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. 1986 Jun;20(2):77–81. doi: 10.1136/bjsm.20.2.77

Are anorexic tendencies prevalent in the habitual runner?

G D Wheeler, S R Wall, A N Belcastro, P Conger, D C Cumming
PMCID: PMC1478310  PMID: 3488092

Abstract

To investigate whether runners displayed any of the abnormalities characteristic of patients with anorexia nervosa, we conducted a cross sectional study of 31 high mileage, 18 low mileage runners and 18 non-running controls. Subjects completed a personal data questionnaire, the Jackson Personality Inventory (JPI) and the Eating Attitudes Questionnaire (EAT), underwent a body image test and a blood sample was obtained for measurement of reproductive, thyroid and adrenal hormones. High mileage runners scored significantly higher infrequency scores on the JPI than sedentary controls but there was no evidence of psychopathology. The high mileage runners also significantly overestimated waist width and there were small but statistically significant differences in EAT scores between controls and the runner groups. Ten of 49 runners had EAT scores beyond two standard deviations above the mean of non-running controls. Serum total, free and non-specifically bound testosterone and prolactin levels were significantly lower in high mileage runners than controls. LH, FSH, cortisol and thyroid hormones were not significantly different. There were no significant differences in any hormone between low mileage runners and controls. displayed no clear abnormalities characteristic of patients with anorexia The results suggested that running may have a chronic effect on serum testosterone and prolactin levels in high mileage but not low mileage runners. Although there was no significant evidence of anorexia nervosa on testing the runners with EAT, the overestimation of waist size provided some evidence of a distortion of body image in the high mileage runners. Runners displayed no clear abnormalities characteristic of patients with anorexia nervosa.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Askevold F. Measuring body image. Preliminary report on a new method. Psychother Psychosom. 1975;26(2):71–77. doi: 10.1159/000286913. [DOI] [PubMed] [Google Scholar]
  2. BLITZER J. R., ROLLINS N., BLACKWELL A. Children who starve themselves: anorexia nervosa. Psychosom Med. 1961 Sep-Oct;23:369–383. doi: 10.1097/00006842-196109000-00001. [DOI] [PubMed] [Google Scholar]
  3. Blumenthal J. A., O'Toole L. C., Chang J. L. Is running an analogue of anorexia nervosa? An empirical study of obligatory running and anorexia nervosa. JAMA. 1984 Jul 27;252(4):520–523. [PubMed] [Google Scholar]
  4. Boyar R. M. Endocrine changes in anorexia nervosa. Med Clin North Am. 1978 Mar;62(2):297–303. doi: 10.1016/s0025-7125(16)31806-5. [DOI] [PubMed] [Google Scholar]
  5. Casper R. C., Halmi K. A., Goldberg S. C., Eckert E. D., Davis J. M. Disturbances in body image estimation as related to other characteristics and outcome in anorexia nervosa. Br J Psychiatry. 1979 Jan;134:60–66. doi: 10.1192/bjp.134.1.60. [DOI] [PubMed] [Google Scholar]
  6. Crisp A. H., Palmer R. L., Kalucy R. S. How common is anorexia nervosa? A prevalence study. Br J Psychiatry. 1976 Jun;128:549–554. doi: 10.1192/bjp.128.6.549. [DOI] [PubMed] [Google Scholar]
  7. Crisp A. H., Toms D. A. Primary anorexia nervosa or weight phobia in the male: report on 13 cases. Br Med J. 1972 Feb 5;1(5796):334–338. doi: 10.1136/bmj.1.5796.334. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Cumming D. C., Rebar R. W. Exercise and reproductive function in women. Am J Ind Med. 1983;4(1-2):113–125. [PubMed] [Google Scholar]
