Pathological exercise

Abstract

Participation in organized sports has many benefits, including decreased depression and higher self-esteem. A potential drawback of athletic participation is an increased risk for detrimental behaviors such as pathological exercise. Athletes can have a certain body image ideal for their sport such as thinness, muscularity, or leanness that they may view as capable of improving their performance. They may be asked to consider specific weight limits or cutoffs required for participation. In turn, a drive to achieve a desired body type may induce potentially pathological eating and exercise behaviors. Screening for pathological exercise should be considered for all athletes, particularly those at risk for disordered eating. Management of this population is complicated and best accomplished by an interdisciplinary team.