Uriegas Nancy A, Emerson Dawn M, Smith Allison B, Kelly Melani R, Torres-McGehee Toni M
University of South Carolina, Blatt PE Center 212, Columbia, SC, 29208, USA.
University of Kansas, 1301 Sunnyside Avenue, Robinson 161, Lawrence, KS, 66045, USA.
J Eat Disord. 2021 Mar 10;9(1):35. doi: 10.1186/s40337-021-00388-7.
Marching band artists are a physically active population, composed of approximately 27,000 people in the United States. University marching band artists face many of the same physically active demands and mental stressors as student athletes, potentially predisposing them to injury, illness, and risk for eating disorders (EDs). The purpose of this study was to examine ED risk across sex in university marching band artists, and to determine the type of risk based on the Eating Disorder Inventory-3 (EDI-3) and Eating Disorder Inventory-3 Symptom Check List (EDI-3 SC). A secondary aim examined marching band artists and pathogenic weight control behavior use across sex.
This was a cross-sectional study. A total of 150 marching band artists (female: n = 84, male: n = 66, age = 19.9 ± 1.1 years) from three National Collegiate Athletic Association Division I university marching bands participated in the study. We screened for ED risk using the EDI-3, and the EDI-3 SC.
Overall, marching band artists were at risk for EDs, using only the EDI-3, 45.3% (n = 68) were at risk, with females at significant higher risk than males [χ = 5.228, p = .022]; using only the EDI-3 SC, 54% (n = 81) were at risk and no significant differences were found across sex. Overall, 48% of all participants reported dieting and 20.7% engaged in excessive exercise to control weight. Significant differences were found between sex and purging to control weight [χ = 3.94, p = .047] and laxative use [χ = 4.064, p = .044], with females engaging in behavior more than males.
Eating disorder risk was prevalent for both female and male marching band artists, with females displaying higher risk for EDs than males. Furthermore, marching band artists are engaging in pathogenic behaviors to control their weight. Healthcare providers (e.g., physicians, athletic trainers, physical therapist, dietitians, etc.) working in this setting should be aware of the risk factors displayed in marching band artists, and be able to provide education, prevention, and clinical interventions to this population. Additionally, marching band administrators should be aware of all medical risk factors and the benefit of having a healthcare provider (e.g., athletic trainer) to oversee the healthcare and wellness of marching band artists.
行进乐队艺术家群体身体活动频繁，在美国约有27000人。大学行进乐队艺术家面临着与学生运动员许多相同的身体活动要求和精神压力源，这可能使他们易受伤害、患病以及有饮食失调（EDs）风险。本研究的目的是调查大学行进乐队艺术家中不同性别的饮食失调风险，并根据饮食失调量表-3（EDI-3）和饮食失调量表-3症状检查表（EDI-3 SC）确定风险类型。第二个目的是研究不同性别的行进乐队艺术家及其致病体重控制行为的使用情况。
这是一项横断面研究。来自三个美国国家大学体育协会第一分区大学行进乐队的150名行进乐队艺术家（女性：n = 84，男性：n = 66，年龄 = 19.9 ± 1.1岁）参与了研究。我们使用EDI-3和EDI-3 SC对饮食失调风险进行筛查。
总体而言，仅使用EDI-3时，行进乐队艺术家有饮食失调风险，45.3%（n = 68）有风险，女性风险显著高于男性[χ = 5.228，p = 0.022]；仅使用EDI-3 SC时，54%（n = 81）有风险，不同性别间未发现显著差异。总体而言，48%的参与者报告节食，20.7%进行过度运动以控制体重。在通过催吐控制体重[χ = 3.94，p = 0.047]和使用泻药[χ = 4.064，p = 0.044]方面，性别间存在显著差异，女性比男性更多地采取这些行为。
女性和男性行进乐队艺术家都普遍存在饮食失调风险，女性的饮食失调风险高于男性。此外，行进乐队艺术家正在采取致病行为来控制体重。在此环境下工作的医疗保健提供者（如医生、运动训练师、物理治疗师、营养师等）应意识到行进乐队艺术家中存在的风险因素，并能够为该群体提供教育、预防和临床干预。此外，行进乐队管理人员应了解所有医疗风险因素以及配备医疗保健提供者（如运动训练师）对监督行进乐队艺术家的健康和福祉的益处。
