Eating Disorders in Athletes: From Risk Management to Therapy

Endocr Metab Immune Disord Drug Targets. 2020;20(1):2-14. doi: 10.2174/1871530319666190418121446.

Abstract

Background: Balanced sporting activity should be considered a resource in the treatment of eating disorders (ED), in particular of the BED and in obesity and, if conducted and guided by expert preparers and rehabilitators, in some forms of anorexia and in bulimia.

Objective: To assess the role of excessive physical activity, predominantly interfering with daily activities by ultimately resulting in greater energy consumption leading to weight loss, and study the diagnostic criteria of bulimia and anorexia nervosa.

Methods: A number of literature studies also report the presence of ED among athletes. A 2004 study reported that the prevalence of eating disorders in sports would be 13.5% compared to 4.5% of the control subjects.

Results: In general, nutrition is used as a tool for improving performance not only of athletes but also of technicians and coaches. But in the presence of factors of vulnerability towards ED, the tendency to manipulate the weight can result in an eating disorder or the so-called athletic anorexia or the RED-S.

Conclusion: It is important to emphasize that not only do professional athletes suffer from it, but also good-looking amateurs and laypersons.

Keywords: Athletes; eating disorders; health; metabolic functions; physical activity; sport..

Publication types

  • Review

MeSH terms

  • Athletes / psychology*
  • Energy Metabolism
  • Exercise
  • Feeding Behavior*
  • Feeding and Eating Disorders / epidemiology
  • Feeding and Eating Disorders / physiopathology
  • Feeding and Eating Disorders / psychology
  • Feeding and Eating Disorders / therapy*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Nutritional Status
  • Obesity / physiopathology
  • Obesity / psychology
  • Obesity / therapy
  • Prognosis
  • Risk Factors
  • Weight Loss