The Australian Institute of Sport (AIS) and National Eating Disorders Collaboration (NEDC) position statement on disordered eating in high performance sport.

The Australian Institute of Sport (AIS) and National Eating Disorders Collaboration (NEDC) position statement on disordered eating in high performance sport.
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澳大利亚体育研究所(AIS)和国家饮食失调协作(NEDC)关于高性能运动中饮食失调的立场声明。

DOI:
10.1136/bjsports-2019-101813
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发表时间:
2020-11
影响因子:
18.4
通讯作者:
Hughes D
Hughes D
中科院分区:
医学1区
文献类型:
--
作者:
Wells KR;Jeacocke NA;Appaneal R;Smith HD;Vlahovich N;Burke LM;Hughes D

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饮食失调(DE)的识别,评估和管理是复杂的。DE存在沿着从优化营养到临床进食障碍(ED)的范围。个体运动员可以在其职业生涯的任何时间点和训练周期的不同阶段沿着饮食行为谱来回沿着。运动员比临床ED更容易出现DE。总体而言,与非运动员相比,运动员中DE和ED的患病率更高。此外,参加美学,重力和重量类运动的运动员比那些没有这些特征的运动员有更高的DE和ED风险。DE的评估和管理需要一个由专业从业人员组成的有凝聚力的团队,至少包括一名医生,一名运动营养师和一名心理学家,在本声明中称为核心多学科团队。澳大利亚体育研究所和国家饮食失调协作组织合作提供了这一立场声明,其中载有运动员、教练、辅助人员、临床医生和体育组织的指导方针。该指南支持DE的预防和早期识别,并促进及时干预,以安全,支持,有目的和个性化的方式优化营养。这份立场声明呼吁所有参与体育运动的人意识到运动员的自我形象和身体形象不佳。实践建议应指导临床管理DE在高性能运动。
Identification, evaluation and management of disordered eating (DE) is complex. DE exists along the spectrum from optimised nutrition through to clinical eating disorders (EDs). Individual athletes can move back and forth along the spectrum of eating behaviour at any point in time over their career and within different stages of a training cycle. Athletes are more likely to present with DE than a clinical ED. Overall, there is a higher prevalence of DE and EDs in athletes compared with non-athletes. Additionally, athletes participating in aesthetic, gravitational and weight-class sports are at higher risk of DE and EDs than those in sports without these characteristics. The evaluation and management of DE requires a cohesive team of professional practitioners consisting of, at minimum, a doctor, a sports dietitian and a psychologist, termed within this statement as the core multidisciplinary team. The Australian Institute of Sport and the National Eating Disorders Collaboration have collaborated to provide this position statement, containing guidelines for athletes, coaches, support staff, clinicians and sporting organisations. The guidelines support the prevention and early identification of DE, and promote timely intervention to optimise nutrition for performance in a safe, supported, purposeful and individualised manner. This position statement is a call to action to all involved in sport to be aware of poor self-image and poor body image among athletes. The practical recommendations should guide the clinical management of DE in high performance sport.
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