Background: The number of women participating in sports has increased dramatically, though research in sports are often performed on men. Physical exercise is known to increase physical performance and improve well-being. Although exercise has beneficial health effects for most of the women, it is known that strenuous exercise may also have negative health consequences. Common are menstrual dysfunctions and the medical effects of a long-standing amenorrhea are serious. Moreover, strenuous exercise without adequate recovery may lead to overreaching (OR) /overtraining syndrome (OTS). An improved muscle strength are of great importance in many sports, hence an increased understanding on how to generate optimal strength training programs in women without negative side effects are essential. The aims of this thesis were to investigate the effects on strength and power of high frequency periodised leg resistance training to evaluate a training regime and moreover to investigate if the training was well accepted and without potential exercise-related negative consequences. Moreover, to provide normative data on oxytocin and cortisol to elucidate if these hormones could be one diagnostic marker in combination with others to monitor and diagnose female athletes that may be at risk to develop OR/OTS. Methods: Fifty-nine women, participated in the four month intervention study. Two groups performed high frequency leg resistance training for two weeks of each menstrual/oral contraceptive (OC) cycle. The remaining part of the cycle they performed the leg training once a week. Group 1, trained with high frequency (5 times·w-1) during the first two weeks of each cycle, and group 2, during the last two weeks of each cycle. A control group performed regular (3 times·w-1) leg resistance training. Another 33 women participated in the observational study. The OC users and non-users, were followed over a nine-month period with monthly blood sampling of oxytocin and cortisol, and the Profile of Mood State (POMS) as a subjective measure of OR/OTS. Results: The women who performed high frequency leg resistance training, 5 times·w-1, during the first two weeks of each cycle showed significant increase in jump height, peak torque values in hamstrings, increased lean body mass of the legs, and their experiences of the training were positive. These results were not found when the periodised training was performed during the last two weeks of each cycle. In the control group an increase in jump height, and peak torque (left hamstring) was observed. There were no evident differences in the training effects between women with or without OC use. Moreover, no exercise-related negative consequences were detected in any of the three groups. The women in the observational study showed seasonal variations in oxytocin and cortisol, with different pattern in OC users to non-users. No convincing relationships to POMS were found.  Conclusions: The high frequency periodised leg resistance training during the first two weeks of the cycle is more beneficial to optimize resistance training, than the last two weeks. The high frequency periodised leg resistance training was not associated with exercise-related negative consequences and was well accepted when performed during the first two weeks of each cycle. Due to seasonality and impact of OC use, oxytocin and cortisol are not suggested to be optimal, diagnostic markers alone/in combination with others, to detect OR/OTS in physically active women.

Adolescentes apresentam rápido crescimento e intensas mudanças corporais que os tornam vulneráveis em termos nutricionais. A prática de restrições alimentares, bastante comum entre adolescentes, pode levar a inadequações nutricionais que parecem ser o primeiro sinal para o início de uma desordem alimentar (DA). A participação feminina no esporte e o número de casos de DA em adolescentes atletas de modalidades que exigem exposição do corpo, agilidade e leveza dos movimentos, como o tênis, têm aumentado nos últimos anos. As DA podem levar a complicações de saúde como irregularidades menstruais (IM) e baixa densidade mineral óssea (DMO), caracterizando a Tríade da Mulher Atleta (TMA). Desta forma, acredita-se que alguns componentes dietéticos podem ter associação com DA e seus agravos. O objetivo do presente estudo foi avaliar a associação de componentes dietéticos com desordens alimentares, irregularidades menstruais e composição corporal em adolescentes atletas tenistas e não atletas do sexo feminino. Trata-se de estudo do tipo transversal. Foram realizadas avaliações do desenvolvimento puberal pela auto-aplicação dos critérios de Tanner; da composição corporal pela absortometria radiológica de dupla energia (DXA); dos parâmetros dietéticos por registro alimentar de três dias alternados; das DA pela aplicação de três questionários validados (Eating Attitudes Test - EAT-26, Bulimic Investigatory Test, Edinburgh- BITE e o Body Shape Questionnaire - BSQ); do ciclo menstrual