Background: The Eating Disorder Examination – Questionnaire Short (EDE-QS) was developed as a 12-item version of the Eating Disorder Examination Questionnaire (EDE-Q) with a 4-point response scale that assesses eating disorder (ED) symptoms over the preceding 7 days. It has demonstrated good psychometric properties at initial testing. The purpose of this brief report is to determine a threshold score that could be used in screening for probable ED cases in community settings.Methods: Data collected from Gideon et al. (2016) were re-analyzed. In their study, 559 participants (80.86% female; 9.66% self-reported ED diagnosis) completed the EDE-Q, EDE-QS, SCOFF, and Clinical Impairment Assessment (CIA). Discriminatory power was compared between ED instruments using receiver operating characteristic (ROC) curve analyses.Results: A score of 15 emerged as the threshold that ensured the best trade-off between sensitivity (.83) and specificity (.85), and good positive predictive value (.37) for the EDE-QS, with discriminatory power comparable to other ED instruments.Conclusion: The EDE-QS appears to be an instrument with good discriminatory power that could be used for ED screening purposes.
Recent research suggests specific body image aspects, namely weight/shape dissatisfaction, overvaluation of weight/shape, weight/shape preoccupation, and fear of weight gain, have distinct roles in eating disorder (ED) onset and maintenance. The aim of this study was to investigate unique associations between these body image aspects and ED onset, distress, and quality of life in a community sample of adolescents prospectively after 1 year. Adolescents (n = 1,327; 51% female; age range 11-19 years) who completed Waves 1 and 2 of the EveryBODY Study and did not meet criteria for an ED at Wave 1 completed measures of ED symptoms, distress, and quality of life impairment. Results showed that 18.2% of participants (70% female) met criteria for an ED at Wave 2. Only weight/shape dissatisfaction was prospectively associated with onset of any ED. No other body image aspect was uniquely associated with greater distress nor lower quality of life in longitudinal analyses. However, all body image aspects were independent correlates of ED diagnosis within Wave 2. These findings suggest that dissatisfaction might operate as a risk factor for ED development in adolescence, whereas overvaluation, preoccupation, and fear of weight gain could be more proximal markers of ED psychopathology. Therefore, these body image phenomena should be assessed as separate constructs as they may play unique roles in ED onset and classification. ED prevention efforts in adolescence may need to target dissatisfaction first, whereas a focus on other aspects of body image may be more important for early intervention programs. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Physique athletes strive for low body fat with high lean mass and have higher body image and eating disorder rates than the general population, and even other weightlifting populations. Whether athletes with a background or tendency to develop these issues are drawn to the sport, or whether it drives these higher incidences, is unknown. However, the biological drive of cyclical energy restriction may contribute to binge-eating behavior. Additionally, requisite monitoring, manipulation, comparison, and judgement of one’s physique may contribute to body image concerns. Contest preparation necessitates manipulating body composition through energy restriction and increased expenditure, requiring dietary restraint and nutrition, exercise, and physique assessment. Thus, competitors are at mental health risk due to (1) pre-existing or predispositions to develop body image or eating disorders; (2) biological effects of energy restriction on eating psychology; and (3) dietary restraint attitudes and resultant physique, exercise, and nutrition monitoring behavior. In our narrative review we cover each factor, concluding with tentative best-practice recommendations, including dietary flexibility, slower weight loss, structured monitoring, gradual returns to offseason energy intakes, internal eating cues, appropriate offseason body compositions, and support from nutrition and mental health professionals. A mental health focus is a needed paradigm shift in bodybuilding nutrition practice and research.
25 November 2019 in International Journal of Eating Disorders
This study examined the differences in fundamental motor skills (FMSs) and specific conditioning capacities (SCCs) between a coach’s classification of first team (FT) and second team (ST) U10 soccer players and examined the most important qualities based on how the coach differentiates them. The FT (n = 12; Mage = 9.72 ± 0.41) and ST (n = 11; Mage = 9.57 ± 0.41) soccer players were assessed using the Test of Gross Motor Development-2, standing long jump, sit and reach, diverse sprints, and the 20 m multistage fitness test (MSFT). The coach’s subjective evaluation of players was obtained using a questionnaire. No significant differences existed between the FT and ST in any variables (p > 0.05). However, large and moderate effect sizes were present in favour of the FT group in locomotor skills (d = 0.82 (0.08, 1.51)), gross motor quotient (d = 0.73 (0.00, 1.41)), height (d = 0.61 (−0.12, 1.29)), MSFT (d = 0.58 (−0.14, 1.25)), and maximum oxygen uptake (VO2max) (d = 0.55 (−0.17, 1.22)). Furthermore, the coach perceived the FT group as having greater technical and tactical qualities relative to ST players. This suggests that it might be more relevant for players of this age to develop good FMS connected to technical skills, before focusing on SCC. Therefore, it might be beneficial for soccer coaches to emphasize the development of FMSs due to their potential to identify talented young soccer players and because they underpin the technical soccer skills that are required for future soccer success.
This study examined the reproducibility of GymAware, PUSH2 and Vmaxpro velocity monitoring devices during resistance training (RT). The sensitivity of these devices to detect the smallest changes in velocity that correspond to true changes in RT performance was also investigated. Fifty-one resistance-trained men and women performed an incremental loading (1RM) test, and two repetitions to failure tests with different loads, 72 h apart. During all repetitions, mean velocity (MV) and peak velocity (PV) were simultaneously recorded by two devices of each brand. Overall, GymAware was the most reliable and sensitive device for detecting the smallest changes in RT performance, regardless of the velocity metric used. Vmaxpro can be considered as an equivalent, cheaper alternative to GymAware for RT monitoring and prescription, but only if the MV metric is used. Caution should be exercised when using PUSH2 in practice due to their comparatively higher, unacceptable measurement error and generally low sensitivity to detect changes in RT performance. Collectively, these findings support the use of MV and PV from GymAware and MV from Vmaxpro devices for RT monitoring and prescription due to their low magnitudes of error; thus, allowing for the detection of meaningful changes in neuromuscular status and functional performance during RT.