We ran three MANOVAs in a sample of 422 young adults to examine differences in eating, shape, and weight concerns (i.e., ESW concerns) between gender diverse individuals, ciswomen, and cismen. Additionally, we examined the effects of self-esteem and sense of belonging on ESW concerns. We also tested for interaction (moderation) effects between gender and self-esteem and gender and sense of belonging. Findings indicated that gender diverse individuals experience ESW concerns at a significantly higher rate than cisgender men. There were no differences, however, in ESW concerns between gender diverse people and ciswomen. Self-esteem and sense of belonging significantly predicted ESW concerns, but no interaction effects were observed. Limitations of the current study include using one large gender diverse group rather than exploring each individual gender identity as well as limited recruitment. Future studies should recruit more participants across the gender spectrum in order to better understand the unique experiences of each gender group as it relates to eating, shape, and weight concerns and expand recruitment across broader regions of the United States.

Collegiate and elite female athletes have been identified as a subpopulation at heightened risk for disordered eating and pathogenic weight management practices. It was hypothesized that this increases risk may be related to sport specific pressures (such as team conducted weigh-ins), or the use and frequency of self-weighing. It appears that mandatory, team conducted weigh-ins are not salient to female athletes in regards to experiencing internalization, body image concerns, dietary restraint, negative affect, and bulimic symptomatology. Results, however, indicate that frequency of engagement in self-weighing may be influential in the engagement of disordered eating symptoms. Specifically, athletes who weighed themselves three or more times per week reported significantly more internalization of general societal ideals and athletic body ideals. For body image concerns, athletes who weighed three or more times per week reported being more concerned with their body size/shape than all others. With respect to dietary behaviors, athletes who weighed themselves three or more times per week reported engaging in significantly more caloric restriction than did those who weighed less frequently. For negative affect, the athletes who weighed themselves three or more times per week reported significantly higher levels of both anger and guilt. Finally for bulimic symptomatology, athletes who weighed themselves three or more times a week had significantly higher levels than those who weighed once or twice or not at all.

Despite growing evidence of their prevalence, clinical and subclinical disordered eating behaviors among men continue to be understudied phenomena. When compared to females, predictors of male disordered eating vary across ethnic groups, suggesting cultural influences on disordered eating. Moreover, gay and bisexual men experience pronounced levels of body dissatisfaction, sensitivity to societal body image standards, and subsequent disordered eating when compared to straight men and gay women. This study investigated possible differences in prediction of disordered eating among intersections of male ethnicity and sexuality. We approached this question through a transtheoretical lens that integrated intersectionality and minority stress theories. Archival data from a sample of African American, Latino, and White college men were analyzed using hierarchical multiple regression. Predictors of emotional and binge eating behaviors differed across ethnicity, in that body dissatisfaction and media internalization for African American and Latino males exhibit the strongest unique associations with emotional and binge eating behaviors, while the strongest unique predictors of emotional and binge eating behaviors among White males are depressive symptoms and low self-esteem. Moreover, African American sexual identity and depressive symptoms interact, as gay or bisexual men report stronger unique associations between depression symptoms and emotional and binge eating. All predictors (i.e., body dissatisfaction, depression symptoms, low self-esteem, media internalization, and sexual minority identity) were unable to explain sufficient variance in over exercise behaviors in African American men. Results suggest ethnicity and sexual orientation are meaningful to the experience of disordered eating in men, and that underlying mechanisms may exhibit differing associative patterns across ethnic identity. Clinicians working with ethnically and sexually diverse male disordered eating populations may use the results to better inform treatment interventions and conceptualization. These findings also support the value of intersectional quantitative methodology and the limits of relying on single-axis identity as a predictive element.

