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Gimunová M, Paulínyová A, Bernaciková M, Paludo AC. The Prevalence of Menstrual Cycle Disorders in Female Athletes from Different Sports Disciplines: A Rapid Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192114243. [PMID: 36361122 PMCID: PMC9658102 DOI: 10.3390/ijerph192114243] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Revised: 09/28/2022] [Accepted: 10/10/2022] [Indexed: 05/05/2023]
Abstract
The aim of this study was to rapidly review the literature on the prevalence of menstrual disorders in female athletes from different sports modalities. Articles were searched in the Web of Science and PubMed database in May 2022. A total of 1309 records were identified, and 48 studies were included in the final stage. The menstrual disorders described in the included studies were primary (in 33% of included studies) and secondary amenorrhea (in 73% of included studies) and oligomenorrhea (in 69% of included studies). The prevalence of menstrual disorders among the studies ranged from 0 to 61%. When data were pooled according to discipline (mean calculation), the highest prevalence of primary amenorrhea was found in rhythmic gymnastics (25%), soccer (20%) and swimming (19%); for secondary amenorrhea in cycling (56%), triathlon (40%) and rhythmic gymnastics (31%); and oligomenorrhea in boxing (55%), rhythmic gymnastics (44%) and artistic gymnastics (32%). Based on the results of this review, the study supports the literature of the higher prevalence of menstrual disorders in gymnastics and endurance disciplines. However, team sports modalities such as volleyball and soccer also presented a considerable percentage of menstrual disorders compared to the general population. It reinforces the importance of coaches and physicians paying attention to athletes' menstrual cycle as the occurrence of menstrual disorders can be associated with impairment on some health components.
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Affiliation(s)
- Marta Gimunová
- Department of Kinesiology, Faculty of Sport Studies, Masaryk University, 62500 Brno, Czech Republic
- Correspondence:
| | - Alexandra Paulínyová
- Department of Kinesiology, Faculty of Sport Studies, Masaryk University, 62500 Brno, Czech Republic
| | - Martina Bernaciková
- Department of Kinesiology, Faculty of Sport Studies, Masaryk University, 62500 Brno, Czech Republic
| | - Ana Carolina Paludo
- Incubator of Kinanthropological Research, Faculty of Sport Studies, Masaryk University, 62500 Brno, Czech Republic
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Papacharalampous KE, Dallas C, Dallas G. DETECTION OF EATING DISORDERS IN MALE AND FEMALE ARTISTIC GYMNASTS. SCIENCE OF GYMNASTICS JOURNAL 2022. [DOI: 10.52165/sgj.14.3.421-433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The purpose of this study was to investigate the trend of eating disorders in competitive male and female artistic gymnasts. The study involved 23 male and 42 female gymnasts, aged 7-27, from sports clubs throughout Greece. The EAT-26 Diet Attitudes scale was used to investigate participants' eating habits. The data collection process included communication with sports organizations throughout Greece on the content and purpose of the research. After consultation, the questionnaire was due to the COVID-19 pandemic provided in an electronic form and also included the consent form for participation in the research. The results of the study indicated that eleven of the sixty-five gymnasts had a total score of >20 on the EAT-26, a rate higher among female gymnasts (~ 24%) compared to male gymnasts (~ 4.4%) (p <.05). Although female gymnasts develop more eating disorders and bulimia than male gymnasts, no significant differences were found in the subscales of the questionnaire (p > .05). Therefore, this finding in combination with the fact that most of the gymnasts were teenagers (15.23 ± 6.35 years old) requires particular importance and attention from coaches and the family environment.
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Amato A, Proia P, Caldara GF, Alongi A, Ferrantelli V, Baldassano S. Analysis of Body Perception, Preworkout Meal Habits and Bone Resorption in Child Gymnasts. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18042184. [PMID: 33672264 PMCID: PMC7926894 DOI: 10.3390/ijerph18042184] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 02/18/2021] [Accepted: 02/19/2021] [Indexed: 12/13/2022]
Abstract
The beneficial effects of physical activity on body image perception and bone are debated among artistic gymnasts. Gymnasts seem to be at greater risk of developing body dissatisfaction, eating disorders and osteoporosis due to inadequate nutrition and attention to the appearance of the body. The objective of this work was to investigate the association between the artistic gymnast and a more favorable body image compared to their sedentary peers and if a preworkout high-carbohydrate meal (HCM; 300 kcal, 88% carbohydrates, 9% protein, 3% fat) or high-protein meal (HPM; 300 kcal, 55% carbohydrates, 31% protein, 13% fat) is able to attenuate bone resorption in young rhythmic gymnasts. Twenty-eight preadolescent female gymnasts were examined. Self-esteem tests were used to analyze body image perception. Preworkout eating habits were examined by short food frequency questions (FFQ) validated for children. The biomarker of the bone resorption C-terminal telopeptide region of collagen type 1 (CTX) was measured in the urine (fasting, postmeal and postworkout). Gymnasts reported higher satisfaction with their body appearance compared to sedentary peers. Of the gymnasts, 30% did not have a preworkout meal regularly, and the timing of the consumption was variable. Bone resorption was decreased by the HCM, consumed 90 min before the training, with respect to the HPM. The study suggests that playing artistic gymnastics is associated with a positive body self-perception in a child. The variability in preworkout meal frequency and timing need attention to prevent inadequate eating habits in light of the ability of the HCM to reduce acute bone resorption.
