies, Health Education, Humans, Internal-External Control, Patient Acceptance of Health Care, Peer Group, Thinness, Evidence-Based Medicine, Bulimia Nervosa, Young Adult, Athletes
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