Indiana University-Purdue University Indianapolis (IUPUI) / It is well documented that a variety of sports coaches lack nutrition knowledge. However, few studies explore their knowledge of appropriate weight loss methods, macronutrient intake, or disordered eating. Unfortunately, both college and high school coaches disseminate inaccurate nutrition and weight loss counsel to their respective athletes who are just as unknowledgeable. Further, there is little research, which only focuses on coaches of a specific sport (e.g. tennis). Thus, the primary purpose of this study was to assess high school tennis coaches' knowledge of macronutrients and disordered eating (e.g. symptoms and prevention). Other purposes included identifying confidence in knowledge and any differences between the participating coaches' knowledge and demographic variables. To address these purposes, the 27-question Nutrition and Eating Disorders in Tennis ("NET") Survey was created (and validated). The study design involved a one-time, voluntary assessment of the Indiana coaches' demographic variables, knowledge, sources of knowledge, and level of confidence (e.g. Not At All or Very Confident). Overall, the results revealed that the coaches lacked knowledge. The average score was 70.6%, which was below the criterion for adequate knowledge. Furthermore, the coaches lacked adequate knowledge in three of the five knowledge domains: Treatment and Prevention of Disordered Eating (63.6% ± 22.9%), Disordered Eating Signs and Symptoms (60.0% ± 21.7%), and Macronutrients (57.0% ± 22.4%). The latter was further substantiated through the responses to scenario questions (Part 3). Specifically, the tennis coaches demonstrated a significant knowledge deficiency of carbohydrates, energy needs, and appropriate scope of practice. There was no significant difference between coaches' education level, gender, or type and knowledge. However, there was in experience; the more years coached, the lower the scores. Moreover, there was a trend of overconfidence in the most missed questions. This dissertation's data can provide basis for coaches' educational programs.

Esta investigación busca determinar la asociación entre el riesgo de trastornos de la conducta alimentaria (TCA) y el comportamiento alimentario en estudiantes de nutrición y dietética de una universidad privada de Lima. A 264 estudiantes se les aplicó una encuesta sobre sus datos personales y los cuestionarios EAT-26 y TFEQ-r21. Se utilizaron la prueba de Chi cuadrado para para analizar la asociación entre las variables categóricas y la prueba de t de student para variables numéricas. Del total de estudiantes incluidos en el estudio, el 18,2% presentó riesgo de padecer TCA. El mayor riesgo fue encontrado en estudiantes de segundo año de la carrera y el menor riesgo en los de último año (p=0,048). De las 3 subescalas del cuestionario TFEQ-r21, “restricción cognitiva” fue la subescala con las puntuaciones más altas, indicando alto riesgo a tener comportamiento alimentario inadecuado en estudiantes de ambos sexos con un promedio de 2,93(DE:0,45; p<0,001). Se encontraron asociaciones positivas entre el riesgo de padecer TCA con el peso corporal (p=0,027), el autorreporte de residencia en mujeres (no vivir con familia) (p=0,013) y con la no omisión de comidas en hombres (p=0,010). En conclusión, se encontró alta prevalencia de riesgo de padecer TCA, sobretodo en los estudiantes de segundo año académico y de sexo femenino en la carrera de nutrición y dietética. Además, se encontró una alta tendencia a la restricción cognitiva en los estudiantes de la carrera. Debe haber mayor conciencia y preocupación por prevenir, detectar y abordar los TCA en los estudiantes de nutrición, puesto que los TCA no sólo pueden afectar su salud física y mental, sino también su criterio profesional a futuro. / The aim of this research is to determine the association between eating disorder risk and disordered eating behaviour in students of the career of nutrition and dietetics of a private university in Lima. A survey of personal information and two questionnaires: EAT-26 and TFEQ-r21 were applied to 264 students. The Chi-square test was used to analyze the association between categorical variables and the Student’s t-test for numerical variables. Of the total of students included in the study, 18,2% presented a risk of suffering from eating disorders; the highest risk was found in second-year students of the degree and the lowest risk in seniors (p=0,048). Of the 3 subscales of the TFEQ-r21 questionnaire, “cognitive restriction” was the subscale with the highest score in students of both sexes with a mean of 2,93 and a SD of 0,45 (p<0,001) indicating a high risk of disordered eating behaviours. Positive associations were found between risk of eating disorders and body weight (p=0,027), self-report of residence (p=0,013) in women (living without family) and with the non-omission of meals in men (p=0,010). In conclusion, high tendency to cognitive restriction and high prevalence of risk of suffering from eating disorders was found in nutrition students, especially those in the second year of studies and in women. Greater awareness and concern to prevent, detect and address eating disorders in nutrition students is needed, since eating disorders can not only affect physical and mental health, but also professional judgment of the students in the future. / Tesis

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The main goal of the diploma thesis is to examine the issue of psycho-social contexts of eating habits and their experience in athletes. The theoretical part summarizes the findings to date on the issue of nutrition and eating disorders in athletes and possible preventive measures. The empirical part presents qualitative research on a sample of six Czech and Slovak athletes. The research is carried out through a semi-structured in-depth interview and three diagnostic questionnaires. The information obtained is processed into individual case studies and an overall summary. Due to the size of the research population and the nature of the study, it is not possible to generalize the results to the entire population of athletes. In a specific research cohort, all respondents had a negative comment related to body weight or physical appearance as a risk factor leading to nutritional problems. The main protective factor for all respondents was social support and support from their relatives. The outputs provide many recommendations for athletes, coaches and other specialists who work with athletes. Keywords psycho-social factors of eating habits, disordered eating, eating disorders in sport, female athlete triad, relative energy deficiency in sport, LMI, prevention of eating disorders in sport

