Disordered eating behavior among group fitness instructors: a health-threatening secret?

Disordered eating behavior among group fitness instructors: a health-threatening secret?
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DOI:
10.1186/s40337-015-0059-x
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发表时间:
2015-01-01
影响因子:
4.1
通讯作者:
Sundgot-Borgen, Jorunn
Sundgot-Borgen, Jorunn
中科院分区:
医学3区
文献类型:
--
作者:
Bratland-Sanda, Solfrid;Nilsson, Merethe Pauline;Sundgot-Borgen, Jorunn

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背景:本研究旨在调查挪威团体健身指导员的饮食行为障碍(DE)和自述进食障碍(ED)。方法:挪威团体健身指导员(n=685名女性和152名男性,应答率:57%)完成了一项在线调查。调查内容包括工具进食障碍问卷(EDI)和运动依赖量表(EDS)。结果:共有22%的男性和59%的女性被归类为运动依赖。与没有DE的受访者相比,有DE的受访者有更高的BMI,更多的减肥尝试,以及更高的EDI总分。男女团体健身指导员的EDI总分与EDS总分均呈正相关。没有男性和4%的女性报告有当前的勃起功能障碍。自述现任ED的教师每周授课课量高于其他教师。无一例自报性ED患者告知中心经理。结论:DE行为的高患病率值得关注。关于自我报告的ED的报道的保密性可能会降低早期识别和干预的可能性。这些发现揭示了对教练身心健康的影响,对他们作为重要的健康榜样和健康/健身机构的声誉和影响,以及在健身中心环境中预防、识别和管理此类行为的重要性。
Background: The present study aimed to examine disordered eating behavior (DE) and self-reported eating disorders (ED) among Norwegian group fitness instructors.Methods: Group fitness instructors from Norway (n = 685 females and 152 males, response rate: 57 %) completed an online survey. The survey included the instruments Eating Disorders Inventory (EDI) and the Exercise Dependence Scale (EDS).Results: A total of 22 % of the male and 59 % of the female respondents were classified with DE. The respondents classified with DE had higher BMI, more weight loss attempts, and higher total EDI score compared to the respondents with no DE. A correlation between EDI total score and EDS total score was found among both male and female group fitness instructors. No males and four percent of the females reported having a current ED. The instructors with self-reported current ED had higher weekly volume of instructing classes compared to the other instructors. None of the respondents with self-reported ED had informed their center manager about it.Conclusion: The high prevalence of DE behavior calls for concern. The reported secrecy regarding self-reported ED might decrease the possibility for early recognition and intervention. The findings reveal implications for the instructors' physical and mental health, for their reputation and impact as important healthy role models and health/fitness authorities, and for the importance of prevention, identification and management of such behavior in fitness center settings.