Involvement in organized sports can offer many benefits, such as improved self-esteem and body image and encouragement for individuals to remain active throughout their lives. Athletic competition, however, can also cause severe psychological and physical stress. When the pressures of athletic competition are added to an existing cultural emphasis on thinness, the risks increase for athletes to develop disordered eating. In a study of Division 1 NCAA athletes, over one-third of female athletes reported attitudes and symptoms placing them at risk for anorexia nervosa. Though most athletes with eating disorders are female, male athletes are also at risk - especially those competing in sports that tend to place an emphasis on the athlete's diet, appearance, size, and weight requirements, such as wrestling, bodybuilding, crew, running, and football.

Risk Factors for Athletes:

• Sports that emphasize appearance or weight requirements. For example: gymnastics, diving, bodybuilding or wrestling - e.g., wrestlers trying to "make weight."

• Sports that focus on the individual rather than the entire team. For example: gymnastics, running, figure skating, dance or diving, versus teams sports like basketball or soccer.

• Endurance sports such as: track and field/running, swimming. Inaccurate belief that lower body weight will improve performance. Training for a sport since childhood or being an elite athlete.

• Low self-esteem, family dysfunction, families with eating disorders, chronic dieting, history of physical or sexual abuse, peer, family and cultural pressures to be thin, and other traumatic life experiences.

• Coaches who focus only on success and performance rather than on the athlete as a whole person.

Three factors have been thought to contribute to the odds that a person will be dissatisfied with his or her body: social influences, performance anxiety, and the athlete's self-appraisal.