The prevalence of disordered eating in elite male and female soccer players

Will Abbott, Adam Brett, Thomas E. Brownlee, Kelly M. Hammond, Liam D. Harper, Robert J. Naughton, Liam Anderson, Edward H. Munson, Jack V. Sharkey, Rebecca K. Randell, Tom Clifford*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Purpose: To examine the prevalence of disordered eating (DE) in elite male and female soccer players and the influence of perfectionism.

Methods: Using a cross-sectional design, elite male (n = 137) and female (n = 70) soccer players and non-athlete controls (n = 179) completed the clinical perfectionism questionnaire (CPQ-12) and the eating attitudes test (EAT-26) to assess perfectionism and DE risk, respectively.

Results: Male soccer players had higher EAT-26 scores than controls (10.4 ± 9.9 vs. 6.8 ± 6.7; P = 0.001), but there were no differences in the prevalence of clinical levels of DE (EAT-26 score ≥ 20) (15 vs. 5%, respectively; X2 = 0.079) The proportion of females with DE risk was higher in controls [EAT-26: 13.9 ± 11.6 (25% of population)] than female players [EAT-26: 10.0 ± 9.0% (11% of population)] (X2 = 0.001). With linear regression, perfectionism explained 20% of the variation in DE risk in males (P = 0.001); in females, athletic status (player vs. control) and perfectionism were significant predictors of DE risk, explaining 21% of the variation (P = 0.001). Male reserve team players had higher EAT-26 (+ 3.5) and perfectionism (+ 2.7) scores than first-team players (P < 0.05). There were no differences in the prevalence of DE risk between the male and female soccer players (X2 = 0.595).

Conclusions: The prevalence of DE risk was not different in elite male and female soccer players; in fact, the prevalence was greatest in non-athlete female controls. Perfectionism is a significant predictor of DE risk in males and females.

Level of evidence: III, case–control study.

Original languageEnglish
Pages (from-to)491-498
Number of pages8
JournalEating and Weight Disorders
Volume26
Issue number2
Early online date27 Feb 2020
DOIs
Publication statusPublished - Mar 2021

Bibliographical note

Publisher Copyright:
© 2020, The Author(s).

Keywords

  • Eating disorders
  • Football
  • Mental health
  • Nutrition
  • Sports psychology

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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