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

Año de publicación: 2018

Volumen: 18

Número: 2

Páginas: 43-56

Tipo: Artículo

Otras publicaciones en: Cuadernos de psicología del deporte

Resumen

Los comportamientos alimentarios alterados y los trastornos de la conducta alimentaria (TCAs) tienen una alta prevalencia entre los deportistas tanto a niveles clínicos como subclínicos. Esta revisión resume y actualiza los principales hallazgos sobre TCAs en el deporte, con un énfasis en el fútbol, una modalidad ignorada en la que son comunes y más frecuentes de lo esperado. Comienza presentando los TCAs en el ámbito deportivo y su prevalencia. Se presenta la clasificación tradicional de los deportes como de "alto" y "bajo" riesgo y resultados recientes que cuestionan su utilidad y la de estimar la vulnerabilidad de los deportistas a partir de esta dimensión únicamente. Se comentan otros factores de riesgo más decisivos implicados en la predisposición, aparición y mantenimiento de los TCAs en deportistas, incluyendo factores socio-culturales, psicosociales, comportamentales y deportivos-contextuales. Se reflexiona sobre tendencias actuales en el deporte y en el fútbol que pueden contribuir a un incremento del riesgo de TCAs. Se proponen recomendaciones para la prevención y manejo de los TCAs en el ámbito deportivo. Finalmente, se comentan futuras áreas de investigación que pueden enriquecer nuestro conocimiento sobre esta área, incluyendo cuestiones metodológicas, empíricas y conceptuales que pueden generar importantes avances tanto en investigación como en intervención.

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.