Canadian national sport organisations’ eating disorder-related policies and practice guidelines: a summative content analysis

Abstract

ABSTRACT Athletes are at significant risk of developing eating disorders (EDs). To address EDs in sport, policies can support the prevention, management, and return to sport following EDs. Although Canadian National Sport Organisations (NSOs) must comply with a universal code of conduct to address maltreatment in sport, there may be a need for additional policies and guidelines to address EDs. The purpose of this study was to examine the scope and content of ED-related policies and practice guidelines within Canadian NSOs. We searched all publicly available policy and guideline documents from Canada’s 64 NSOs and screened them for keywords related to disordered eating, body image, nutrition, diet, and exercise, yielding 98 policies and 39 guidelines. We conducted a summative content analysis to examine the contextual use of our keywords and the sociocultural implications of such use. No NSO had specific policy or practice guidelines addressing EDs. Policies described body shaming-related maltreatment using standard language from the universal code of conduct. Within guidelines, ED-related topics were discussed in relation to mental health, athlete development, nutrition, coaching female athletes, positive body image, and weight management. Comparing content within policies and guidelines revealed a lack of coherence, wherein policies outlined ‘what not to do’ but guidelines did not provide adequate guidance on ‘what to do’, drawing instead on weight-normative and gendered discourse to address ED topics. This study provides insight into the current state of systemic (in)action surrounding EDs in Canadian sport and serves as a preliminary step towards the development of ED policy.