Evidence map›Paper›PMID 40442854›Full record

ArticleJournal of eating disorders2025

Exercise addiction and disordered eating in young Lebanese regular sport practitioners: the indirect role of body appreciation and body dysmorphic concerns.

Michelle Abi Karam, Rana El Khoury, Carla Hokayem, Nada Akiki, Sahar Obeid, Feten Fekih-Romdhane, Souheil Hallit, Marie Hokayem

Abstract read
In one paragraph

Article in Journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

8 authors.

Michelle Abi KaramSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Rana El KhouryDepartment of Nutrition and Food Sciences, Faculty of Arts and Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Carla HokayemSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Nada AkikiSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Sahar ObeidSocial and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon.
Feten Fekih-Romdhane *The Tunisian Center of Early Intervention in Psychosis, Department of Psychiatry "Ibn Omrane", Razi Hospital, 2010, Manouba, Tunisia.
Souheil Hallit *School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon. souheilhallit@usek.edu.lb.
Marie Hokayem *Department of Nutrition and Food Sciences, Faculty of Arts and Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon. mariehokayem@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisordered eating, encompassing behaviors like restrictive dieting, binge eating, and purging, is a prevalent issue with significant psychological and physical consequences. Among athletes, it is often exacerbated by sociocultural pressures and performance demands, making it a critical area of study. Exercise addiction is characterized by compulsive exercise behaviors and is frequently associated with disordered eating; however, the underlying mechanisms of this relationship remain unclear. Limited research has explored the factors that may contribute to the risk of both exercise addiction and disordered eating, particularly in athletes. This study aims to investigate the relationship between exercise addiction and disordered eating in regular sport practitioners and explore the potential indirect roles of body appreciation and body dysmorphic concerns. Examining these constructs is particularly important, as sociocultural pressures and limited mental health resources may uniquely influence their risk factors and experiences.

methodsThis was a cross-sectional study enrolling 321 Lebanese regular sport practitioners (mean age of 21.09 years with 51.2% males) currently residing in Lebanon.. The questionnaire consisted of four scales, validated in Arabic: the Eating Attitudes Test, the Body Appreciation Scale, Exercise Addiction Inventory-Youth, and the Dysmorphic Concern Questionnaire.

resultsBody appreciation explained a significant amount of the variance in the association between exercise addiction and disordered eating; higher exercise addiction was significantly associated with lower body appreciation and directly associated with more disordered eating. Moreover, higher body appreciation was significantly associated with less disordered eating. Furthermore, body dysmorphic concerns explained a significant amount of variance in the association between exercise addiction and disordered eating; higher exercise addiction was significantly associated with more body dysmorphic concerns and directly associated with more disordered eating. Additionally, higher body dysmorphic concerns were significantly associated with more disordered eating.

conclusionThe study examines the significant indirect role of body dysmorphic concerns and body appreciation between exercise addiction and disordered eating in young adult athletes. These findings underscore the need for interventions targeting body dysmorphic concerns and body appreciation in addressing exercise addiction and disordered eating. By fostering a positive body image and reducing maladaptive behaviors, this can guide coaches and trainers in creating supportive, body positive environments that prioritize athletes' mental and physical well-being.

Indexed as

Body appreciationBody dysmorphic concernsDisordered eatingExercise addiction

Identifiers

PMID40442854
PMCPMC12123865

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.