Table 3.
Overall concordance on all statements after final round 3 rating
| Non-consensus (<75% concordance) | Consensus (≥75% concordance) | ||||||
| % Agree/Disagree | % Disagree (strongly)a | % Agree (strongly)a | |||||
| Common in young teenage athletes | 62.5/37.5 | More prevalent bigger cities | 75.0 (33.3) | Inability to take rest days when necessary | 100.0 (50.0) | Compensation – fear of not trying hard enough | 87.5 (14.3) |
| More common in girls/women than in boys/men | 37.5/62.5 | Most common high performance sport | 75.0 (33.3) | Belief results dose dependent | 100.0 (50.0) | Poor body image | 87.5 (0.0) |
| Use of PEDs | 50.0/50.0 | Not completing rehab | 75.0 (0.0) | “One size fits all” approach | 100.0 (50.0) | Mood changes | 87.5 (0.0) |
| Fewer talents in non-physical activities | 50.0/50.0 | Returning before injury healed | 75.0 (0.0) | An addiction | 100.0 (37.5) | Maintain positive reinforcement | 87.5 (0.0) |
| Highly competitive individuals | 50.0/50.0 | Weight loss pressure, e.g., doctor | 75.0 (0.0) | Upset if miss/rearrange workout | 100.0 (37.5) | Difficult to identify | 87.5 (0.0) |
| Low body fat, skinny/unhealthy | 50.0/50.0 | Rigidity – exercise plans | 100.0 (37.5) | Inadequate support for those in field | 87.5 (0.0) | ||
| Men, muscle mass at gym | 50.0/50.0 | Fear circumstances that prevent training | 100.0 (37.5) | Focus on immediate not long term development | 75.0 (66.7) | ||
| Identity | 100.0 (37.5) | Burnout | 75.0 (50.0) | ||||
| Predisposition to obsessive behavior | 100.0 (25.0) | Preconceived idea – “right” level of exercise | 75.0 (50.0) | ||||
| Obsessive thinking – training and/or diet | 100.0 (25.0) | Increase self-worth | 75.0 (50.0) | ||||
| Relative energy deficiency/low EA | 100.0 (25.0) | Push hard to feel satisfied | 75.0 (50.0) | ||||
| Anxiety if unable to exercise | 100.0 (12.5) | Not listening to professional advice | 75.0 (33.3) | ||||
| Physical ill health – illness/injury | 87.5 (71.4) | Self-prescribed exercise regimes | 75.0 (33.3) | ||||
| Guilt if miss/change planned workout | 87.5 (57.1) | Pressure – parents and coaches | 75.0 (33.3) | ||||
| Unrealistic self-expectations | 87.5 (57.1) | Children multiple sports at high level | 75.0 (33.3) | ||||
| Exist without concurrent eating disorder | 87.5 (42.9) | Accompanied by eating issues | 75.0 (33.3) | ||||
| Strongly goal-focused | 87.5 (42.9) | Extreme trends, e.g., Crossfit | 75.0 (16.7) | ||||
| Satisfy exercise need/craving | 87.5 (28.6) | Unrealistic expectations from others | 75.0 (16.7) | ||||
| Addicted to training effect | 87.5 (28.6) | Trained hard in past, e.g., former athletes | 75.0 (16.7) | ||||
| Difficult mood without workout | 87.5 (28.6) | No longer enjoyable | 75.0 (16.7) | ||||
| Lose/control weight | 87.5 (28.6) | Depression | 75.0 (16.7) | ||||
| Think persistently about next exercise session | 87.5 (14.3) | Lack of adequate information/consultation | 75.0 (16.7) | ||||
| Withdrawal symptoms | 87.5 (14.3) | Changes in physical capabilities with age | 75.0 (16.7) | ||||
| Lose control – volume, frequency, intensity | 87.5 (14.3) | Puberty time of risk | 75.0 (16.7) | ||||
| Coaches – performance ahead of health | 87.5 (14.3) | Perfectionists | 75.0 (16.7) | ||||
| High achievers other areas, e.g., academic | 87.5 (14.3) | Strength/skill level not sufficient for demand level | 75.0 (16.7) | ||||
| Non-adherence prescribed exercise | 87.5 (14.3) | Current gym/fitness culture | 75.0 (0.0) | ||||
| Middle age time of risk | 75.0 (0.0) | ||||||
| Think not fit enough | 75.0 (0.0) | ||||||
| Develops from habit | 75.0 (0.0) | ||||||
| Pressure to meet weight category | 75.0 (0.0) | ||||||
Note. EA: energy availability, PED: performance enhancing drug.
a
Overall degree of concordance (percentage of the consensus strongly disagreeing/strongly agreeing).