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J Athl Train. 1999 Jan-Mar; 34(1): 19–24.
PMCID: PMC1322869

Collegiate Coaches' Knowledge of Eating Disorders

Joanne C. Turk, MA, ATC, William E. Prentice, PhD, ATC, PT, Susan Chappell, MPH, RD, LDN, and Edgar W. Shields, Jr, PhD



To assess, through exploratory research, 1) collegiate coaches' knowledge of eating disorders, 2) the confidence of collegiate coaches in their response correctness to questions about eating disorders among athletes, and 3) demographic data related to prior education about eating disorders and the role of the athletic department in providing such educational experiences.

Design and Setting:

We distributed a 2-part questionnaire to 258 NCAA Division I-A coaches from 5 universities selected by sampling convenience.


One hundred thirty-eight collegiate coaches responded to the questionnaire for a response rate of 53.5%.


Our survey consisted of 30 true-false questions that tested knowledge of eating disorders overall and in 5 domains. These domains included etiology, identifying signs and symptoms, management and treatment, risk factors, and education and prevention of eating disorders. Coaches indicated their level of certainty in their responses by rating their confidence level on a 4-item Likert-type scale. Demographic data focused on educational programs attended by coaches and teams. Descriptive statistics were used to analyze all data.


Our results suggest a need for coaches to achieve a greater knowledge of eating disorders in all domains. Evidence showed that educational programs about eating disorders were not often sponsored by the athletic department for coaches or athletes. There seemed to be poor communication between athletic departments and coaches regarding the availability of eating disorder educational resources.


Data suggested coaches could benefit from comprehensive education in all domains of eating disorders; however, further study is needed to validate these findings, to determine the actual effectiveness of education in the prevention of eating disorders, and to differentiate coaches' knowledge specific to sport coached and to coach and team sex.

Full text

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Bemporad JR. Self-starvation through the ages: reflections on the pre-history of anorexia nervosa. Int J Eat Disord. 1996 Apr;19(3):217–237. [PubMed]
  • Krey SH, Palmer K, Porcelli KA. Eating disorders: the clinical dietitian's changing role. J Am Diet Assoc. 1989 Jan;89(1):41–43. [PubMed]
  • Epel ES, Spanakos A, Kasl-Godley J, Brownell KD. Body shape ideals across gender, sexual orientation, socioeconomic status, race, and age in personal advertisements. Int J Eat Disord. 1996 Apr;19(3):265–273. [PubMed]
  • Mangweth B, Pope HG, Jr, Hudson JI, Biebl W. Bulimia nervosa in Austria and the United States: a controlled cross-cultural study. Int J Eat Disord. 1996 Nov;20(3):263–270. [PubMed]
  • Kurtzman FD, Yager J, Landsverk J, Wiesmeier E, Bodurka DC. Eating disorders among selected female student populations at UCLA. J Am Diet Assoc. 1989 Jan;89(1):45–53. [PubMed]
  • Leon GR. Eating disorders in female athletes. Sports Med. 1991 Oct;12(4):219–227. [PubMed]
  • DePalma MT, Koszewski WM, Case JG, Barile RJ, DePalma BF, Oliaro SM. Weight control practices of lightweight football players. Med Sci Sports Exerc. 1993 Jun;25(6):694–701. [PubMed]
  • Pliner P, Haddock G. Perfectionism in weight-concerned and -unconcerned women: an experimental approach. Int J Eat Disord. 1996 May;19(4):381–389. [PubMed]
  • Johnson MD. Disordered eating in active and athletic women. Clin Sports Med. 1994 Apr;13(2):355–369. [PubMed]
  • Sundgot-Borgen J. Eating disorders in female athletes. Sports Med. 1994 Mar;17(3):176–188. [PubMed]
  • Sundgot-Borgen J. Eating disorders, energy intake, training volume, and menstrual function in high-level modern rhythmic gymnasts. Int J Sport Nutr. 1996 Jun;6(2):100–109. [PubMed]

Articles from Journal of Athletic Training are provided here courtesy of National Athletic Trainers Association