Since the 1980s eating disorders (ED) have gained increasing prevalence, with athletes proving to be at a higher risk compared to non-athletes. Eating disorders can significantly impact the health and performance of an athlete, however, certain guidelines are in place for prevention, treatment and management. NICE and UK Sport were two guidelines that were identified as being referenced within the UK. This paper aimed to evaluate their utility and establish whether modifications are required to prevent ED within athletic populations. A checklist was created based on peer-reviewed recommendations and used in conjunction with conceptualised case studies based on information sourced from proposed key informant interviews. Whilst both guidelines are extensive in the identification of symptoms associated with ED, they lack recognised recommended screening methods. Furthermore, although both contain some form of validated treatment, NICE recommends cognitive behavioural therapy despite acknowledging the lack of evidence supporting its beneficial application. In contrast to recommendations regarding physical therapy, NICE also states to avoid certain treatments, such as yoga, despite beneficial evidence of its treatment/rehabilitation for ED. When applied to case studies, both guidelines demonstrated the need for refinement and improvement in recommendations relating to weight loss and screening methods. To form an accurate critique of the guidelines, an assessment of their applicability and suitability in the prevention, treatment and management of ED in a practical sporting environment involving consenting participants is required.

中文翻譯：

運(yùn)動員預(yù)防飲食失調(diào)的營養(yǎng)指導(dǎo)綜述

自 20 世紀(jì) 80 年代以來，飲食失調(diào) (ED) 的患病率越來越高，事實證明，與非運(yùn)動員相比，運(yùn)動員面臨的風(fēng)險更高。飲食失調(diào)會嚴(yán)重影響運(yùn)動員的健康和表現(xiàn)，但是，有一些預(yù)防、治療和管理指南。 NICE 和 UK Sport 是被確定在英國境內(nèi)引用的兩個指南。本文旨在評估其效用并確定是否需要進(jìn)行修改以預(yù)防運(yùn)動人群中的 ED。清單是根據(jù)同行評審的建議創(chuàng)建的，并與基于擬議的關(guān)鍵知情人訪談的信息的概念化案例研究結(jié)合使用。雖然這兩個指南都廣泛地識別與 ED 相關(guān)的癥狀，但它們?nèi)狈J(rèn)的推薦篩查方法。此外，盡管兩者都包含某種形式的經(jīng)過驗證的治療方法，但 NICE 仍建議認(rèn)知行為療法，盡管承認(rèn)缺乏支持其有益應(yīng)用的證據(jù)。與物理治療的建議相反，NICE 還指出要避免某些治療，例如瑜伽，盡管有證據(jù)表明瑜伽對 ED 具有治療/康復(fù)作用。當(dāng)應(yīng)用于案例研究時，這兩個指南都表明需要細(xì)化和改進(jìn)與減肥和篩查方法相關(guān)的建議。為了對這些指南進(jìn)行準(zhǔn)確的評價，需要在參與者同意的實際體育環(huán)境中評估其在預(yù)防、治療和管理 ED 方面的適用性和適用性。

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網(wǎng)址: A review of the nutritional guidance for athletes to prevent eating disorders,European Eating Disorders Review http://m.u1s5d6.cn/newsview1643573.html