Eating disorders in sports and footballAn updated review

  1. Diaz Ceballos, Isabel 1
  2. Godoy-Izquierdo, Débora 2
  3. Navarrón Vallejo, Estefania 3
  4. Ramirez Molina, María José 3
  5. Dosil Díaz, Joaquín 4
  1. 1 Escuela Universitaria Gimbernat-Cantabria. Servicio Universitario de Investigación, SUIGC. Campus de Torrelavega. Universidad de Cantabria. 39316, Cantabria.
  2. 2 Departamento de Personalidad, Evaluación y Tratamiento Psicológico. Facultad de Psicología. Campus de Cartuja. Universidad de Granada. 18071, Granada, España.
  3. 3 Grupo de Investigación CTS-267 Psicología de la Salud y Medicina Conductual. Facultad de Psicología. Campus de Cartuja. Universidad de Granada. 18071, Granada, España.
  4. 4 Departamento de Psicología Evolutiva y Comunicación. Facultad de Educación. Campus de Pontevedra. Universidad de Vigo. 36310, Vigo, España.
Revista:
Cuadernos de psicología del deporte

ISSN: 1578-8423 1989-5879

Ano de publicación: 2018

Volume: 18

Número: 2

Páxinas: 43-56

Tipo: Artigo

Outras publicacións en: Cuadernos de psicología del deporte

Resumo

Disordered eating behaviours and eating disorders (EDs) are prevalent among athletes both at clinical and subclinical levels. This review briefly summarizes and updates the main findings on EDs in sports, with a specific focus on football, a largely ignored athletic modality in which EDs are common and more frequent than expected. We begin presenting EDs in sports and their prevalence. We review the traditional classifications of sports as "low-" and "high-risk" athletic modalities based on prevalence rates and examine recent findings that question the utility of classifying sports and estimating an athlete’s vulnerability for developing an ED based only on such dimension. We then focus on other more decisive risk factors involved in the predisposition, precipitation and maintenance of an ED in sports, including socio-cultural, psychosocial, behavioural and athletic-contextual factors. We reflect on current trends in sports and football that may contribute to an increased risk for EDs. Next, recommendations for preventing and managing EDs in sports are discussed, stressing the importance of reducing putative risk factors. Finally, we attend to future areas of research that may enrich our knowledge on this topic, including methodological, empirical and conceptual issues that may lead to further advancements in research and intervention.

