{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T03:25:04Z","timestamp":1783049104801,"version":"3.54.6"},"reference-count":33,"publisher":"Michigan State University College of Osteopathic Medicine Statewide Campus System","issue":"1","license":[{"start":{"date-parts":[[2017,8,24]],"date-time":"2017-08-24T00:00:00Z","timestamp":1503532800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"context\"> <jats:title>CONTEXT<\/jats:title> <jats:p>Although there is little data currently available concerning the primary factors associated with disordered eating behaviors among triathletes, these athletes may be at greater risk. Sports medicine professionals are in a unique position to identify athletes with disordered eating risks.<\/jats:p> <\/jats:sec> <jats:sec id=\"methods\"> <jats:title>METHODS<\/jats:title> <jats:p>The purpose of this cross-sectional survey study was to identify the prevalence of disordered eating attitudes and behaviors among a national convenience sample of triathletes. A secondary purpose was to identify \u201ctriathlon-specific factors\u201d and \u201ccompetitive athlete-factors\u201d potentially associated with disordered eating behaviors. The authors hypothesized that certain triathlon-specific factors and competitive athlete factors would be associated with increased rates of self-reported disordered eating behaviors.<\/jats:p> <\/jats:sec> <jats:sec id=\"results\"> <jats:title>RESULTS<\/jats:title> <jats:p>In a respondent sample of 1,033 adults, multiple competitive athlete factors were associated with a higher risk for disordered eating, whereas triathlon-specific factors were not.<\/jats:p> <\/jats:sec> <jats:sec id=\"conclusions\"> <jats:title>CONCLUSIONS<\/jats:title> <jats:p>In this study sample, disordered eating was not specifically associated with triathlon-specific factors. Rather, disordered eating behaviors were found to be more often associated with associated competitive athlete factors, particularly in the many leanness sports such as running.<\/jats:p> <\/jats:sec>","DOI":"10.51894\/001c.5958","type":"journal-article","created":{"date-parts":[[2021,2,15]],"date-time":"2021-02-15T19:39:54Z","timestamp":1613417994000},"source":"Crossref","is-referenced-by-count":4,"title":["Factors Associated with Disordered Eating Behaviors among Triathletes"],"prefix":"10.51894","volume":"2","author":[{"given":"Samantha Fugate","family":"Kennedy","sequence":"first","affiliation":[{"name":"Michigan State University Department of Psychiatry, Resident, East Lansing, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyse Folino","family":"Ley","sequence":"additional","affiliation":[{"name":"Michigan State University Department of Psychiatry, Residency Director, East Lansing, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brianna Nicole","family":"Fugate","sequence":"additional","affiliation":[{"name":"Eaton Regional Education Service Agency School Psychologist, Charlotte, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Hayek","sequence":"additional","affiliation":[{"name":"Michigan State University College of Osteopathic Medicine, Osteopathic Medical Student, East Lansing, MI"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29343","published-online":{"date-parts":[[2017,8,24]]},"reference":[{"key":"ref1","article-title":"USA Triathlon 2014 Membership Report Colorado Spring, CO: USA Triathlon, Demographics","author":"USA Triathlon","year":"2015"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/j.apmr.2007.02.035","article-title":"Prevalence of female athlete triad characteristics in a club triathlon team","volume":"88","author":"A.Z. Hoch","year":"2007","journal-title":"Arch Phys Med Rehabil"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1123\/wspaj.11.2.115","article-title":"Eating attitudes, body image and nutrient intake in female triathletes","volume":"11","author":"H. Wethington","year":"2002","journal-title":"Women Sport Physic Activ J"},{"issue":"7","key":"ref4","first-page":"210","article-title":"Sub-clinical eating disorder characteristics among male and female triathletes","volume":"2002","author":"R.D. DeBate","journal-title":"Eating Weight Disord"},{"key":"ref5","article-title":"The Mind of the Triathlete Colorado Springs, CO: USA Triathlon, Demographics","author":"TribeGroup LLC","year":"2009"},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1080\/10413200500471301","article-title":"Eating in women's gymnastics: perspectives of athletes, coaches, parents and judges","volume":"18","author":"G. Kerr","year":"2006","journal-title":"J Appl Sport Psychol"},{"issue":"5","key":"ref7","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1080\/00913847.1987.11709350","article-title":"Pathogenic weight-control behaviors of young competitive swimmers","volume":"15","author":"G.M. Dummer","year":"1987","journal-title":"Phys Sportsmed"},{"key":"ref8","article-title":"Disordered Eating in Triathletes. Conducted using Google Surveys","author":"S. Kennedy","year":"2015"},{"key":"ref9","article-title":"Statistical Package for the Social Sciences","year":"2014","journal-title":"V. 23.0: SPSS Inc."