Disordered Eating and Exercise Addiction Among Former Student-Athletes: Contribution of Athletic Experience and Personality
Abstract
1. Introduction
1.1. Disordered Eating
1.2. Exercise Addiction
1.3. Transition out of Varsity Sport: Risk Factors for DE and Exercise Addiction
1.4. Personality
1.5. Objectives
2. Materials and Methods
2.1. Participants and Procedure
2.2. Instruments
- Eating Disorder Examination Questionnaire
- Eating for Muscularity Scale
- French Orthorexia Scale
- Exercise Dependence Scale-Revised
- Self-Oriented Perfectionism
- Big Five Inventory
2.3. Analyses
2.3.1. Preliminary Analyses
2.3.2. Main Analyses
3. Results
3.1. Sample Characteristics
| Variable | Former Student-Athletes | Former Non-Athlete Students | Total | |
|---|---|---|---|---|
| Age (n(A) = 87 n(C) = 65) | Mean SD Min–Max | 28.8 3.54 22–39 | 29.3 3.23 22–36 | 29.0 3.41 22–39 |
| Sex (n(A) = 88 n(C) = 69) | Women Men | 63 (71.6%) 25 (28.4%) | 57 (82.6%) 12 (17.4%) | 120 (76.4%) 37 (23.6%) |
| Type of sport (n(A) = 86) | Team Endurance Esthetic Weight Categories Technical | 36 (41.9%) 34 (39.5%) 7 (8.1%) 1 (1.2%) 8 (9.3%) | - | - |
| Years of participation in the primary sport (n(A) = 87) | Mean SD Min–Max | 11.94 5.11 1–25 | - | - |
| Highest level of competition (n(A) = 88) | Regional Provincial National North American circuit International | 2 (2.3%) 22 (25.0%) 46 (52.3%) 3 (3.4%) 15 (17.0%) | - | - |
| Years since retirement (n(A) = 88) | Mean SD Min–Max | 4.43 3.02 0–10 | - | - |
| Type of retirement (n(A) = 88) | Normative Non-normative | 54 (61.4%) 34 (38.6%) | - | - |
| Risk of ED (n(A) = 88 n(C) = 69) | Yes No | 12 (13.6%) 76 (86.4%) | 14 (20.3%) 55 (79.7%) | 26 (16.6%) 131 (83.4%) |
| Exercise Addiction (n(A) = 86 n(C) = 68) | Addicts Symptomatic Non-symptomatic Primary Secondary | 0 17 (19.8%) 69 (80.2%) 13 (15.1%) 4 (4.7%) | 0 9 (13.2%) 59 (86.8%) 5 (7.4%) 4 (5.9%) | 0 26 (16.9%) 128 (83.1%) 18 (11.7%) 8 (5.2%) |
| Variable | N | M | SD | Min–Max | Skewness; Kurtosis |
|---|---|---|---|---|---|
| EDE-Q (A) | 88 | 1.274 | 1.071 | 0.00–4.84 | 1.178; 1.105 |
| EDE-Q (C) | 69 | 1.513 | 1.353 | 0.00–5.33 | 1.199; 0.755 |
| EMS (A) | 88 | 0.398 | 0.380 | 0.00–1.63 | 1.398; 1.593 |
| EMS (C) | 69 | 0.528 | 0.530 | 0.00–1.63 | 0.986; −0.251 |
| EFO-12 (A) | 88 | 8.398 | 4.956 | 1.00–27.00 | 1.039; 1.212 |
| EFO-12 (C) | 69 | 7.580 | 5.666 | 0.00–25.00 | 1.127; 0.981 |
| EDS-R (A) | 88 | 27.330 * | 15.129 | 2.00–69.00 | 0.726; 0.017 |
| EDS-R (C) | 69 | 20.942 * | 17.445 | 0.00–77.00 | 1.054; 0.757 |
| SOP (A) | 87 | 19.678 * | 5.888 | 2.00–29.00 | −0.965; 0.941 |
| SOP (C) | 67 | 16.328 * | 8.140 | 0.00–30.00 | −0.066; −0.928 |
| BFI_E (A) | 85 | 3.303 | 0.924 | 1.38–5.00 | −0.170; −0.668 |
| BFI_E (C) | 65 | 3.256 | 0.857 | 1.75–5.00 | 0.342; −0.828 |
| BFI_N (A) | 85 | 2.737 * | 0.841 | 1.00–4.25 | −0.340; −0.672 |
| BFI_N (C) | 65 | 3.226 * | 0.834 | 1.50–4.75 | −0.282; −0.658 |
| BFI_A (A) | 85 | 3.915 | 0.498 | 2.10–4.80 | −0.687; 1.074 |
