Risk factors of eating disorders in young female athletes

Abstract

Eating disorders in young female athletes is a serious psychological and health disease which could become an early problem on Female Athlete Triad. Eating disorders are influenced by internal and external factors. This study aimed to determine the risk factors for eating disorders in young female athletes. An observational study with a cross-sectional design on eighty-six young female athletes was conducted with consecutive sampling method. Subjects in this study were athletes in athletics, weightlifting, volleyball, beach volleyball, swimming, rowing, fencing, Pencak Silat, karate, taekwondo, judo, sepak takraw, table tennis, and boxing. The inclusion criteria of the subject athletes were young female athletes aged 11-21 years registered at the study site, did not consume alcohol, and voluntary. The nutritional status of the subjects was measured by their Body Mass Index for age score. Eating disorder was measured using the Eating Attitude Test-26 questionnaire and Eating Disorder Diagnostic Scale for the type of eating disorders, Rosenberg Self Esteem for Self Confidence, Depression Anxiety Stress Scale-42 for stress level, and Body Shape Questionnaire for body image perception. This study used univariate analysis, bivariate analysis with chi-square and multivariate analysis with logistic regression test. The prevalence of eating disorders risk among the young female athletes in this study was approximately 37.2%, where 9.3% of subjects were bulimia, 5.8% were on the binge of eating disorder, and 22.1% subjects experienced eating disorder not otherwise specified (EDNOS). The multivariate analysis showed that the risk factor of eating disorders in young female athletes was the negative body image perception (p = <0.001; RP:10.5) and stress (p = 0.023; RP:3.5). Nutritional status, self-confidence, and type of exercise were not proven as the risk factors of eating disorder among young female athletes. Based on this study, it can be concluded that the negative body image perception and stress are the risk factors of eating disorders among young female athletes.