{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T18:14:34Z","timestamp":1778696074096,"version":"3.51.4"},"reference-count":65,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>\n                    This cross-sectional study aims to screen for eating disorders and low energy availability, as well as identify associated factors among female trail runners. An online survey was used, collecting participants\u2019 sociodemographic data, trail running habits, medical indicators, and screening questionnaires for eating disorders (BEDA-Q) and low energy availability (LEAF-Q). A total of 276 female trail runners were included in the analysis. The mean age was 36.2 (\u00b1 8.1) years and body mass index (BMI) was 22.0 (\u00b1 2.5) kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    . They reported 6.2 (\u00b1 5.0) years of trail running experience and 7.7 (\u00b1 4.3) hours of training per week. Statistical analysis was conducted to analyse the frequency of positive screening based on the sociodemographic characteristics, trail running habits, and medical indicators. Multivariate logistic regression was used to analyse factors associated with a positive screening for eating disorders and low energy availability. A total of 53.6% participants had a positive BEDA-Q score (defined as a score\u2009\u2265\u20090.27), screening positive for eating disorders. Independent risk factors associated with a positive screening for eating disorders were BMI above 24\u2009kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    (p\u2009=\u20090.001), high school education (p\u2009=\u20090.049), doctoral degree (p\u2009=\u20090.023) and a positive screening for depression (p\u2009&lt;\u20090.001). Overall, 55.1% participants had a positive LEAF-Q score (defined as a score\u2009\u2265\u20098), indicating a risk of low energy availability. Associated factors were a decrease in libido (p\u2009=\u20090.043) and a positive screening for depression (p\u2009=\u20090.027). Trail running more than 3 years (p\u2009=\u20090.020) was the only independent risk factor for low energy availability. The independent protective factors for low energy availability were BMI above 24\u2009kg\/m2 (p\u2009=\u20090.047) and doctoral degree (p\u2009=\u20090.014). An association between eating disorders and low energy availability was also demonstrated. We present novel data on eating disorders and low energy availability in female trail runners. The elevated rates of these conditions highlight the importance of creating awareness, screening, and early interventions in this population.\n                  <\/jats:p>","DOI":"10.1371\/journal.pone.0348896","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T17:32:22Z","timestamp":1778693542000},"page":"e0348896","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Screening for eating disorders and low energy availability in female trail runners: A cross-sectional study"],"prefix":"10.1371","volume":"21","author":[{"given":"Carolyn","family":"Hill","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9cile","family":"Vigne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6204-4154","authenticated-orcid":true,"given":"Patrick","family":"Basset","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Volker","family":"Scheer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Baud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"pone.0348896.ref001","volume-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM-5","year":"2022"},{"issue":"2","key":"pone.0348896.ref002","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1007\/s40519-021-01162-z","article-title":"An update on the prevalence of eating disorders in the general population: a systematic review and meta-analysis","volume":"27","author":"J Qian","year":"2022","journal-title":"Eat Weight Disord"},{"key":"pone.0348896.ref003","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1186\/s40337-020-00323-2","article-title":"Prevalence of disordered eating in athletes categorized by emphasis on leanness and activity type - a systematic review","volume":"8","author":"RP Mancine","year":"2020","journal-title":"J Eat Disord"},{"issue":"2","key":"pone.0348896.ref004","first-page":"721","article-title":"Self reported HISTORY OF EATING DISORDERS, TRAINING, WEIGHT CONTROL METHODS, AND BODY SATISFACTION IN ELITE FEMALE RUNNERS COMPETIng at the 2020 U.S. Olympic MARATHON TRIALS","volume":"15","author":"B Sophia","year":"2022","journal-title":"Int J Exerc Sci"},{"key":"pone.0348896.ref005","doi-asserted-by":"crossref","first-page":"559832","DOI":"10.3389\/fpsyg.2020.559832","article-title":"Eating disorder symptoms in elite Spanish Athletes: prevalence and sport-specific weight pressures.","volume":"11","author":"C Teixidor-Batlle","year":"2020","journal-title":"Front Psychol"},{"issue":"9","key":"pone.0348896.ref006","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1080\/17461391.2021.1943712","article-title":"Prevalence