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Sports Stars Open Up About Eating Disorders

November 13,2024

Nutrition And Diet

Elite Sports' Hidden Price: The Struggle with Disordered Eating 

It's a world where athletes push relentlessly against the limits of human performance. Yet, behind the triumphs and accolades lies a darker reality: the alarming prevalence of disordered eating among elite athletes. The pursuit of the "superhuman" ideal has long dominated elite sports. This intense pressure to mold bodies for peak performance has come with a hidden cost. 

Meg Lanning, former captain of the Australian women's cricket team, sent shockwaves through the sporting world when she opened up about her struggles with disordered eating. Her decision to step back from international competition highlights the cracks within a system often lauded for its focus on health and fitness. 

Sadly, Lanning's experience is not unique. In fact, research from the International Olympic Committee in 2019 paints a concerning picture: nearly half of female athletes globally and close to one in five male athletes display symptoms of disordered eating. This troubling trend has been further amplified by high-profile athletes like sprinter Jana Pittman and swimmer Alicia Coutts, who have courageously revealed their own battles with eating behaviors in the highly demanding environment of elite sport. 

The complex world of eating behaviors in sports ranges from meticulously planned diets for optimal performance to full-blown eating disorders. In between lies a vast and often ambiguous zone known as "disordered eating." The Australian Institute of Sport defines this as eating habits that are problematic but don't reach the threshold of a clinically diagnosed eating disorder. 

Navigating the Grey Zone: Athletes’ Struggles with Mental Health and Body Image 

For former professional netballer Nat Butler (née Medhurst), this grey zone became her reality in 2010. Despite being a World Cup-winning superstar at the pinnacle of her career, her mental state deteriorated rapidly after an unexpected team transfer. She describes a profound sense of helplessness and a desperate desire for control. Unfortunately, Butler found that control within the harmful cycle of restricted eating and excessive exercise. 

While Butler wasn't formally diagnosed with an eating disorder, she is keenly aware of the unhealthy and damaging path she was on. Her battle with depression was severe, and she endured several years of silent suffering before reaching a breaking point. 

Sarah Coyte's descent into troubling eating behaviors began with seemingly innocent intentions. As a teenager rising through the ranks of cricket, she adopted a healthier approach to food and exercise. However, the rapid weight loss and surge of positive attention she received created a dangerous feedback loop. The more praise she garnered for her changing body, the more obsessed with weight control she became. 

Dr Georgia Black, an expert in this field, highlights a critical need to reassess deeply entrenched beliefs and practices surrounding body composition monitoring in sports. 

Eating disorders

Image Credit - Aljazeera

The Deep Connection to the Culture of Sports 

Coyte's promising cricket career saw her representing both her state and country. Unfortunately, the relentless pressure to maintain an unrealistic weight became overwhelming. After an injury, her focus shifted dangerously from recovery to maintaining an unattainable physique out of fear of losing her place on the team. Her disordered eating spiraled into anorexia nervosa, leading her to make the heartrending decision to walk away from professional cricket before her 26th birthday. 

Dr Sue Byrne, a psychologist specializing in eating disorders at the University of Western Australia, sees a clear link between the unique environment of elite sports and the increased vulnerability of athletes. The constant pressure to conform to rigid body ideals, combined with the personality traits common among high-achievers (perfectionism, competitiveness, and a strong desire to succeed), creates a breeding ground for eating disorders within sports. 

The recent decision by the AFL to eliminate body composition tests like skinfolds for underage players sparked debate. Yet, for athletes like Coyte and Butler, these assessments were significant triggers in their struggles with disordered eating. They believe the potential harm these tests may cause outweigh any perceived benefits. 

The Silence That Hides the Struggle 

Dr. Georgia Black, an expert in eating disorders within sports, identifies three primary drivers of this problem within the elite sporting culture. First, she points to a pervasive lack of education among both athletes and coaches. Athletes may not grasp the seriousness of seemingly small changes in behavior that can quickly become destructive, and coaches might miss vital warning signs. 

Secondly, Dr. Black emphasizes the deeply ingrained culture in many sports that subtly—and sometimes openly—prioritizes a specific body type. Athletes might internalize harmful messages about weight and appearance, even if those messages are unspoken. This creates an environment where disordered eating can thrive under the guise of acceptable training practices. 

Finally, the most insidious factor might be the misconception that restrictive eating habits are key to unlocking peak performance. If an athlete sees immediate improvements tied to weight loss, this reinforces dangerous behaviors, blurring the lines between dedication and self-harm. 