| BFI_A (C) | 65 | 3.888 | 0.561 | 2.20–4.90 | −0.528; 0.393 |
| BFI_C (A) | 85 | 3.983 | 0.636 | 2.00–5.00 | −0.702; 0.604 |
| BFI_C (C) | 65 | 3.761 | 0.812 | 1.78–5.00 | −0.581; 0.004 |
| BFI_O (A) | 85 | 3.476 | 0.662 | 1.78–5.00 | −0.278; 0.243 |
| BFI_O (C) | 65 | 3.675 | 0.629 | 2.10–4.90 | −0.335; −0.020 |
3.2. Group Differences
3.3. Contribution of Personality
4. Discussion
4.1. Exercise Addiction Symptoms
4.2. Disordered Eating Associated with Drive for Muscularity and Drive for Thinness
4.3. Orthorexia Symptoms
4.4. Other Considerations and Practical Implications
4.5. Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| ED | Eating disorders |
| DE | Disordered eating |
| EDE-Q | Eating Disorder Examination Questionnaire |
| EMS | Eating for Muscularity Scale |
| EFO | Échelle Française d’Othorexie |
| EDS-R | Exercise Dependence Scale-Revised |
| SOP | Self-oriented perfectionism |
| BFI | Big Five Inventory |
| BFI-E | Big Five Inventory-Extraversion |
| BFI-N | Big Five Inventory-Neuroticism |
| BFI-A | Big Five Inventory-Agreeableness |
| BFI-C | Big Five Inventory-Conscientiousness |
| BFI-O | Big Five Inventory-Openness |
Appendix A
| 1. | 2. | 3. | 4. | 5. | 6. | 7. | 8. | 9. | 10. | |
|---|---|---|---|---|---|---|---|---|---|---|
| 1. EDE-Q | 1 | |||||||||
| 2. EMS | 0.698 * | 1 | ||||||||
| 3. EFO-12 | 0.495 * | 0.608 * | 1 | |||||||
| 4. EDS-R | 0.188 * | 0.395 * | 0.483 * | 1 | ||||||
| 5. SOP | 0.364 * | 0.333 * | 0.425 * | 0.374 * | 1 | |||||
| 6. BFI_E | 0.035 | −0.035 | 0.018 | −0.058 | −0.065 | 1 | ||||
| 7. BFI_N | 0.251 * | 0.190 * | 0.102 | 0.058 | 0.202 * | −0.134 | 1 | |||
| 8. BFI_A | −0.089 | −0.173 * | 0.014 | −0.066 | −0.078 | 0.233 * | −0.278 * | 1 | ||
| 9. BFI_C | 0.079 | −0.040 | 0.174 * | 0.151 | 0.336 * | 0.063 | −0.230 * | 0.306 * | 1 | |
| 10. BFI_O | 0.001 | 0.019 | 0.026 | 0.095 | 0.032 | 0.118 | 0.041 | 0.027 | 0.072 | 1 |
References
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed.; American Psychiatric Association: Washington, DC, USA, 2013. [Google Scholar]
- Paquin Hodge, C.; St-Hilaire, A.; Thaler, L.; Steiger, H. L’anorexie mentale. In Les Troubles des Conduites Alimentaires. Du Diagnostic aux Traitements; Aimé, A., Maïano, C., Ricard, M.-M., Eds.; Les Presses de l’Université de Montréal: Montréal, QC, Canada, 2020; pp. 17–29. [Google Scholar]
- Pelletier, O. La boulimie. In Les Troubles des Conduites Alimentaires. Du Diagnostic aux Traitements; Aimé, A., Maïano, C., Ricard, M.-M., Eds.; Les Presses de l’Université de Montréal: Montréal, QC, Canada, 2020; pp. 31–47. [Google Scholar]
- Bundros, J.; Clifford, D.; Silliman, K.; Neyman Morris, M. Prevalence of orthorexia nervosa among college students based on Bratman’s test and associated tendencies. Appetite 2016, 101, 86–94. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Cuadrado, J.; Morin, J.; Hernandez, P.; Yubero, E.; Bégin, C.; Michel, G. Psychopathologie de la dysmorphie musculaire: Analyse critique de la littérature internationale. Ann. Méd.-Psychol. Rev. Psychiatr. 2018, 176, 919–927. [Google Scholar] [CrossRef] [Scilit]
