Background and aims To determine the relationship between the risk of exercise addiction (REA) and
health status in amateur endurance cyclists. Methods In 859 (751 men and 108 women) cyclists and 718 inactive subjects (307 men and
411 women), we examined the REA (Exercise Addiction Inventory), training status
(volume, frequency, experience, and performance), socioeconomic status, quality of
life (QoL) (SF-12), quality of sleep (Pittsburgh Sleep Quality Index), anxiety and
depression (Hospital Anxiety and Depression Scale), and cardiometabolic risk: body
mass index, physical activity (International Physical Activity Questionnaire),
physical condition (International Fitness Scale), adherence to the Mediterranean
diet (Mediterranean Diet Adherence Screener), alcohol and tobacco consumption.
ResultsIn total, 17% of the cyclists showed evidence of REA and 83% showed low REA. REA
occurred independent of age, sex, training, and socioeconomic status (all
ps > .05). Regardless of REA, the cyclists
displayed a better physical QoL and a lower cardiometabolic risk than the inactive
subjects (all ps < .05). The cyclists with REA
displayed worse values of mental QoL, quality of sleep, and anxiety than cyclists
with low REA (all ps < .05). The REA group had
better values of mental QoL and anxiety and similar values of quality of sleep
than the inactive subjects. The differences in mental QoL between the REA and low
REA groups were significantly greater in women
(p = .013). There was no
Addiction × Sex interaction in the other analyzed
variables.ConclusionOur results suggest that an increased prevalence of REA limits the benefits that
amateur endurance cycling has on mental health and quality of sleep.