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Research suggests that female athletes, in particular, experience “sport-environment” pressures such as: weight, performance, and body image demands from their coaches, teammates, and judges. These influences in tandem with society’s portrayal of the thin ideal are thought to considerably increase the risk of developing disordered eating problems in this population. Although numerous studies have been conducted over the past decade on the prevalence of eating disorders and pathogenic weight control behaviors among female athletes, few have examined in detail the weight pressures that exist within the sport environment, such as whether or not (and how often) athletes are weighed by their coaches, and how athletes respond to those pressures in terms of weight management practices. In the proposed study, we will examine the weigh-in environment, weight satisfaction, weight management practices, menstrual health, and reported source of nutritional guidance. The sample includes 414 NCAA Division I female collegiate swimmers/divers and gymnasts drawn from 26 universities across the U.S. Participants anonymously completed a series of questionnaires as part of a larger study on student-athlete health and well-being. This study found that 41% of athletes were weighed, and most often by an athletic trainer in private. Despite most weigh-ins were reportedly conducted in a positive manner, the majority of the athletes who were weighed (75%) reported using at least one strategy to manage their weight prior to weigh-ins (e.g. restrict food, increase exercise). Athletes desire to lose weight, caloric intake, and menstrual cycles were not related to whether athletes were or were not weighed. The majority of athletes received qualified nutritional guidance about how to healthfully manage their weight. Overall, weighing is occurring in a more positive manner than expected; however, athletes are continuing to report using unhealthy weight management strategies at a high rate. It seems important for athletic departments to set policies regarding weighing and to continue to provide support and education to coaching and support staff regarding eating disorder identification, referral, and treatment.

There is growing concern for eating pathology and body dissatisfaction in sports; particularly, in sports that emphasize a lean body type. In 325 female collegiate swimmers/divers and gymnasts, we examined psychosocial well-being (i.e., perception of weight pressures, levels of internalization, body satisfaction, dietary intent, negative affect) at the beginning and end of an athletic season and predict their eating disorder classification at the end of their athletic season. Logistic regressions revealed that a model containing all 14 predictors at the beginning and end of an athletic season significantly predicted eating disorder classification at the end of an athletic season. Specifically, in the longitudinal logistic regression, with every one unit of increase on a measure of the pressure felt within the sport environment regarding their weight and every unit increase on a measure of their intentions to diet, respectively, the female athletes were 49% and 89% more likely to be classified in the subclinical/clinical group at the end of their sport season. Surprisingly, with every one unit of increase on a measure of sociocultural pressure to exercise, female athletes were 43% less likely to be classified in the subclinical/clinical group six months later. The cross-sectional logistic regression found that only dietary restraint was significant. Specifically, with every one unit of increase on a measure of their intentions to diet the female athletes were 3.6 times more likely to be classified in the subclinical/clinical group at the end of their sport season. The implications of this study may emphasize the importance of body healthy sport systems to reduce sport specific pressures and dieting among female collegiate athletes. Limitations of this study include self-report measures and longitudinal timeframe was only across one athletic season.

Female collegiate athletes have been established as a high-risk group for the development of eating disorders due to the high prevalence rates of clinical and subclinical eating disorders, which have ranged from 1.9% to 16.6% and 4.0% to 26.1%, respectively. Collegiate athletes appear to meet criteria for ED-NOS more often than anorexia or bulimia nervosa, and frequently engage in pathogenic weight control behaviors (e.g., dieting, excessive exercise). To date, only a few studies have examined the long-term stability of eating disorders in collegiate female athletes. The current study investigated the prevalence of eating disorders (i.e., eating disordered, symptomatic, and asymptomatic) and pathogenic weight control behaviors (e.g, binging, vomiting, laxative use) in 325 NCAA-DI female collegiate gymnasts and swimmers/divers across two time points – the beginning of their competitive seasons (Time 1) and during the final two weeks of their competitive seasons (Time 2). By Time 2, 90% of the athletes classified as eating disordered at Time 1 (n = 20) maintained clinical or subclinical eating disturbances. Of the 83 athletes originally symptomatic, 37.3% remained so and 10.8% became eating disordered. Significantly more athletes became satisfied with their bodies over the course of the season than became dissatisfied. The athletes reported using exercise and dieting/fasting as the most frequent forms of weight control behaviors, each of which were used less frequently at Time 2 than at Time 1. The results support overall stability of eating disorder behaviors and classification over the course of a competitive season. Limitations and implications are discussed.

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.