- Rodrigue, O.; Bégin, C. La dysmorphie musculaire. In Les Troubles des Conduites Alimentaires. Du Diagnostic aux Traitements; Aimé, A., Maïano, C., Ricard, M.-M., Eds.; Les Presses de l’Université de Montréal: Montréal, QC, Canada, 2020; pp. 83–96. [Google Scholar]
- Fatt, S.J.; George, E.; Hay, P.; Jeacocke, N.; Gotkiewicz, E.; Mitchison, D. An umbrella review of body image concerns, disordered eating, and eating disorder in elite athletes. J. Clin. Med. 2024, 13, 4171. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Fairburn, C.G.; Cooper, Z.; Shafran, R. Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. Behav. Res. Ther. 2003, 41, 509–528. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Petrie, T.A. Prevalence, measurement, and experience of eating disorder in sport and retirement. In Oxford Research Encyclopedia of Psychology; Worrell, F.C., Ed.; Oxford University Press: Oxford, UK, 2018. [Google Scholar] [CrossRef] [Scilit]
- Buckley, G.L.; Hall, L.E.; Lassemillante, A.-C.M.; Ackerman, K.E.; Belski, R. Retired athletes and the intersection of food and body: A systematic literature review exploring compensatory behaviours and body change. Nutrients 2019, 11, 1395. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Murray, S.B.; Griffiths, S.; Mitchison, D.; Mond, J.M. The transition from thinness-oriented to muscularity-oriented disordered eating in adolescent males: A clinical observation. J. Adolesc. Health 2017, 60, 353–355. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Lichtenstein, M.B.; Hinze, C.J.; Emborg, B.; Thomsen, F.; Hemmingsen, S.D. Compulsive exercise: Links, risks and challenges faced. Psychol. Res. Behav. Manag. 2017, 10, 85–95. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Reardon, C.L.; Benoy, R.; Hitchcock, M. Eating disorder and disordered eating in athletes during times of transition. Adv. Psychiatry Behav. Health 2023, 3, 57–68. [Google Scholar] [CrossRef] [Scilit]
- Juwono, I.D.; Szabo, A. 100 cases of exercise addiction: More evidence for a widely researched but rarely identified dysfunction. Int. J. Ment. Health Addict. 2021, 19, 1799–1811. [Google Scholar] [CrossRef] [Scilit]
- Szabo, A.; Demetrovics, Z. Passion and Addiction in Sports and Exercise; Routledge: Londres, UK, 2022. [Google Scholar]
- Weinstein, A.; Szabo, A. Exercise addiction: A narrative overview of research issues. Dialogues Clin. Neurosci. 2023, 25, 1–13. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Kern, L. Activité Physique Problématique en Population Générale et chez des Personnes Vivant avec une Anorexie Mentale: De la Définition à la Prise en Charge; Habilitation à diriger des recherches; Université Paris Nanterre: Nanterre, France, 2021; Available online: https://hal.science/tel-04369387 (accessed on 21 June 2026).