Pressures on Female Athletes: Balancing Performance and Body Image 

This toxic combination of factors often leads athletes to suffer in silence. Sarah Coyte admits that her determination to be the best athlete possible fueled her reluctance to speak out about her struggles. From an athlete's perspective, seeking help could be seen as disrupting the team dynamic or even jeopardizing their position within the sport. These pressures are amplified for female athletes, who often face societal standards that merge their athletic prowess with expectations of a certain physical appearance. A study on elite US athletes revealed a stark difference in body-related pressures, with nearly 70% of female athletes expressing these concerns compared to just over a third of male athletes. 

Dr. Adele Pavlidis adds another layer of complexity: the public scrutiny of female athletes. She believes athletes can find themselves in the uncomfortable position of having both their performance and their bodies judged, potentially leading them to adopt extreme diet and exercise behaviors in a dangerous attempt to satisfy both criteria. 

From Silence to Change: The Power of Speaking Out 

However, the tide is shifting. A growing number of athletes, like Meg Lanning, are bravely sharing their experiences with disordered eating. Lanning's decision to speak out resonated widely, particularly her assertion that a lack of support for athletes facing these issues fueled her decision to step back from competition. 

Haley Cope, a former Olympic swimmer who has become a powerful advocate for mental health awareness after her retirement, believes that normalizing these conversations is essential for creating safer environments for athletes. 

"The positive impact of athletes speaking out about these issues is undeniable," says Dr. Adele Pavlidis. However, she cautions that the fight is far from over. "We need these discussions to reach all levels of sport, not just those already in the public spotlight." 

Dr. Sue Byrne believes the key lies in early intervention. "Equipping everyone involved in sports – athletes, coaches, and support staff – with the knowledge and empathy to recognize potential warning signs could prevent athletes from spiraling into a crisis." 

Furthermore, Dr. Byrne emphasizes the need to shift the paradigm of elite sports away from an unhealthy fixation on body composition and performance at all costs. Instead, fostering a holistic approach to athlete well-being should become the top priority. 

Practical Steps Towards a Healthier Sporting Culture 

What practical steps can the world of elite sports take to create genuine change? 

Dr. Georgia Black stresses the profound difference comprehensive education can make. Raising awareness of the intricacies and complexities of eating disorders and disordered eating for everyone in the sporting system is crucial to breaking patterns of harmful behavior. Regular training programs to help identify potential problems early on should become standard practice. 

Equally important, according to Dr. Brooke Devlin, is creating a culture of open communication where athletes feel empowered to address their mental health without fear of negative consequences. Affordable and easily accessible mental health support tailored to the specific needs of elite athletes is crucial. 

Dr. Adele Pavlidis sees challenging existing narratives around body image in sports as paramount. "We have to create a new definition of what it means to be a successful athlete. Strength, resilience, and holistic health need to be celebrated as much as medals." 

Sarah Coyte, drawing on her own experiences, echoes this sentiment. "As a sporting community, we need to start recognizing that being the best isn't necessarily about being the thinnest, but about being the strongest, healthiest, and most mentally fit athlete we can be." 

The Impact of Disordered Eating: Beyond the Individual 

While the primary focus is often on the devastating impact of eating disorders and disordered eating on the athlete, the wider ramifications can be profound. Sarah Coyte, whose promising cricket career was derailed, reflects on the enduring effect these struggles have had on her life. She notes that even years after seeking help and retiring from elite sport, a full recovery has been elusive, and she is still navigating the long-term consequences of her past behaviors. 

However, the ripple effects extend beyond individuals. Nat Butler describes the heartbreaking impact on loved ones witnessing her deterioration. "My family felt completely helpless," she confesses. This sense of powerlessness and the strain placed on personal relationships is a tragic but common consequence for close friends and family members of athletes battling eating disorders. 

Additionally, the negative influence disordered eating can have on sporting culture is significant. When athletes see peers resort to extreme measures to control their weight, it sends a dangerous message. It creates an illusion that unhealthy behaviors are a necessary price for sporting success, fostering a toxic environment where those who refuse to engage in these practices are made to feel inadequate. 

Dr. Adele Pavlidis adds that there is a risk of these attitudes filtering down into grassroots and youth sports. Young athletes, who idolize professional sports stars, are highly susceptible to adopting similar mindsets and dangerous practices. This can lead to eating disorders developing at alarmingly young ages, with potentially irreversible damage to a child's physical and mental health. 

