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Eating disorders are common in sporting populations. They have an adverse effect on athletic performance and can represent a serious health problem. Many practitioners who work with athletes require guidance on how best to respond to these problems. The purpose of this paper is to present an overview of what can be done to address the problem of eating disorders in a high performance sports environment.

Three clinicians (a psychiatrist, dietitian and psychologist) with many years experience of working in a sports environment were tasked with drafting guidelines relevant to elite sport in consultation with a senior sports physician. The group met on three occasions and corresponded by e‐mail over a 15‐month period. Existing guidelines and literature were reviewed and adapted to the UK high performance sports environment. The guideline was targeted at all practitioners, including coaches, who work in this setting and comments were invited from national sports institutes and governing bodies before the document was finalised.

The guideline summarises current best practice in the prevention of eating disorders in a sports environment. Screening processes are described alongside the necessary response to a positive screen. Advice on accessing therapy and returning to sport during recovery is also provided. Finally guidance is given on how and when to de‐select athletes who are ill.

This paper presents a comprehensive overview of what can be done to address the problem of eating disorders in a high performance sports environment. It provides practical suggestions and guidance on principles rather than a definitive response to every eventuality in an area that is often difficult and complex.

The potential problems of Kho-Kho players have been less studied. Considering eating disorders a public health problem, but also in particular for athletes, as it can cause serious health and performance decrements if left unmonitored. This study aims to determine the prevalence of disordered eating attitude and their relationship with mental health among Indian Kho-Kho players.

Fifty-two male Kho-Kho players aged 16–31 years were assessed for disordered eating attitude using Eating Attitude Test (EAT)-26 and mental health using the Depression, Anxiety and Stress Scale (DASS-21) questionnaire. Descriptive statistics and t-test were computed to know the difference between positive and negative disordered eating attitude.

The disordered eating attitude was prevalent among 11.5% of players. The players with disordered eating attitudes showed a significantly (p < 0.01) higher score for EAT-26 subscales related to dieting and oral control. Players were involved in binging (21.2%), purging (5.8%), use of laxatives (1.9%), extra exercise (>1 h) (34.6%) and lost >20 pounds of body weight in the last six months (13.5%). Depression, anxiety and stress were higher in the group with a disordered eating attitude. However, a significant difference (p < 0.01) was found only for depression.

The disordered eating attitude was present among Kho-Kho Players and linked with depression. Health care service providers are encouraged to monitor and guide the players with disordered eating attitudes to take active measures to ensure optimum health and performance.

The present paper provides evidence of disordered eating attitude linked with depression among Kho-Kho players.

This paper aims to in the modern world, possessing an attractive appearance is often considered a highly valued attribute. As such, the perceptions and satisfaction with one’s body are shaped by dominant cultural norms. Adolescents, women in particular, who are heavily influenced by media representations, may tend to have a distorted body image (BI), including adopting extreme dieting methods. This study reviews the adverse effects of excessive weight loss associated with this.

The authors searched journals and the internet for relevant literature using the keywords “eating disorders”, “body image” and “weight stigma”. In the case study field, they added papers that considered “nutrition” to identify the link between dieting behaviour and nutrition. From these reviews, the authors ultimately selected 190 articles that appeared to meet their research objectives. The papers cover a range of studies published between 1995 and 2023.

Among adolescent girls and young women in their early 20s, there is a social media-driven culture of being extremely thin and petite. Weight stigma puts more pressure on them and makes strange behaviours like pro-ana syndrome a part of the culture. The authors have seen that modern BI standards leave young women vulnerable to eating disorders caused by excessive dieting.

Adolescence is a time of continuous growth, so balanced nutrition is essential. However, biased societal standards of beauty can push adolescent girls who are sensitive to external gaze into excessive dieting and make eating disorders a culture. This review provides a perspective on the behaviours that should be pursued for a healthy BI.

The purpose of this paper is to investigate the factors perceived to be associated with the design and delivery of an effective Olympic Games preparation camp.

To identify and explore such factors, interviews were conducted with eight members of a preparation camp delivery team for the London 2012 Olympic Games, and with two athletes who had participated in Olympic preparation camps.

The results identified four overarching factors that should be considered when designing and delivering an effective Olympic preparation camp: planning, operations, environment, and the delivery team. To illustrate the interrelationships between these factors and situate them within the holistic preparation camp context, an operational model was developed. This model also portrays the chronological ordering of events, individuals involved at each stage, and athlete-centered nature of an Olympic preparation camp.

Despite the significant amount of Olympic-related research at organizational, environmental, and individual levels, no research to date has holistically examined Olympic preparation camps per se. This study provides the first insight into the factors associated with the design and delivery of an effective Olympic preparation camp, and potential interrelationships between these factors.