- Trott, M.; Jackson, S.E.; Firth, J.; Fisher, A.; Johnstone, J.; Mistry, A.; Stubbs, B.; Smith, L. Exercise addiction prevalence and correlates in the absence of eating disorder symptomology: A systematic review and meta-analysis. J. Addict. Med. 2020, 14, e321–e329. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Bamber, D.; Cockerill, I.M.; Carroll, D. The pathological status of exercise dependence. Br. J. Sports Med. 2000, 34, 125–132. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Lichtenstein, M.B.; Melin, A.K.; Szabo, A.; Holm, L. The prevalence of exercise addiction symptoms in a sample of national level elite athletes. Front. Sports Act. Living 2021, 3, 635418. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Juwono, I.D.; Tolnai, N.; Szabo, A. Exercise addiction in athletes: A systematic review of the literature. Int. J. Ment. Health Addict. 2022, 20, 3113–3127. [Google Scholar] [CrossRef] [Scilit]
- Vítková, T.; Rusnáková, K.; Mudrák, J. Personality predictors of exercise addiction in competitive sport. J. Sports Sci. 2025, 43, 865–874. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Di Lodovico, L.; Poulnais, S.; Gorwood, P. Which sports are more at risk of physical exercise addiction: A systematic review. Addict. Behav. 2019, 93, 257–262. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Wells, K.R.; Jeacocke, N.A.; Appaneal, R.; Smith, H.D.; Vlahovich, N.; Burke, L.M.; Hughes, D. The Australian Institute of Sport (AIS) and National Eating Disorder Collaboration (NEDC) position statement on disorder eating in high performance sport. Br. J. Sports Med. 2020, 54, 1247–1258. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Coakley, J.J. Leaving competitive sport: Retirement or rebirth? Quest 1983, 35, 1–11. [Google Scholar] [CrossRef] [Scilit]
- Papathomas, A.; Petrie, T.A.; Plateau, C.R. Changes in body image perceptions upon leaving elite sport: The retired female athlete paradox. Sport Exerc. Perform. Psychol. 2018, 7, 30–45. [Google Scholar] [CrossRef] [Scilit]
- Powell, A.C. Adaptation to Sport Retirement in Division I Student-Athletes. Ph.D. Thesis, University of South Dakota, Vermillion, SD, USA, 2023. Available online: https://www.proquest.com/docview/2830014055/abstract/6D5852138DFE4EE5PQ/1 (accessed on 21 June 2026).
- National Collegiate Athletic Association. Available online: https://www.ncaa.org/sports/2021/7/9/preparing-for-your-career.aspx (accessed on 21 June 2026).
- Plateau, C.R.; Petrie, T.A.; Papathomas, A. Exercise attitudes and behaviours among retired female collegiate athletes. Psychol. Sport Exerc. 2017, 29, 111–115. [Google Scholar] [CrossRef] [Scilit]
- González-Hernández, J.; Nogueira, A.; Zangeneh, M.; López-Mora, C. Exercise addiction and perfectionism, joint in the same path? A systematic review. Int. J. Ment. Health Addict. 2022, 20, 1733–1756. [Google Scholar] [CrossRef] [Scilit]
- Rohde, J.; Obbarius, A.; Voigt, B.; Sarrar, L.; Biesenthal-Matthes, S.; Kind, C.S.; Rose, M.; Hofmann, T. Differences and similarities in personality functioning across different types of eating disorders. Front. Psychiatry 2023, 14, 1155725. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Costa, P.T.; McCrae, R.R. The five-factor model of personality and its relevance to personality disorders. J. Personal. Disord. 1992, 6, 343–359. [Google Scholar] [CrossRef] [Scilit]
- Remilly, M.; Mauvieux, B.; Drigny, J. Personality traits associated with the risk of exercise dependence in ultraendurance athletes: A cross-sectional study. Int. J. Environ. Res. Public Health 2023, 20, 1042. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Ali, Q.; Ali, A.; Afaq, M. The Big Five personality traits related risks and protective factors for eating disorders: Insights from university non-athletes students and varsity elite athletes of track and field. Ann. Hum. Soc. Sci. 2025, 6, 570–580. [Google Scholar] [CrossRef] [Scilit]
- Bircher, J.; Griffiths, M.D.; Kasos, K.; Demetrovics, Z.; Szabo, A. Exercise addiction and personality: A two-decade systematic review of the empirical literature (1995–2015). Balt. J. Sports Health Sci. 2017, 3, 19–33. [Google Scholar] [CrossRef] [Scilit]
- Smith, M.M.; Sherry, S.B.; Ge, S.Y.J.; Hewitt, P.L.; Flett, G.L.; Baggley, D.L. Multidimensional perfectionism turns 30: A review of known knowns and known unknowns. Can. Psychol. Psychol. Can. 2022, 63, 16–31. [Google Scholar] [CrossRef] [Scilit]
