Energy balance
Female athletes with Anorexia Nervosa (BMI <16.5) or severe Bulimia Nervosa (purging >4 times/week) should be categorically restricted from sports participation due to high mortality and morbidity risks.
If you are a female athlete with a BMI under 16.5 or purging more than 4 times a week, you are not allowed to compete. This is a categorical restriction based on high mortality risk. Focus on getting help from a multidisciplinary team. Return to play is possible only after significant health improvement and clearance.
Female athletes with anorexia nervosa and a body mass index (BMI) <16.5, and those with bulimia nervosa purging four or more times per day should be categorically restricted from participation in sport.
Why this rating
Based on consensus statements and clear mortality data cited.
Source
2016 update on eating disorders in athletes: A comprehensive narrative review with a focus on clinical assessment and management
Elizabeth A. Joy et al. · British Journal of Sports Medicine · 2016
DOI 10.1136/bjsports-2015-095735
More from this paper
- Athletes participating in sports that emphasize leanness, weight classes, or aesthetic evaluation have a significantly higher prevalence of eating disorders and disordered eating behaviors compared to non-athletes and athletes in other sports.Good
- The DSM-5 diagnostic criteria for Anorexia Nervosa, specifically the removal of amenorrhea as a required criterion and the shift from '85% of ideal body weight' to 'significantly low weight', improve diagnostic accuracy for athletes, particularly females, males, and adolescents.Good
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