por questionário validado e da DMO também pelo DXA. A Tríade da Mulher Atleta (TMA) foi estabelecida pela presença concomitante de DA e/ou baixa disponibilidade de energia (BDE), IM e baixa DMO. Foram realizadas associações por meio de correlações de Spearman entre as variáveis numéricas de componentes dietéticos com DA e composição corporal. Também foram realizadas associações por meio do teste qui-quadrado, teste exato de Fisher ou prova binomial para as variáveis categóricas de adequação dos componentes dietéticos com DA e seus agravos. Participaram do estudo 75 adolescentes (25 tenistas, 50 não atletas) apresentando desenvolvimento puberal similar. Atletas obtiveram melhor perfil da composição corporal quanto ao tecido adiposo. Quanto à ingestão de macronutrientes, os carboidratos merecem destaque. Em ambos os grupos, a maioria das participantes apresentaram baixa ingestão de carboidratos, sendo este percentual de inadequação significativamente maior para as atletas. Os micronutrientes que obtiveram maior percentual de inadequação foram folato e cálcio em ambos os grupos. Verificou-se que 92%, 32% e 24% das atletas e 72%, 8% e 30% das não atletas preencheram critérios para DA e/ou BDE, IM e baixa massa óssea, respectivamente. Apesar de adolescentes atletas tenistas e não atletas apresentarem prevalência de DA similares, as não atletas apresentaram maior insatisfação com a imagem corporal pelo teste BSQ. No entanto, as atletas parecem estar em situação mais grave uma vez que apresentaram maior prevalência de BDE e de IM. A DMO e a prevalência de TMA foram similares entre os grupos. Foi verificada associação inversa e significativa entre alguns componentes dietéticos (principalmente energia e carboidratos) e os escores do teste BSQ. Foi possível concluir que a baixa ingestão de alguns componentes dietéticos, principalmente energia e carboidratos, podem funcionar como marcadores para desordens alimentares em ambos os grupos a fim de previnir posteriores consequências à saúde / Adolescents have a rapid growth and and intense body changes that make them vulnerable in nutritional terms. The practice of dietary restrictions, quite common among adolescents, can lead to nutritional inadequacies that appear to be the first signal for the start of disordered eating (DE). The female sports participation and the number of DE cases in adolescent athletes from sports that require bodys exposure, agility and soft movements, like tennis, have increased in recent years. DE can lead to serious health complications such as menstrual irregularities (MI) and low bone mineral density (BMD), constituting the female athlete Triad (FAT). Thus, it is believed that certain dietary components may be associated with DE and its complications. The aim of this study was to evaluate the association of dietary components with disordered eating, menstrual irregularities and body composition in female adolescent tennis players and controls. This was a cross-sectional study. We carried out assessments of pubertal development by Tanner stage self-assessments; body composition by dual energy x-ray absorptiometry (DXA); dietary parameters by three-day food records; DE by the application of three validated questionnaires (Eating Attitudes Test - EAT-26, Bulimic Investigatory Test, Edinburgh- BITE and the Body Shape Questionnaire - BSQ), menstrual status through a validated questionnaire and BMD also by DXA. The Female athlete Triad (FAT) was established by the concomitant presence of DE and/or low energy availability (LEA), MI and low BMD. Associations were performed using Spearman`s correlations between numerical variables of dietary components with DE and body composition. Also associations were performed using chi-square test, Fisher's exact test or binomial test for categorical variables of dietary components adequacy with DE and its complications. The study enrolled 75 adolescents (25 female tennis players, 50 controls) presenting with similar pubertal development. Athletes had better body composition profile, regarding the adipose tissue. As for the intake of macronutrients, carbohydrates are noteworthy. In both groups, most participants had low intake of carbohydrates, being this frequency of inadequacy significantly higher for athletes. Micronutrients with the greatest percentage of inadequacy were folic acid and calcium in both groups. It was found that 92%, 32% and 24% of the athletes and 72%, 8% and 30% of controls met the criteria for DE and / or LEA, MI, low bone mass, respectively. Although adolescent tennis players and controls present with similar prevalence of DA, the controls showed greater dissatisfaction with body image by BSQ test. However, the athletes seem to be in a more serious situation since they had a higher prevalence of LEA and MI. BMD and the prevalence of FAT were similar between groups. Significant inverse association was found between some dietary components (mainly energy and carbohydrates) and scores of BSQ test. It was concluded that low dietary intakes of some dietary components, mainly energy and carbohydrates, may function as markers for disordered eating in both groups in order to prevent further health consequences