Referencias bibliográficas

  • 1. Arroyo, M., González-de-Suso, J.M., Sánchez, C., Ansotegui, L. and Rocandio, A.M. (2008). Body image and body composition: Comparisons of young male elite soccer players and controls. International Journal of Sport Nutrition and Exercise Metabolism, 18(6),628-638.
  • 2. Arthur-Cameselle, J.N. and Baltzell, A. (2012). Learning from collegiate athletes who have recovered from eating disorders: Advice to coaches, parents, and other athletes with eating disorders. Journal of Applied Sport Psychology, 24(1), 1-9.
  • 3. Baum, A. (2006). Eating disorders in the male athlete. Sports Medicine, 36(1), 1-6.
  • 4. Beals, K.A. (2000). Subclinical eating disorders in female athletes. Journal of Physical Education, Recreation and Dance, 71(7), 23-29.
  • 5. Beals, K.A. (2004). Disordered eating among athletes: A comprehensive guide for health professionals. Champaign, IL: Human Kinetics.
  • 6. Becker, C.B., McDaniel, L., Bull, S., Powell, M. and McIntyre, K. (2012). Can we reduce eating disorder risk factors in female college athletes? A randomized exploratory investigation of two peer-led interventions. Body Image, 9(1), 31-42.
  • 7. Berry, T. and Howe, B. (2000). Risk factors for disordered eating in female university athletes. Journal of Sport Behavior, 23(3), 207-218.
  • 8. Blaydon, M.J. and Lindner, K.J. (2002). Eating disorders and exercise dependence in triathletes. Eating Disorders, 10(1), 49-60.
  • 9. Bratland-Sanda, S. and Sundgot-Borgen, J. (2013). Eating disorders in athletes: Overview of prevalence, risk factors and recommendations for prevention and treatment. European Journal of Sport Science, 13(5), 499-508.
  • 10. Bratrud, S.R., Parmer, M.M., Whitehead, J.R. and Eklund, R.C. (2010). Social physique anxiety, physical selfperceptions and eating disorder risk: A two-sample study. Pamukkale Journal of Sport Sciences, 1(3), 1-10.
  • 11. Byrne, S. and McLean, N. (2001). Eating disorders in athletes: A review of the literature. Journal of Science and Medicine in Sport, 4(2), 145-159.
  • 12. Byrne, S. and McLean, N. (2002). Elite athletes: Effects of the pressure to be thin. Journal of Science and Medicine in Sport, 5(2), 80-94.
  • 13. Carter, J.E. and Rudd, N.A. (2005). Disordered eating assessment for college student-athletes. Women in Sport and Physical Activity Journal, 14(1), 62-71.
  • 14. Chatterton, J.M. and Petrie, T.A. (2013). Prevalence of disordered eating and pathogenic weight control behaviors among male collegiate athletes. Eating Disorders: The Journal of Treatment and Prevention, 21(4), 328-341.
  • 15. Cole, C.R., Salvaterra, G.F., Davis, J.E., Borja, M.E., Powell, L.M., Dubbs, E.C. and Bordi, P.L. (2005). Evaluation of dietary practices of National Collegiate Athletic Association Division I football players. The Journal of Strength and Conditioning Research, 19(3), 490-494.
  • 16. Currie, A. (2010). Sport and eating disorders - Understanding and managing the risks. Asian Journal of Sports Medicine, 1(2), 63-68.
  • 17. Currie, A. and Morse, E.D. (2005). Eating disorders in athletes: Managing the risks. Clinics in Sports Medicine, 24(4), 871-883.
  • 18. Davison, K.K., Earnest, M.B. and Birch, L.L. (2002). Participation in aesthetic sports and girls' weight concerns at 5 and 7 years. International Journal of Eating Disorders, 31(3), 312-317.
  • 19. Díaz, I. (2005). Propuesta de un programa de prevención de trastornos de la conducta alimentaria para entrenadores. Cuadernos de Psicología del Deporte, 5(1 y 2), 67-80.
  • 20. Díaz, I. (2014). Trastornos de alimentación en el futbolista: Pautas para su detección y prevención. En M. Roffé y S. Rivera, Entrenamiento mental en el futbol moderno. Herramientas prácticas (pp. 254-271). Argentina: Fútbol De Libro.
  • 21. Díaz, I. and Dosil, J. (2012). Trastornos de alimentación en deportistas de alto rendimiento. Madrid: Ed. Consejo Superior de Deportes.
