The Prevalence of Subclinical Eating Disorders among Male Cyclists

Riebl, Shaun K.; Subudhi, Andrew W.; Broker, Jeffery P.; Schenck, K; Berning, Jacqueline R.

doi:10.1016/j.jada.2007.04.017

Cited by 37 publications

(35 citation statements)

References 21 publications

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“…In a study by Rosendahl, et al ,24 the prevalence of eating disorders among male athletes was 10% in endurance sports, 17% in weight class sports and 42% in antigravitation sports. As was observed in the female athlete population, numerous studies focusing specifically on male athletes in lean sports have found similarly high rates of disordered eating in this population, even in the absence of a formal eating disorder diagnosis 9 17 22 25 26. In a survey of 732 male collegiate athletes in the USA, Chatterton and Petrie22 found that male athletes who participated in weight class sports were more likely to engage in pathological eating and weight control behaviours and be symptomatic compared to male athletes in endurance sports or ball game athletes.…”

Section: Epidemiologymentioning

confidence: 66%

2016 update on eating disorders in athletes: A comprehensive narrative review with a focus on clinical assessment and management

2016

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Eating disorders, such as anorexia nervosa and bulimia nervosa, can have devastating effects on both the health and performance of athletes. Compared to non-athletes, both female and male athletes are at higher risk of developing an eating disorder. This is especially true for athletes participating in sports where low body weight or leanness confers a competitive advantage. Screening for disordered eating behaviours, eating disorders and for related health consequences should be a standard component of preparticipation examinations, and team physicians should be knowledgeable of the updated diagnostic criteria for eating disorders in the Diagnostic and Statistical Manual-V. Athletes with eating disorders should undergo thorough evaluation and treatment by an experienced multidisciplinary team. Team physicians play a critical role in decision-making on clearance for participation and return to play. Using evidence-based guidelines for clearance and return to play encourages transparency and accountability between the sports medicine care team and the athlete. Efforts to prevent eating disorders should be aimed at athletes, coaches, parents and athletic administrators, and focused on expanding knowledge of healthy nutrition in support of sport performance and health.

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Section: Epidemiologymentioning

confidence: 66%

2016 update on eating disorders in athletes: A comprehensive narrative review with a focus on clinical assessment and management

2016

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“…Disordered eating occurs on a continuum ranging from dieting and restrictive eating at one end, to abnormal eating behaviour, and clinical eating disorders at the other end of the continuum [53]. Male elite athletes are more vulnerable to eating disorders than males in the general population [54, 55]. A study on dieting and disordered eating found that 59% of the young male elite athletes were dissatisfied with their body, 19% were dieting and 11% had disordered eating [56].…”

Section: Main Textmentioning

confidence: 99%

Men, Mental Health and Elite Sport: a Narrative Review

2018

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Mental health in elite sport is receiving more publicity due to an increase in male athletes sharing their personal experiences. Sports injury is recognised as the major risk factor for psychological distress amongst male athletes, although anecdotally this may be that athletes are more likely to discuss their emotional wellbeing when related to the injury they are experiencing. Stress can be amplified within elite sport and the pressure they experience in relation to competition and performance can be exacerbated by adverse life events. This ongoing stress does not end when their sporting career does, it can follow them into retirement. The physical and psychological demands placed upon them by the sporting environment may predispose athletes to developing depression. As an athlete’s symptoms of mental illness intensify, their performance can be negatively affected leaving them vulnerable and exposed to further symptoms of common mental disorders. The pressure of performance can also expose male athletes to overtraining syndrome which can be difficult to distinguish from depression. Male athletes are more vulnerable to eating disorders compared with males in the general population and they do have anxieties, particularly around their bodies, but find it difficult to disclose their concerns. In addition to this, male athletes are more likely to use substances, including opioids to improve both sport and non-sport performance.Despite the prevalence of common mental disorders in male athletes, stigma still exists, and although some athletes discuss their issues publicly after their career has ended, the majority of athletes prefer to remain silent. There remains a view that athletes who seek help for psychological problems may be seen as weak. Although there is an improvement in help-seeking attitudes within elite sport, further research and education is needed to encourage men to talk about their mental health, share their experiences and to enjoy a greater sense of emotional wellbeing.

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“…ED risk is also a function of sport type. 4,11,15,30,52,54 Endurance sports (ie, distance running 15 and cycling 21,49 ) correlate leanness with increased performance. 59 Other sports such as gymnastics, figure skating, and bodybuilding have an esthetic component to the overall score.…”

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confidence: 99%

Eating Disorders in Male Athletes

et al. 2020

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Context: Eating disorders (EDs) in male athletes are potentially debilitating disorders with significant medical, psychological, and athletic performance consequences. Evidence Acquisition: Searches were performed across PubMed, EBSCOhost, and PSYCinfo from 1990 to 2019. Keywords searched were eating disorder, male, athlete, anorexia nervosa, bulimia nervosa, muscularity, muscle dysmorphia, and sports. Search results included articles written in the English language and encompassed reviews, empirical studies, and theoretical articles. Study Design: Clinical review. Level of Evidence: Level 3. Results: EDs among male athletes may lead to serious negative outcomes, including increased susceptibility to injury, inconsistent performance, problematic recovery, muscle deficiencies, impairment of optimal athletic functioning, and medical, social, and emotional problems. Male athletes with EDs may be more difficult to identify and diagnose for a variety of reasons related to differential presentation of symptoms, secretiveness or shame around behaviors, and sex-related stigma. Conclusion: Professionals working closely with athletes are uniquely positioned to identify and screen those who may require further evaluation and treatment.

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The Prevalence of Subclinical Eating Disorders among Male Cyclists

Cited by 37 publications

References 21 publications

2016 update on eating disorders in athletes: A comprehensive narrative review with a focus on clinical assessment and management

2016 update on eating disorders in athletes: A comprehensive narrative review with a focus on clinical assessment and management

Men, Mental Health and Elite Sport: a Narrative Review

Eating Disorders in Male Athletes

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