Adolescentes apresentam rápido crescimento e intensas mudanças corporais que os tornam vulneráveis em termos nutricionais. A prática de restrições alimentares, bastante comum entre adolescentes, pode levar a inadequações nutricionais que parecem ser o primeiro sinal para o início de uma desordem alimentar (DA). A participação feminina no esporte e o número de casos de DA em adolescentes atletas de modalidades que exigem exposição do corpo, agilidade e leveza dos movimentos, como o tênis, têm aumentado nos últimos anos. As DA podem levar a complicações de saúde como irregularidades menstruais (IM) e baixa densidade mineral óssea (DMO), caracterizando a Tríade da Mulher Atleta (TMA). Desta forma, acredita-se que alguns componentes dietéticos podem ter associação com DA e seus agravos. O objetivo do presente estudo foi avaliar a associação de componentes dietéticos com desordens alimentares, irregularidades menstruais e composição corporal em adolescentes atletas tenistas e não atletas do sexo feminino. Trata-se de estudo do tipo transversal. Foram realizadas avaliações do desenvolvimento puberal pela auto-aplicação dos critérios de Tanner; da composição corporal pela absortometria radiológica de dupla energia (DXA); dos parâmetros dietéticos por registro alimentar de três dias alternados; das DA pela aplicação de três questionários validados (Eating Attitudes Test - EAT-26, Bulimic Investigatory Test, Edinburgh- BITE e o Body Shape Questionnaire - BSQ); do ciclo menstrual por questionário validado e da DMO também pelo DXA. A Tríade da Mulher Atleta (TMA) foi estabelecida pela presença concomitante de DA e/ou baixa disponibilidade de energia (BDE), IM e baixa DMO. Foram realizadas associações por meio de correlações de Spearman entre as variáveis numéricas de componentes dietéticos com DA e composição corporal. Também foram realizadas associações por meio do teste qui-quadrado, teste exato de Fisher ou prova binomial para as variáveis categóricas de adequação dos componentes dietéticos com DA e seus agravos. Participaram do estudo 75 adolescentes (25 tenistas, 50 não atletas) apresentando desenvolvimento puberal similar. Atletas obtiveram melhor perfil da composição corporal quanto ao tecido adiposo. Quanto à ingestão de macronutrientes, os carboidratos merecem destaque. Em ambos os grupos, a maioria das participantes apresentaram baixa ingestão de carboidratos, sendo este percentual de inadequação significativamente maior para as atletas. Os micronutrientes que obtiveram maior percentual de inadequação foram folato e cálcio em ambos os grupos. Verificou-se que 92%, 32% e 24% das atletas e 72%, 8% e 30% das não atletas preencheram critérios para DA e/ou BDE, IM e baixa massa óssea, respectivamente. Apesar de adolescentes atletas tenistas e não atletas apresentarem prevalência de DA similares, as não atletas apresentaram maior insatisfação com a imagem corporal pelo teste BSQ. No entanto, as atletas parecem estar em situação mais grave uma vez que apresentaram maior prevalência de BDE e de IM. A DMO e a prevalência de TMA foram similares entre os grupos. Foi verificada associação inversa e significativa entre alguns componentes dietéticos (principalmente energia e carboidratos) e os escores do teste BSQ. Foi possível concluir que a baixa ingestão de alguns componentes dietéticos, principalmente energia e carboidratos, podem funcionar como marcadores para desordens alimentares em ambos os grupos a fim de previnir posteriores consequências à saúde / Adolescents have a rapid growth and and intense body changes that make them vulnerable in nutritional terms. The practice of dietary restrictions, quite common among adolescents, can lead to nutritional inadequacies that appear to be the first signal for the start of disordered eating (DE). The female sports participation and the number of DE cases in adolescent athletes from sports that require bodys exposure, agility and soft movements, like tennis, have increased in recent years. DE can lead to serious health complications such as menstrual irregularities (MI) and low bone mineral density (BMD), constituting the female athlete Triad (FAT). Thus, it is believed that certain dietary components may be associated with DE and its complications. The aim of this study was to evaluate the association of dietary components with disordered eating, menstrual irregularities and body composition in female adolescent tennis players and controls. This was a cross-sectional study. We carried out assessments of pubertal development by Tanner stage self-assessments; body composition by dual energy x-ray absorptiometry (DXA); dietary parameters by three-day food records; DE by the application of three validated questionnaires (Eating Attitudes Test - EAT-26, Bulimic Investigatory Test, Edinburgh- BITE