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Affiliation(s)
- Alessandra Amato
- Department of Psychological, Pedagogical and Educational Sciences, Sport and Exercise Sciences Research Unit, University of Palermo, 90128 Palermo, Italy; (A.A.); (P.P.)
| | - Patrizia Proia
- Department of Psychological, Pedagogical and Educational Sciences, Sport and Exercise Sciences Research Unit, University of Palermo, 90128 Palermo, Italy; (A.A.); (P.P.)
| | - Gaetano Felice Caldara
- Istituto Zooprofilattico Sperimentale della Sicilia, 90129 Palermo, Italy; (G.F.C.); (A.A.); (V.F.)
- Department of Sciences for Health Promotion and Mother and Child Care “G. D’Alessandro”, University of Palermo, 90127 Palermo, Italy
| | - Angelina Alongi
- Istituto Zooprofilattico Sperimentale della Sicilia, 90129 Palermo, Italy; (G.F.C.); (A.A.); (V.F.)
| | - Vincenzo Ferrantelli
- Istituto Zooprofilattico Sperimentale della Sicilia, 90129 Palermo, Italy; (G.F.C.); (A.A.); (V.F.)
| | - Sara Baldassano
- Department of Biological, Chemical and Pharmaceutical Sciences and Technologies (STEBICEF), University of Palermo, 90128 Palermo, Italy
- Correspondence:
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Teixidor-Batlle C, Ventura C, Andrés A. Eating Disorder Symptoms in Elite Spanish Athletes: Prevalence and Sport-Specific Weight Pressures. Front Psychol 2021; 11:559832. [PMID: 33574780 PMCID: PMC7870466 DOI: 10.3389/fpsyg.2020.559832] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 11/25/2020] [Indexed: 01/14/2023] Open
Abstract
We determined the prevalence of eating disorder (ED) symptoms among elite Spanish athletes from a broad range of sports and levels of competition and examined the associations between the presence of symptoms and perceived sport-specific weight pressures. We surveyed 646 elite athletes (16.7 ± 4.4 years; 51.08% females) representing 33 sports from top-division teams and two elite athlete training centers in Catalonia. Based on the results of the Eating Attitudes Test-26 responses, 5.1% of athletes (7.6% of females and 2.5% of males) were at risk of EDs. The highest rates of ED symptoms were observed in male endurance athletes and female esthetic athletes. Competition level was not a risk factor. The only gender differences in the presence of ED symptoms by competing level were observed in athletes competing at the national level. Female athletes with ED symptoms scored higher on the two subscales of the Spanish version of the Weight Pressures in Sport (WPS) tool: coach and sport-specific pressures and pressures from teammates and due to uniform. Male athletes with ED symptoms scored higher on the pressures due to uniform subscale. Finally, symptomatic female but not male athletes competing at international and national levels also perceived greater sport-specific weight pressures.
