The most serious
                side effect from the pressures females face in their athletic
                careers is eating disorders. Eating disorders have risen drastically
                in the last ten years, especially among young female athletes.
                Athletes obviously have to perform publicly in highly competitive
                situations, but this is something that, for the most part, they
                enjoy. But too much outside pressure can lead to many negatives,
                including eating disorders. One reason female endurance athletes
                are so susceptible to eating disorders is that they are lead to
                believe that there is only one body type that will be successful
                - the 12 year old look. Therefore, they must have very low body
                weight in order to be competitive.
                Eating disorders, however, are not that simple. It is far more
                complicated than just wanting to be thin. "Anorexia nervosa
                is much more than just a diet gone awry and the sufferer more
                than an obstinate, skinny person refusing to eat. It is a complex
                problem with intricate roots that often begins as a creative and
                reasonable solution to difficult circumstances, and is thus a
                way to cope." When pressures become too much or get distorted
                they can lead to psychological issues that can be life threatening.
                
              To make matters
                worse, many athletes have A-type personalities. The very traits
                that make them so successful in the first place, perfectionism,
                high achievement expectations, self-disciplined, competitive and
                driven characteristics are also associated with eating disorders.
                These young women expect a lot from themselves and they are willing
                to put in the time, the work, and the sacrifice to get what they
                want. They don't mind sacrificing much to accomplish their goals.
                They are take-charge, driven, disciplined young women, evidenced
                by the things they willingly give up for their sport and the hard
                work they do day in and day out. They feel empowered by being
                in control of their life and accomplishing their goals.
              Unfortunately,
                that A-type personality can sometimes be a double-edge sword for
                some of them. Their need for control and perfectionism can lead
                many down a dangerous path. When they feel like things are getting
                out of their control they feel desperate and insecure. In order
                to try to get the feeling of control back, they sometimes resort
                to desperate measures such as not eating. The ironic thing about
                these young achievers is the control they do have over themselves.
                They would not or could not accomplish the things they have without
                having self-control. They were in control but they didn't realize
                it or came to believe they no longer had it because of too much
                pressure, whether from within or outside of themselves. The control
                they were desperately seeking is totally lost in their eating
                disorder.
              Eating disorders
                have nothing to do with food per se, but with the need of feeling
                in control or the need of controlling something they feel will
                harm or has harmed their performance level, entering into womanhood,
                or too much outside pressure from coaches or parents. For whatever
                reason, emotional and/or psychological, they feel desperate in
                their need to control this aspect of their life. Sadly, eating
                disorders have the opposite effect--they lose the very control
                they so desperately want and need. The very thing they desperately
                needed during this period of their life is now in control of them.
                They no longer have the control they once had.
              There are
                huge demands placed on young athletes today. They are expected
                to specialize at a very young age, leading many to heartbreak
                as the sport they excelled at as a prepubescent youth no longer
                holds for the now young-adult athlete. Their strengths and abilities
                shifted. What once worked well for them as a child is no longer
                working for them as a young adult. Their new body is better suited
                for another sport than the one they specialized in when just a
                child. But since they specialized so young they were never given
                the chance to know if they possibly could have been better suited
                for other sports as well. This specializing as children can be
                very limiting as young adults.
                They are also expected to perform at a high level at a very young
                age, and perform a lot. Society hates losers, and they know it!
                It is not good enough to be their best--they must be the best,
                especially if they are gifted, and have already had success. They
                know they are not being judged on the effort of their performance,
                but on the outcome of their performance. We live in a society
                where it no longer matters how or what you have done to be successful,
                only that you be successful. The end, not the means, is what is
                important. And to many young athletes this spells disaster. If
                you don't believe me, take some time to go around and be a spectator
                at sport competitions and listen to the parents and coaches. It's
                scary!
              We must educate
                ourselves in all aspects of youth coaching and competing, especially
                eating disorders. The warning signs are sometimes subtle, but
                can easily be spotted if the coach or parent is aware and educated.
                Here are some of the warning signs that an athlete may be feeling
                too pressured in their sport -- performance stagnates or drops,
                they lose the love for their sport they once had, they start making
                excuses for poor performances, they never feel good before competition,
                they harbor anger or resentment towards their coach or parent/s
                and sometimes both. Their running goals lessen dramatically or
                they no longer talk about running in their future. They do not
                want to discus running at all with either their coach or parent,
                especially when it personally involves them. They resent advice
                or constructive criticism, and are overly sensitive in issues
                regarding their sport. They have reached a point where the reason
                for participating in their sport no longer exists, or they no
                longer find joy and fulfillment in their sport. They are at a
                point where they feel their sport is serving everyone but themselves.
                If your child or athlete has reached this point, it is best for
                the parent or coach to take a giant step back and really look
                at the situation honestly, closely and clearly. Ask yourself if
                you are too close, expecting and pushing too much.
              It is vital
                that you let them be the captain of their ship, that they are
                in control of their sport, and that they have the right to succeed
                or not. It is their success or their failure, and as young adults
                they need our support and guidance in sport and life, but not
                our pushing and control. They need to have both success and failure
                to learn and to grow into healthy sound adults. They need to experience
                and learn to handle all what sport throws at them. They are valuable
                lessons in life and if we interfere in that process we are hurting
                them in the long run. Our well-meaning intentions can actually
                hurt the future success of their sport career. 
