Weight loss practices and eating behaviours among female physique athletes: Acquiring the optimal body composition for competition.

Nura Alwan, Samantha L Moss, Ian G Davies, Kirsty J Elliott-Sale, Kevin Enright
Author Information
  1. Nura Alwan: Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom. ORCID
  2. Samantha L Moss: Department of Sport and Exercise Sciences, University of Chester, Chester, United Kingdom.
  3. Ian G Davies: Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom. ORCID
  4. Kirsty J Elliott-Sale: Musculoskeletal Physiology Research Group, Sport, Health and Performance Enhancement Research Centre, Nottingham Trent University, Nottingham, United Kingdom.
  5. Kevin Enright: Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom.

Abstract

Little is known about weight loss practices and eating behaviours in female physique athletes. This study investigated the weight loss history, practices, and key influences during the pre-competition period in a large cohort of female physique athletes stratified by division and experience level. Eating attitudes and behaviours were assessed to identify whether athletes were at risk of developing an eating disorder. Using a cross-sectional research design, female physique athletes (n = 158) were recruited and completed an anonymous online self-reported survey consisting of two validated questionnaires: Rapid Weight Loss Questionnaire and Eating Attitudes Test-26. Irrespective of division or experience, female physique athletes used a combination of weight loss practices during the pre-competition phase. Gradual dieting (94%), food restriction (64%) and excessive exercise (84%), followed by body water manipulation via water loading (73%) were the most commonly used methods. Overall, 37% of female physique athletes were considered at risk of developing an eating disorder. Additionally, 42% of female physique athletes used two pathogenic weight control methods with 34% of Figure novice athletes indicating binge eating once a week or more. The coach (89%) and another athlete (73%) were identified as key influences on athletes' dieting practices and weight loss. The prevalence of athletes identified with disordered eating symptoms and engaging in pathogenic weight control methods is concerning. In future, female physique athletes should seek advice from registered nutritionists to optimise weight management practices and minimise the risk of developing an eating disorder.

