Disordered eating in French high-level athletes: association with type of sport, doping behavior, and psychological features

Rousselet, Morgane; Guérineau, B.; Paruit, M. C.; Guinot, Michel; Lise, S.; Destrube, Bernard; Ruffio-Thery, S.; Domínguez, Nicolás Varlotta; Brisseau-Gimenez, S.; Dubois, Vincent; Mora, Cristina; Trolonge, Stanislas; Lambert, S.; Grall‐Bronnec, Marie; Prétagut, Stéphane

doi:10.1007/s40519-016-0342-0

Cited by 42 publications

(32 citation statements)

References 31 publications

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“…This indicates that, though useful, the lean grouping does not provide a complete picture when addressing DE risk. The rest of the significant positive findings were shown in weight-dependent [31], power [32], antigravitation [32], and the specific ball sport water polo [27]. These provide insight into the risk of more specific groupings and therefore the risk factors of DE in athletes, but due to lack of evidence nothing more definitive can be said about the sport type groupings at this time.…”

Section: Discussionmentioning

confidence: 97%

“…DE is common amongst athletes, but there is still much to learn about the prevalence within certain subgroups. Though there is clear evidence that an emphasis on leanness plays a role [3,8,15,27,29,30], divisions into further subgroups show less concise evidence. When subdividing sports into activity type, aesthetic sports seem to be consistently correlated with an increase in DE rates [6,9].…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of disordered eating in athletes categorized by emphasis on leanness and activity type – a systematic review

et al. 2020

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Background Disordered Eating (DE) shows a strong association with athletics and can lead to several negative mental and physical health effects. Traditionally, sports have been grouped based upon whether or not the sport emphasizes leanness as a competing factor. Due to sociocultural factors, risk for DE may also be associated with the sport type. The aim of this review is to critically analyze the available research and data in this field to consider the relationship between DE and sport type to see which factors influence prevalence among athletes Method A systematic review was completed using keywords specific to DE and sport types. Articles were either excluded due to lack of specification of athlete type or failure to use a standardized screening tool or interview for data collection. Results 6 out of 7 studies found a significant increase in DE rates among lean sport types. When classifying by sport type reports were less consistent, but show non-lean sports also have increased rates of DE. Conclusion There are variations in prevalence of DE behaviors depending on athlete type. It is important to identify the risk for DE early in athletes so emphasis can be placed on treatment options to nullify progression to an eating disorder, lower negative impacts on an athlete’s performance, and prevent other negative health effects. Using sport groups is important to clinical practice as well as research, as certain sports may have a higher risk for development of DE.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Prevalence of disordered eating in athletes categorized by emphasis on leanness and activity type – a systematic review

et al. 2020

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“…Eating disorders (including anorexia nervosa, bulimia nervosa and binge eating disorder) and disordered eating (abnormal eating behaviours not meeting criteria for an eating disorder) (table 5) among elite male and female athletes are common 25 269–272. The estimated prevalence of eating disorders and/or disordered eating among athletes in general ranges from 0% to 19% in men and from 6% to 45% in women,273 considerably higher than in non-athletes 274.…”

Section: Specific Mental Health Symptoms and Disorders In Elite Athletesmentioning

confidence: 99%

Mental health in elite athletes: International Olympic Committee consensus statement (2019)

et al. 2019

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Mental health symptoms and disorders are common among elite athletes, may have sport related manifestations within this population and impair performance. Mental health cannot be separated from physical health, as evidenced by mental health symptoms and disorders increasing the risk of physical injury and delaying subsequent recovery. There are no evidence or consensus based guidelines for diagnosis and management of mental health symptoms and disorders in elite athletes. Diagnosis must differentiate character traits particular to elite athletes from psychosocial maladaptations.Management strategies should address all contributors to mental health symptoms and consider biopsychosocial factors relevant to athletes to maximise benefit and minimise harm. Management must involve both treatment of affected individual athletes and optimising environments in which all elite athletes train and compete. To advance a more standardised, evidence based approach to mental health symptoms and disorders in elite athletes, an International Olympic Committee Consensus Work Group critically evaluated the current state of science and provided recommendations.

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“…This is also a relevant concern for individuals with eating disorders, which are disproportionately common among elite athletes. [75][76][77][78][79] It is hypothesised that COVID-19, with attendant food insecurity and panic buying, will exacerbate the already complex, problematic relationship that patients, including athletes, with eating disorders have with food. 80 For athletes with eating disorders, during most in-person visits, at least some aspects of physical examination would be conducted (including blinded weight, blood pressure, heart rate, temperature and examination of the throat, heart, lungs and extremities).…”

Section: Virtual Versus In-person Carementioning

confidence: 99%

Mental health management of elite athletes during COVID-19: a narrative review and recommendations

Bindra²,

et al. 2020

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Elite athletes suffer many mental health symptoms and disorders at rates equivalent to or exceeding those of the general population. COVID-19 has created new strains on elite athletes, thus potentially increasing their vulnerability to mental health symptoms. This manuscript serves as a narrative review of the impact of the pandemic on management of those symptoms in elite athletes and ensuing recommendations to guide that management. It specifically addresses psychotherapy, pharmacotherapy and higher levels of care. Within the realm of psychotherapy, crisis counselling might be indicated. Individual, couple/family and group psychotherapy modalities all may be helpful during the pandemic, with novel content and means of delivery. Regarding pharmacotherapy for mental health symptoms and disorders, some important aspects of management have changed during the pandemic, particularly for certain classes of medication including stimulants, medications for bipolar and psychotic disorders, antidepressants and medications for substance use disorders. Providers must consider when in-person management (eg, for physical examination, laboratory testing) or higher levels of care (eg, for crisis stabilisation) is necessary, despite potential risk of viral exposure during the pandemic. Management ultimately should continue to follow general principles of quality health care with some flexibility. Finally, the current pandemic provides an important opportunity for research on new methods of providing mental health care for athletes, and consideration for whether these new methods should extend beyond the pandemic.

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Disordered eating in French high-level athletes: association with type of sport, doping behavior, and psychological features

Abstract: These results highlight the need for the development of specific screening tools for high-level athletes. Furthermore, the identification of factors associated with disordered eating could improve early detection and prevention program effectiveness.

Cited by 42 publications

References 31 publications

Prevalence of disordered eating in athletes categorized by emphasis on leanness and activity type – a systematic review

Prevalence of disordered eating in athletes categorized by emphasis on leanness and activity type – a systematic review

Mental health in elite athletes: International Olympic Committee consensus statement (2019)

Mental health management of elite athletes during COVID-19: a narrative review and recommendations

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