Giordano S
Centre for Social Ethics and Policy (CSEP)/Institute of Medicine, Law and Bioethics (IMLAB), The University of Manchester, The School of Law, Williamson Building, Oxford Road, Manchester M13 9PL, UK.
J Med Ethics. 2005 Jan;31(1):15-20. doi: 10.1136/jme.2003.004812.
Sport and physical activity is an area that remains relatively unexplored by contemporary bioethics. It is, however, an area in which important ethical issues arise. This paper explores the case of the participation of people with anorexia nervosa in exercise. Exercise is one of the central features of anorexia. The presence of anorexics in exercise classes is becoming an increasingly sensitive issue for instructors and fitness professionals. The ethics of teaching exercise to anorexics has, however, seldom, if ever, been addressed. Codes of ethics and legislation do not offer guidelines pertinent to the case and it is left unclear whether anorexics should be allowed to participate in exercise classes. It is shown by this paper that there are strong ethical reasons to let anorexics participate in exercise classes. However, the paper also explains why, despite these apparently cogent ethical reasons, there is no moral obligation to allow a person with anorexia to take part in exercise/sports activities.
体育和身体活动是当代生物伦理学相对未涉足的领域。然而，这是一个会出现重要伦理问题的领域。本文探讨神经性厌食症患者参与运动的情况。运动是厌食症的核心特征之一。对于教练和健身专业人士而言，厌食症患者出现在健身课程中已成为一个日益敏感的问题。然而，向厌食症患者教授运动的伦理问题却很少（如果说曾经有过的话）得到探讨。道德准则和立法并未提供与该情况相关的指导方针，而且对于是否应允许厌食症患者参加健身课程也不明确。本文表明，有充分的伦理理由让厌食症患者参加健身课程。然而，本文也解释了为什么尽管有这些看似有说服力的伦理理由，但并没有道德义务允许厌食症患者参加运动/体育活动。
