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Sasha Gorrell and Drew A. Anderson

, & Carter, 2010 ; Sundgot-Borgen & Torstveit, 2004 ). Runners may be at increased risk for ED pathology due to certain psychosocial factors, including compulsive exercise ( Meyer, Taranis, Goodwin, & Haycraft, 2011 ). Some work has conceptualized compulsive exercise as ‘obligatory,’ with links to ED

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Megan S. Patterson and Patricia Goodson

Compulsive exercise typically describes a rigid pattern of exercise, often performed despite negative consequences. Compulsive exercisers report intense feelings of guilt at any missed exercise sessions and are frequently concerned with weight and shape. 1 , 2 Thus, compulsive exercise often leads

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Megan S. Patterson and Patricia Goodson

Background:

Compulsive exercise, a form of unhealthy exercise often associated with prioritizing exercise and feeling guilty when exercise is missed, is a common precursor to and symptom of eating disorders. College-aged women are at high risk of exercising compulsively compared with other groups. Social network analysis (SNA) is a theoretical perspective and methodology allowing researchers to observe the effects of relational dynamics on the behaviors of people.

Methods:

SNA was used to assess the relationship between compulsive exercise and body dissatisfaction, physical activity, and network variables. Descriptive statistics were conducted using SPSS, and quadratic assignment procedure (QAP) analyses were conducted using UCINET.

Results:

QAP regression analysis revealed a statistically significant model (R 2 = .375, P < .0001) predicting compulsive exercise behavior. Physical activity, body dissatisfaction, and network variables were statistically significant predictor variables in the QAP regression model.

Discussion:

In our sample, women who are connected to “important” or “powerful” people in their network are likely to have higher compulsive exercise scores. This result provides healthcare practitioners key target points for intervention within similar groups of women. For scholars researching eating disorders and associated behaviors, this study supports looking into group dynamics and network structure in conjunction with body dissatisfaction and exercise frequency.

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Nancy Clark

Surveys suggest that 8 to 41% of athletes may struggle with binge/purge and bulimic eating behaviors. Many of these athletes with bulimia struggle alone, receiving no professional help for recovery. This article offers effective counseling strategies for nutrition professionals who want to help bulimic athletes. Through a case study of a triathlete who binges, and then purges through compulsive exercise, a nutrition care plan is discussed that addresses the food and weight concerns commonly expressed by athletes with bulimia. The priorities of the care plan are to reduce preoccupation with weight, establish a pattern of regular eating, and address the underlying causes of the binges. The case demonstrates that nutrition counseling is only one part of the treatment program, and emphasizes the importance of developing a team of health professionals to assist athletes with bulimia.

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Laura K. Fewell, Riley Nickols, Amanda Schlitzer Tierney and Cheri A. Levinson

rate of approximately 2% ( Ruscio, Stein, Chiu, & Kessler, 2010 ). Notably, rates of OCD among athlete patients and non-athlete patients with EDs have not been studied. Such findings may further inform the specifics of treatment for this population. Compulsive Exercise Compulsive exercise is another

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Kim Gammage, Rachel Arnold, Nicole Bolter, Angela Coppola, Thomas Curran, Lori Dithurbide, Karl Erickson, Mary Jung, Larkin Lamarche, Luc Martin and Kathleen Wilson

the motivational basis of debilitating patterns of eating behavior. Beyond these self-conscious mediators, an unresolved issue in the literature is whether the exercise motives of athletes explain variance common to perfectionism and eating pathology. In particular, compulsive exercise (a rigid and

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Laura K. Fewell, Riley Nickols, Amanda Schlitzer Tierney and Cheri A. Levinson

biological and sport family; and providing vocational rehabilitation if necessary. Although this study does not account for the role of exercise in intensive ED treatment, others (e.g.,  Plateau, Arcelus, Leung, & Meyer, 2017 ) suggest that it would be beneficial to address compulsive exercise with athletes

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Shannon S. C. Herrick and Lindsay R. Duncan

methods (eg, compulsive exercise). 20 , 26 , 30 , 43 , 44 Body dissatisfaction caused by the inability to conform to hegemonic ideals of thinness appears to be a motivating factor for these weight-control behaviors. 43 Muscularity A drive for muscularity among SMM was reported in 5 articles (26%). 20

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Kim Gammage, Rachel Arnold, Nicole Bolter, Angela Coppola, Thomas Curran, Lori Dithurbide, Karl Erickson, Larkin Lamarche, Sean Locke, Luc Martin and Kathleen Wilson

Fitspiration images and 102 posted travel images) completed measures of drive for thinness, drive for muscularity, bulimia, and body dissatisfaction, as well as compulsive exercise. Results showed that the Fitspiration group (which was slightly younger) reported higher drive for thinness and bulimia, as well

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Andrea S. Hartmann, Florian Steenbergen, Silja Vocks, Dirk Büsch and Manuel Waldorf

, C.E. ( 1995 ). Comparison of eating disorder patients with and without compulsive exercising . International Journal of Eating Disorders, 17 ( 4 ), 413 – 416 . PubMed ID: 7620482 doi:10.1002/1098-108X(199505)17:4<413::AID-EAT2260170414>3.0.CO;2-0 10.1002/1098-108X(199505)17:4<413::AID