Table 18.2 Summary of Recent (Post-1990) Studies Examining the Prevalence of Disordered Eating in Athletes20-49


(Continued) Study/ Country Sample


Rosendahl et al (2009)


Germany29


576 male and female high school athletes and 291 adoles- cent male and female control subjects


Petrie et al (2008)


United States30


Torstveit et al (2008)


Norway31


186 adoles- cent and adult female elite athletes and 145 nonathlet- ic femal control subjects


Nichols et al (2007)


United States32


Nichols et al (2006)


United States33


Beals and Hill (2006)


United States34


112 female col- legiate athletes


170 female high school athletes


In-depth interview devel- oped by the author using the EDE


Questionnaire developed by the authors, including the EDE-Q and Eating Dis- order Inventory Symptom Checklist


Toro et al (2005)


United Kingdom35


283 elite female athletes com- peting in 20 sports


Sundgot-Borgen and Torstveit (2004)


Norway36


660 Norwe- gian elite female athletes


EAT and CETCAn DSM-III-R o


(based on criteria) 18% met the criteria for DE.


423 female high school athletes


EDE-Q and clinical interview


203 collegiate male athletes


Instrument EAT-26 Prevalence


27% of female athletes and 10% of male athletes met the criteria for DE based on EAT-26 scores compared with 36% of female and 12% of male controls.


Q-EDD and BULIT-R


None of the athletes presented with a clinical ED; 19% showed symptoms of EDs based on the two self-report instruments.


33% of athletes and 21% of non- athletic control subjects were classified with an ED based on the clinical interview.


EDE-Q


20% of athletes met the EDE-Q criteria for DE.


3% of athletes self-reported a clinical ED; 23% of athletes met the criteria for DE.


11% of the athletes exceed- ed the EAT cutoff score; 2.5% and 20% of the athletes met the CETCA criteria for ANp respectively.


and BN,q


A two-stage screening process consisting of a questionnaire developed by the authors, including sub- scales of the EDI, weight history, and self-reported history of EDs (stage 1) fol- lowed by a clinical interview using the EDE (stage 2)


Byrne and


McClean (2002) Australia37


263 elite male and female ath- letes and 263 nonathletic male and female con- trol subjects


CIDIr and number of self-report questionnaires.


21% (n = 121) of the female ath- letes were classified “at risk” after the initial screening; results of the clinical interview indicated that 2% met the criteria for AN, 6% for BN, 8% for EDNOS, and 4% for anorexia athletica.


22% of female athletes and 4% of male athletes were classified with an ED compared with 5.5% of female control subjects and no male control subjects.


Continued on next page


CHAPTER 18: DISORDERED EATING IN ATHLETES


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