Which of the following are predisposing risk factors for eating disorders in athletes?

• A. Pressure on athletes to manipulate eating and weight for performance and appearance
• B. Sociocultural and media-driven emphasis on appearance thinness
• C. Prevalence greater in sports in which a low BW or small physique is important for maximizing performance or BW restrictions apply
• D. All of the above

Answer: (D)

Eating disorders in athletes are shaped by multiple interacting influences that increase vulnerability. Pressure to manipulate eating and weight to boost performance or fit an appearance ideal creates a strong push toward restrictive or disordered eating patterns. Sociocultural and media messages that emphasize thinness further amplify this risk, especially for athletes who already feel the need to look a certain way. In some sports, being lighter or having a smaller physique is directly advantageous or required, which adds another layer of pressure and can lead to unhealthy dieting or weight-control practices. When these factors overlap, the likelihood of developing an eating disorder rises, making all of these elements important predisposing risks to recognize and address.