What does progress look like? 

Several changes are already underway, providing a hopeful glimpse of a healthier future. The Australian Institute of Sport's (AIS) position statement on disordered eating, released in 2020, was a bold and necessary step forward. Guidelines like those recently introduced by Swimming Australia, specifically designed for eating disorder prevention and management, are another vital step toward protecting athlete well-being. 

Dr. Brooke Devlin sees growing evidence that body composition assessments are shifting toward methods focused on long-term health. For example, measuring bone mineral density with DXA scans highlights the crucial link between adequate nutrition and an athlete's overall physical resilience, moving the focus away from purely body fat measurement. 

While there's still much work ahead, Dr. Georgia Black notes a crucial shift in conversations surrounding female athletes. There's growing recognition that information collected throughout an athlete's career should be used to support their holistic performance and health, rather than for comparison to unrealistic or outdated metrics. However, she acknowledges the need for more comprehensive, female-specific research in sports science. Understanding the unique physiology and psychology of female athletes will equip coaches and support staff to implement better, more personalized training and nutrition programs. 

Athlete-driven initiatives are also contributing to positive change. The Body Image in Sport (BIS) program, co-founded by former Australian Diamonds netballer Sharni Norder, aims to improve how sporting organizations and clubs address body image issues. By providing resources, workshops, and training, BIS empowers athletes, coaches, and support staff to foster healthier environments focused on body appreciation and athlete well-being. 

Eating disorders

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The Power of Personal Choices 

Ultimately, creating a safer and more inclusive sporting culture takes a collective effort. Still, athletes themselves hold immense power to enact change through their own decisions and actions. Sarah Coyte, who found that the pressure of competing at the elite level was ultimately too destructive, now focuses her energy on coaching young cricketers. She is determined to create the supportive environment she wishes she had experienced, ensuring that discussions around healthy eating and body image are normalized from a young age. 

Nat Butler, despite the immense challenges in her sporting journey, has also found ways to create positive change. "I'm not ashamed to talk about my struggles anymore," she says. "Knowing that my story might help just one person going through a similar situation is what keeps me going." 

This willingness to break down taboos and share lived experiences is a true testament to the resilience and potential of athletes to become powerful forces for good. 

Finding a New Balance: Sport's Role in the Recovery Journey 

While support networks, mental health professionals, and individual determination play undeniable roles in recovery, the sporting world itself has the potential to be an active participant in an athlete's healing journey. 

For Sarah Coyte, stepping away from elite competition opened doors previously unimaginable. While initially focused on self-healing, she found herself drawn back to cricket through coaching. Now, she's dedicated to utilizing her experience and expertise to mentor young athletes in a safe, nurturing environment. "It's incredibly fulfilling to know I'm potentially saving kids from going down the path I did," she shares. 

Similarly, Nat Butler found a path to a different kind of sporting success. Her struggles with mental health during her playing days inspired her to pursue a new career as a sports psychologist. "I want to give back to athletes, to be a safe and understanding person they can turn to when they're struggling mentally." This shift in focus has allowed her to use her unique perspective to positively impact the lives of other athletes. 

Supporting Athletes: Tailored Recovery and Continuous Mental Health Care 

Beyond these individual stories, sporting organizations have a responsibility to support athletes facing disordered eating. The development of tailored recovery programs, where athletes can gradually re-engage with training and competition in a healthy, supportive manner, is vital. Additionally, providing easy access to specialized mental health professionals who deeply understand the specific pressures and vulnerabilities of elite athletes is crucial for long-term healing. 

Dr. Brooke Devlin stresses the importance of adaptability within these programs. "Recovery from eating disorders and disordered eating is rarely linear. Understanding that there will be setbacks is crucial. Programs need to be flexible and focus on individual progress rather than rigid expectations." 

Furthermore, she believes post-recovery support is often overlooked. "An athlete might physically recover but may still face mental battles and anxieties around food and exercise. Having that ongoing support system can make a world of difference in preventing relapses." 

The Athlete as Advocate 

Athletes who've been through the harrowing ordeal of disordered eating are, unfortunately, uniquely equipped to promote awareness and advocate for change. Sarah Coyte, an outspoken voice on the issue, emphasizes, "Athletes have a powerful platform. If we use that platform to normalize talking about body image, eating, and mental health, we can prevent others from developing these problems." 