- Maurin, J.; Labossière, S.; Pomerleau-Fontaine, L.; Boudreault, V.; Brassard, S.; Dion, J.; Durand-Bush, N.; Parent, S.; Soulard, A. Personal risk factors and types of sport associated with drive for thinness and drive for muscularity in NextGen athletes. Front. Nutr. 2024, 11, 1392064. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Frost, R.O.; Marten, P.; Lahart, C.; Rosenblate, R. The dimensions of perfectionism. Cogn. Ther. Res. 1990, 14, 449–468. [Google Scholar] [CrossRef] [Scilit]
- Hewitt, P.L.; Flett, G.L. Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. J. Personal. Soc. Psychol. 1991, 60, 456–470. [Google Scholar] [CrossRef] [PubMed]
- Hill, A.P.; Robson, S.J.; Stamp, G.M. The predictive ability of perfectionistic traits and self-presentational styles in relation to exercise dependence. Personal. Individ. Differ. 2015, 86, 176–183. [Google Scholar] [CrossRef] [Scilit]
- Godoy-Izquierdo, D.; Ramírez, M.J.; Díaz, I.; López-Mora, C. A systematic review on exercise addiction and the disordered eating-eating disorder continuum in the competitive sport context. Int. J. Ment. Health Addict. 2023, 21, 529–561. [Google Scholar] [CrossRef] [Scilit]
- Carrard, I.; Lien Rebetez, M.M.; Mobbs, O.; Van der Linden, M. Factor structure of a French version of the eating disorder examination-questionnaire among women with and without binge eating disorder symptoms. Eat. Weight Disord.-Stud. Anorex. Bulim. Obes. 2015, 20, 137–144. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Fairburn, C.G. Cognitive Behavior Therapy and Eating Disorders; Guilford Press: New York, NY, USA, 2008; pp. 309–313. [Google Scholar]
- Vedenpää, M.M.S.; Sagelv, E.H.; Torstveit, M.K.; Borch, K.B.; Osborne, J.O. Lower prevalence of disordered eating behaviours among norwegian female athletes compared to non-athletes: A cross-sectional survey using the Eating Disorder Examination Questionnaire. Eur. J. Sport Sci. 2025, 25, e70043. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Hallward, L.; Nagata, J.M.; Rodgers, R.F.; Ganson, K.T. Examination of eating disorder psychopathology across sexual and gender identities among a Canadian sample. Int. J. Eat. Disord. 2023, 56, 604–615. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Rose, J.S.; Vaewsorn, A.; Rosselli-Navarra, F.; Wilson, G.T.; Weissman, R.S. Test-retest reliability of the eating disorder examination-questionnaire (EDE-Q) in a college sample. J. Eat. Disord. 2013, 1, 42. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Cooper, M.; Griffiths, K.M.; Burns, R. Getting shredded: Development and validation of a measure of muscularity-oriented disordered eating. Psychol. Assess. 2020, 32, 451–460. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Tylka, T.L.; Bergeron, D.; Schwartz, J.P. Development and psychometric evaluation of the Male Body Attitudes Scale (MBAS). Body Image 2005, 2, 161–175. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Dajon, M.; Delpech, L.; Sudres, J.-L. Validation de l’échelle française d’orthorexie. L’Évol. Psychiatr. 2021, 86, 191–205. [Google Scholar] [CrossRef] [Scilit]
- Hausenblas, H.A.; Downs, D.S. How much is too much? The development and validation of the exercise dependence scale. Psychol. Health 2002, 17, 387–404. [Google Scholar] [CrossRef] [Scilit]
- Kern, L. Validation de l’adaptation française de l’échelle de dépendance à l’exercice physique: L’EDS-R. Prat. Psychol. 2007, 13, 425–441. [Google Scholar] [CrossRef] [Scilit]
- Labrecque, J.; Stephenson, R.; Boivin, I.; Marchand, A. Validation de l’échelle multidimensionelle du perfectionnisme auprès de la population francophone du Québec. Rev. Francoph. Clin. Comport. Cogn. 1998, 3, 1–14. [Google Scholar]
- Stoeber, J. Comparing two short forms of the Hewitt–Flett multidimensional perfectionism scale. Assessment 2018, 25, 578–588. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- John, O.P.; Donahue, E.M.; Kentle, R.L. Big five inventory. J. Personal. Soc. Psychol. 1991. [Google Scholar] [CrossRef] [Scilit]
- Plaisant, O.; Courtois, R.; Réveillère, C.; Mendelsohn, G.A.; John, O.P. Validation par analyse factorielle du Big Five Inventory français (BFI-Fr). Analyse convergente avec le NEO-PI-R. In Annales Médico-Psychologiques, Revue Psychiatrique; Elsevier Masson: Paris, France, 2010; Volume 168, pp. 97–106. [Google Scholar]
- Faul, F.; Erdfelder, E.; Buchner, A.; Lang, A.-G. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav. Res. Methods 2009, 41, 1149–1160. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- IBM Corp. IBM SPSS Statistics for Windows 2022, version 29.0; IBM Corp.: Armonk, NY, USA, 2022.