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Affiliation(s)
- Clara Teixidor-Batlle
- Institut Nacional d’Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain
- Grup d’Investigació Social i Educativa de l’Activitat Física i l’Esport, Barcelona, Spain
- University of Vic-Central University of Catalonia, Barcelona, Spain
| | - Carles Ventura
- Institut Nacional d’Educació Física de Catalunya (INEFC), Universitat de Barcelona (UB), Barcelona, Spain
- Grup d’Investigació Social i Educativa de l’Activitat Física i l’Esport, Barcelona, Spain
| | - Ana Andrés
- Grup d’Investigació Social i Educativa de l’Activitat Física i l’Esport, Barcelona, Spain
- Faculty of Psychology, Education and Sport Sciences, Blanquerna, Ramon Llull University, Barcelona, Spain
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Sattler FA, Eickmeyer S, Eisenkolb J. Body image disturbance in children and adolescents with anorexia nervosa and bulimia nervosa: a systematic review. Eat Weight Disord 2020; 25:857-865. [PMID: 31177379 DOI: 10.1007/s40519-019-00725-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Accepted: 05/31/2019] [Indexed: 11/29/2022] Open
Abstract
PURPOSE While several meta-analyses and reviews revealed a worse body image disturbance (BID) in adults with anorexia nervosa (AN) or bulimia nervosa (BN) than in controls, no systematic evidence is available on BID in children and adolescents. Since the usual onset of AN and BN is before the age of 21 years, being aware of BID in children and adolescents is crucial for preventing and treating eating disorders. This systematic review aims to provide an initial overview of differences in the BID components perception, global subjective satisfaction, affect/cognition, and behavior between children and adolescents with AN and BN and healthy controls. METHODS We conducted a systematic data search in PubMed and PsycINFO based on a priori eligibility criteria (AN or BN group; gender-matched healthy control group; each group n ≥ 20; maximum age 19 years; BID outcome compared between groups; published in English or German). RESULTS We were able to include k = 8 records. Compared to healthy controls, children and adolescents with AN and BN scored higher in the BID components perception, global subjective satisfaction, affect/cognition, and behavior. CONCLUSIONS As previously found in adults, BID in children and adolescents is associated with AN and BN. Interventions and treatments are needed to alleviate BID in children and adolescents with BN and AN. We also noted that we need more investigations on BID differences in children and adolescents to improve the database. LEVEL OF EVIDENCE Level I, Systematic review.
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Affiliation(s)
- Frank A Sattler
- Clinic for Acute Psychosomatics, MediClin Clinics Bad Wildungen, Bad Wildungen-Reinhardshausen, Germany.
| | - Sarah Eickmeyer
- Department of Psychology, Philipps University Marburg, Marburg, Germany
| | - Julia Eisenkolb
- Department of Psychology, Philipps University Marburg, Marburg, Germany
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Dufresne L, Bussières EL, Bédard A, Gingras N, Blanchette-Sarrasin A, Bégin PhD C. Personality traits in adolescents with eating disorder: A meta-analytic review. Int J Eat Disord 2020; 53:157-173. [PMID: 31633223 DOI: 10.1002/eat.23183] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Revised: 09/12/2019] [Accepted: 09/17/2019] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Given the growing interest in personality traits among the young population with eating disorders (EDs) and the recognition that a better understanding of personality can facilitate clinical management, this meta-analytic study reviewed evidence concerning the relationship between personality traits and the presence of an ED during adolescence. METHOD We conducted a systematic literature search to identify studies that examined personality traits among adolescents with an ED (anorexia nervosa, bulimia nervosa, binge-eating disorder, eating disorder not otherwise specified) and that compared these traits with a normative group without an ED. The personality traits investigated in the selected studies were organized according to the personality trait domains presented in the Diagnostic and Statistical Manual of Mental Disorders (fifth ed.). Effect sizes of the mean differences were calculated for each domain. We performed meta-regressions to assess the moderating effect of ED subtype and age on the combined effect sizes. RESULTS Twenty-six studies met our inclusion criteria, containing a total of 63 effect sizes. Adolescents with EDs differed from the non-ED group according to traits related to negative affectivity (g = 0.78), detachment (g = 0.69), and conscientiousness (g = -0.53). The presence of an anorexia nervosa diagnosis moderated the relationship between an ED and personality traits; this diagnosis was more strongly associated with conscientious traits compared to other EDs. DISCUSSION Our findings provide evidence that personality traits are related to EDs in adolescents. Thus, considering personality traits could lead to a better understanding of etiological and maintenance factors for EDs.
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Affiliation(s)
- Laurie Dufresne
- School of Psychology, Laval University, Québec, Québec, Canada
| | - Eve-Line Bussières
- Department of Psychology, University of Quebec at Trois-Rivières, Trois-Rivières, Québec, Canada
| | - Alexandra Bédard
- Faculty of Agricultural and Food Sciences, Institute of Nutrition and Functional Food, Laval University, Québec, Québec, Canada
| | - Nathalie Gingras
- Department of Psychiatry, Laval University, Québec, Québec, Canada
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Venetsanou F, Ioannidou C. SOCIAL PHYSIQUE ANXIETY, DISTURBED EATING ATTITUDES AND BEHAVIORS, AND PERCEIVED PRESSURE FOR THIN BODY IN COMPETITIVE RHYTHMIC AND AEROBIC GYMNASTS. SCIENCE OF GYMNASTICS JOURNAL 2019. [DOI: 10.52165/sgj.11.3.331-342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
This study investigated social physique anxiety (SPA), disturbed eating attitudes and behaviors (DEAB), and perceived pressure for thin body by the “significant others” (coach, parents, peers, experts) in 41 female rhythmic gymnastics (RG) and 49 aerobic gymnastics (AG) athletes at competitive level. Moreover, the potential impact of gymnasts' BMI was examined and controlled. Results showed that BMI associated with gymnasts’ SPA, DEAB and perceived pressure, so its effect was controlled. There were no significant differences between RG and AG regarding SPA and DEAB, whereas AG athletes had higher parental pressure for thin body than RG athletes. When RG and AG data were merged, a high percentage (40%) of gymnasts presenting DEAB was revealed. Gymnasts with DEAB had significantly higher SPA and perceived pressure for thin body than those with normal eating attitudes and behaviors. These results underline the need for interventions involving “significant others” and aiming at DEAB prevention in female gymnasts.