References

  1. Int J Eat Disord. 1995 Jul;18(1):49-57 [PMID: 7670443]
  2. Obes Rev. 2021 Mar;22 Suppl 2:e13188 [PMID: 33372395]
  3. Br J Sports Med. 2000 Dec;34(6):431-5 [PMID: 11131230]
  4. Int J Sport Nutr Exerc Metab. 2018 Nov 1;28(6):565-573 [PMID: 29182412]
  5. Br J Sports Med. 1994 Mar;28(1):60-1 [PMID: 8044499]
  6. Forensic Sci Int. 2009 Jan 30;184(1-3):e7-11 [PMID: 19110387]
  7. Scand J Med Sci Sports. 2010 Oct;20 Suppl 2:112-21 [PMID: 20840569]
  8. J Int Soc Sports Nutr. 2014 May 12;11:20 [PMID: 24864135]
  9. Med Sci Sports Exerc. 1991 Jan;23(1):30-6 [PMID: 1997810]
  10. Mil Med. 1999 Mar;164(3):234-8 [PMID: 10091501]
  11. N Engl J Med. 2000 May 25;342(21):1581-9 [PMID: 10824078]
  12. J Funct Morphol Kinesiol. 2020 Apr 25;5(2): [PMID: 33467243]
  13. Body Image. 2017 Sep;22:1-5 [PMID: 28535445]
  14. Sports (Basel). 2018 Oct 24;6(4): [PMID: 30352979]
  15. Int J Exerc Sci. 2017 Mar 01;10(2):301-311 [PMID: 28344742]
  16. J Eat Disord. 2018 Nov 26;6:39 [PMID: 30534376]
  17. Curr Sports Med Rep. 2015 Nov-Dec;14(6):435-41 [PMID: 26561763]
  18. Int J Sport Nutr Exerc Metab. 2019 Nov 1;29(6):682-689 [PMID: 31141414]
  19. Eur J Sport Sci. 2020 Oct;20(9):1206-1214 [PMID: 31771429]
  20. J Strength Cond Res. 2022 Feb 1;36(2):405-410 [PMID: 31904717]
  21. J Psychol. 2015 Jan-Apr;149(1-2):141-60 [PMID: 25511202]
  22. J Int Soc Sports Nutr. 2019 Aug 22;16(1):35 [PMID: 31438992]
  23. Am J Emerg Med. 2012 Sep;30(7):1324.e5-8 [PMID: 21871759]
  24. Diabetes. 2001 Dec;50(12):2786-91 [PMID: 11723062]
  25. Int J Sport Nutr Exerc Metab. 2014 Aug;24(4):450-9 [PMID: 24667155]
  26. Psychol Med. 1982 Nov;12(4):871-8 [PMID: 6961471]
  27. Br J Sports Med. 2005 Apr;39(4):217-22; discussion 217-22 [PMID: 15793091]
  28. Scand J Med Sci Sports. 2020 Jan;30(1):135-147 [PMID: 31593622]
  29. Nutrients. 2016 Nov 20;8(11): [PMID: 27879627]
  30. J Hum Kinet. 2020 Jan 31;71:79-108 [PMID: 32148575]
  31. Int J Sport Nutr. 1993 Mar;3(1):29-40 [PMID: 8499936]
  32. Front Physiol. 2017 Jan 10;7:689 [PMID: 28119632]
  33. Obes Rev. 2015 Feb;16 Suppl 1:25-35 [PMID: 25614201]
  34. J Int Soc Sports Nutr. 2018 Jan 15;15:4 [PMID: 29371857]
  35. Int J Sport Nutr Exerc Metab. 2017 Dec;27(6):543-549 [PMID: 28253030]
  36. Scand J Med Sci Sports. 2009 Oct;19(5):731-9 [PMID: 18627556]
  37. Eur J Transl Myol. 2017 Mar 24;27(1):6247 [PMID: 28458804]
  38. Sports (Basel). 2019 Nov 14;7(11): [PMID: 31739479]
  39. Front Psychol. 2012 May 14;3:137 [PMID: 22593746]
  40. Int J Sport Nutr Exerc Metab. 2017 Oct;27(5):458-466 [PMID: 28422530]
  41. Br J Sports Med. 2014 Apr;48(7):491-7 [PMID: 24620037]
  42. Med Sci Sports Exerc. 2010 Mar;42(3):436-42 [PMID: 19952804]
  43. Physiol Behav. 2006 Mar 30;87(3):487-92 [PMID: 16442572]
  44. Br J Sports Med. 2018 Jun;52(11):687-697 [PMID: 29773536]
  45. Sports (Basel). 2017 Sep 29;5(4): [PMID: 29910436]
  46. Body Image. 2015 Sep;15:61-7 [PMID: 26176993]
  47. J Sports Sci. 2011;29 Suppl 1:S101-14 [PMID: 21500080]
  48. J Strength Cond Res. 2019 Jul;33(7):1823-1839 [PMID: 30036283]

MeSH Term

Adult
Athletes
Athletic Performance
Attitude
Body Composition
Body Image
Body Weight
Cohort Studies
Cross-Sectional Studies
Feeding Behavior
Feeding and Eating Disorders
Female
Food
Humans
Prevalence
Surveys and Questionnaires
United Kingdom
Weight Loss
Young Adult

Word Cloud

Created with Highcharts 10.0.0athletesfemalephysiqueweighteatingpracticeslossbehavioursriskdevelopingdisorderusedmethodskeyinfluencespre-competitiondivisionexperienceEatingtwoWeightdietingbodywater73%pathogeniccontrolidentifiedLittleknownstudyinvestigatedhistoryperiodlargecohortstratifiedlevelattitudesassessedidentifywhetherUsingcross-sectionalresearchdesignn=158recruitedcompletedanonymousonlineself-reportedsurveyconsistingvalidatedquestionnaires:RapidLossQuestionnaireAttitudesTest-26IrrespectivecombinationphaseGradual94%foodrestriction64%excessiveexercise84%followedmanipulationvialoadingcommonlyOverall37%consideredAdditionally42%34%Figurenoviceindicatingbingeweekcoach89%anotherathleteathletes'prevalencedisorderedsymptomsengagingconcerningfutureseekadviceregisterednutritionistsoptimisemanagementminimiseamongathletes:Acquiringoptimalcompositioncompetition

Similar Articles

Cited By