Eating disorders among professional athletes. A narrative review

Oliwia Szewczyk, Ewa Olek, Karolina Czarnecka, Anna Korczak, Katarzyna Burda, Emilia Wójcik, Olga Łopacińska, Katarzyna Stańczyk, Aleksandra Korn, Justyna Jędrzejczyk
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Abstract

Introduction: Eating disorders are potentially mortal health conditions affecting mostly young people. The reasons for that in general population are connected to  vulnerable self-image, following the current beauty standards and co-existing psychiatric comorbidities. Athletes may be in danger of developing a pathological eating pattern due to sport specific reasons such as higher scores related to thinner body. Aim of study: The main aim of the study was to examine the relationship between eating disorders in professional athletes’ population, evaluate causes and risk factors and to assess health consequences to eating disorder in sport. Materials and methods: This article is based on the literature found in PubMed and Google Scholar Database with the use of keywords such as ”eating disorders”, “sport”, “athletes”, “anorexia nervosa in athletes”, “eating disorders in sport”, “disordered eating in sportsmen”, “female athletes”, “bulimia nervosa”, “binge eating”, “ED and sport”, “mental health and sport”, “consequences of eating disorders”, “sport education”. Results: Investigation of available literature revealed the connection between developing eating disorder in professional athlete sample. The reasons behind it are mostly sports’ oriented and connected to the desire to achieve better results and perfectionism. However, developing an eating disorder results in worse sports’ performance, menstrual irregularity, lower bone mineral density, cardiovascular issues and can be potentially mortal. Conclusion: Athletes are in danger of developing eating disorders. There should be a focus on  evaluating people in sport in terms of eating patterns, however available questionnaires are inefficient because players tend to underreport their problems. Coaches and families of the athletes need to be educated in the topic as they can recognize dangerous behaviors first.  
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职业运动员的饮食失调。叙述性综述
导言饮食失调是一种潜在的致命健康问题,主要影响年轻人。在普通人群中,饮食失调的原因与脆弱的自我形象、追随当前的审美标准以及并存的精神疾病有关。由于运动的特殊原因,运动员可能会有形成病态饮食模式的危险,如较瘦的身体得分较高。研究目的:本研究的主要目的是研究职业运动员群体中饮食失调之间的关系,评估其原因和风险因素,并评估体育运动中饮食失调对健康造成的影响。材料和方法:本文基于在 PubMed 和谷歌学术数据库中找到的文献,使用的关键词包括 "饮食失调"、"体育"、"运动员"、"运动员厌食症"、"体育运动中的饮食失调"、"运动员饮食失调"、"女运动员"、"神经性贪食症"、"暴饮暴食"、"ED 与体育运动"、"心理健康与体育运动"、"饮食失调的后果"、"体育教育"。研究结果对现有文献的调查显示,专业运动员样本中出现饮食失调之间存在联系。其背后的原因大多以体育为导向,与取得更好成绩的愿望和完美主义有关。然而,饮食失调会导致运动成绩下降、月经不调、骨矿物质密度降低、心血管问题,甚至可能致命。结论运动员有患上饮食失调症的危险。应重视对体育运动中的饮食模式进行评估,但现有的调查问卷效率不高,因为运动员往往很少报告自己的问题。教练和运动员家属需要接受相关教育,因为他们可以首先识别危险行为。
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