Risk of Disordered Eating, Exercise Dependence, Body Dissatisfaction, and Fueling Habits in Masters Trail Runners

Abstract

Introduction: Masters-level trail runners comprise a large percentage of trail and ultramarathon racers. Endurance training may increase the risk of developing disordered eating (DE) patterns and exercise dependence (EXD). This study investigated the risk of DE and EXD in masters-level runners, and compared the risk of EXD, body dissatisfaction, injuries, and fueling habits in runners at risk vs. not at risk for DE.Methods: In this cross-sectional study design, male (n = 457) and female (n = 564) masters trail runners (41-65 years of age) completed a Qualtrics survey comprising the Disordered Eating Screen for Athletes (DESA-6), Exercise Dependence Scale (EDS-21), and questions pertaining to fueling strategies, dietary preferences, and body image satisfaction.Results: 46% of females and 32% of males were at risk for DE based on the DESA-6. 80% of female and 79% of male runners were classified as symptomatic for EXD. For the entire population, there was a significant association between DE risk (88.2%) and symptomatic EXD (χ21 = 32.5, p < 0.001). The majority of participants (71.4%) reported being dissatisfied with their weight.Conclusion: This study demonstrated a high prevalence of DE, EXD, and body dissatisfaction in masters trail runners.