},{"key":"ref10","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1017\/S0033291700049163","article-title":"The Eating Attitudes Test: psychometric features and clinical correlates","volume":"12","author":"D.M. Garner","year":"1982","journal-title":"Psychol Med"},{"issue":"2","key":"ref11","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/S1440-2440(01)80025-6","article-title":"Eating disorders in athletes: a review of the literature","volume":"4","author":"S. Byrne","year":"2001","journal-title":"Aust J Sci Med Sport"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/BF03339747","article-title":"The Eating Attitudes Test: twenty-five years later","volume":"6","author":"P.E. Garfinkel","year":"2001","journal-title":"Eating Weight Disord"},{"issue":"1","key":"ref13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3758\/BF03203630","article-title":"G*POWER: a general power analysis program","volume":"28","author":"E. Erdfelder","year":"1996","journal-title":"Behav Res Meth Ins"},{"key":"ref14","article-title":"Statistical Power Analysis for the Behavioral Sciences","author":"J. Cohen","year":"1977"},{"issue":"5","key":"ref15","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1023\/A:1021606710398","article-title":"The level of competition as a factor for the development of eating disorders in female collegiate athletes","volume":"28","author":"C.L. Picard","year":"1999","journal-title":"J Youth Adolesc"},{"issue":"1","key":"ref16","first-page":"47","article-title":"Prevalence of disordered-eating behaviors in undergraduate female collegiate athletes and nonathletes","volume":"40","author":"M.F. Reinking","year":"2005","journal-title":"J Athl Train"},{"issue":"2","key":"ref17","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1123\/wspaj.11.2.115","article-title":"Eating attitudes, body image, and nutrient intake in female triathletes","volume":"11","author":"H. Wethington","year":"2002","journal-title":"Women Sport Physic Activi J"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1007\/BF03324979","article-title":"Body size dissatisfaction among male and female triathletes","volume":"7","author":"R.D. DeBate","year":"2001","journal-title":"Eating Weight Disord"},{"issue":"7","key":"ref19","doi-asserted-by":"crossref","first-page":"1214","DOI":"10.1016\/j.jada.2007.04.017","article-title":"The prevalence of subclinical eating disorders among male cyclists","volume":"107","author":"S.K. Riebl","year":"2007","journal-title":"J Am Diet Assoc"},{"issue":"3","key":"ref20","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1002\/eat.1090","article-title":"Eating disorders and health in elite women distance runners","volume":"30","author":"A.J. Hulley","year":"2001","journal-title":"Int J Eat Disord"},{"issue":"3","key":"ref21","first-page":"130","article-title":"Intuitive eating, diet composition, and the meaning of food in healthy weight promotion","volume":"37","author":"T. Smith","year":"2006","journal-title":"J Health Edu"},{"key":"ref22","article-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM-5","year":"2013","edition":"5th"},{"issue":"3","key":"ref23","doi-asserted-by":"crossref","first-page":"243","DOI":"10.4085\/1062-6050-45.3.243","article-title":"Relationships among injury and disordered eating, menstrual dysfunction, and low bone mineral density in high school athletes: a prospective study","volume":"45","author":"M.J. Rauh","year":"2010","journal-title":"J Athl Train"},{"issue":"2","key":"ref24","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1002\/(SICI)1098-108X(199909)26:2<179::AID-EAT7>3.0.CO;2-Z","article-title":"Athletes and eating disorders: the National Collegiate Athletic Association study","volume":"26","author":"C. Johnson","year":"1999","journal-title":"Int J Eat Disord"},{"key":"ref25","first-page":"105","article-title":"Prevention of eating disorders in female athletes","volume":"5","author":"G.M. de Oliveira Coelho","year":"2014","journal-title":"J Sports Med"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1176\/appi.ajp.2009.09020247","article-title":"Increased mortality in bulimia nervosa and other eating disorders","volume":"166","author":"S.J. Crow","year":"2009","journal-title":"Am J Psychiatry"},{"issue":"2","key":"ref27","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/S1440-2440(02)80029-9","article-title":"Elite athletes: effects of the pressure to be thin","volume":"5","author":"S. Byrne","year":"2002","journal-title":"J Sci Med Sport"},{"issue":"1","key":"ref28","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":"1","key":"ref29","first-page":"82","article-title":"Attitudes toward eating and exercise: a comparison of runners and triathletes","volume":"19","author":"A.G. Virnig","year":"1996","journal-title":"J Sport Behav"},{"issue":"4","key":"ref30","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1249\/00005768-199404000-00003","article-title":"Risk and trigger factors for the development of eating disorders in female elite athletes","volume":"26","author":"J. Sundgot-Borgen","year":"1994","journal-title":"Med Sci Sports Exerc"},{"issue":"1","key":"ref31","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1080\/106402602753573559","article-title":"Eating disorders and exercise dependence in triathletes","volume":"10","author":"M.J. Blaydon","year":"2002","journal-title":"Eating Disord"},{"key":"ref32","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":"9","key":"ref33","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1007\/s40279-013-0067-4","article-title":"Trends in triathlon performance: effects of sex and age","volume":"43","author":"R. Lepers","year":"2013","journal-title":"Sports Med"}],"container-title":["Spartan Medical Research Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/smrj.scholasticahq.com\/article\/5958-factors-associated-with-disordered-eating-behaviors-among-triathletes","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T16:44:27Z","timestamp":1750092267000},"score":1,"resource":{"primary":{"URL":"https:\/\/smrj.scholasticahq.com\/article\/5958-factors-associated-with-disordered-eating-behaviors-among-triathletes"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,24]]},"references-count":33,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.51894\/001c.5958","relation":{},"ISSN":["2474-7629"],"issn-type":[{"value":"2474-7629","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,24]]}}}