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Guidelines and position statements related to eating disorders and sports

  • The American Academy of Pediatrics Guidelines: Promotion of healthy weight-control practices in young athletes http://www.guideline.gov/summary/summary.aspx?doc_id=8452#s23

    These guidelines, published in 2005, provide 12 major recommendations including advice for physicians, about appropriate medical care for young athletes, nutrition, weigh-in procedures, healthy weight maintenance, weight loss, emotional support, body fat composition, and fluid intake.

  • Canadian Academy of Sport Medicine: Abandoning Routine Body Composition Assessment: A Strategy to Reduce Disordered Eating among Female Athletes and Dancers http://www.casm-acms.org/forms/statements/BodyCompDiscEng.pdf

    The committee's position is that routine body composition assessment be abandoned for all female athletes and dancers. They assert that when supplemented by nutritional counseling and eating disorder prevention programs, this change would be a valuable strategy towards reducing the incidence of the "Female Athlete Triad": eating disorders, amenorrhea, and osteoporosis. Their position is based on a review of the scientific literature from which they conclude that there is a lack of evidence that body composition assessments lead to improved athletic performance.

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Bulimia nervosa is an eating disorder in which a person engages in binge eating (eating a lot of food in a short time) followed by some type of behavior to prevent weight gain from the food that was eaten. This behavior can take two forms: self-induced vomiting, misuse of enemas, laxatives, diet pills (called purging) and excessive exercise, fasting, or diabetic omission of insulin (called non-purging). Some people with bulimia nervosa may also starve themselves for periods of time before binge eating again. Bulimia nervosa has important mental, emotional, and physical aspects that require consideration during treatment.

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