- Hayes, A.F. Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach, 3rd ed.; The Guilford Press: New York, NY, USA, 2022. [Google Scholar]
- Smith, K.N.; Lamb, K.N.; Henson, R.K. Making meaning out of MANOVA: The need for multivariate post hoc testing in gifted education research. Gift. Child Q. 2020, 64, 41–55. [Google Scholar] [CrossRef] [Scilit]
- Thompson, A.; Petrie, T.; Tackett, B.; Balcom, K.; Watkins, C.E. Eating disorder diagnosis and the female athlete: A longitudinal analysis from college sport to retirement. J. Sci. Med. Sport 2021, 24, 531–535. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Venuti, P.; Furlanello, C.; Peirò, A.M.; Zandonai, T. Exercise dependence and perfectionism: A novel issue in sport environment? Emerg. Trends Drugs Addict. Health 2024, 4, 100131. [Google Scholar] [CrossRef] [Scilit]
- Hill, A.P.; Madigan, D.J.; Jowett, G.E. Perfectionism and athlete engagement: A multi-sample test of the 2× 2 model of perfectionism. Psychol. Sport Exerc. 2020, 48, 101664. [Google Scholar] [CrossRef] [Scilit]
- Jowett, G.E.; Hill, A.P.; Hall, H.K.; Curran, T. Perfectionism, burnout and engagement in youth sport: The mediating role of basic psychological needs. Psychol. Sport Exerc. 2016, 24, 18–26. [Google Scholar] [CrossRef] [Scilit]
- Berki, T.; Daka, Z.; Molnár, A.H. The role of perfectionism and sport commitment on exercise addiction among Hungarian athletes. Sports 2025, 13, 232. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Cereda, F. Sporting bodies, societal norms in history: Examining body image and identity. Sci. J. Sport Perform. 2023, 2, 572–589. [Google Scholar] [CrossRef] [Scilit]
- Reardon, C.L.; Hainline, B.; Aron, C.M.; Baron, D.; Baum, A.L.; Bindra, A.; Budgett, R.; Campriani, N.; Castaldelli-Maia, J.M.; Currie, A.; et al. Mental health in elite athletes: International Olympic Committee consensus statement (2019). Br. J. Sports Med. 2019, 53, 667–699. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Chapa, D.A.; Johnson, S.N.; Richson, B.N.; Bjorlie, K.; Won, Y.Q.; Nelson, S.V.; Ayres, J.; Jun, D.; Forbush, K.T.; Christensen, K.A.; et al. Eating-disorder psychopathology in female athletes and non-athletes: A meta-analysis. Int. J. Eat. Disord. 2022, 55, 861–885. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Ferguson, S.; Brace-Govan, J.; Welsh, B. Complex contradictions in a contemporary idealised feminine body project. J. Mark. Manag. 2021, 37, 188–215. [Google Scholar] [CrossRef] [Scilit]
- Rodgers, R. L’image du corps: Influences socioculturelles proximales et distales. In L’image Corporelle sous Toutes Ses Formes; Aimé, A., Dion, J., Maïano, C., Eds.; Presses de l’Université du Québec: Québec, QC, Canada, 2022; pp. 4–16. [Google Scholar]