and the Body Shape Questionnaire - BSQ), menstrual status through a validated questionnaire and BMD also by DXA. The Female athlete Triad (FAT) was established by the concomitant presence of DE and/or low energy availability (LEA), MI and low BMD. Associations were performed using Spearman`s correlations between numerical variables of dietary components with DE and body composition. Also associations were performed using chi-square test, Fisher's exact test or binomial test for categorical variables of dietary components adequacy with DE and its complications. The study enrolled 75 adolescents (25 female tennis players, 50 controls) presenting with similar pubertal development. Athletes had better body composition profile, regarding the adipose tissue. As for the intake of macronutrients, carbohydrates are noteworthy. In both groups, most participants had low intake of carbohydrates, being this frequency of inadequacy significantly higher for athletes. Micronutrients with the greatest percentage of inadequacy were folic acid and calcium in both groups. It was found that 92%, 32% and 24% of the athletes and 72%, 8% and 30% of controls met the criteria for DE and / or LEA, MI, low bone mass, respectively. Although adolescent tennis players and controls present with similar prevalence of DA, the controls showed greater dissatisfaction with body image by BSQ test. However, the athletes seem to be in a more serious situation since they had a higher prevalence of LEA and MI. BMD and the prevalence of FAT were similar between groups. Significant inverse association was found between some dietary components (mainly energy and carbohydrates) and scores of BSQ test. It was concluded that low dietary intakes of some dietary components, mainly energy and carbohydrates, may function as markers for disordered eating in both groups in order to prevent further health consequences

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.

Kroppsuppfattning påverkar vår livskvalitet. Utöver att prestera på tävling behöver tyngdlyftare och styrkelyftare delta på en invägning, där deras kroppsvikt avgör vilken viktklass de tävlar i. Syftet med studien var att undersöka om det fanns ett samband mellan lyftares kroppsuppfattning och upplevelse av att vara aktiv och tävlande inom tyngdlyftning och/eller styrkelyft. Metod: 210 svenska tyngdlyftare och styrkelyftare med tävlingserfarenhet i åldrarna 15–70 år deltog i studien. Deltagarna svarade på en digital enkät som inkluderade ett av författaren nyskapat instrument om förekomst av beteenden och upplevelser av att tävla i en viktklassidrott, samt Body Esteem Scale for Adolescents and Adults om kroppsuppfattning. Resultat: Signifikant positiva korrelationer av måttlig styrka påvisades mellan kroppsuppfattning och tävlingsupplevelse, samt mellan kroppsuppfattning och viktupplevelse. Svag positiv korrelation påvisades mellan kroppsuppfattning och invägningsupplevelse. 60 % av studiedeltagarna rapporterade positiv kroppsuppfattning och 40 % rapporterade blandad/splittrad eller negativ kroppsuppfattning. Slutsats: Studiens resultat indikerar att kroppsuppfattning och upplevelse av att tävla, upplevelse av sin kroppsvikt och att tävla i viktklass(er), samt upplevelse av invägning har ett samband. Då 40 % av populationen rapporterade blandad/splittrad eller negativ kroppsuppfattning tyder resultaten på praktiska förbättringsmöjligheter där idrottares kroppsuppfattning kan förbättras. / Body image affects our quality of life. In addition to performing in competition, weightlifters and powerlifters need to participate in a weigh-in, where their body weight determines which weight class they compete in. The purpose of the study was to investigate whether there was a relationship between lifters’ body image and experience of being active and competing in weightlifting and/or powerlifting. Method: 210 Swedish weightlifters and powerlifters with competition experience aged 15–70 years participated in the study. The participants responded to a digital questionnaire that included an instrument newly created by the author on the prevalence of behaviours and experiences of competing in a weight class sport, as well as the Body Esteem Scale for Adolescents and Adults. Results: Positive correlations of statistical significance and of moderate strength were found between body image and competition experience, as well as between body image and weight experience. Weak positive correlation was demonstrated between body image and weigh-in experience. 60 % of the participants reported positive body image and 40 % reported mixed/split or negative body image. Conclusion: The results of the study indicate a relationship between body image and experience of competing, experience of one's body weight and competing in weight class(es), as well as experience of weigh-ins. As 40 % of the population reported mixed/split or negative body image, the results indicate practical opportunities where athletes’ body image can be improved.