The purpose of this study was to determine body composition, energy balance and tendencies towards eating disorders of female competitive athletes in two countries, USA and Greece. Data were collected using similar methodology in both countries during the non‐competitive (training) and the competitive seasons. Forty‐two athletes and 11 controls in the USA and 35 athletes and ten controls in Greece participated in the study. Comparison of the results between the countries showed that US athletes weighed more than Greek athletes but there was no significant difference in the percentage of body fat between the two groups. No significant differences were found in the energy intakes between athletes in either country. Athletes appeared to be in negative energy balance (‐380 to ‐580 kcals daily) in both seasons, in both countries.

Eating disorders have long been perceived to occur primarily in women; few disorders in general medicine or psychiatry exhibit such a skew in gender distribution. Men and women with eating disorders share common risk factors and exhibit some overlap in clinical presentation, but important differences do exist. Determining which factors best explain these differences remain uncertain. Furthermore, despite a marked increase in the incidence of anorexia nervosa and bulimia nervosa in women over the last 50 years, the awareness of eating disorders in men remains low. This is in spite of the fact that men represent 10‐20% of cases of anorexia nervosa and bulimia nervosa and up to 40% of cases of binge eating disorder. Similarly, recent research has focused on the assumption and stereotype that eating disorders in men are associated with homosexuality, when male body image objectification and body dissatisfaction are also widespread in younger heterosexual men who are being increasingly confronted with the same impossible body image ideals that already challenge women and gay men. The stigma of being a man with an eating disorder continues, and we persist in attempting to fit men with eating disorders into a theoretical and clinical framework largely focused on the physical, psychological, and emotional development of women. This article reviews the literature on eating disorders in men and explores the factors that may explain this gender discrepancy.

Current western society promotes a strong desirability to be thin. The majority of young females are unhappy with their body shape and wish to be thinner. This can lead to many health problems such as addictive exercising, depression and disordered eating. It is also established that certain groups tend to be more prone to body image dissatisfaction (BID) than others. The purpose of this paper is to determine if there was a high prevalence of BID and/or disordered eating among students studying a food‐related degree course.

Students were recruited via e‐mail. Subjects were weighed, measured and BMI calculated. A software package Anamorphic Micro was used to measure BID and a validated questionnaire “BITE” assessed for disordered eating.

Nutrition students had a low mean BMI of 21.8 kg/m². Despite this, the majority (90 per cent) were dissatisfied with their body; with 83 per cent wishing to be thinner and 60 per cent overestimating their body size. The BITE questionnaire revealed that 30 per cent scored for disordered eating and 10 per cent scored for Bulimia Nervosa.

This paper confirms that students studying food‐related degree courses are at greater risk of developing eating disorders.

The purpose of this paper is to make an assessment of energy and nutrients intake of elite female athletes and identify potential differences according to body fat (BF).

The sample consists of 69 top female athletes, members of the Greek Olympic National Teams of Volleyball (14 athletes), Basketball (16 athletes), Handball (17 athletes) and Football (22 athletes), aged 25.42 + 3.86 years. The participants undergo anthropometric examinations and the body fat percentage (%BF) is calculated. The sample is divided into two subgroups based on the mean %BF value (35 athletes with %BF ≥ 17 and 34 athletes with %BF < 17). In addition, a three‐day dietary intake record is taken.

The athletes' body mass index is 22.00 ± 1.75 and %BF is 16.94 ± 3.26. Athletes with %BF ≥ 17 present significantly higher energy intake (1,696 ± 578 kcal) than athletes with %BF < 17 (1,397 ± 379 kcal), p < 0.05. There is a significant positive correlation between %BF and energy intake of the athletes, (r = 0.300, p < 0.05). The athletes with %BF ≥ 17 receive significantly higher amounts of protein and fat in comparison with athletes with %BF < 17. This can be attributed to the fact that these athletes consume more meat and fat group equivalents than athletes with lower fat levels. Athletes with higher BF levels present higher values in vitamins A, B1, B12, folic acid and minerals P and Mn, p < 0.05, compared to the other athletes.

The observed deficiencies in energy and macro‐ and micro‐nutrients, have to be corrected as they represent a barrier for the elite female team‐sport athletes to maintain health and achieve their sport‐related nutrition and competition goals.

The Internet is used as a tool to seek health information by individuals. Mental health concerns are the high prevalence of the novel coronavirus disease 2019 (COVID-19) and preventive steps are required to curb the illness. Therefore, to gain more insight into health concerns, it is now a common practice to seek health information on the Internet. This study propose an integrated theoretical model to explore the relationship between COVID-19 protocols and perceived online trust with online health information seeking intention (OHISI) and a moderating effect of perceived severity and perceived urgency.

Data are collected from 325 athletes in the category of individual and team sports through an online survey in a Likert-scale questionnaire. The analysis is performed with a quantitative methodology.

The study reveals the bright side of online health information (OHI), which brings athletes together and has played out with virtual happy hours, meetings and events. The bright side of OHI reflects social, cultural, technological and economic benefits. An OHI chatbot offers bright personalised side information to the individual seeker, which is more convenient and efficient than human capabilities.

The pivotal contribution is the integrated theoretical framework that is derived from multidisciplinary literature to capture the complexity of OHI. Also, it conceptualises the constructs in the context of OHI and COVID-19.