- Martin, E.M.; Horn, T.S. Guiding growth: The influence of coach-created climate on passion, athletic identity, and perfectionism in teen female athletes. Int. J. Sport Exerc. Psychol. 2025, 24, 955–974. [Google Scholar] [CrossRef] [Scilit]
- Karaağaç, Y.; Çetinkaya, F.İ.; Koyu, E.B. Comparison of exercise dependence, eating attitude disorder and risk of orthorexia nervosa among regular students and student athletes. Spor Hekim. Derg. 2022, 57, 171–176. [Google Scholar] [CrossRef] [Scilit]
- Foyster, M.; Sultan, N.; Tonkovic, M.; Govus, A.; Burton-Murray, H.; Tuck, C.J.; Biesiekierski, J.R. Assessing the presence and motivations of orthorexia nervosa among athletes and adults with eating disorder: A cross-sectional study. Eat. Weight Disord.-Stud. Anorex. Bulim. Obes. 2023, 28, 101. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Moccia, L.; Anesini, M.B.; Callovini, T.; Janiri, D.; Policola, C.; Cintoni, M.; Focà, F.; Kotzalidis, G.D.; Conti, F.; Di Poggio, A.B.; et al. Understanding Orthorexia Nervosa: A Systematic Review of Meta-analytical Findings. Curr. Nutr. Rep. 2025, 14, 126. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Paludo, A.C.; Magatao, M.; Martins, H.R.F.; Martins, M.V.S.; Kumstat, M. Prevalence of risk for orthorexia in athletes using the ORTO-15 questionnaire: A systematic mini-review. Front. Psychol. 2022, 13, 856185. [Google Scholar] [CrossRef] [Scilit] [PubMed]
- Nguyen, H.; Morris, E.M.J. The role of clinical perfectionism and psychological flexibility in distress and wellbeing. Clin. Psychol. 2024, 28, 207–220. [Google Scholar] [CrossRef] [Scilit]
- Ong, C.W.; Lee, E.B.; Petersen, J.M.; Levin, M.E.; Twohig, M.P. Is perfectionism always unhealthy? Examining the moderating effects of psychological flexibility and self-compassion. J. Clin. Psychol. 2021, 77, 2576–2591. [Google Scholar] [CrossRef] [Scilit] [PubMed]


| Model 1: Linear Regression | Model 2: Moderation | |||||||
|---|---|---|---|---|---|---|---|---|
| R2 | 0.204 * | 0.232 * | ||||||
| Adjusted R2 | 0.159 | 0.183 | ||||||
| F (df1, df2) | 3.688 (8, 141) | 4.318 (9, 140) | ||||||
| b | S.E | p | β | b | S.E | p | β | |
| Sex + | 0.138 | 0.281 | 0.623 | 0.049 | 0.203 | 0.282 | 0.473 | 0.072 |
| Group ++ | 0.361 | 0.228 | 0.115 | 0.150 | 0.350 | 0.218 | 0.207 | 0.146 |
| BFI_E | 0.132 | 0.112 | 0.239 | 0.099 | 0.137 | 0.112 | 0.218 | 0.102 |
| BFI_A | −0.126 | 0.236 | 0.594 | −0.055 | −0.086 | 0.233 | 0.712 | −0.038 |
| BFI_C | −0.007 | 0.169 | 0.969 | −0.004 | −0.040 | 0.174 | 0.821 | −0.024 |
| BFI_N | 0.167 | 0.128 | 0.194 | 0.121 | 0.153 | 0.125 | 0.221 | 0.111 |
| BFI_O | −0.082 | 0.152 | 0.593 | −0.045 | −0.057 | 0.151 | 0.705 | −0.031 |
| SOP | 0.066 | 0.017 | <0.001 | 0.388 | 0.031 | 0.017 | 0.001 | 0.340 |
| SOP × Group | - | - | - | - | 0.060 | 0.030 | 0.048 | 0.177 |
| Model 1: Linear Regression | Model 2: Moderation | |||||||
|---|---|---|---|---|---|---|---|---|
| R2 | 0.203 * | 0.230 * | ||||||
| Adjusted R2 | 0.157 | 0.181 | ||||||
