Sport & Eating Disorders
As an ex-GB athlete and mental health practitioner who has achieved recovery from an eating disorder, I believe I am well qualified to offer advice to coaches, parents, and other athletes with eating disorders. There is strong and consistent evidence that eating disorders are prevalent in sport and especially in endurance sports such as running, swimming, cross-country skiing, and cycling. Weight-category sports (eg, wrestling, boxing, judo, martial arts and jockeys) and aesthetic sports (eg, rhythmic gymnastics, dance, figure skating, and high board diving) also attract at-risk individuals. These illnesses are not only common but lead to significant physical and psychological morbidity and impaired performance.
Sports organisations, and by extension the professionals whose job it is to help and support athletes, have important roles in dealing with these conditions. Preventative practices can be adopted if there is an understanding of how the sports environment contributes to the development of eating disorders. RED-S stands for Relative Energy Deficiency in Sport and is explained more in my podcast (Episode 56).
Support for Athletes
Compulsive exercise typically refers to physical activity that is associated with disordered eating attitudes and behaviours, and describes a condition characterised by an inability or unwillingness to cut down or stop exercising even though it is detrimental to health. It can lead to amenorrhoea (menstrual dysfunction), osteoporosis (low bone density), depression, heart problems, dehydration, and damage to joints and tendons.
The cognitive view of the maintenance of compulsive exercise stresses that there is more to an individual’s exercise problem than just over-exercising for weight and shape reasons. Dysfunctional affect regulation, extreme concerns about the perceived negative consequences of stopping or reducing exercise, and rigid/inflexible exercise behaviour are all implicated in perpetuating the vicious cycle of compulsive exercise.



