Specific dietary practices in female athletes and their association with positive screening for disordered eating

Journal of Eating Disorders

Traci L. Carson¹  Nicole Farnsworth²  Laura J. Moretti²  Lauren M. McCall²  Celina de Borja³  Kathryn E. Ackerman⁴  Bryan Holtzman⁵ 

[1] Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA;Female Athlete Program, Division of Sports Medicine, Boston Children’s Hospital, 319 Longwood Avenue – 6th Floor, 02115, Boston, MA, USA;Female Athlete Program, Division of Sports Medicine, Boston Children’s Hospital, 319 Longwood Avenue – 6th Floor, 02115, Boston, MA, USA;Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA, USA;Female Athlete Program, Division of Sports Medicine, Boston Children’s Hospital, 319 Longwood Avenue – 6th Floor, 02115, Boston, MA, USA;Neuroendocrine Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA;Female Athlete Program, Division of Sports Medicine, Boston Children’s Hospital, 319 Longwood Avenue – 6th Floor, 02115, Boston, MA, USA;Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA;

关键词: RED-S;    Eating disorder;    Disordered eating;    Female athlete;   

DOI  :  10.1186/s40337-021-00407-7

来源: Springer

【 摘 要 】

BackgroundTo determine if following specific diets was associated with reporting behaviors that are consistent with disordered eating compared to non-diet-adherent athletes. We hypothesized that athletes adhering to specific diets were more likely to report disordered eating than those not following a diet.MethodsOne thousand female athletes (15–30 years) completed a comprehensive survey about athletic health and wellness. Athletes were asked to specify their diet and completed 3 eating disorder screening tools: the Brief Eating Disorder in Athletes Questionnaire, the Eating Disorder Screen for Primary Care, and self-reported current or past history of eating disorder or disordered eating. Descriptive statistics were calculated for all study measures and chi-squared tests assessed relationships between athletes’ dietary practices and their responses to eating disorder screening tools. Statistical significance was defined as p < 0.05.ResultsTwo hundred thirty-four of 1000 female athletes reported adherence to specific diets. 69 of the 234 diet-adhering athletes (29.5%) were excluded due to medically-indicated dietary practices or vague dietary descriptions. Of the 165 diet-adherent athletes, 113 (68.5%) screened positively to ≥1 of the 3 eating disorder screening tools. Specifically, athletes practicing a low-carbohydrate diet were more likely to report disordered eating vs. athletes without dietary restrictions (80% vs. 41.8%; p < 0.0001).ConclusionSpecific diet adherence in female athletes may be associated with reporting behaviors that are consistent with disordered eating. Health practitioners should consider further questioning of athletes reporting specific diet adherence in order to enhance nutritional knowledge and help treat and prevent eating disorders or disordered eating.

【 授权许可】

CC BY