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After studying this chapter, the reader should be able to:

  • 15.1 Define and describe the signs and symptoms of the major eating disorders.

  • 15.2 Define the major exercise disorders.

  • 15.3 Define the female athlete triad and its consequences on health and performance.

  • 15.4 Identify risk factors for developing an eating or exercise disorder.

  • 15.5 Describe strategies to prevent eating and exercise disorders in high-risk populations.

  • 15.6 Develop a sensitive and effective approach to confronting clients with a suspected eating or exercise disorder.


  • active dehydration Dehydration resulting from increasing exercise and heat exposure.

  • adipositas athletica A term describing athletes who try to gain body fat to increase insulation or increase body energy stores.35

  • amenorrhea A condition defined by at least 3 months without a menstrual period.

  • anorexia athletica A sport-induced subclinical eating disorder.

  • anorexia nervosa An eating disorder characterized by caloric restriction leading to significantly low body weight, intense fear of gaining weight or becoming fat, and preoccupation with the body or inability or refusal to recognize the harm of extremely thin body size.

  • atypical anorexia nervosa A condition in which all of the criteria for anorexia nervosa are met, except that, despite significant weight loss, the individual’s weight is within or above the normal range.

  • avoidant/restrictive eating disorder A condition in which an individual restricts or limits food intake, but does not meet the criteria for other eating disorders.

  • binge eating Excessive eating in a discrete period of time (e.g., within any 2-hour period).

  • binge-eating disorder A condition characterized by repeated overconsumption of large amounts of food in a short period of time.

  • binge-eating/purging type of anorexia nervosa A subtype of anorexia nervosa; during the last 3 months, the individual has engaged in recurrent episodes of binge eating or purging behavior.

  • body dysmorphic disorder A disorder in which an individual develops persistent and obtrusive thoughts and preoccupations with an imagined or slight defect in appearance.

  • bulimia nervosa An eating disorder characterized by regular episodes of overeating and binge eating, which is then compensated with unhealthy weight-loss strategies including vomiting, excessive exercise, or laxative abuse.

  • continuance Continuing to exercise despite knowing that this activity is creating or worsening physical, psychological, and/or interpersonal problems.17

  • disordered eating Eating patterns that are considered to be irregular, especially when compared to a normal, healthy individual of the same culture.

  • diuretic Any substance that acts to decrease the amount of water in the body through increased urination.

  • eating disorder not otherwise specified Eating disorders that do not meet the strict diagnostic criteria to be classified as more specific disorders.

  • enemas Procedures used to flush out the colon and rectum using liquid applied through the anus.

  • energy availability The energy available in the body to fuel physical activity and energy-requiring body functions. Determined by the relationship between the calories consumed in the diet and the calories expended in physical activity.

  • exercise dependence A condition in which a person is preoccupied with exercise and training to ...

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