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Abstract
Our body is a volumetric, three-dimensional (3-D) object in the world, and we experience it as such. Existing methods for measuring the perceptual body image, however, have been based on judgments of one-dimensional (1-D) length or two-dimensional images. We developed a new approach to the 3-D perceptual body image of the fingers by asking people to judge whether each finger would fit through rings of varying diameter. This task requires participants to conceptualize their finger as a volumetric object entering the ring. In two experiments, we used an adaptive staircase procedure to estimate the perceived size of each finger. There were systematic distortions of perceived 3-D finger size, with the size of index finger and (to a lesser extent) the middle finger underestimated. These distortions were unaffected by changes in hand posture. Notably, the pattern of distortions is qualitatively different from that found in previous research investigating 1-D finger length, suggesting that 3-D judgments of the body may differ in fundamental ways from 1-D judgments of individual body dimensions.
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Affiliation(s)
- Ebru Ecem Tavacioglu
- Department of Psychological Sciences, Birkbeck, University of London, UK; Department of Psychology, Ludwig-Maximilians-Universität Munchen, Munich, Germany; Psychology Department, Istanbul Sehir University, Turkey
| | - Elena Azañón
- Department of Psychological Sciences, Birkbeck, University of London, UK; Institute of Psychology, Otto von Guericke University Magdeburg, Germany; Center for Behavioral Brain Sciences, Otto von Guericke University Magdeburg, Germany; Department of Behavioral Neurology, Leibniz Institute for Neurobiology, Magdeburg, Germany
| | - Matthew R Longo
- Department of Psychological Sciences, Birkbeck, University of London, UK
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9
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Dalhoff AW, Romero Frausto H, Romer G, Wessing I. Perceptive Body Image Distortion in Adolescent Anorexia Nervosa: Changes After Treatment. Front Psychiatry 2019; 10:748. [PMID: 31681048 PMCID: PMC6803517 DOI: 10.3389/fpsyt.2019.00748] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Accepted: 09/18/2019] [Indexed: 11/13/2022] Open
Abstract
One key symptom of anorexia nervosa (AN) is body image distortion (BID). For example, AN patients who are asked to perform body size estimation tasks tend to overestimate their body size; this is thought to indicate a distortion of the perceptive component of body image. Although BID is an important treatment objective, only few treatment approaches explicitly target body image, and even fewer target the perceptive component. Moreover, very little is known about how patients' perceptive body image changes after treatment and related weight gain. Consequently, we investigated changes of the perceptive BID in adolescent AN patients at the beginning (T1) and the end (T2) of inpatient treatment using a body size estimation task. A total of 38 AN patients performed the test for Body Image Distortion in Children and Adolescents (BID-CA) within the first 2 weeks of inpatient treatment and at the end of treatment. The results were compared to 48 healthy control (HC) participants performing the same task once. At T1, AN patients overestimated their body size more than HC, i.e., a total overestimation of 33% in AN patients vs. 11% in HC. At T2, AN patients overestimated their arm size to the same degree that they did at TI, but overestimations for the thigh and waist were reduced, and their overestimations for the waist no longer differed from the HC group. Thus, after treatment, AN patients were partly able to more realistically estimate their body size. Several factors may have influenced the observed changes in body size estimation, including task repetition, deliberate adjustment, growing into their preexisting perceptive body image through weight gain, as well as targeted and non-specific psychotherapeutic treatments. In conclusion, the perceptive BID in adolescent AN patients is persistent but also modifiable. Although diverse factors presumably play a role in changing BID, these findings suggest that AN patients may benefit from targeted treatment of BID.