of disordered eating, eating disorders and risk of low energy availability in professional, competitive and recreational female athletes based in the United Kingdom","volume":"22","author":"FRJ Sharps","year":"2022","journal-title":"Eur J Sport Sci"},{"issue":"1","key":"pone.0348896.ref007","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s40337-024-00982-5","article-title":"A systematic review, meta-analysis, and meta-regression of the prevalence of self-reported disordered eating and associated factors among athletes worldwide","volume":"12","author":"HA Ghazzawi","year":"2024","journal-title":"J Eat Disord"},{"issue":"10","key":"pone.0348896.ref008","doi-asserted-by":"crossref","first-page":"1699","DOI":"10.3390\/nu17101699","article-title":"Eating disorder symptoms and energy deficiency awareness in adolescent artistic gymnasts: evidence of a knowledge gap","volume":"17","author":"A Donti","year":"2025","journal-title":"Nutrients"},{"key":"pone.0348896.ref009","doi-asserted-by":"crossref","first-page":"869594","DOI":"10.3389\/fspor.2022.869594","article-title":"Risk of Low Energy Availability, Disordered Eating, Exercise Addiction, and Food Intolerances in Female Endurance Athletes","volume":"4","author":"IL Fahrenholtz","year":"2022","journal-title":"Front Sports Act Living"},{"issue":"1","key":"pone.0348896.ref010","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s40798-015-0027-7","article-title":"Ultra-Marathon Athletes at Risk for the Female Athlete Triad","volume":"1","author":"L-L Folscher","year":"2015","journal-title":"Sports Med Open"},{"issue":"1","key":"pone.0348896.ref011","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1097\/00042752-200401000-00005","article-title":"Prevalence of eating disorders in elite athletes is higher than in the general population","volume":"14","author":"J Sundgot-Borgen","year":"2004","journal-title":"Clin J Sport Med"},{"issue":"5","key":"pone.0348896.ref012","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1080\/17461391.2012.740504","article-title":"Eating disorders in athletes: overview of prevalence, risk factors and recommendations for prevention and treatment","volume":"13","author":"S Bratland-Sanda","year":"2013","journal-title":"Eur J Sport Sci"},{"issue":"1","key":"pone.0348896.ref013","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1186\/s40337-021-00407-7","article-title":"Specific dietary practices in female athletes and their association with positive screening for disordered eating","volume":"9","author":"C de Borja","year":"2021","journal-title":"J Eat Disord"},{"issue":"7","key":"pone.0348896.ref014","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1136\/bjsports-2014-093502","article-title":"The IOC consensus statement: beyond the Female Athlete Triad--Relative Energy Deficiency in Sport (RED-S)","volume":"48","author":"M Mountjoy","year":"2014","journal-title":"Br J Sports Med"},{"issue":"11","key":"pone.0348896.ref015","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1136\/bjsports-2018-099193","article-title":"IOC consensus statement on relative energy deficiency in sport (RED-S): 2018 update","volume":"52","author":"M Mountjoy","year":"2018","journal-title":"Br J Sports Med"},{"issue":"10","key":"pone.0348896.ref016","first-page":"1867","article-title":"American College of Sports Medicine position stand. The female athlete triad","volume":"39","author":"A Nattiv","year":"2007","journal-title":"Med Sci Sports Exerc"},{"issue":"2","key":"pone.0348896.ref017","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1007\/s40279-024-02130-0","article-title":"Low Energy Availability and Relative Energy Deficiency in Sport: A Systematic Review and Meta-analysis","volume":"55","author":"TL Gallant","year":"2025","journal-title":"Sports Med"},{"issue":"5","key":"pone.0348896.ref018","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1055\/s-0041-1730289","article-title":"The Female Athlete Triad\/Relative Energy Deficiency in Sports (RED-S)","volume":"43","author":"AR Coelho","year":"2021","journal-title":"Rev Bras Ginecol Obstet"},{"issue":"6","key":"pone.0348896.ref019","doi-asserted-by":"crossref","DOI":"10.1111\/sms.70089","article-title":"Short-Term Severe Low Energy Availability in Athletes: Molecular Mechanisms, Endocrine Responses, and Performance Outcomes-A Narrative Review","volume":"35","author":"JS Jeppesen","year":"2025","journal-title":"Scand J Med Sci Sports"},{"issue":"20","key":"pone.0348896.ref020","doi-asserted-by":"crossref","first-page":"1921","DOI":"10.1080\/02640414.2016.1142109","article-title":"Low energy availability in exercising men is associated with reduced leptin and insulin but not with changes in other metabolic hormones","volume":"34","author":"K Koehler","year":"2016","journal-title":"J Sports