Body image, disordered eating and anabolic steroid use in female bodybuilders

Body dissatisfaction and unhealthy eating practices are common among sports and activities that require low body fat or low body weight for enhanced performance. Competitive Bodybuilding is a sport that requires participants to be exceptionally lean and mesomorphic, thus participants may be vulnerable to developing unhealthy eating and weight control practices, as well as using anabolic steroids. This study compares competitive female bodybuilders (CFBBs) and recreational female weight-training controls (RFWTs) on a broad scope of eating related and general psychological characteristics. Anonymous questionnaires, designed to assess eating attitudes, body image, weight and shape preoccupation, prevalence of binge eating, body modification practices (including anabolic steroids), lifetime rates of eating disorders, and general psychological characteristics, were completed by 20 CFBBs and 25 RFWTs. High rates of weight and shape preoccupation, body dissatisfaction, bulimic practices, and anabolic steroid use were reported among CFBBs, and to a lesser degree, RFWTs. Differences between groups on general psychological factors were not statistically significant and effect sizes were small. CFBBs appear to share many eating-related features with women with bulimia nervosa but few psychological traits. Longitudinal research is needed to ascertain whether women with disordered eating or a history of bulimia nervosa disproportionately gravitate to competitive bodybuilding, and/or whether competitive bodybuilding fosters body dissatisfaction, disordered eating, bulimia nervosa, and anabolic steroid use.