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Affiliation(s)
- Anke W Dalhoff
- Department of Child and Adolescent Psychiatry, University Hospital, Münster, Germany
| | - Hugo Romero Frausto
- Department of Child and Adolescent Psychiatry, University Hospital, Münster, Germany
| | - Georg Romer
- Department of Child and Adolescent Psychiatry, University Hospital, Münster, Germany
| | - Ida Wessing
- Department of Child and Adolescent Psychiatry, University Hospital, Münster, Germany.,Institute for Biomagnetism and Biosignalanalysis, University Hospital, Münster, Germany
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10
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Sadibolova R, Ferrè ER, Linkenauger SA, Longo MR. Distortions of perceived volume and length of body parts. Cortex 2018; 111:74-86. [PMID: 30471452 DOI: 10.1016/j.cortex.2018.10.016] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2018] [Revised: 08/14/2018] [Accepted: 10/13/2018] [Indexed: 10/28/2022]
Abstract
We experience our body as a 3D, volumetric object in the world. Measures of our conscious body image, in contrast, have investigated the perception of body size along one or two dimensions at a time. There is, thus, a discrepancy between existing methods for measuring body image and our subjective experience of having 3D body. Here we assessed in a sample of healthy adults the perception of body size in terms of its 1D length and 3D volume. Participants were randomly assigned to two groups using different measuring units (other body part and non-body object). They estimated how many units would fit in a perceived size of body segments and the whole body. The patterns of length and volume misperception across judged segments were determined as their perceived size proportional to their actual size. The pattern of volume misperception paints the representation of 3D body proportions resembling those of a somatosensory homunculus. The body parts with a smaller actual surface area relative to their volume were underestimated more. There was a tendency for body parts underestimated in volume to be overestimated in length. Perceived body proportions thus changed as a function of judgement type while showing a similarity in magnitude of the absolute estimation error, be it an underestimation of volume or overestimation of length. The main contribution of this study is assessing the body image as a 3D body representation, and thus extending beyond the conventional 'allocentric' focus to include the body on the inside. Our findings highlight the value of studying the perceptual distortions "at the baseline", i.e., in healthy population, so as to advance the understanding of the nature of perceptual distortions in clinical conditions.
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Affiliation(s)
- Renata Sadibolova
- Department of Psychological Sciences, Birkbeck, University of London, United Kingdom.
| | - Elisa R Ferrè
- Department of Psychology, Royal Holloway, University of London, United Kingdom
| | | | - Matthew R Longo
- Department of Psychological Sciences, Birkbeck, University of London, United Kingdom
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Évaluation des attitudes et des comportements alimentaires : comparaison entre un groupe d’adolescentes athlètes pratiquant un sport esthétique et un groupe témoin. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/j.neurenf.2015.01.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Thiemann P, Legenbauer T, Vocks S, Platen P, Auyeung B, Herpertz S. Eating Disorders and Their Putative Risk Factors Among Female German Professional Athletes. EUROPEAN EATING DISORDERS REVIEW 2015; 23:269-76. [DOI: 10.1002/erv.2360] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2014] [Revised: 02/27/2015] [Accepted: 03/04/2015] [Indexed: 11/10/2022]
Affiliation(s)
- Pia Thiemann
- Department of Psychosomatic Medicine and Psychotherapy; LWL-University Hospital, Ruhr-University Bochum; Germany
- Department of Public Health and Primary Care; University of Cambridge; UK
| | - Tanja Legenbauer
- Department of Child and Adolescent Psychiatry; LWL-University Hospital Ruhr-University Bochum; Germany
| | - Silja Vocks
- Department of Clinical Psychology and Psychotherapy; University of Osnabrück; Germany
| | - Petra Platen
- Department of Sports Medicine and Sports Medicine and Sports Nutrition; Ruhr-University Bochum; Germany
| | - Bonnie Auyeung
- Department of Psychology, School of Philosophy, Psychology, and Language Sciences; University of Edinburgh; Edinburgh, UK
| | - Stephan Herpertz
- Department of Psychosomatic Medicine and Psychotherapy; LWL-University Hospital, Ruhr-University Bochum; Germany
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13
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Rost Geteilte Erstautorenschaft S, Sarrar Geteilte Erstautorenschaft L, Schneider N, Klenk V, Staab D, Pfeiffer E, Lehmkuhl U, Jaite C. [A pilot study on the specificity of body image disturbance in anorexia nervosa]. ZEITSCHRIFT FUR KINDER- UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE 2015; 43:57-67. [PMID: 25536897 DOI: 10.1024/1422-4917/a000333] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE Body image disturbance (BID) is a central feature of anorexia nervosa (AN), but evidence for bodily-related disorders also exists for patients with cystic fibrosis (CF), who are frequently underweight. A comparison of BID in patients with AN, CF and controls serves to clarify the specificity of BID for AN. METHOD 22 patients with AN, 10 patients with CF, and 23 controls were tested with regard to perceptual and cognitive-affective components of BID. Further data concerning eating-disorder-related psychopathology were assessed. RESULTS BID occurred in all patients with AN. Patients with CF perceived themselves as thinner than the controls did, and three of them exhibited BID. Patients with AN and CF did not differ regarding body satisfaction, and only controls showed higher satisfaction than patients with CF. Patients with AN and CF differed on desire for thinness, dissatisfaction with their body, and interoceptive awareness, with higher scores occurring in patients with AN. CONCLUSIONS Our pilot study reveals no severe psychopathology concerning body image in patients with CF. However, we did observe a general body dissatisfaction among these patients, probably associated with their being underweight. BID still seems to be a central diagnostic criterion for AN and should be carefully considered during therapeutic interventions.
