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Screening for Disordered Eating and Eating Disorders in Female Athletes

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The Active Female

Abstract

Low energy availability appears to be the key etiologic abnormality central to the pathologies seen in the Female Athlete Triad. The energy deficit comes from either increased exertion or inadequate intake of nutrition, either through disordered eating (inadvertent or purposeful) or one of the pathologic eating disorders. It is important to educate female athletes about this concerning scenario as early intervention can limit morbidity and mortality from it. It is important for those interacting with female athletes, both recreational and competitive, to screen for disordered eating/eating disorders (DE/ED) which could lead to low energy availability. With proper education, screening can be done informally by virtually anyone who interacts with female athletes. In the formal setting, question-based tools are available to facilitate the process. Several of these tools are discussed in this chapter. Any athlete who screens positively for possible DE/ED should be referred to a physician and/or mental health provider for further evaluation.

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References

  1. Nattiv A, Loucks AB, Manore MM, et al. The female athlete triad. Med Sci Sports Exerc. 2007;39(10):1867–82.

    Article  PubMed  Google Scholar 

  2. Beals KA, Hill AK. The prevalence of disordered eating, menstrual dysfunction, and low bone mineral density among US collegiate athletes. Int J Sport Nutr Exerc Metab. 2006;16(1):1–23.

    Article  PubMed  Google Scholar 

  3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association; 2000. Text Revision.

    Google Scholar 

  4. Byrne S, Mc LN. Eating disorders in athletes: a review of the literature. J Sci Med Sport. 2001;4(2):145–59.

    Article  CAS  PubMed  Google Scholar 

  5. Gibbs JC, Williams NI, De Souza MJ. Prevalence of individual and combined components of the female athlete triad. Med Sci Sports Exerc. 2013;45(5):985–96.

    Article  PubMed  Google Scholar 

  6. Bonci CM, Bonci LJ, Granger LR, et al. National athletic trainers’ association position statement: preventing, detecting, and managing disordered eating in athletes. J Athl Train. 2008;43(1):80–108.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Torstveit MK, Rosenvinge JH, Sundgot-Borgen J. Prevalence of eating disorders and the predictive power of risk models in female elite athletes: a controlled study. Scand J Med Sci Sports. 2008;18:108–18.

    Article  CAS  PubMed  Google Scholar 

  8. Black DR, Larkin LJS, Coster DA, et al. Physiologic screening test for eating disorders/disordered eating among female collegiate athletes. J Athl Train. 2003;38(4):286–97.

    PubMed  PubMed Central  Google Scholar 

  9. Garner D. This week’s citation classic; self-report measures for eating disorders. Curr Contents. 1993;8.

    Google Scholar 

  10. Garner D. Eating attitudes test (EAT-26) self-test, scoring and interpretation. Eating attitudes test (EAT-26) website. http://www.eat-26.com/. Accessed 4 May 2013.

  11. Beals KA. Disordered eating among athletes: a comprehensive guide for health professionals. Champaign, IL: Human Kinetics; 2004. p. 117–30.

    Google Scholar 

  12. Mountjoy M, Hutchinson M, Cruz L, et al. Female athlete triad coalition position stand on female athlete triad pre participation evaluation. 2008. Available at: http://www.femaleathletetriad.org. Accessed 5 May 2013.

  13. Mencias T, Noon M, Hoch AZ. Female athlete triad screening in national collegiate athletic association division 1 athletes: is the preparticipation evaluation form effective? Clin J Sport Med. 2012;0(0): 1–4.

    Google Scholar 

  14. Beals KA. Eating disorder and menstrual dysfunction screening, education, and treatment programs. Phys Sportsmed. 2003;31(7):33–8.

    Article  PubMed  Google Scholar 

  15. Rumball JS, LeBrun CM. Preparticipation physical examination selected issues for the female athlete. Clin J Sport Med. 2004;14(3):153–60.

    Article  PubMed  Google Scholar 

  16. Anderson DA, Lundgren JD, Shapiro JR, Paulosky CA. Assessment of eating disorders review and recommendations for clinical use. Behav Modif. 2004;28(6):763–82.

    Article  PubMed  Google Scholar 

  17. Lebrun CM. The female athlete triad: what’s a doctor to do? Curr Sports Med Rep. 2007;6:397–404.

    PubMed  Google Scholar 

  18. Fairburn CG, Beglin SJ. Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord. 1994;16(4):363–70.

    PubMed  CAS  Google Scholar 

  19. Kakaiya D. Eating disorders among athletes. IDEA Fitness Journal. March 2008;5(3):12 pages. http://www.ideafit.com/fitness-library/eating-disorders-among-athletes. Accessed 4 May 2013.

  20. Vaughan JL, King KA, Cottrell RR. Collegiate athletic trainers’ confidence in helping female athletes with eating disorders. J Athl Train. 2004;39(1):71–6.