Sci"},{"issue":"7","key":"pone.0348896.ref021","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1136\/bjsports-2013-093240","article-title":"The LEAF questionnaire: a screening tool for the identification of female athletes at risk for the female athlete triad","volume":"48","author":"A Melin","year":"2014","journal-title":"Br J Sports Med"},{"issue":"7","key":"pone.0348896.ref022","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1080\/02640414.2015.1065340","article-title":"Adolescent elite Kenyan runners are at risk for energy deficiency, menstrual dysfunction and disordered eating","volume":"34","author":"EN Muia","year":"2016","journal-title":"J Sports Sci"},{"issue":"8","key":"pone.0348896.ref023","doi-asserted-by":"crossref","first-page":"1747","DOI":"10.1007\/s00421-019-04164-z","article-title":"Bone mineral density, energy availability, and dietary restraint in collegiate cross-country runners and non-running controls","volume":"119","author":"WP McCormack","year":"2019","journal-title":"Eur J Appl Physiol"},{"issue":"2","key":"pone.0348896.ref024","first-page":"1092","article-title":"The Prevalence of Stress Fractures and the Associated LEAF-Q Responses, Self-Reported Exercise Volume and Dietary Behaviors in Female Recreational Runners","volume":"17","author":"M Wilwand","year":"2024","journal-title":"Int J Exerc Sci"},{"issue":"5","key":"pone.0348896.ref025","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1111\/sms.12261","article-title":"Energy availability and the female athlete triad in elite endurance athletes","volume":"25","author":"A Melin","year":"2015","journal-title":"Scand J Med Sci Sports"},{"issue":"5","key":"pone.0348896.ref026","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1080\/17461391.2022.2079423","article-title":"Investigating the prevalence of low energy availability, disordered eating and eating disorders in competitive and recreational female endurance runners","volume":"23","author":"RA Dervish","year":"2023","journal-title":"Eur J Sport Sci"},{"issue":"3","key":"pone.0348896.ref027","doi-asserted-by":"crossref","first-page":"873","DOI":"10.3390\/nu13030873","article-title":"Risk of Low Energy Availability among Female and Male Elite Runners Competing at the 26th European Cross-Country Championships","volume":"13","author":"F Jesus","year":"2021","journal-title":"Nutrients"},{"issue":"6","key":"pone.0348896.ref028","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1249\/MSS.0000000000003644","article-title":"Screening for Relative Energy Deficiency in Sport: Detection of Clinical Indicators in Female Endurance Athletes","volume":"57","author":"P Wasserfurth","year":"2025","journal-title":"Med Sci Sports Exerc"},{"issue":"11","key":"pone.0348896.ref029","doi-asserted-by":"crossref","first-page":"2793","DOI":"10.1007\/s40279-024-02108-y","article-title":"Does relative energy deficiency in sport (REDs) syndrome exist?","volume":"54","author":"AE Jeukendrup","year":"2024","journal-title":"Sports Med"},{"issue":"8","key":"pone.0348896.ref030","doi-asserted-by":"crossref","first-page":"1666","DOI":"10.1249\/MSS.0000000000000276","article-title":"The development of the brief eating disorder in athletes questionnaire","volume":"46","author":"M Martinsen","year":"2014","journal-title":"Med Sci Sports Exerc"},{"issue":"1","key":"pone.0348896.ref031","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1136\/bjsports-2020-102411","article-title":"International Olympic Committee (IOC) Sport Mental Health Assessment Tool 1 (SMHAT-1) and Sport Mental Health Recognition Tool 1 (SMHRT-1): towards better support of athletes\u2019 mental health","volume":"55","author":"V Gouttebarge","year":"2021","journal-title":"Br J Sports Med"},{"issue":"5","key":"pone.0348896.ref032","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1055\/a-1096-0980","article-title":"Defining Off-road Running: A Position Statement from the Ultra Sports Science Foundation","volume":"41","author":"V Scheer","year":"2020","journal-title":"Int J Sports Med"},{"key":"pone.0348896.ref033","unstructured":"International Trail Running Association. Discover Trail Running. Lausanne: ITRA; [cited 2026 Mar 3]. Available from: https:\/\/itra.run\/About\/DiscoverTrailRunning"},{"key":"pone.0348896.ref034","unstructured":"Andersen J. The State of Trail Running 2022. Run Repeat 2022 [cited 2026 Mar 3]. Available from: https:\/\/runrepeat.com\/the-state-of-trail-running-2022"},{"issue":"2","key":"pone.0348896.ref035","first-page":"1471","article-title":"Low energy availability, disordered eating, exercise dependence, and fueling strategies in trail runners","volume":"16","author":"K Henninger","year":"2024","journal-title":"Int J Exerc Sci"},{"issue":"7","key":"pone.0348896.ref036","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1136\/bjsports-2019-101926","article-title":"#REDS (Relative Energy Deficiency in Sport): time for a revolution in sports