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Affiliation(s)
| | | | - Nora Schneider
- Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité - Universitätsmedizin Berlin
| | - Vera Klenk
- Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité - Universitätsmedizin Berlin
| | - Doris Staab
- Klinik für Pädiatrie mit Schwerpunkt Pneumologie/Immunologie, Charité - Universitätsmedizin Berlin
| | - Ernst Pfeiffer
- Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité - Universitätsmedizin Berlin
| | - Ulrike Lehmkuhl
- Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité - Universitätsmedizin Berlin
| | - Charlotte Jaite
- Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité - Universitätsmedizin Berlin
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14
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Legenbauer T, Thiemann P, Vocks S. Body image disturbance in children and adolescents with eating disorders. Current evidence and future directions. ZEITSCHRIFT FUR KINDER-UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE 2014; 42:51-9. [PMID: 24365963 DOI: 10.1024/1422-4917/a000269] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Body image is multifaceted and incorporates perceptual, affective, and cognitive components as well as behavioral features. Only few studies have examined the character of body-image disturbance in children/adolescents with eating disorders. It is unknown whether body-image disturbances in children/adolescent with eating disturbances are comparable to those of adult patients with eating disorders. Body-image disturbance might differ quantitatively and qualitatively according to the cognitive developmental status and the age of the individual. This paper provides an overview of the current evidence for body-image disturbance in children/adolescents with eating disorders, and how they compare with those adults with eating disorders. Current evidence indicates that older adolescent patients show similar deficits as adult patients with eating disorders, in particular for the attitudinal body-image component. However, evidence for a perceptual body-image disturbance in adolescent patients, in particular anorexia nervosa, is not conclusive. Reliable statements for childhood can hardly be made because clinical studies are not available. Investigations of body-image disturbance in children have focused on the predictive value for eating disorders. Limitations of the current evidence are discussed, and future directions for research and therapy are indicated.
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Affiliation(s)
- Tanja Legenbauer
- Department of Child and Adolescent Psychiatry, LWL University Hospital of the Ruhr University Bochum, Hamm, Germany
| | - Pia Thiemann
- Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
| | - Silja Vocks
- Department of Clinical Psychology and Psychotherapy, University of Osnabrück, Osnabrück, Germany
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Torres-McGehee TM, Monsma EV, Gay JL, Minton DM, Mady-Foster AN. Prevalence of eating disorder risk and body image distortion among National Collegiate Athletic Association Division I varsity equestrian athletes. J Athl Train 2011; 46:431-7. [PMID: 21944076 PMCID: PMC3419156 DOI: 10.4085/1062-6050-46.4.431] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT Participation in appearance-based sports, particularly at the collegiate level, may place additional pressures on female athletes to be thin, which may increase the likelihood of their resorting to drastic weight control measures, such as disordered eating behaviors. OBJECTIVES (1) To estimate the prevalence and sources of eating disorder risk classification by academic status (freshman, sophomore, junior, or senior) and riding discipline (English and Western), (2) to examine riding style and academic status variations in body mass index (BMI) and silhouette type, and (3) to examine these variations across eating disorder risk classification type (eg, body image disturbances). DESIGN Cross-sectional study. SETTING Seven universities throughout the United States. PATIENTS OR OTHER PARTICIPANTS A total of 138 participants volunteered (mean age = 19.88 ± 1.29 years). They represented 2 equestrian disciplines English riding (n = 91) and Western riding (n = 47). MAIN OUTCOME MEASURE(S) Participants self-reported menstrual cycle history, height, and weight. We screened for eating disorder risk behaviors with the Eating Attitudes Test and for body disturbance with sex-specific BMI silhouettes. RESULTS Based on the Eating Attitudes Test, estimated eating disorder prevalence was 42.0% in the total sample, 38.5% among English riders, and 48.9% among Western riders. No BMI or silhouette differences were found across academic status or discipline in disordered eating risk. Overall, participants perceived their body images as significantly larger than their actual physical sizes (self-reported BMI) and wanted to be significantly smaller in both normal clothing and competitive uniforms. CONCLUSIONS Disordered eating risk prevalence among equestrian athletes was similar to that reported in other aesthetic sports and lower than that in nonaesthetic sports. Athletic trainers working with these athletes should be sensitive to these risks and refer athletes as needed to clinicians knowledgeable about disordered eating. Professionals working with this population should avoid making negative comments about physical size and appearance.