Bakgrund Viktklassidrotter och deras kulturella kontext har genom tidigare forskning påvisats utgöra en risk för ätstörda beteenden, något som beskrivits kunna förorsakas av idrottsliga villkor. Styrkelyft och tyngdlyftning är viktklassidrotter där viktminskningsstrategier nyttjas för en ökad konkurrenskraftighet. Coacher besitter en nyckelroll i att uppmärksamma och motverka ätstörda beteenden hos sina atleter, men det saknas ett djupgående perspektiv avseende hur de förhåller sig till viktminskningsregimernas påverkan på kvinnliga atleter. Syfte Studien avser att utforska coachers erfarenheter av och förhållningssätt till etablerade viktminskningsregimer och viktkontroll inom kraftsporten. Fokus ligger på coachers erfarenheter av att ha tränat damatleter inom de, historiskt sett, mansdominerade kraftsporterna tyngdlyftning och styrkelyft. Metod Semistrukturerade intervjuer genomfördes med nio kraftsportscoacher. Intervjuerna spelades in, transkriberades ordagrant och analyserades med kvalitativ innehållsanalys. Resultat Analysen resulterade i fem kategorier: - Viktminskningskulturen är ett normaliserat fenomen inom kraftsporten, - Kraftsportens villkor kräver användandet av viktminskningsmetoder, - Risk för att ätstörda beteenden utvecklas, maskeras och/eller undgår ifrågasättande, - Identitet och samhällets kroppsideal – bromsklossar för idrottslig utveckling samt - Coacherna saknar stöd och riktlinjer – lämnas ensamma i ansvarsfrågan. Fokus på vikt och viktminskning ansågs allmänt vedertaget inom kraftsporten, vilket medförde att ätstörda beteenden kunde maskeras och förbises. Konkurrenskraftighet beskrevs ligga till grund för viktminskningsstrategierna, berättigat både inom idrotten och utanför, där samhällets utseendenormer därtill försvårade idrottslig utveckling. Coacherna eftersökte interventioner för ökad kunskap i ämnet samt åtgärdsplaner för agerande när en atlet behöver professionellt stöd. Slutsats Kraftsportsatleter existerar i en miljö som ökar risken för dysfunktionella ät- och viktkontrollerande beteenden, och bedöms vara farlig för individer med sårbarhet för att utveckla ätstörda beteenden och ätstörningar. Interventioner behövs om inte kraftsporten ska riskera att bli en miljö där ätstörningar tillåts florera fritt. / Background Previous research has found weight-class athletes to be at risk of developing disordered eating, something that could be induced by the demands of the sport. Powerlifting and weightlifting are examples of weight-class sports where weight loss strategies are utilized for increased competitiveness. Coaches have a key role in recognizing and counteract disordered eating behaviors in their athletes, but an in-depth perspective on how they address the impact of weight loss strategies in female athletes is lacking. Objective The aim of the study is to explore coaches’ experiences of and approaches to established weight loss regimes and weight control within weightlifting and powerlifting. The focus is on coaches’ experiences of having trained female athletes in the historically male-dominated sports of weightlifting and powerlifting.  Method Semi-structured interviews were conducted with nine coaches. The interviews were recorded, transcribed verbatim and analyzed using qualitative content analysis.  Results The analysis resulted in five categories: - Weight loss culture as a normalized phenomenon within the sports, - The conditions of the sports require the use of weight loss methods, - Risk of developing, disguising and/or escape questioning of disordered eating, - Athletic development is held back by identity and society’s body ideals and - Coaches lacking support and guidelines – left alone in the matter of responsibility. The focus on weight and weight loss was considered widely accepted in the sports, which meant that disordered eating could be disguised and overlooked. Competitiveness was described as the basis for the weight loss strategies, justified both within the sport and in society, where society’s body-ideals also interfered with athletic development. The coaches requested interventions for increased knowledge on the subject and action plans for when an athlete needs professional support.  Conclusion Athletes in powerlifting and weightlifting exist within an environment that increases the risk of dysfunctional eating and weight control behaviors and is deemed dangerous for individuals with susceptibility to develop disordered eating behaviors and eating disorders. To avoid a setting where eating disorders flourish freely, interventions will be needed within the sports.