    PubMed  PubMed Central  Google Scholar 

  21. Sherman R, Thompson R. Athlete special interest group of the academy of eating disorders. NCAA coaches handbook, managing the female athlete triad. National collegiate athletic association.

    Google Scholar 

  22. Beals KA, Meyer NL. Female athlete triad update. Clin Sports Med. 2007;26:69–89.

    Article  PubMed  Google Scholar 

  23. http:/www.stanford.edu/dept/sportsmed/visitors/visitors98.html. Accessed 4 May 2013.

  24. National Committee for Quality Assurance website. Patient centered medical home. http://www.ncqa.org/Programs/Recognition/PatientCenteredMedicalHomePCMH.aspx. Accessed 4 May 2013.

  25. Pritts S, Susman J. Diagnosis of eating disorders in family care. Am Fam Physician. 2003;67(2):297–304.

    PubMed  Google Scholar 

  26. Morgan JF, Reid F, Lacey JH. The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ. 1999;319:1467–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Mond JM, Myers TC, Crosby RD, et al. Screening for eating disorders in primary care: EDE-Q versus SCOFF. Behav Res Ther. 2008;46:612–22.

    Article  PubMed  Google Scholar 

  28. Berg KC, Peterson CB, Frazier P, Crow SJ. Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: a systematic review of the literature. Int J Eat Disord. 2012;45(3):428–38.

    Article  PubMed  Google Scholar 

  29. Fairburn CG, Beglin S. Appendix II, eating disorder examination questionnaire (EDE-Q 6.0). In: Fairburn CG, editor. Cognitive behavior therapy and eating disorders. New York, NY: Guilford Press; 2008.

    Google Scholar 

  30. Mond JM, Hay PJ, Rodgers B, Owen C. Eating disorder examination questionnaire (EDE-Q): norms for young adult women. Behav Res Ther. 2006;44:53–62.

    Article  CAS  PubMed  Google Scholar 

  31. Garner D, Olmstead MP, Polivy J. Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. Int J Eat Disord. 1983;2(2):15–34.

    Article  Google Scholar 

  32. Clausen L, Rosenvinge JH, Friborg O, et al. Validating the eating disorder inventory-3 (EDI-3): a comparison between 561 female eating disorder patients and 878 females from the general population. J Psychopathol Behav Assess. 2011;33(1):101–10.

    Article  PubMed  Google Scholar 

  33. Cumella EJ. Review of the eating disorder inventory-3. J Pers Assess. 2006;87(1):116–7.

    Article  Google Scholar 

  34. Cotton M, Ball C, Robinson P. Four simple questions can help screen for eating disorders. J Gen Intern Med. 2003;18:53–6.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Thelan MH, Farmer J, Wonderlich S, Smith M. A revision of the bulimia test: the BULIT-R. Psychol Assessment. 1991;3:119–24.

    Article  Google Scholar 

  36. National Eating Disorders Association (NEDA) Screening program. http://www.nationaleatingdisorders.org/. Accessed 30 May 2013.

  37. McNulty KY, Adams CH, Anderson JM, Affenito SG. Development and validation of a screening tool to identify eating disorders in female athletes. J Am Diet Assoc. 2001;101(8):886–92.

    Article  CAS  PubMed  Google Scholar 

  38. Nagel DL, Black DR, Leverenz LJ, Coster DC. Evaluation of a screening test for female college athletes with eating disorders and disordered eating. J Athl Train. 2000;35(4):431–40.

    PubMed  PubMed Central  CAS  Google Scholar 

  39. Hinton PS, Kubas KL. Psychosocial correlates of disordered eating in female collegiate athletes: validation of the ATHLETE questionnaire. J Am Coll Health. 2005;54(3):149–56.

    Article  PubMed  Google Scholar 

  40. Steiner H, Pyle RP, Brassington GS. The college health related information survey (CHRIS-73): a screen for college student athletes. Child Psychiatry Hum Dev. 2003;34(2):97–109.

    Article  PubMed  Google Scholar 

  41. DePalma MT, Koszewski WM, Romani W, et al. Identifying college athletes at risk for pathogenic eating. Br J Sports Med. 2002;36:45–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Bernhardt DT, Roberts WO, editors. PPE preparticipation physical evaluation. 4th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2010. p. 120–30. 154–156.

    Google Scholar 

  43. Ljungqvist A, Jenoure P, Engebretsen L, et al. The international olympic committee (IOC) consensus statement on periodic health evaluation of elite athletes. J Athl Train. 2009;44(5):538–57.

    Google Scholar 

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Correspondence to Jennifer J. Mitchell M.D., F.A.A.F.P. .

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Mitchell, J.J., Robert-McComb, J.J. (2014). Screening for Disordered Eating and Eating Disorders in Female Athletes. In: Robert-McComb, J.J., Norman, R.L., Zumwalt, M. (eds) The Active Female. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8884-2_13

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  • DOI: https://doi.org/10.1007/978-1-4614-8884-2_13

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