              Parents and
                coaches must wear many hats and figuring out which one to wear
                is not easy at times. Coaching and parenting athletes can be very
                stressful, very complicated, very demanding, but learning when
                to step forward and when to step back is vital for the health
                and welfare of our young athletes. Coaches truly walk tight ropes
                at times, but if we stay attuned to our athletes we will learn
                and know better how to deal with the complexities of athletes
                and their sport. If we don't learn to read the warning signs of
                an athlete feeling too much pressure we can unintentionally push
                them into quitting their sport, or worse, into an eating disorder
                to try and gain some control of their life. 
              Eating disorders
                are a deadly epidemic that is rising among our wonderful athletes,
                especially our females. The three most common eating disorders
                found in athletes are anorexia nervosa, bulimia nervosa, and compulsive
                exercise. Anorexia is self-starvation, bulimia is eating large
                quantities of food then purging, and compulsive exercise is doing
                more exercise than is needed for quality performance. All three
                disorders could have life threatening consequences.
              "Anorexia
                nervosa has a multitude of medical complications ranging from
                mild to severe. In fact, it is believed that 5-20% of anorexics
                die, usually from complications associated with self-starvation,
                such as: heart, kidney, or multiple organ failure, or illnesses
                like pneumonia, which may be due to an inability to fight infection-all
                ultimately due to the anorexia. Studies show that the longer one
                has anorexia, the higher the mortality rate." 
              Health complications
                from anorexia include malnutrition, abnormal heart rhythms, amenorrhoea
                (interruption of the menstrual cycle in females), osteoporosis
                (a decrease of bone mass), liver and kidney damage, hypoglycemia,
                low body temperature, muscle cramps and weakness - due to electrolyte
                imbalances, loss of hair on head, low blood pressure, sleeping
                disorders, destroyed body protein, decreased potassium level,
                constipation, high cholesterol, etc. Signs and symptoms of anorexia
                are excessive weight loss-15% below normal for age, height, and
                body type, always thinking about food, calories, and body weight,
                wearing layered or baggy clothing, mood swings, avoiding activities
                that involve food, complaining of always being cold, distorted
                body image, absence of at least three consecutive menstrual cycles,
                or if the athlete has not started menstruating at all by the age
                of 15 or 16.
              Health complications
                from bulimia include laceration of the oral cavity (injury due
                to self-induced vomiting), esophageal inflammation (acid from
                vomiting may cause the tears in the esophagus), dental erosion
                (acid from vomiting erodes the dental enamel), cardiac arrest,
                dehydration, and electrolyte imbalance. Signs and symptoms of
                bulimia are excessive weight loss or gain, being overly concerned
                with one's weight, visiting the bathroom after meals, depression,
                excessive dieting, followed by binge eating, and always criticizing
                one's body. 
              Compulsive
                exercise warning signs are numerous--forcing exercise when tired
                or not feeling well, never exercises for fun or to relieve stress.
                Every time they exercise they go as fast or hard as they can.
                They experience severe stress and anxiety if they miss a workout.
                They miss family obligations and social events because they have
                to exercise. They calculate how much exercise to do based on how
                much they have eaten, would rather exercise than get together
                with friends, cannot relax because they think they are not burning
                calories, and worry that they will gain weight if they miss a
                workout. 
              All three
                disorders will require someone close to the athlete to recognize
                these warning signs. Identifying athletes with an eating disorder
                is not easy. They are often secretive or blame their eating and
                exercise regiment on their training goals, and they are leaner
                then the non-athlete due to their sport when healthy and normal,
                but they have crossed that thin line into self-starvation. Many
                will resent interference because they feel you don't understand
                them or their needs. They feel you are attacking the very thing
                that is making them feel good about themselves. They feel they
                are finally in control and you want to take that away from them.
                As a coach or parent you must get them professional help. Unless
                you are a certified nutritionist, psychologist and doctor you
                are not qualified to treat them. They need your love, support,
                understanding, encouragement, and patience but they most definitely
                need professional help.
              As coaches
                if you suspect you have an athlete that is anorexic or walking
                the thin line of anorexia nervosa you must deal with it promptly.
                A few athletic programs are now implementing standards that require
                medical clearances specifically for eating disorders; a required
                amount of calories to be consumed daily for participation; bone
                density testing; nutrition counseling, and, if necessary, counseling
                from a licensed therapist who is familiar with eating disorders.
                It is imperative for recovery that an athlete with an eating disorder
                restores their body weight as soon as possible. The longer they
                have an eating disorder, the harder and longer the recovery phase.
                It is also highly suggested that the athlete's whole family be
                involved in their therapy. 
              Be patient
                with the recovery process because you must remember they did not
                get to this point overnight and they will not heal overnight.
              Eating disorders
                are serious and can become life threatening. For more information,
                contact: Anorexia Nervosa and Related Eating Disorders, Inc.:
                (541) 344-1144. 
              National Association
                of Anorexia Nervosa and Associated Disorders: (847) 831-3438.
                
              I am aware
                that there are many reasons for eating disorders; however, I only
                addressed eating disorders in regards to the female endurance
                athletes.
              Please feel
                free to e-mail me at
                RSparks951@aol.com
              Penny
                Sparks