culture and systems to improve athlete health and performance","volume":"54","author":"KE Ackerman","year":"2020","journal-title":"Br J Sports Med"},{"issue":"1","key":"pone.0348896.ref037","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1186\/s40337-025-01218-w","article-title":"Evaluating the prevalence of eating disorder risk and low energy availability risk in collegiate athletes","volume":"13","author":"LJ Puscheck","year":"2025","journal-title":"J Eat Disord"},{"key":"pone.0348896.ref038","doi-asserted-by":"crossref","first-page":"2191","DOI":"10.1001\/jama.2013.281053","article-title":"World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects","volume":"310","author":"Association World Medical","year":"2013","journal-title":"JAMA"},{"issue":"9","key":"pone.0348896.ref039","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: validity of a brief depression severity measure","volume":"16","author":"K Kroenke","year":"2001","journal-title":"J Gen Intern Med"},{"issue":"10","key":"pone.0348896.ref040","doi-asserted-by":"crossref","first-page":"821","DOI":"10.4085\/1062-6050-0558.22","article-title":"Validation and Clinical Utility of the Patient Health Questionnaire-9 and Center for Epidemiologic Studies Depression Scale as Depression Screening Tools in Collegiate Student-Athletes","volume":"58","author":"L Keenan","year":"2023","journal-title":"J Athl Train"},{"key":"pone.0348896.ref041","volume-title":"Statistical power analysis for the behavioral sciences","author":"J Cohen","year":"1988"},{"issue":"12","key":"pone.0348896.ref042","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1016\/S0895-4356(96)00236-3","article-title":"A simulation study of the number of events per variable in logistic regression analysis","volume":"49","author":"P Peduzzi","year":"1996","journal-title":"J Clin Epidemiol"},{"issue":"4","key":"pone.0348896.ref043","doi-asserted-by":"crossref","DOI":"10.1515\/ijamh-2017-0190","article-title":"Risk for eating disorders and body composition among adolescent female and male athletes and non-athlete controls","volume":"32","author":"S Pustiv\u0161ek","year":"2019","journal-title":"Int J Adolesc Med Health"},{"key":"pone.0348896.ref044","doi-asserted-by":"crossref","first-page":"2884","DOI":"10.1007\/s12144-025-07635-z","article-title":"Eating disorder risk in adult women: the role of social physique anxiety and emotional eating","volume":"44","author":"P Merve","year":"2025","journal-title":"Curr Psychol"},{"issue":"6","key":"pone.0348896.ref045","doi-asserted-by":"crossref","first-page":"1502","DOI":"10.3390\/nu15061502","article-title":"Body Composition, Energy Availability, Risk of Eating Disorder, and Sport Nutrition Knowledge in Young Athletes","volume":"15","author":"MK Magee","year":"2023","journal-title":"Nutrients"},{"issue":"1","key":"pone.0348896.ref046","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0170603","article-title":"Socioeconomic Correlates of Eating Disorder Symptoms in an Australian Population-Based Sample","volume":"12","author":"B Mulders-Jones","year":"2017","journal-title":"PLoS One"},{"key":"pone.0348896.ref047","first-page":"89","article-title":"The epidemiology of eating disorders: genetic, environmental, and societal factors","volume":"6","author":"D Mitchison","year":"2014","journal-title":"Clin Epidemiol"},{"issue":"2","key":"pone.0348896.ref048","article-title":"Multiple comorbidities of 21 psychological disorders and relationships with psychosocial variables: a study of the online assessment and diagnostic system within a web-based population","volume":"17","author":"AM Al-Asadi","year":"2015","journal-title":"J Med Internet Res"},{"issue":"1","key":"pone.0348896.ref049","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1186\/s40337-022-00654-2","article-title":"Psychiatric and medical comorbidities of eating disorders: findings from a rapid review of the literature","volume":"10","author":"A Hambleton","year":"2022","journal-title":"J Eat Disord"},{"issue":"17","key":"pone.0348896.ref050","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1136\/bjsports-2023-106994","article-title":"International Olympic Committee\u2019s (IOC) consensus statement on relative energy deficiency in sport (REDs)","volume":"57","author":"M Mountjoy","year":"2023","journal-title":"Br J Sports Med"},{"issue":"5","key":"pone.0348896.ref051","doi-asserted-by":"crossref","first-page":"986","DOI":"10.3390\/nu14050986","article-title":"Contributing Factors to Low Energy Availability in Female Athletes: A Narrative Review of Energy Availability, Training Demands, Nutrition Barriers, Body Image, and Disordered Eating","volume":"14","author":"AR Jagim","year":"2022","journal-title":"Nutrients"},{"issue":"3","key":"pone.0348896.ref052","doi-asserted-by":"crossref","first-page":"835","DOI":"10.3390\/nu12030835","article-title":"Low energy availability in athletes 2020: an updated narrative review of prevalence, risk, within-day energy balance, knowledge, and impact on sports performance","volume":"12","author":"DM Logue","year":"2020","journal-title":"Nutrients"},{"issue":"4","key":"pone.0348896.ref053","doi-asserted-by":"crossref","first-page":"367","DOI":"10.31887\/DCNS.2006.8.4\/bmcewen","article-title":"Protective and damaging effects of stress mediators: central role of the brain","volume":"8","author":"BS McEwen","year":"2006","journal-title":"Dialogues Clin Neurosci"},{"issue":"5","key":"pone.0348896.ref054","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1055\/s-0029-1211767","article-title":"Reproductive hormonal responses to maximal exercise in endurance-trained men with low resting testosterone levels","volume":"105","author":"AC Hackney","year":"1997","journal-title":"Exp Clin Endocrinol Diabetes"},{"issue":"7","key":"pone.0348896.ref055","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1249\/MSS.0000000000001235","article-title":"Endurance Exercise Training and Male Sexual Libido","volume":"49","author":"AC Hackney","year":"2017","journal-title":"Med Sci Sports Exerc"},{"issue":"8","key":"pone.0348896.ref056","doi-asserted-by":"crossref","first-page":"3158","DOI":"10.1210\/jc.2006-0570","article-title":"The response of luteinizing hormone pulsatility to 5 days of low energy availability disappears by 14 years of gynecological age","volume":"91","author":"AB Loucks","year":"2006","journal-title":"J Clin Endocrinol Metab"},{"issue":"1","key":"pone.0348896.ref057","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1186\/s40798-020-00275-6","article-title":"Reasons for and Consequences of Low Energy Availability in Female and Male Athletes: Social Environment, Adaptations, and Prevention","volume":"6","author":"P Wasserfurth","year":"2020","journal-title":"Sports Med Open"},{"issue":"3","key":"pone.0348896.ref058","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1136\/bjsports-2015-095735","article-title":"2016 update on eating disorders in athletes: A comprehensive narrative review with a focus on clinical assessment and management","volume":"50","author":"E Joy","year":"2016","journal-title":"Br J Sports Med"},{"issue":"4","key":"pone.0348896.ref059","first-page":"335","article-title":"The Male Athlete Triad-A Consensus Statement From the Female and Male Athlete Triad Coalition Part 1: Definition and Scientific Basis","volume":"31","author":"A Nattiv","year":"2021","journal-title":"Clin J Sport Med"},{"issue":"21","key":"pone.0348896.ref060","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1136\/bjsports-2019-101813","article-title":"The Australian Institute of Sport (AIS) and National Eating Disorders Collaboration (NEDC) position statement on disordered eating in high performance sport","volume":"54","author":"KR Wells","year":"2020","journal-title":"Br J Sports Med"},{"issue":"4","key":"pone.0348896.ref061","doi-asserted-by":"crossref","first-page":"2040","DOI":"10.3390\/ijerph18042040","article-title":"Muscle Tone and Body Weight Predict Uphill Race Time in Amateur Trail Runners","volume":"18","author":"C Berzosa","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"pone.0348896.ref062","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.csm.2011.09.007","article-title":"The female athlete triad","volume":"31","author":"JF Deimel","year":"2012","journal-title":"Clin Sports Med"},{"issue":"4","key":"pone.0348896.ref063","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1177\/1941738112439685","article-title":"The female athlete triad","volume":"4","author":"TG Nazem","year":"2012","journal-title":"Sports Health"},{"issue":"1","key":"pone.0348896.ref064","doi-asserted-by":"crossref","first-page":"80","DOI":"10.4085\/1062-6050-43.1.80","article-title":"National athletic trainers\u2019 association position statement: preventing, detecting, and managing disordered eating in athletes","volume":"43","author":"CM Bonci","year":"2008","journal-title":"J Athl Train"},{"issue":"1","key":"pone.0348896.ref065","doi-asserted-by":"crossref","first-page":"1","DOI":"10.26603\/001c.126965","article-title":"Examination of the Clinical Utility of Eating Disorder and Disordered Eating Screening Tools in Young Athletes: A Scoping Review","volume":"20","author":"BJ Hoogenboom","year":"2025","journal-title":"Int J Sports Phys Ther"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0348896","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T17:32:35Z","timestamp":1778693555000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0348896"}},"subtitle":[],"editor":[{"given":"Raul","family":"Bartolomeu","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,5,13]]},"references-count":65,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,5,13]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0348896","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,13]]}}}