  9. Feighner J. P., Robins E., Guze S. B., Woodruff R. A., Jr, Winokur G., Munoz R. Diagnostic criteria for use in psychiatric research. Arch Gen Psychiatry. 1972 Jan;26(1):57–63. doi: 10.1001/archpsyc.1972.01750190059011. [DOI] [PubMed] [Google Scholar]
  10. Garner D. M., Garfinkel P. E., Stancer H. C., Moldofsky H. Body image disturbances in anorexia nervosa and obesity. Psychosom Med. 1976 Sep-Oct;38(5):327–336. doi: 10.1097/00006842-197609000-00005. [DOI] [PubMed] [Google Scholar]
  11. Garner D. M., Garfinkel P. E. The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med. 1979 May;9(2):273–279. doi: 10.1017/s0033291700030762. [DOI] [PubMed] [Google Scholar]
  12. Halmi K. A. Anorexia nervosa: demographic and clinical features in 94 cases. Psychosom Med. 1974 Jan-Feb;36(1):18–26. doi: 10.1097/00006842-197401000-00002. [DOI] [PubMed] [Google Scholar]
  13. Jones D. J., Fox M. M., Babigian H. M., Hutton H. E. Epidemiology of anorexia nervosa in Monroe County, New York: 1960-1976. Psychosom Med. 1980 Nov;42(6):551–558. doi: 10.1097/00006842-198011000-00003. [DOI] [PubMed] [Google Scholar]
  14. KAY D. W., LEIGH D. The natural history, treatment and prognosis of anorexia nervosa, based on a study of 38 patients. J Ment Sci. 1954 Apr;100(419):411–431. doi: 10.1192/bjp.100.419.411. [DOI] [PubMed] [Google Scholar]
  15. Kalucy R. S., Crisp A. H., Lacey J. H., Harding B. Prevalence and prognosis in anorexia nervosa. Aust N Z J Psychiatry. 1977 Dec;11(4):251–257. doi: 10.3109/00048677709159574. [DOI] [PubMed] [Google Scholar]
  16. Pierloot R. A., Houben M. E. Estimation of body dimensions in anorexia nervosa. Psychol Med. 1978 May;8(2):317–324. doi: 10.1017/s0033291700014367. [DOI] [PubMed] [Google Scholar]
  17. Pollock M. L., Dimmick J., Miller H. S., Jr, Kendrick Z., Linnerud A. C. Effects of mode of training on cardiovascular function and body composition of adult men. Med Sci Sports. 1975 Summer;7(2):139–145. [PubMed] [Google Scholar]
  18. Pollock M. L. The quantification of endurance training programs. Exerc Sport Sci Rev. 1973;1:155–188. [PubMed] [Google Scholar]
  19. Routtenberg A., Kuznesof A. W. Self-starvation of rats living in activity wheels on a restricted feeding schedule. J Comp Physiol Psychol. 1967 Dec;64(3):414–421. doi: 10.1037/h0025205. [DOI] [PubMed] [Google Scholar]
  20. Schwabe A. D., Lippe B. M., Chang R. J., Pops M. A., Yager J. Anorexia nervosa. Ann Intern Med. 1981 Mar;94(3):371–381. doi: 10.7326/0003-4819-94-3-371. [DOI] [PubMed] [Google Scholar]
  21. Shainess N. The swing of the pendulum--from anorexia to obesity. Am J Psychoanal. 1979 Fall;39(3):225–234. doi: 10.1007/BF01253567. [DOI] [PubMed] [Google Scholar]
  22. Slade P. D., Russell G. F. Awareness of body dimensions in anorexia nervosa: cross-sectional and longitudinal studies. Psychol Med. 1973 May;3(2):188–199. doi: 10.1017/s0033291700048510. [DOI] [PubMed] [Google Scholar]
  23. Warren M. P., Vande Wiele R. L. Clinical and metabolic features of anorexia nervosa. Am J Obstet Gynecol. 1973 Oct 1;117(3):435–449. doi: 10.1016/0002-9378(73)90053-7. [DOI] [PubMed] [Google Scholar]
  24. Wheeler G. D., Wall S. R., Belcastro A. N., Cumming D. C. Reduced serum testosterone and prolactin levels in male distance runners. JAMA. 1984 Jul 27;252(4):514–516. [PubMed] [Google Scholar]
  25. Wilmore J. H., Royce J., Girandola R. N., Katch F. I., Katch V. L. Body composition changes with a 10-week program of jogging. Med Sci Sports. 1970 Fall;2(3):113–117. [PubMed] [Google Scholar]
  26. Yates A., Leehey K., Shisslak C. M. Running--an analogue of anorexia? N Engl J Med. 1983 Feb 3;308(5):251–255. doi: 10.1056/NEJM198302033080504. [DOI] [PubMed] [Google Scholar]

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