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Eating Disorders in Young Athletes

Supporting Mental Health and Nutrition in Youth




A growing focus has recently been on young athletes’ mental health and nutritional needs. As participation in youth sports surges, so do the challenges these athletes face in maintaining a healthy body image and relationship with food. Research has shown that young athletes, particularly those engaged in sports that prioritize aesthetics or performance, are at an elevated risk for developing eating disorders (EDs) and disordered eating (DE) behaviors. This blog will explore the critical issues surrounding body image, eating disorders, and the need for a multidisciplinary approach to supporting young athletes.


I still remember the day I decided to lose weight. The day I got tired of “being the fat kid.” I was too embarrassed to take my shirt off on the beach with my family. This began a lifelong relationship with diet, health, and nutrition. I have had many ups and downs throughout that time. I had triumphs. I had defeats. Struggling with both body dysmorphia and eating disorders makes me hyper-aware of the lengths young athletes will go to and the immense pressure they can put themselves under. 


The Impact of Body Image on Young Athletes

Adolescence is a time of significant physical and emotional changes, making young athletes particularly susceptible to body image concerns. Factors such as peer pressure, media influences, and the competitive nature of sports can exacerbate feelings of inadequacy and lead to distorted perceptions of self-worth based on appearance (Gkiouleka et al., 2022). This can compel athletes to adopt unhealthy eating strategies to meet certain body ideals, which may harm their physical health and performance (Neumark-Sztainer et al., 2002).




Increased Risk of Eating Disorders in Athletes

Numerous studies have indicated that the prevalence of EDs and DE is higher among athletes than in the general population. Specifically, athletes who participate in sports emphasizing leanness or body aesthetics—particularly girls in gymnastics and figure skating—face greater risks (Sundgot-Borgen & Torstveit, 2010). A meta-analysis revealed that female athletes experience EDs at a rate of approximately 14%, significantly higher than their non-athlete peers (Martinsen & Sundgot-Borgen, 2013). Understanding these risk factors is crucial for coaches, parents, and healthcare providers so they can offer adequate support.


The Role of Nutrition in Athletic Performance



Nutrition is a key component in young athletes’ physical and mental well-being. A balanced diet provides the nutrients required for optimal performance and recovery while ensuring mental health stability. According to the National Athletic Trainers' Association, nutritionists are essential in educating athletes about healthy eating, helping them understand the difference between normal dietary habits and disordered eating (Bonci et al., 2008). Athletes must learn to fuel their bodies appropriately to support their training and overall health. Caloric deficits can also increase the risk of injury by delaying the body’s normal recovery and rebuilding process. 


Multidisciplinary Approaches to Treatment

Addressing these multifaceted issues of DE and ED requires a collaborative approach involving professionals from various disciplines—including sports nutritionists, psychologists, and coaches. Their combined expertise can facilitate early identification and proactive intervention, ensuring that unhealthy patterns are disrupted before they escalate into more severe conditions. This collaboration can foster a supportive environment where athletes feel safe discussing challenges and learning about healthy practices (Joy & Nattiv, 2016).


Creating a Supportive Environment

A supportive atmosphere is fundamental in safeguarding young athletes' mental health. Coaches and athletic organizations need to prioritize mental health along with physical training. Sports organizations can promote athlete safety and well-being by adopting guidelines for recognizing and addressing DE and ED. This may include implementing educational workshops on body image and nutrition and encouraging open dialogue to address misconceptions about food, weight, and performance (Mountjoy et al., 2018).




Promoting Positive Body Image

Promoting a positive body image is essential for preventing EDs in athletes. Educational programs focusing on self-esteem, body positivity, and the importance of health over appearance can profoundly impact (Sundgot-Borgen et al., 2004). Athletes should be encouraged to celebrate their bodies for their capabilities rather than their looks, reinforcing that excellence in sports is not solely determined by aesthetics. It is also critical for athletes to have self-awareness when they find themselves comparing how they look to other athletes or online personalities. Giving away power means giving away control. 


The Path Forward

Ultimately, the journey toward improved mental health and nutrition for young athletes is a significant undertaking that involves collective effort from coaches, parents, healthcare professionals, and the athletes themselves. Early detection and intervention can significantly enhance recovery outcomes, and establishing a supportive framework that prioritizes both physical prowess and mental well-being is crucial for fostering resilience and success (Gervasini et al., 2018).


As our understanding of the complexities surrounding eating disorders and disordered eating expands, so too must our responses. By combining expertise across disciplines and fostering supportive environments, we can empower young athletes to achieve their athletic goals and a healthy, balanced life. 


When we address young athletes’ mental health and nutritional needs, we can create a healthier, more supportive environment that allows them to excel in their sports while maintaining their overall well-being.



References


1. Bonci, C. M., Bonci, L. J., Granger, L. R., Johnson, C. L., Malina, R. M., Milne, L. W., et al. (2008). National athletic trainers' association position statement: preventing, detecting, and managing disordered eating in athletes. Journal of Athletic Training, 43(1), 80-108.


2. Gervasini, G., González, L. M., Gamero-Villarroel, C., Mota-Zamorano, S., Carrillo, J. A., Flores, I., et al. (2018). Effect of dopamine receptor D4 (DRD4) haplotypes on general psychopathology in patients with eating disorders. Gene, 654, 43-48.


3. Gkiouleka, M., Stavraki, C., Sergentanis, T. N., & Vassilakou, T. (2022). Orthorexia Nervosa in Adolescents and Young Adults: A Literature Review. Children (Basel), 9(3).


4. Joy, E., & Nattiv, A. (2016). 2016 update on eating disorders in athletes: A comprehensive narrative review with a focus on clinical assessment and management. British Journal of Sports Medicine, 50(3), 154-162.


5. Martinsen, M., & Sundgot-Borgen, J. (2013). Higher prevalence of eating disorders among adolescent elite athletes than controls. Medicine and Science in Sports and Exercise, 45(6), 1188-1197.


6. Mountjoy, M., Ackerman, K. E., Bailey, D. M., Burke, L. M., Constantini, N., Hackney, A. C., et al. (2018). 2023 International Olympic Committee’s (IOC) consensus statement on Relative Energy Deficiency in Sport (RED-S). British Journal of Sports Medicine, 57(17), 1073-1098.


7. Neumark-Sztainer, D., Croll, J., Story, M., Hannan, P. J., French, S. A., & Perry, C. (2002). Ethnic/racial differences in weight-related concerns and behaviors among adolescent girls and boys: findings from Project EAT. Journal of Psychosomatic Research, 53(5), 963-974.


8. Sundgot-Borgen, J., & Torstveit, M. K. (2010). Aspects of disordered eating continuum in elite high-intensity sports. Scandinavian Journal of Medicine & Science in Sports, 20(Suppl 2), 112-121.


9. Sundgot-Borgen, J., Torsheim, T., & Skårderud, F. (2004). Eating disorders among athletes. Tidsskr Nor Laegeforen, 124(16), 2126-2129. 


 
 
 

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