Prevalence of Different Types of Eating Disorder in Different Endurance Sports and its Impact on Performance: A Narrative Review

Main Article Content

MS Sheikh
K Zutshi
I Aman


Endurance sports have shown prominent effects in aerobic capacity, cardio-protection, prevention or treatment of diabetic mellitus, athletic body composition and bone density. Despite of these positive effects, these sports may leads to risk factor of eating disorder. It has been found in several studies that athletes are more prone to eating disorder (ED) than the non athletic population. Thus the aim and objective of this review is to critically analyze the literature to evaluate different types of eating disorder among athletes and its impact on their performance among endurance athletes. The significance of this review is to provide information about further exploration in eating disorder athletes so that it may hopefully help clinicians and physiotherapist in planning individualized exercise programs that would be beneficial at improving outcomes in these sports person. Result suggested that antigravitational sports are at higher risk of ED when compared with endurance sports whereas endurance sports athletes are at more risk when compared with ball sports or triathletes. It has be also found out that initially ED may result in performance but later it will leads to low performance because athletes with EDs will physiological and psychological disorders. 

KEYWORDS: Eating Disorder OR Anorexia OR Bulimia OR Endurance Sports OR Athlete OR Performance

Article Details

How to Cite
Sheikh, M. ., Zutshi, K., & Aman, I. . (2024). Prevalence of Different Types of Eating Disorder in Different Endurance Sports and its Impact on Performance: A Narrative Review. Central India Journal of Medical Research, 3(01), 12–15.
Review Articles


Morici G, Gruttad'Auria CI, Baiamonte P, Mazzuca E, Castrogiovanni A, Bonsignore MR. Endurance training: is it bad for you?. Breathe (Sheff). 2016;12(2):140-147. doi:10.1183/20734735.007016

Dimitrova D, Vanlyan G. Factors associated with eating disorders in male athletes. Turk J Sports Med. 18th November, 2018.

Joy E, Kussman A, Nattiv A. 2016. Update on eating disorders in athletes: A Comprehensive narrative review with a focus on clinical assessment and management. BrJSports Med. 2016;50(3):154--‐62.

Battle DE. Diagnostic And statistical manual of mental disorders (DSM). Codas. 2013;25(2):191--‐2.

Zeulner, B., Ziemainz, H., Beyer, C., Hammon, M., & Janka, R. (2016). Disordered Eating and Exercise Dependence in Endurance Athletes. Advances in Physical Education, 6, 76-87.

Shapiro-Weiss G, Shapiro-Weiss J. Recent advances in child psychiatry: eating disorders common in high school students. Psychiatric Guide. 2001;8:13.

J S Borgen. I Garthe. Sport and Exercise Nutrition.2011. Page 233-244.1st Edition

Teixidor-Batlle C, Ventura C and Andrés A (2021) Eating Disorder Symptoms in Elite Spanish Athletes: Prevalence and Sport-Specific Weight Pressures. Front. Psychol. 11:559832. doi: 10.3389/fpsyg.2020.559832

Galli, N., Petrie, T. A., Reel, J. J., Chatterton, J. M., and Baghurst, T. M. (2013). Assessing the validity of the weight pressures in sport scale for male athletes. Pshycol. Men Masc. 15, 170–180. doi: 10.1037/a0031762.

Picard, C. L. (1999). The level of competition as a factor for the development of eating disorders in female collegiate athletes. J. Youth Adolesc. 28, 583–594. doi: 10.1023/A:1021606710398

Stirling, A., and Kerr, G. (2012). Perceived vulnerabilities of female athletes to the development of disordered eating behaviours. Eur. J. Sport Sci. 12, 262–273. doi: 10.1080/17461391.2011.586437

Manore, M. M. (2015). Weight management for athletes and active individuals: a brief review. Sports Med. 45, 83–92. doi: 10.1007/s40279-015-0401-0

Marwan El Ghoch, et al. Eating Disorders, Physical Fitness and Sport Performance: A Systematic Review. 2013, 5, 5140-5160; doi:10.3390/nu5125140

A. Yates et al. / Addictive Behaviors 28 (2003) 1473–1480

Sundgot-Borgen and Torstveit. Prevalence of Eating Disorders in Elite Athletes Is Higher Than in the General Population.Clin J Sport Med • Volume 14, Number 1, January 2004

JASMINA PARLOV,et al. Body mass index, body image dissatisfaction, and eating disorder symptoms in female aquatic sports: Comparison between artistic swimmers and female water polo players. Journal of Physical Education and Sport ® (JPES), Vol 20 (Supplement issue 3), Art 290, pp 2159 – 2166, 2020 online ISSN: 2247 - 806X; p-ISSN: 2247 – 8051; ISSN - L = 2247 – 8051.

C. Ferrand, E. Brunet. Perfectionism and risk for disordered eating among young French male cyclist of high performance. Perceptual and Motor Skills, 2004,99,959-967.

Muros et al. Likelihood of suffering from an eating disorder in a sample of Spanish cyclists and Triathletes. Journal of Eating Disorders. (2020) 8:70

Wilmore JH. Eating and weight disorders in the female athlete. Int J Sport Nutr. 1991;1:104–117.

Mintz, L. B., and O'Halloran, M. S. 2000. “The Eating Attitudes Test: Validation with DSM-IV Eating Disorder Criteria.” Journal of Personality Assessment 74 (3): 489-503.

Virnig, A. G., and McLeod, C. R. 1996. “Attitudes toward Eating and Exercise: A Comparison of Runners and Triathletes.” Journal of Sport Behavior 19: 82-90.

PORTEG, . (1995) Guide du cyclisme, manuel pratique et conseils de santC. Paris, France: Albin Michel.

Friel J. The Cyclist’s Training Bible. 3rd ed. Boulder, CO: VeloPress;2003..

Matheny F. Fred Matheny’s Complete Book of Road Bike Training. Chapel Hill, NC: RBR Publishing; 2002.

Garcia-Roves P, Terrados N, Fernandez S, Patterson A. Comparison of dietary intake and eating behavior of professional road cyclists during training and competition. Int J Sports Nutr Exerc Metab. 2000;10:82-98.

Brown, Gary T, editor. Mind, Body, and Sport Understanding and Supporting Student-Athlete Mental Wellness. NCAA, 2014.

Sundgot-Borgen, J.; Meyer, N.L.; Lohman, T.G.; Ackland, T.R.; Maughan, R.J.; Stewart, A.D.; Muller, W. How to minimize the health risks to athletes who compete in weight-sensitive sports review and position statement on behalf of the Ad Hoc ResearchWorking Group on Body Composition, Health and Performance, under the auspices of the IOC Medical Commission. Br. J. Sports Med. 2013, 47, 1012–1022.

Cook, B.J.; Hausenblas, H.A. The role of exercise dependence for the relationship between exercise behavior and eating pathology: Mediator or moderator? J. Health Psychol. 2008, 13, 495–502.