The ability of an athlete to reach and influence both young hopefuls and their peers should not be underestimated. Their firsthand experiences carry great weight, shattering the illusion that eating disorders are somehow 'worth the price' of sporting glory. This kind of open dialogue can chip away at entrenched and harmful beliefs within the sporting culture. 

Dr. Adele Pavlidis encourages athletes to demand better from their sport. "Don't be afraid to speak up and advocate for changes you want to see, whether it's more transparent communication about body composition monitoring, regular mental health support, or adjustments to training regimes," she advises. 

The Path to a Healthier Sporting Culture 

The world of elite sports is a complex machine fueled by ambition, competition, and the relentless desire to surpass limitations. Within this demanding environment, the well-being of individual athletes can sometimes seem secondary. However, a shift is underway. The growing recognition of disordered eating as a severe issue, fueled by the voices of brave athletes, is forcing a course correction. 

This change will require sustained effort, collaboration, and a willingness to re-examine long-held practices. Sports organizations, athletes, coaches, support staff, and fans all bear a collective responsibility for shaping the healthier future of sports. 

It is a future where athletes are truly seen as humans and not merely bodies sculpted for performance; where holistic health is prioritized above all else, and where asking for help is recognized as a sign of strength, not weakness. 

Ultimately, the true triumph in sports lies not solely in shattering records but in nurturing athletes who can thrive – mind, body, and spirit – long after the final whistle blows. 

A Call to Action: What Each of Us Can Do 

The journey toward transforming the sporting landscape with regards to disordered eating is ongoing and requires commitment from all stakeholders. Here's what each of us can do to contribute: 

Athletes: 

Speak out: Your voice matters. Sharing your experiences can provide hope for others struggling silently and create a ripple effect for change. 

Be a role model: Embrace and celebrate a healthy body image, demonstrating that success is possible without resorting to dangerous eating practices. 

Demand better: Actively advocate for the availability of mental health resources and support systems tailored to the needs of elite athletes within your sport. 

Coaches: 

Educate yourself: Stay informed about the complexities of eating disorders and disordered eating. Recognizing the early signs could save an athlete's life. 

Foster open communication: Create a safe space for your athletes to discuss mental and physical health without fear of judgment or repercussions. 

Champion holistic health: Prioritize your athletes' long-term well-being over short-term results. Remember, a healthy athlete is often a more successful athlete. 

Sporting organizations: 

Develop inclusive policies: Address disordered eating explicitly in your codes of conduct and create clear pathways for athletes to seek support without stigma. 

Provide resources: Make mental health care and nutrition specialists readily accessible to all athletes. 

Lead by example: Shift narratives away from idealizing harmful body types. Promote a culture that celebrates healthy, strong athletes of all shapes and sizes. 

Fans 

Challenge harmful narratives: Question media portrayal or commentary that focuses excessively on athletes' bodies and instead highlight athletic prowess, teamwork, and resilience. 

Emphasize whole-person success: Celebrate athletes as individuals beyond their sporting achievements and recognize the importance of their mental and emotional well-being. 

Support positive change: Use your voice on social media and other platforms to demand better practices and healthier environments for athletes. 

Everyone 

Listen and learn: Approach discussions about disordered eating in sport with empathy and open-mindedness. Avoid judgment and be a supportive presence for loved ones who might be struggling. 

Spread awareness: Share reliable resources and information to promote understanding within your communities and advocate for change within youth and recreational sports. 

Support organizations working for change: Donate to or volunteer with organizations such as the Butterfly Foundation (Australia), the National Eating Disorders Association (NEDA) in the US, or Beat in the UK, as they work towards preventing and providing support for those facing disordered eating. 

Resources for help 

Remember, you are not alone. If you, or someone you know, is struggling with disordered eating, here are some places to seek support: 

The Butterfly Foundation (Australia): 1800 33 4673 or visit https://butterfly.org.au/ 

Beat (UK): Call their helpline on 0808 801 0677 or visit https://www.beateatingdisorders.org.uk/ 

The National Eating Disorders Association (NEDA, USA): Call their helpline on 1-800-931-2237 or visit https://www.nationaleatingdisorders.org/ 

A Final Note 

Changing the sporting culture will take time. But, as a growing number of athletes find the strength to break the silence, hope for a healthier future grows stronger with each story shared. By working together, we can create a world where athletes can pursue their dreams and push the limits of human potential, all within environments that celebrate and protect their total well-being. 

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