| F (df1, df2) | 3.202 (8, 141) | 4.413 (9, 140) | ||||||
| b | S.E | p | β | b | S.E | p | β | |
| Sex + | 0.102 | 0.098 | 0.300 | 0.096 | 0.126 | 0.101 | 0.218 | 0.118 |
| Group ++ | 0.197 | 0.081 | 0.016 | 0.216 | 0.193 | 0.078 | 0.015 | 0.213 |
| BFI_E | 0.017 | 0.039 | 0.665 | 0.033 | 0.018 | 0.037 | 0.620 | 0.036 |
| BFI_A | −0.112 | 0.082 | 0.173 | −0.130 | −0.097 | 0.083 | 0.241 | −0.113 |
| BFI_C | −0.098 | 0.063 | 0.124 | −0.157 | −0.110 | 0.064 | 0.086 | −0.177 |
| BFI_N | −0.023 | 0.041 | 0.577 | −0.044 | −0.028 | 0.041 | 0.495 | −0.054 |
| BFI_O | −0.005 | 0.051 | 0.920 | −0.007 | −0.004 | 0.050 | 0.936 | 0.006 |
| SOP ++ | 0.028 | 0.006 | <0.001 | 0.433 | 0.015 | 0.006 | 0.108 | 0.386 |
| SOP × Group | - | - | - | - | 0.022 | 0.011 | 0.044 | 0.173 |
| Model 1: Linear Regression | ||||
|---|---|---|---|---|
| R2 | 0.200 * | |||
| Adjusted R2 | 0.154 | |||
| F (df1, df2) | 5.109 (8, 141) | |||
| b | S.E | p | β | |
| Sex + | −0.661 | 1.117 | 0.555 | −0.053 |
| Group ++ | 0.254 | 0.922 | 0.783 | 0.024 |
| BFI_E | 0.225 | 0.438 | 0.608 | 0.038 |
| BFI_A | 0.515 | 0.781 | 0.511 | 0.051 |
| BFI_C | 0.315 | 0.692 | 0.649 | 0.043 |
| BFI_N | 0.292 | 0.507 | 0.566 | 0.048 |
| BFI_O | −0.063 | 0.718 | 0.931 | −0.008 |
| SOP | 0.300 | 0.061 | <0.001 | 0.404 |
| Model 1: Linear Regression | ||||
|---|---|---|---|---|
| R2 | 0.170 * | |||
| Adjusted R2 | 0.123 | |||
| F (df1, df2) | 4.592 (8, 141) | |||
| b | S.E | p | β | |
| Sex + | −3.342 | 3.884 | 0.391 | −0.086 |
| Group ++ | −4.122 | 3.105 | 0.186 | −0.125 |
| BFI_E | −0.795 | 1.504 | 0.598 | −0.043 |
| BFI_A | −0.758 | 2.959 | 0.798 | −0.024 |
| BFI_C | 1.609 | 2.288 | 0.483 | 0.071 |
| BFI_N | 0.893 | 1.757 | 0.612 | 0.047 |
| BFI_O | 2.378 | 2.216 | 0.285 | 0.095 |
| SOP | 0.691 | 0.210 | 0.001 | 0.299 |
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Share and Cite
Maurin, J.; Boudreault, V.; Laverdière, O. Disordered Eating and Exercise Addiction Among Former Student-Athletes: Contribution of Athletic Experience and Personality. Nutrients 2026, 18, 2054. https://doi.org/10.3390/nu18132054
Maurin J, Boudreault V, Laverdière O. Disordered Eating and Exercise Addiction Among Former Student-Athletes: Contribution of Athletic Experience and Personality. Nutrients. 2026; 18(13):2054. https://doi.org/10.3390/nu18132054
Chicago/Turabian StyleMaurin, Juliette, Véronique Boudreault, and Olivier Laverdière. 2026. "Disordered Eating and Exercise Addiction Among Former Student-Athletes: Contribution of Athletic Experience and Personality" Nutrients 18, no. 13: 2054. https://doi.org/10.3390/nu18132054
APA StyleMaurin, J., Boudreault, V., & Laverdière, O. (2026). Disordered Eating and Exercise Addiction Among Former Student-Athletes: Contribution of Athletic Experience and Personality. Nutrients, 18(13), 2054. https://doi.org/10.3390/nu18132054