  • 22. Díaz, I., Godoy, D., Ramírez, M.J, Navarrón, E., Vázquez, M., Vélez, M., Padial, A., Jiménez, M. and Jaenes, J. (2014). Abandono temporal de la actividad deportiva en deportistas de 18 a 40 años: ¿Existe alguna relación con las percepciones corporales?. XIV Congreso Nacional y I Internacional de Psicología de la Actividad Física y el Deporte. Cáceres.
  • 23. Dosil, J. (2008). Eating disorders in athletes. Chischester, UK: WilleyInterscience.
  • 24. Dosil, J., Díaz, I., Viñolas, A. and Díaz, O. (2012). Prevención y detección de los trastornos de alimentación en deportistas de alto rendimiento (CAR, Ceare y CTD). Cuadernos de Psicología del Deporte, 12(1), 163-166.
  • 25. Dunn, D., Turner, L.W. and Denny, G. (2007). Nutrition knowledge and attitudes of college athletes. The Sport Journal, 10(4), 45-52.
  • 26. El Ghoch, M., Soave, F., Calugi, S. and Dalle Grave, R. (2013). Eating disorders, physical fitness and sport performance: A systematic review. Nutrients, 5(12), 5140-5160.
  • 27. Engel, S.G., Johnson, C., Powers, P.S., Crosby, R.D., Wonderlich, S.A., Wittrock, D.A. and Mitchell, J.E. (2003). Predictors of disordered eating in a sample of elite Division I college athletes. Eating Behaviors, 4(4), 333-343.
  • 28. Ferrand, C., Magnan, C., Rouveix, M. and Filaire, E. (2007). Disordered eating, perfectionism and body-esteem of elite synchronized swimmers. European Journal of Sport Science, 7(4), 223-230.
  • 29. Frideres, J. and Palao, J.M. (2008). Percepción de los factores de riesgo de los trastornos alimenticios en jugadoras universitarias de voleibol. Cuadernos de Psicología del Deporte, 8(1), 93-104. 30. Glazer, J.L. (2008). Eating disorders among male athletes. Current Sports Medicine Reports, 7(6), 332-337.
  • 31. Gomes, A.R., Martins, C. and Silva, L. (2011). Eating disordered behaviours in Portuguese athletes: The influence of personal, sport, and psychological variables. European Eating Disorders Review, 19(3), 190-200.
  • 32. Gouttebarge, V., Aoki, H. and Kerkhoffs, G. (2015). Symptoms of common mental disorders and adverse health behaviours in male professional soccer players. Journal of Human Kinetics, 49(1), 277- 286.
  • 33. Gouttebarge, V., Aoki, H., Ekstrand, J., Verhagen, E. A. and Kerkhoffs, G. M. (2016). Are severe musculoskeletal injuries associated with symptoms of common mental disorders among male European professional footballers? Knee Surgery, Sports Traumatology, Arthroscopy, 24(12), 3934-3942.
  • 34. Gouttebarge, V., Backx, F. J., Aoki, H. and Kerkhoffs, G.M. (2015). Symptoms of common mental disorders in professional football (soccer) across five European countries. Journal of Sports Science and Medicine, 14(4), 811-818.
  • 35. Gouttebarge, V., Frings-Dresen, M. H. W. and Sluiter, J. K. (2015). Mental and psychosocial health among current and former professional footballers. Occupational Medicine, 65(3), 190-196. 36. Govero, C. and Bushman, B.A. (2003). Collegiate cross country coaches' knowledge of eating disorders. Women in Sport and Physical Activity Journal, 12(1), 53-65.
  • 37. Greenleaf, C., Petrie, T.A., Carter, J. and Reel, J.J. (2009). Female collegiate athletes: Prevalence of eating disorders and disordered eating behaviors. Journal of American College Health, 57(5), 489- 496.
  • 38. Gutgesell, M.E., Moreau, K.L. and Thompson, D.L. (2003). Weight concerns, problem eating behaviors, and problem drinking behaviors in female collegiate athletes. Journal of Athletic Training, 38(1), 62-66.
  • 39. Haase, A.M. (2011). Weight perception in female athletes: Associations with disordered eating correlates and behavior. Eating Behaviors, 12(1), 64-67. 40. Haase, A.M. and Prapavessis, H. (2001). Social physique anxiety and eating attitudes in female athletic and nonathletic groups. Journal of Science and Medicine in Sport, 4(4), 396-405.
  • 41. Haase, A.M., Prapavessis, H. and Owens, R.G. (2002). Perfectionism, social physique anxiety and disordered eating: A comparison of male and female elite athletes. Psychology of Sport and Exercise, 3(3), 209-222.
  • 42. Harris, J. (2005). The image problem in women's football. Journal of Sport and Social Issues, 29(2), 184-197.
