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A protocol was registered; 3497 records were screened (1153 duplicates were removed), 283 full texts were reviewed, and 128 studies were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Study designs are largely crosssectional, based on self\u2010report, and variably specific to particular sports. (1) DEBs are framed as a continuum ranging from functional practices to pathology, with tipping points linked to seasonality, injury and selection processes. (2) Normalisation mechanisms of DEBs stem from sports\u2010specific values and norms, constituting an elite sporting ethic, body ideals, coach\/team culture, institutional surveillance and public\/media scrutiny. (3) Barriers for assessment and help\u2010seeking include the moralisation of restrictive behaviours, stigma, 'toughness' norms, knowledge gaps, coach gatekeeping, organisational constraints and gendered assumptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>System\u2010level safeguards are needed and athlete\u2010centred, protective initiatives should be prioritised over performance\u2010oriented outcomes. Future research should prioritise longitudinal designs, elite sports\u2010sensitive measures, and equity\u2010oriented sampling.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/erv.70163","type":"journal-article","created":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T20:39:54Z","timestamp":1786912794000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sport\u2010Specific Factors and Values Leading to Normalisation of Disordered Eating Behaviours in Elite Sport: A Scoping Review"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9774-458X","authenticated-orcid":false,"given":"Danielle","family":"Mercado","sequence":"first","affiliation":[{"name":"Centre for Biomedical Ethics and Law Department of Public Health and Primary Care KU Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6938-8416","authenticated-orcid":false,"given":"Olivia","family":"Howe","sequence":"additional","affiliation":[{"name":"Department of Movement Sciences Faculty of Movement and Rehabilitation Sciences KU Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2287-3158","authenticated-orcid":false,"given":"Laurence","family":"Claes","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Educational Sciences KU Leuven  Leuven Belgium"},{"name":"Faculty of Medicine and Health Sciences University of Antwerp  Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Camporesi","sequence":"additional","affiliation":[{"name":"Centre for Biomedical Ethics and Law Department of Public Health and Primary Care KU Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010020\u201000872\u20100"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/1612197X.2024.2370448"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0026587"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2018.1477673"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1123\/tsp.25.1.1"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e3181ba8055"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/01639621003748860"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2014.957998"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/13573322.2015.1107829"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/17461391.2012.740504"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_14_1","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/978-3-031-91371-6_12","volume-title":"Sex and Gender: Transforming Scientific Practice. 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