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Berglund L, Sundgot-Borgen J, Berglund B. Adipositas athletica: a group of neglected conditions associated with medical risks. Scand J Med Sci Sports 2011; 21:617-24. [DOI: 10.1111/j.1600-0838.2011.01322.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Schneider N, Frieler K, Pfeiffer E, Lehmkuhl U, Salbach-Andrae H. Comparison of body size estimation in adolescents with different types of eating disorders. EUROPEAN EATING DISORDERS REVIEW 2009; 17:468-75. [DOI: 10.1002/erv.956] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Schneider N, Bayios V, Pfeiffer E, Lehmkuhl U, Salbach-Andrae H. Essstörungen und Leistungssport. ZEITSCHRIFT FUR SPORTPSYCHOLOGIE 2009. [DOI: 10.1026/1612-5010.16.4.131] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Aufgrund der starken Schlankheitsorientierung in ästhetischen Sportarten und kontroverser Befunde zur Rolle von Leistungssport für die Genese von Essstörungen gingen wir in vorliegender Untersuchung der Frage nach essstörungsspezifischer Psychopathologie unter besonderer Berücksichtigung des Körperbildes bei Sportlerinnen verschiedener ästhetischer Sportarten nach. 65 Leistungssportlerinnen aus der Rhythmischen Sportgymnastik (RSG) und dem Eiskunstlauf (EKL) wurden im Vergleich zu Patientinnen mit Anorexia nervosa (AN) und einer gesunden Kontrollgruppe (KG) untersucht. Unsere Ergebnisse zeigen keine Unterschiede zwischen den RSG und der KG, hingegen deutliche Unterschiede zu den AN-Patientinnen. RSG und EKL unterschieden sich lediglich in der Einschätzung des Oberschenkelumfangs, wobei letztere sich stärker überschätzten. Für die EKL fanden wir Ähnlichkeiten zu den AN-Patientinnen in der Überschätzung des Umfangs ihres eigenen Oberschenkels, Perfektionismus und Misstrauen gegenüber anderen. Unsere Ergebnisse weisen auf leichte Unterschiede zwischen den untersuchten Sportarten hin und betonen somit die Notwendigkeit einer differenzierten Betrachtung unterschiedlicher ästhetischer Sportarten in Bezug auf die Diskussion um körperbetonte Sportarten und Essstörungen/essstörungsrelevante Psychopathologie.
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Affiliation(s)
- Nora Schneider
- Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité-Universitätsmedizin Berlin
| | - Verena Bayios
- Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité-Universitätsmedizin Berlin
| | - Ernst Pfeiffer
- Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité-Universitätsmedizin Berlin
| | - Ulrike Lehmkuhl
- Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité-Universitätsmedizin Berlin
| | - Harriet Salbach-Andrae
- Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité-Universitätsmedizin Berlin
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Torres-McGehee TM, Green JM, Leeper JD, Leaver-Dunn D, Richardson M, Bishop PA. Body image, anthropometric measures, and eating-disorder prevalence in auxiliary unit members. J Athl Train 2009; 44:418-26. [PMID: 19593425 PMCID: PMC2707071 DOI: 10.4085/1062-6050-44.4.418] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT Medical professionals have recognized eating disorders and related problems in competitive athletes. Auxiliary members (color guard, dance, majorettes) experience the same appearance-related pressures observed in sports commonly associated with eating disorders. OBJECTIVE To estimate eating-disorder prevalence based on associated eating-disorder characteristics and behaviors in female auxiliary members and to compare perceived and ideal body images and anthropometric measurements between at-risk and not-at-risk participants for eating-disorder characteristics and behaviors. DESIGN Cross-sectional design. SETTING Three universities in the southeastern United States. PATIENTS OR OTHER PARTICIPANTS Participants (n = 101, mean age = 19.2 +/- 1.2 years) represented 3 auxiliary units, including color guard (n = 35), dance line (n = 47), and majorettes (n = 19). MAIN OUTCOME MEASURE(S) Participants self-reported menstrual history, height, and weight. Anthropometric measurements included height, weight, body fat percentage, and waist and hip circumferences. We screened for eating-disorder risk behavior with the Eating Attitudes Test (EAT)-26 and for body dissatisfaction with the Figural Stimuli Survey. RESULTS Based on the EAT-26, we estimated eating-disorder prevalence among members to measure 29.7% (95% confidence interval = 20.8%, 38.6%). The EAT-26 results revealed that 21% of participants used purgatives and 14% vomited to control weight or shape. The at-risk group had higher scores on the EAT-26 total (P CONCLUSIONS Collegiate auxiliary unit members may have an unacceptable prevalence of eating disorders. Our results validate concerns that auxiliary members may exhibit an unacceptable eating-disorder risk, highlighting the need to examine and address unhealthy weight-management behaviors independent of eating-disorder status.
