Evidence map›Paper›PMID 33252150›Full record

ArticleThe International journal of eating disorders2021

Comparing eating disorder characteristics and treatment in self-identified competitive athletes and non-athletes from the National Eating Disorders Association online screening tool.

Rachael E Flatt, Laura M Thornton, Ellen E Fitzsimmons-Craft, Katherine N Balantekin, Lauren Smolar, Claire Mysko, Denise E Wilfley, C Barr Taylor, J D DeFreese, Anna M Bardone-Cone and 1 more

Open access · greenAbstract read
In one paragraph

Article in The International journal of eating disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Rachael E FlattDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0002-2661-7987
Laura M ThorntonDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Ellen E Fitzsimmons-CraftDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0001-7064-3835
Katherine N BalantekinDepartment of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, New York, USA.ORCID 0000-0002-6760-2714
Lauren SmolarNational Eating Disorders Association, New York City, New York, USA.
Claire MyskoNational Eating Disorders Association, New York City, New York, USA.
Denise E WilfleyDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
C Barr TaylorDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-4564-6548
J D DeFreeseDepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Anna M Bardone-ConeDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0002-1855-6328
Cynthia M BulikDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0001-7772-3264
University of North Carolina at Chapel Hill · USNational Eating Disorders Association · USWashington University in St. Louis · USPalo Alto University · USUniversity at Buffalo, State University of New York · US

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
Eating Disorders Genetics Initiative (EDGI)R01MH120170 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BULIK, CYNTHIA M · 2019 to 2023
$7.2M
Using Technology to Improve Eating Disorders TreatmentR01MH100455 · NIMH · WASHINGTON UNIVERSITY · PI TAYLOR, CRAIG BARR, WILFLEY, DENISE ELLA · 2013 to 2017
$3.4M
Predicting Binge and Purge Episodes from Passive and Active Apple Watch Data Using a Dynamical Systems ApproachR01MH119084 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BULIK, CYNTHIA M, BUTNER, JONATHAN · 2019 to 2022
$2.8M
Developing an Optimized Conversational Agent or "Chatbot" to Facilitate Mental Health Services Use in Individuals with Eating DisordersK08MH120341 · NIMH · WASHINGTON UNIVERSITY · PI FITZSIMMONS-CRAFT, ELLEN E. · 2019 to 2023
$824k
The Intersection between Loss of Control Eating and Obesity: The Role of Restriction and Food Reinforcement.K01DK120778 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI BALANTEKIN, KATHERINE NAIME · 2020 to 2024
$785k
NIDDK NIH HHS K01 DK120778NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P30 DK092950NIMH NIH HHS K08 MH120341NIMH NIH HHS R01 MH100455NIMH NIH HHS R01 MH119084NIMH NIH HHS R01 MH120170
6 · The paper itself

Abstract

objectiveWe compared eating disorder (ED) characteristics and treatment seeking behaviors between self-identified competitive athletes and non-athletes in a large, community-based sample.

methodDuring the 2018 National Eating Disorders Awareness Week, 23,920 respondents, 14.7% of whom identified as competitive athletes, completed the National Eating Disorders Association online screen. Data were collected on demographics, disordered eating behaviors, probable ED diagnosis/risk, treatment history, and intent to seek treatment.

resultsThe sample was predominantly White (81.8%), female (90.3%), and between 13 and 24 years (82.6%). Over 86% met criteria for an ED/subthreshold ED, and of those, only 2.5% were in treatment. Suicidal ideation was reported in over half of the sample. Athletes reported a significantly greater likelihood of engaging in and more frequent excessive exercise episodes than non-athletes. Athletes also reported a significantly lower likelihood of engaging in and less frequent binge-eating episodes compared with non-athletes. Athletes were more likely to screen positive for an ED/subthreshold ED than non-athletes, but percentages across all probable ED diagnoses were similar. No significant differences between athletes and non-athletes emerged on treatment history or intention to seek treatment post-screen (less than 30%). DISCUSSION: Although the distribution of probable ED diagnoses was similar in athletes and non-athletes, symptom profiles related to disordered eating behavior engagement and frequency may differ. Athletes may be less likely to seek treatment due to stigma, accessibility, and sport-specific barriers. Future work should directly connect survey respondents to tailored treatment tools and increase motivation to seek treatment.

Indexed as

Binge-Eating DisorderFeeding and Eating DisordersSportsAthletesFemaleHumansMaleMass ScreeningSurveys and Questionnairesathletesdisordered eating behaviorseating disordersonline screentreatment seeking

Identifiers

PMID33252150
PMCPMC8006447
OpenAlexW3109191164

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.