  • 43. Harris, M.B. (2000). Weight concern, body image, and abnormal eating in college women tennis player and their coaches. International Journal of Sport Nutrition and Exercise Metabolism, 10(1), 1-15.
  • 44. Hausenblas, H.A. and Carron, A.V. (1999). Eating disorders indices and athletes: An integration. Journal of Sport and Exercise Psychology, 21(3), 230- 258.
  • 45. Hausenblas, H.A. and Downs, D.S. (2002). Exercise dependence: A systematic review. Psychology of Sport and Exercise, 3(2), 89-123.
  • 46. Heffner, J.L., Ogles, B.M., Gold, E., Marsden, K. and Johnson, M. (2003). Nutrition and eating in female college athletes: A survey of coaches. Eating Disorders: The Journal of Treatment and Prevention, 11(3), 209-220.
  • 47. Holm‐Denoma, J.M., Scaringi, V., Gordon, K.H., Van Orden, K.A. and Joiner, T.E. (2009). Eating disorder symptoms among undergraduate varsity athletes, club athletes, independent exercisers, and nonexercisers. International Journal of Eating Disorders, 42(1), 47-53.
  • 48. Kerr, G., Berman, E. and Souza, M.J.D. (2006). Disordered eating in women's gymnastics: Perspectives of athletes, coaches, parents, and judges. Journal of Applied Sport Psychology, 18(1), 28-43.
  • 49. Kirk, G., Singh, K. and Getz, H. (2001). Risk of eating disorders among female college athletes and nonathletes. Journal of College Counseling, 4(2), 122-132.
  • 50. Krane, V., Waldron, J., Stiles-Shipley, J.A. and Michalenok, J. (2001). Relationships among body satisfaction, social physique anxiety, and eating behaviors in female athletes and exercisers. Journal of Sport Behavior, 24(3), 247-264.
  • 51. Martinsen, M., Bahr, R., Børresen, R.U.N.I., Holme, I., Pensgaard, A.M. and Sundgot-Borgen, J. (2014). Preventing eating disorders among young elite athletes: A randomized controlled trial. Medicine and Science in Sports and Exercise, 46(3), 435-447.
  • 52. Milligan, B. and Pritchard, M. (2006). The relationship between gender, type of sport, body dissatisfaction, self esteem and disordered eating behaviors in division I athletes. Athletic Insight, 8(1), 32-46.
  • 53. Morgado de Oliveira, G., de Abreu, E. and Gonçalves, B.G. (2010). Are female athletes at increased risk for disordered eating and its complications?. Appetite, 55(3), 379-387.
  • 54. Papathomas, A. and Lavallee, D. (2006). A life history analysis of a male athlete with an eating disorder. Journal of Loss and Trauma, 11(2), 143-179.
  • 55. Papathomas, A. and Lavallee, D. (2010). Athlete experiences of disordered eating in sport. Qualitative Research in Sport and Exercise, 2(3), 354-370.
  • 56. Papathomas, A. and Lavallee, D. (2012). Eating disorders in sport: A call for methodological diversity. Revista de Psicología del Deporte, 21(2), 387-392.
  • 57. Pérez, G., Rodríguez, F., Esteve, E., Larraburu, I., Font, J. and Pons, V. (1992). Prevalencia de trastornos de la conducta alimentaria en deportistas. Revista Psicología del Deporte, 1(1), 5- 16.
  • 58. Petrie, T.A. and Greenleaf, C.A. (2007). Eating disorders in sport. From theory to research to intervention. In G. Tenenbaum and R.C. Eklund (Eds.), Handbook of sport psychology (pp. 352- 378). New Jersey: John Wiley and Sons.
  • 59. Petrie, T.A., Greenleaf, C., Carter, J.E. and Reel, J.J. (2007). Psychosocial correlates of disordered eating among male collegiate athletes. Journal of Clinical Sport Psychology, 1(4), 340-357.
  • 60. Petrie, T.A., Greenleaf, C., Reel, J. and Carter, J. (2008). Prevalence of eating disorders and disordered eating behaviors among male collegiate athletes. Psychology of Men and Masculinity, 9(4), 267-277.
  • 61. Petrie, T.A., Greenleaf, C., Reel, J.J. and Carter, J.E. (2009a). An examination of psychosocial correlates of eating disorders among female collegiate athletes. Research Quarterly for Exercise and Sport, 80(3), 621-632.
  • 62. Petrie, T.A., Greenleaf, C., Reel, J. and Carter, J. (2009b). Personality and psychological factors as predictors of disordered eating among female collegiate athletes. Eating Disorders, 17(4), 302-321.