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Pimenta AM, Sánchez-Villegas A, Bes-Rastrollo M, López CN, Martínez-González MÁ. Relationship between body image disturbance and incidence of depression: the SUN prospective cohort. BMC Public Health 2009; 9:1. [PMID: 19121216 PMCID: PMC2667175 DOI: 10.1186/1471-2458-9-1] [Citation(s) in RCA: 129] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2008] [Accepted: 01/02/2009] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Body image disturbance is an increasing problem in Western societies and is associated with a number of mental health outcomes including anorexia, bulimia, body dysmorphia, and depression. The aim of this study was to assess the association between body image disturbance and the incidence of depression. METHODS This study included 10,286 participants from a dynamic prospective cohort of Spanish university graduates, who were followed-up for a median period of 4.2 years (Seguimiento Universidad de Navarra - the SUN study). The key characteristic of the study is the permanently open recruitment that started in 1999. The baseline questionnaire included information about body mass index (BMI) and the nine figure schemes that were used to assess body size perception. These variables were grouped according to recommended classifications and the difference between BMI and body size perception was considered as a proxy of body image disturbance. A subject was classified as an incident case of depression if he/she was initially free of depression and reported a physician-made diagnosis of depression and/or the use of antidepressant medication in at least one of the follow-up questionnaires. The association between body image disturbance and the incidence of depression was estimated by calculating the multivariable adjusted Odds Ratio (OR) and its 95% Confidence Interval (95% CI), using logistic regression models. RESULTS The cumulative incidence of depression during follow-up in the cohort was 4.8%. Men who underestimated their body size had a high percentage of overweight and obesity (50.1% and 12.6%, respectively), whereas women who overestimated their body size had a high percentage of underweight (87.6%). The underestimation exhibited a negative association with the incidence of depression among women (OR: 0.72, 95% CI: 0.54 - 0.95), but this effect disappeared after adjusting for possible confounding variables. The proportion of participants who correctly perceived their body size was high (53.3%) and gross misperception was seldom found, with most cases selecting only one silhouette below (42.7%) or above (2.6%) their actual BMI. CONCLUSION We found no association between body image disturbance and subsequent depression in a cohort of university graduates in Spain.
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Affiliation(s)
- Adriano Marçal Pimenta
- Department of Maternal and Child Nursing and Public Health, Nursing School, Universidade Federal de Minas Gerais (UFMG), Avenida Alfredo Balena, 190. Belo Horizonte, Minas Gerais, CEP 30130-100, Brazil
| | - Almudena Sánchez-Villegas
- Department of Preventive Medicine and Public Health, Medical School, Clínica Universitaria/Universidad de Navarra (UNAV), Inrunlarrea, 1. Pamplona, Navarra, E 31080, Spain
- Department of Clinical Sciences, Medical School, Universidad de Las Palmas de Gran Canaria (ULPGC), PO BOX: 550, Las Palmas, Las Palmas de Gran Canaria, CP. 35080, Spain
| | - Maira Bes-Rastrollo
- Department of Preventive Medicine and Public Health, Medical School, Clínica Universitaria/Universidad de Navarra (UNAV), Inrunlarrea, 1. Pamplona, Navarra, E 31080, Spain
| | - Celeste Nicole López
- Harvard Medical School, Harvard University, 25 Shattuck Street, Boston, Massachusetts, 02115, USA
| | - Miguel Ángel Martínez-González
- Department of Preventive Medicine and Public Health, Medical School, Clínica Universitaria/Universidad de Navarra (UNAV), Inrunlarrea, 1. Pamplona, Navarra, E 31080, Spain
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