Eating disorders in the male athlete

Eating disorders do occur in male athletes. They are less prominent than in female athletes, and therefore in danger of being missed. The high-risk sports fall into the same categories as with females: aesthetic sports, sports in which low body fat is advantageous, such as cross-country and marathon running, and sports in which there is a need to "make weight", including wrestling and horse racing.Athletic involvement may foster the development of an eating disorder. Some male athletes, in their preoccupation with body image, will abuse anabolic steroids. While sports participation may contribute to the aetiology of an eating disorder, the converse is also true. Exercise may be used as therapy for some cases of eating disorder.In order to adequately treat eating disorders in the male athlete, it is first essential to identify cases. Psychoeducation of athletes, their families, coaches and trainers is an important first step. Counselling an athlete to pursue a sport appropriate to his body type, or to leave his sport behind altogether (an unpopular recommendation from a coach's perspective) can be important to treatment. Treatment of co-morbid psychiatric conditions is essential. Treatment can be structured using a biopsychosocial approach, and all appropriate modalities of therapy, including individual, family and group, as well as psychopharmacotherapy, where appropriate, should be applied.     

Carbohydrate Loading: Eating Through the Wall

Carbohydrate loading has been shown to increase muscle glycogen stores and increase endurance in marathon athletes, but recent findings show that it need not be an extreme regimen.     

Eating disorders in athletes: managing the risks

Athletes risk injuries and make personal sacrifices in their education, careers, and personal relationships in pursuit of excellence. Well-prepared athletes and their support teams take steps to minimize these risks. Since the 1980s, it has been apparent that development of an eating disorder is a risk associated with considerable morbidity and significant mortality, and with shorter careers characterized by inconsistency and recurrent injury. How likely is it that an athlete will develop an eating disorder? Who is at risk? Can eating disorders be prevented? How can eating disorders be identified? What are the consequences of developing an eating disorder? What can be done to help an athlete who has an eating disorder? This article attempts to answer these questions.     

Eating Disorders in Young Athletes

In brief: Anorexia nervosa and bulimia are increasingly common in young athletes. In this discussion a physician, a psychiatrist, a dietitian, and three college coaches review the problem and discuss what coaches can do about it. Treatment of eating disorders is much more effective when they are detected early. Coaches need to know the symptoms and potential consequences of these illnesses and are in an excellent position to detect them and to counsel athletes. In their anxiety to win, coaches must be careful of their athletes' overall health and should not encourage them to try crash weight-loss programs, which often lead to eating disorders.     

Eating disorders in Spanish female athletes

The objective of the study was to determine the prevalence of eating disorders and risk factors for their development in female athletes. Two hundred and eighty-three elite sportswomen, competing in 20 different sports, were administered the EAT, the CETCA (the Eating Disorders Assessment Questionnaire, based on DSM-III-R diagnostic criteria), and two other inventories which evaluated 1) the possible influence on eating disorders of exposure of the body in public and 2) pressure from coaches regarding eating habits, weight, physical appearance and performance. More than 11% of subjects had scores above the cut-off point (>30) on the EAT questionnaire, a proportion similar to that found in a general female population in Spain. On the basis of the CETCA score, AN was putatively diagnosed in 2.5% of the sample, and BN in 20.1%. Though some of these cases may have been EDNOS (eating disorders not otherwise specified), the proportion of athletes suffering from some kind of eating disorder was five times higher than in the general population (22.6% vs. 4.1%). No differences were found between the sportswomen and the general population in terms of specific risk behaviours and attitudes, but a substantial subgroup of athletes presented two or more of these risk behaviours. Exposure of the body in public seems to be a risk factor for eating disorders in general, and pressure from coaches seems to be a risk factor for bulimia.     

Eating disorders in athletes: A review of the literature

Over the last two decades an increasing amount of research has begun to examine the issue of eating disorders in athletes. While a number of studies in this area have been published, the results have not been able to clarify the nature of the relationship between athletic involvement and eating problems. This review critically evaluates existing studies of eating disorders in athletes, highlighting various methodological limitations. Studies are grouped under three main headings: uncontrolled studies; controlled studies; and studies comparing athletes with different body type requirements. A fourth section of the paper evaluates studies which have addressed the issue of gender differences in eating disorders among athletes. Suggestions are made for guidelines that will improve future research in this area.     

Eating for performance: bringing science to the training table

Despite many advances in nutritional knowledge and dietary practices, sports nutrition-associated issues, such as fatigue, loss of strength and stamina, loss of speed, and problems with weight management and inadequate energy intake, are common. Sound nutritional practices and well-designed patterns of eating are not awarded the same priority as training and many athletes fail to recognize that poor eating habits or suboptimal hydration choices may detract from athletic performance. Those who care for athletes and active individuals must take an active role in their nutritional well-being. This article reviews the present generally accepted principles for nutritional management in sport.     

Eating behaviours in relation to emotional intelligence

The purpose of the study was to examine the abnormal eating attitudes in judoists and the possible relationships between eating attitudes, emotional intelligence, and body dissatisfaction. A total of 20 national judoists and 25 control participants were enrolled in the study. Subjects completed the following questionnaires: The Eating Attitudes Test, The Body Image Assessment Scale-Body Dimensions and the Bar-On Emotional Intelligence Questionnaire. 30 % of the athletes (n=6) and 20% of the controls (n=5) presented disordered eating attitudes although these subjects were of normal weight. They also presented body dissatisfaction and had lower levels of emotional intelligence in comparison to the groups without disordered eating attitudes, particularly in factors such as intrapersonal (p<0.01), adaptability (p<0.05), stress tolerance (p<0.04) and general mood (p<0.04). The athletes reported using different weight loss methods such as self-induced vomiting (20%), fasting (40%), diuretics (15%), and laxatives (50%). Among disordered eating attitude groups (Controls+Judoists), Global EAT-26 was negatively correlated with stress tolerance (p<0.04: r=-0.64), emotional self-awareness (p<0.05: r=-0.70), general mood (p<0.01: r=-0.74), and positively correlated with body dissatisfaction (p<0.01: r=0.79). Results highlight the role of emotion in disordered eating attitudes, which is an important finding in terms of the prevention and management of disordered eating.     

Eating disorder behavior in physically active Norwegian women

Competitive female athletes may have higher risk of eating disorders (ED) than recreational athletes, in part because low body fat may be advantageous in sports. However, women who participate in sports or physical activities might also do this for weight reduction, altering body shape, and for other food related reasons. This study was conducted to evaluate the association between hours of leisure time physical activity (PA) and prevalence of ED, and whether the association between the Eating Disorders Inventory (EDI) scales and ED, as classified by the Survey of Eating Disorders (SED), was the same among women with high vs. low physical activity levels. The community-based study sample consisted of 898 female students aged 18-50 years. Subjects filled out the EDI, the SED, and a questionnaire concerning physical activity and demographic data. Physical activity was not associated with increased risk of having a SED-defined diagnosis of an ED or of having an EDI score greater than 40, which is sometimes used to define women at risk for having an eating disorder. Women with a SED-defined ED had higher scores on all subscales of the EDI, but did not differ with respect to age, BMI or hours of weekly activity. The strongest predictors of having a SED-defined ED were body mass index (BMI), two EDI scales, drive of thinness and Bulimia Nervosa, with no differences between the two PA groups. Among women with a SED-defined ED, those with more than 5 h weekly PA did not differ from others with respect to scoring on the EDI or BMI. Results suggest that hours of physical activity may not increase risk of developing ED. Effective interventions are needed to help the growing numbers of persons with body-image and eating difficulties. For some, moderate physical training might be helpful.