Table 2.
Summary of suggestions made in round 1
| Mood/mental health | Weight and eating | Age | External | Physical health | Self-related | Other |
| An addiction | Exist without concurrent eating disorder | Children multiple sports at high level | Coaches – performance ahead of health | Inability to take rest days when necessary | Belief results dose dependent | More prevalent bigger cities |
| Upset if miss/rearrange a workout | Lose/control weight | Changes in physical capabilities with age | Non-adherence prescribed exercise | Relative energy deficiency/low EA | “One size fits all” approach | Most common high performance sport |
| Rigidity – exercise plans | Accompanied by eating issues | Puberty time of risk | Inadequate support for those in field | Physical ill health – illness/injury | Identity | Strength/skill not sufficient for demand level |
| Fear circumstances that prevent training | Pressure to meet weight category | Middle age time of risk | Focus on immediate not long-term development | Burnout | Unrealistic self-expectations | More common in girls/women than in boys/men |
| Predisposition to obsessive behavior | Low body fat, skinny/unhealthy | Common in young teenage athletes | Pressure – parents and coaches | Not completing rehab | Strongly goal focused | Use of PEDs |
| Obsessive thinking – training and/or diet | Men/muscle mass at gym | Self-prescribed exercise regimes | Returning before injury healed | Compensation – fear of not trying hard enough | Fewer talents in non-physical activities | |
| Anxiety if unable to exercise | Not listening to professional advice | Preconceived idea – “right” level of exercise | ||||
| Guilt if miss/change planned workout | Extreme trends, e.g., Crossfit | Increase self-worth | ||||
| Satisfy exercise need/craving | Unrealistic expectations from others | Perfectionists | ||||
| Addicted to training effect | Current gym/fitness culture | Think not fit enough | ||||
| Difficult mood without workout | Weight loss pressure, e.g., doctor | High achievers other areas, e.g., academic | ||||
| Think persistently about next exercise session | Difficult to identify | Highly competitive individuals | ||||
| Withdrawal symptoms | Lack of adequate information/consultation | |||||
| Trained hard in the past, e.g., former athletes | ||||||
| No longer enjoyable | ||||||
| Mood changes | ||||||
| Poor body image | ||||||
| Maintain positive reinforcement | ||||||
| Push hard to feel satisfied | ||||||
| Lose control – volume, frequency, intensity | ||||||
| Depression | ||||||
| Develops from habit |
Note. EA: energy availability, PED: performance enhancing drug.