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Athletes and Eating Disorders:


"What Coaches, Parents, and Teammates
Need to Know
"

— National Association of School Nurses

by:  Michael Levine, Ph.D. and Linda Smolak, Ph.D.


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Involvement in organized sports can offer many benefits, such as improved self-esteem and body image and encouragement for individuals to remain active throughout their lives.  Athletic competition however, can also cause severe psychological and physical stress.  When the pressure of athletic competition are added to an existing culture emphasis on thinness, the risk increase for athletes to develop disordered eating.  In a study of Division I NCAA athletes, over one-third of female athletes reported attitudes and symptoms placing them at risk for anorexia nervosa.  Though most athletes with eating disorders are female, male athletes are also at risk -- especially those competing in sports that tend to place an emphasis on the athlete's diet, appearance, size, and weight requirements, such as wrestling, bodybuilding, crew, running, and football.

Risk Factors for Athletes:

b.jpg (8799 bytes)         Sports that emphasize appearance or weight requirements.  For example: gymnastics, diving, bodybuilding or wrestling -- e.g., wrestlers trying to "make weight."
b.jpg (8799 bytes) Sports that focus on the individual rather than the entire team.  For example gymnastics, running, figure skating, dance or diving, versus teams sports like basketball or soccer.
b.jpg (8799 bytes) Endurance sports such as: track and field/running, swimming.
b.jpg (8799 bytes) Inaccurate belief that lower body weight will improve performance.
b.jpg (8799 bytes) Training for a sport since childhood or being an elite athlete.
b.jpg (8799 bytes) Low self-esteem, family dysfunction, families with eating disorders, chronic dieting, history of physical or sexual abuse, peer, family and cultural pressures to be thin, and other traumatic life experiences.
b.jpg (8799 bytes) Coaches who focus only on success and performance rather than on the athlete as a whole person.
Three factors have been thought to contribute to the odds that a person will be dissatisfied with his or her body: social influences, performance anxiety and the athlete’s self-appraisal.

Protective Factors for Athletes:

b.jpg (8799 bytes) Positive, person-oriented coaching style rather than negative, performance-oriented coaching style.
b.jpg (8799 bytes) Social influence and support from teammates with healthy attitudes towards size and shape.
b.jpg (8799 bytes) Coaches who emphasize factors that contribute to personal success such as motivation and enthusiasm rather than body weight or shape

The Female Athlete Triad Includes 1) disordered eating, 2) loss of menstrual periods and 3) osteoporosis (loss of calcium resulting in weak bones). The lack of nutrition resulting from disordered eating can cause the loss of several or more consecutive periods. This in turn leads to calcium and bone loss, putting the athlete at greatly increased risk for stress fractures of the bones. Each of these conditions is a medical concern. Together they create serious health risks that may be life threatening. While any female athlete can develop the triad, adolescent girls are most at risk because of the active biological changes and growth spurts, peer and social pressures, and rapidly changing life circumstances that go along with the teenage years. Males may develop similar syndromes.

The International Olympic Committee has published recommendations for reducing the risk of the Female Athlete Triad, available at: http://multimedia.olympic.org/pdf/en_report_517.pdf

© 2005 National Eating Disorders Association
Permission is granted to copy and reprint materials for educational purposes only.   National Eating Disorders Association must be cited and web address listed.    www.NationalEatingDisorders.org
Informational and Referral Helpline:  800.931.2237


Additional Articles Below on Guidelines for The Role of  The Educator Meeting With and Referring Students Who May Have Eating Disorders.

Tips for School Nurses:
National Association of School Nurses Guidance
What Should I Say?
Tips forTalking to a Friend Who May Be
Struggling with an Eating Disorder

Athletes and Eating Disorders:
What Coaches, Parents, and Teammates
Need to Know

Eating Disorders Ignored:
The National Association of Anorexia Nervosa
and Associated Disorders

Quad City Eating Disorders Consortium Contacts

Email - Barb Lynch   Phone - (309) 779-3077

Email - Mollye VanOpdorp   Phone - (309) 779-2043


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Quad City Eating Disorders Consortium

Our mission is to be guided by the Amy Helpenstell Foundation's message of help, hope and healing by promoting awareness, understanding, diagnosis and treatment for Eating Disorders in our community

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