18 Signs, Risk Factors, and Treatment for

18 – Signs, Risk Factors, and Treatment for Eating Disorders in Sport Eating and exercise disorders Prevalence of eating and exercise disorders in sport Challenges in identification Disordered Eating and Sport Participation  Direct relationship between disordered eating/exercise and sport  Indirect relationship between disordered eating/exercise and sport  Disordered eating/exercise unrelated to sport Specific disorders  Anorexia o Criteria:  Refusal to maintain a _________ body weight (usually____of normal weight)  Intense ________ of gaining weight or becoming fat, despite being underweight  ______________________ in how one sees one’s body weight, size and shape.  In females, experiencing ____________________ for at least 3 months o Affects:  Bulimia o Criteria:  Recurrent episodes of __________________  Feeling a ____________________ during binge eating    Affects: Engaging in regular, ________________________ vomiting, use of laxatives or diuretics, strict dieting or fasting, or vigorous exercise to prevent weight gain. Minimum of ______ binge-eating episodes a week for at least ___ months Persistent over concern with body shape and weight o  Binge eating o Criteria:  Episodes of ____________________  Subjective ________________ of control  No compensatory behaviors  Typically includes ________________  Possibly moderate to severe depression o Affects: Night eating disorder o Criteria:  Morning (and possibly afternoon) ________________  Late in day episodes of overeating (eating at least _________of the days calories after the evening meal)  Subjective lack of control  No compensatory behaviors  ___________________________  Experiencing ______________________ ingestions at least half of the time  Distress  Typically includes obesity o Affects: Exercise compulsion o Criteria:  Prioritizing ____________________ over other important activities and relationships  Persisting in exercise despite exercise-related ____________________________________  Experiencing withdrawal problems when _____________________ from exercise  May _____________________________ physical activities during injury  Often linked with an eating disorder o Affects:   Treatment and management of disordered eating and exercise  Develop a sport management team  Confidentiality  Unique treatment issues Marathoner: Deena Kastor Tennis Player: Daniela Hantuchnova Pro Body Builder: Lenda Murray Pro Body Builder Ronnie Coleman Gymnast: Christy Henrich Power Lifter: Mike Miller