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g2kqw_v1 A Critical Review of Eating Disorders in Female Athletes and Evidence-based Interventions for Sports Coaches Eating disorders (ED) are serious mental disorders, which can have serious health consequences and high mortality rates. Due to facing unique risk factors female athletes have increased susceptibility for ED. Female athletes are also at risk for subclinical conditions such as the Female Athlete Triad. There is a dearth of studies on preventing and identifying ED in female athletes and the role and responsibility of the sports coach is unclear. This study aimed to address the questions of whether female athletes are at increased risk for ED, what interventions currently show promise and what is the role of the sports coach in the intervention process. The study was based on a systematic review of relevant literature retrieved through PubMed and Sports Discus databases. Despite heterogeneity in prevalence studies, findings suggest that female athletes are at higher risk than male athletes and non-athletes and those in elite level sports or sports categorised as lean, aesthetic, endurance and weight-class are at increased risk for clinical and subclinical ED. Risk-factors unique to the sports environment such as weight pressures, competitive thinness and revealing uniforms, may lead to increased risk in female athletes. Despite a dearth of studies on interventions for ED in sport, findings suggest that primary prevention programs based on educating athletes such as ATHENA show most promise in prevention. Secondary prevention should focus on early identification using athlete-specific screening tools. Symptom checklists and pre-participation examinations can also assist coaches in early identification. Psychotherapy interventions such as CBT have had the best results for treatment. Sports coaches’ play a critical role in, early identification, referral, management and prevention of ED in female athletes. However, current findings suggest that many coaches lack knowledge about ED and require education to be able to intervene successfully in female athletes with ED. Inappropriate coaching behaviours have also been found to act as an additional risk-factor for ED. Recommendations for sports coaches in N.I. are provided to assist them in successful intervention, management and return to play of female athletes with ED. 2021-07-10T09:28:05.748482 2021-07-15T19:52:02.739526 2021-07-15T19:51:36.330042     sportrxiv 1 accepted 1 1 https://doi.org/10.31236/osf.io/g2kqw No license Eating disorders; Female athlete triad; Relative energy deficiency in sport; Sports Nutrition; Sports coaching ["Eating disorders", "Female athlete triad", "Relative energy deficiency in sport", "Sports Nutrition", "Sports coaching"] Ian Burton [{"id": "xm97t", "name": "Ian Burton", "index": 0, "orcid": null, "bibliographic": true}] Ian Burton Rehabilitation and Therapy; Physiotherapy; Physical Therapy; Medicine and Health; Sport and Exercise Science; Sport and Exercise Studies; Sport and Exercise Pedagogy; Sport and Exercise Medicine; Strength and Conditioning; Psychology of Sport and Exercise; Sport and Exercise Physiology [{"id": "5995e3a754be8104361ac1b3", "text": "Rehabilitation and Therapy"}, {"id": "5995e3a754be8104361ac1b7", "text": "Physiotherapy"}, {"id": "5995e3a754be8104361ac1be", "text": "Physical Therapy"}, {"id": "5995e3a754be8104361ac1c2", "text": "Medicine and Health"}, {"id": "5995e3a754be8104361ac1c3", "text": "Sport and Exercise Science"}, {"id": "5995e3a754be8104361ac1c4", "text": "Sport and Exercise Studies"}, {"id": "5995e3a754be8104361ac1c7", "text": "Sport and Exercise Pedagogy"}, {"id": "5995e3a754be8104361ac1ca", "text": "Sport and Exercise Medicine"}, {"id": "5995e3a754be8104361ac1cd", "text": "Strength and Conditioning"}, {"id": "5995e3a754be8104361ac1d4", "text": "Psychology of Sport and Exercise"}, {"id": "5995e3a754be8104361ac1d6", "text": "Sport and Exercise Physiology"}] https://osf.io/download/60e9682b924b40018d4e8a6a 0   not_applicable not_applicable []   2025-04-09T20:04:08.273064
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