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Eating Disorders in the Male Athlete

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Abstract

Eating disorders do occur in male athletes. They are less prominent than in female athletes, and therefore in danger of being missed. The high-risk sports fall into the same categories as with females: aesthetic sports, sports in which low body fat is advantageous, such as cross-country and marathon running, and sports in which there is a need to ‘make weight’, including wrestling and horse racing.

Athletic involvement may foster the development of an eating disorder. Some male athletes, in their preoccupation with body image, will abuse anabolic steroids. While sports participation may contribute to the aetiology of an eating disorder, the converse is also true. Exercise may be used as therapy for some cases of eating disorder.

In order to adequately treat eating disorders in the male athlete, it is first essential to identify cases. Psychoeducation of athletes, their families, coaches and trainers is an important first step. Counselling an athlete to pursue a sport appropriate to his body type, or to leave his sport behind altogether (an unpopular recommendation from a coach’s perspective) can be important to treatment. Treatment of co-morbid psychiatric conditions is essential. Treatment can be structured using a biopsychosocial approach, and all appropriate modalities of therapy, including individual, family and group, as well as psychopharmacotherapy, where appropriate, should be applied.

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References

  1. Frances A. Diagnostic and statistical manual of mental disorders. 4th ed. Eating disorders, Washington, DC: American Psychiatric Association, 1994: 543

    Google Scholar 

  2. Pope Jr HG, Hudson JI. Bulimia nervosa: persistent disorder requires equally persistent treatment. Curr Psychiatry 2004; 3: 12–22

    Google Scholar 

  3. Baum A. Young females in the athletic arena. In: Tofler IR, editor. Child and psychiatric clinics of North America, sport psychiatry. Philadelphia (PA): WB Saunders Co., 1998: 745–755

    Google Scholar 

  4. Cooper M. The psychology of bulimia nervosa: a cognitive perspective. Oxford: Oxford University Press, 2003: 122–123

    Google Scholar 

  5. Biesecker AC, Martz DM. Impact of coaching style on vulnerability for eating disorders: an analog study. Eating Disord 1999; 7: 235–244

    Article  Google Scholar 

  6. Burckes-Miller ME, Black D. Male and female college students: prevalence of anorexia nervosa and bulimia nervosa. Athl Train J Natl Athl Train Assoc 1988; 23 (2): 137–140

    Google Scholar 

  7. Johnson C, Powers PS, Dick R. Athletes and eating disorders: the National Collegiate Athletic Association Study. Int J Eat Disord 1999 Sep; 26 (2): 179–188

    Article  PubMed  CAS  Google Scholar 

  8. Sundgot-Borgen J. Eating disorders among male and female elite athletes. Br J Sports Med 1999 Dec; 33 (6): 434

    Article  PubMed  CAS  Google Scholar 

  9. Woodside DB, Garfinkel PE, Lin E, et al. Comparisons of men with full or partial eating disorders, men without eating disorders, and women with eating disorders in the community. Am J Psychiatry 2001; 158: 570–574

    Article  PubMed  CAS  Google Scholar 

  10. Thiel A, Gottfried H, Hesse FW. Subclinical eating disorders in male athletes: a study of the low weight category in rowers and wrestlers. Acta Psychiatr Scand 1993; 88: 259–265

    Article  PubMed  CAS  Google Scholar 

  11. Yang JC, Gray P, Pope HG. Male body image in Taiwan versus the west: yanggang zhiqi meets the adonis complex. Am J Psychiatry 2005; 162: 263–269

    Article  PubMed  Google Scholar 

  12. Longman J. An athlete’s dangerous experiment: using steroids enhanced his physique, but he died trying to stop. New York Times; 2003 Nov 26; C15–C16

    Google Scholar 

  13. Baum A. Psychopharmacology in athletes. In: Begel D, Burton R, editors. Sport psychiatry: theory and practice. New York: WW Norton & Co., 2000: 249–259

    Google Scholar 

  14. Pope Jr HG, Gruber AJ, Choi P, et al. Muscle dysmorphia: an underrecognized form of body dysmorpic disorder. Psychosomatics 1997; 38: 548–557

    Article  PubMed  Google Scholar 

  15. Oliosi M, Riccardo DG, Burlini S. Eating attitudes in noncompetitive male body builders. Eating Disord 1999; 7: 227–233

    Article  Google Scholar 

  16. Christine B. Body blows: jockey’s never-ending weight battles can have deadly results. Los Angeles Times; 2001 Feb 3; D1

    Google Scholar 

  17. Burke LM, Cox GR, Cummings NK, et al. Guidelines for daily carbohydrate intake: do athletes achieve them? Sports Med 2001; 31 (4): 267–299

    Article  PubMed  CAS  Google Scholar 

  18. Powers PS, Johnson C. Small victories: prevention of eating disorders among athletes. Eating Disord 1996; 4 (4): 364–377

    Article  Google Scholar 

  19. Baum A. Sports psychiatry: an outpatient consultation-liaison model. Psychosomatics 1998 Jul–Aug; 39 (4): 395–396

    Article  PubMed  CAS  Google Scholar 

  20. Kaplan HI, Sadock BJ. Synopsis of psychiatry. 5th ed. Contribution of the social sciences to human behavior. Baltimore (MD): Williams & Wilkins, 1988: 100

    Google Scholar 

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Acknowledgements

No sources of funding were used to assist in the preparation of this review. The author has no conflicts of interest that are directly relevant to the content of this review. The author would like to acknowledge her father, John Baum, MD, who generously assisted her with the literature search.

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Correspondence to Antonia Baum.

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Baum, A. Eating Disorders in the Male Athlete. Sports Med 36, 1–6 (2006). https://doi.org/10.2165/00007256-200636010-00001

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