Athlete Eating Disorders | Crockett Assessment & Trauma Services, LLC

In general, behaviors and attitudes that indicate that weight loss, dieting, and control of food are becoming primary concerns
Preoccupation with weight, food, calories, carbohydrates, fat grams, and dieting
Refusal to eat certain foods, progressing to restrictions against whole categories of food (e.g., no carbohydrates, etc.)
Appears uncomfortable eating around others
Food rituals (e.g. eats only a particular food or food group [e.g. condiments], excessive chewing, doesn’t allow foods to touch)
Skipping meals or taking small portions of food at regular meals
Any new practices with food or fad diets, including cutting out entire food groups (no sugar, no carbs, no dairy, vegetarianism/veganism)
Withdrawal from usual friends and activities
Frequent dieting
Extreme concern with body size and shape
Frequent checking in the mirror for perceived flaws in appearance
Extreme mood swings

Noticeable fluctuations in weight, both up and down
Stomach cramps, other non-specific gastrointestinal complaints (constipation, acid reflux, etc.)
Menstrual irregularities — missing periods or only having a period while on hormonal contraceptives (this is not considered a “true” period)
Difficulties concentrating
Abnormal laboratory findings (anemia, low thyroid and hormone levels, low potassium, low white and red blood cell counts)
Dizziness, especially upon standing
Fainting/syncope
Feeling cold all the time
Sleep problems
Cuts and calluses across the top of finger joints (a result of inducing vomiting)
Dental problems, such as enamel erosion, cavities, and tooth sensitivity
Dry skin and hair, and brittle nails
Swelling around area of salivary glands
Fine hair on body (lanugo)
Cavities, or discoloration of teeth, from vomiting
Muscle weakness
Yellow skin (in context of eating large amounts of carrots)
Cold, mottled hands and feet or swelling of feet
Poor wound healing
Impaired immune functioning

Conviser, J, Tierney, A, Nickols, R.

Assessment of Athletes Wtih Eating Disorders: Essentials for Best Practice

Journal of Clinical Sport Psychology; Vol. 12 Iss. 4: 480-494.

Joy E, Kussman A, Nattiv A

2016 update on eating disorders in athletes: A comprehensive narrative review with a focus on clinical assessment and management

British Journal of Sports Medicine 2016;50:154-162.

Megan. “The Warning Signs of Eating Disorders in Athletes (and How to Offer Support).” - Redefining What It Means to Be a Female Distance Runner, 8 July 2018, www.strongrunnerchicks.com/warning-signs-eating-disorders-athletes-offer-support/.

“Warning Signs and Symptoms.” National Eating Disorders Association, 6 Feb. 2020, www.nationaleatingdisorders.org/warning-signs-and-symptoms.

Eating Disorders in the Athletic Community