  • 63. Reinking, M.F. and Alexander, L.E. (2005). Prevalence of disordered-eating behaviors in undergraduate female collegiate athletes and nonathletes. Journal of Athletic Training, 40(1), 47- 51.
  • 64. Rui, A., Martins, C. and Silva, L. (2011). Eating disordered behaviours in Portuguese athletes: The influence of personal, sport, and psychological variables. European Eating Disorders Review. Special edition on compulsive exercise, 19(3), 190-200.
  • 65. Sánchez-Gombau, M.C., Vila, I., GarcíaBuades, E., Ferrer, A. and Domínguez, N. (2005). Influencia del estilo de entrenamiento en la disposición a desarrollar un trastorno de la conducta alimentaria en gimnastas de competición. Cuadernos de Psicología del Deporte, 5(1 y 2), 19-28.
  • 66. Sanford-Martens, T.C., Davidson, M.M., Yakushko, O.F., Martens, M.P. and Hinton, P. (2005). Clinical and subclinical eating disorders: An examination of collegiate athletes. Journal of Applied Sport Psychology, 17(1), 79-86.
  • 67. Schwarz, H.C., Gairrett, R.L., Aruguete, M.S. and Gold, E.S. (2005). Eating attitudes, body dissatisfaction, and perfectionism in female college athletes. North American Journal of Psychology, 7(3), 345-352.
  • 68. Sherman, R.T. and Thompson, R.A. (2001). Athletes and disordered eating: Four major issues for the professional psychologist. Professional Psychology: Research and Practice, 32(1), 27-33.
  • 69. Smolak, L., Murnen, S.K. and Ruble, A.E. (2000). Female athletes and eating problems: A meta-analysis. International Journal of Eating Disorders, 27(4), 371- 380.
  • 70. Stirling, A.E., Cruz, L.C. and Kerr, GA. (2012). Influence of retirement on body satisfaction and weight control behaviors: Perceptions of elite rhythmic gymnasts. Journal of Applied Sport Psychology, 24(2), 129-143.
  • 71. Sundgot-Borgen, J. and Garthe, I. (2011). Elite athletes in aesthetic and Olympic weight-class sports and the challenge of body weight and body compositions. Journal of Sports Sciences, 29(1), S101-S114.
  • 72. Sundgot-Borgen, J. and Torstveit, M.K. (2004). Prevalence of eating disorders in elite athletes is higher than in the general population. Clinical Journal of Sport Medicine, 14(1), 25-32.
  • 73. Sundgot-Borgen, J. and Torstveit, M.K. (2007). The female football player, disordered eating, menstrual function and bone health. British Journal of Sports Medicine, 41(S1), i68- i72.
  • 74. Sundgot‐Borgen, J. and Torstveit, M.K. (2010). Aspects of disordered eating continuum in elite high‐intensity sports. Scandinavian Journal of Medicine and Science in Sports, 20(s2), 112-121.
  • 75. Thompson, R.A. and Sherman, R.T. (2011). Eating disorders in sport. New York: Routledge.
  • 76. Toro, J., Galilea, B., Martínez-Mallén, E., Salamero, M., Capdevila, L., Marí, J., Mayolas, J. and Toro, E. (2005). Eating disorders in Spanish female athletes. International Journal of Sports Medicine, 26(8), 693-700.
  • 77. Torstveit, M.K. and Sundgot-Borgen, J. (2005). The female athlete triad: Are elite athletes at increased risk?. Medicine and Science in Sports and Exercise, 37(2), 184-193.
  • 78. Torstveit, M.K., Rosenvinge, J.H. and Sundgot‐Borgen, J. (2008). Prevalence of eating disorders and the predictive power of risk models in female elite athletes: A controlled study. Scandinavian Journal of Medicine and Science in Sports, 18(1), 108-118.
  • 79. Trattner, S.R., Thompson, R.A., Dehass, D. and Wilfert, M. (2005). NCAA coaches survey: The role of the coach in identifying and managing athletes with disordered eating. Eating Disorders, 13(5), 447-466.
  • 80. Turk, J.C., Prentice, W.E., Chappell, S. and Shields, E.W. (1999). Collegiate coaches´ knowledge of eating disorders. Journal of Athletic Training, 34(1), 19- 24.
  • 81. Vaughan, J.L., King, K.A. and Cottrell, R.R. (2004). Collegiate athletic trainers' confidence in helping female athletes with eating disorders. Journal of Athletic Training, 39(1), 71-76.
  • 82. Williams, P.L., Sargent, R.G. and Durstine, L.J. (2003). Prevalence of subclinical eating disorders in collegiate female athletes. Women in Sport and Physical Activity Journal, 12(2), 127- 145.