La influencia de la ansiedad y el autojuicio en el desarrollo de trastornos alimentarios en atletas

Autores/as

DOI:

https://doi.org/10.33448/rsd-v14i11.50058

Palabras clave:

Ansiedad, Trastornos alimentarios, Atletas, Dietas restrictivas.

Resumen

En el ámbito deportivo, los trastornos de la conducta alimentaria son frecuentes en los atletas, y este problema resulta extremadamente perjudicial para su rendimiento deportivo y su salud. Este estudio analizó la influencia de la ansiedad y la autocrítica en la aparición de trastornos de la conducta alimentaria en atletas, haciendo hincapié en el uso de conductas nutricionales restrictivas y sus repercusiones en la salud y el rendimiento deportivo. El estudio consistió en una revisión narrativa de la literatura, basada en artículos, declaraciones de consenso y guías científicas publicadas entre 2015 y 2025 que abordan este problema en el deporte. Se evidenció que la presión por alcanzar un ideal estético y la autocrítica, sumadas a las exigencias de un mejor rendimiento y la presión externa, aumentan considerablemente la susceptibilidad de los atletas a desarrollar síntomas de ansiedad y, por consiguiente, conductas alimentarias disfuncionales. Asimismo, se observó que las prácticas nutricionales inadecuadas, así como las dietas extremadamente bajas en calorías, el ayuno prolongado, el uso de medicamentos (laxantes y diuréticos) y la restricción de líquidos, están vinculados a daños metabólicos, hormonales y psicológicos, lo que contribuye al desarrollo y mantenimiento de los trastornos de la conducta alimentaria. Por otro lado, el papel del nutricionista resultó fundamental, ya que este profesional es responsable de guiar al atleta en el asesoramiento nutricional mediante enfoques individualizados basados ​​en evidencia científica e integrados con apoyo psicológico, lo cual es esencial para promover la salud física y mental y para un rendimiento deportivo sostenible. Se concluye que la labor del nutricionista en el tratamiento de los trastornos de la conducta alimentaria es fundamental para el éxito del atleta, lo que reafirma la necesidad de una atención multidisciplinaria que involucre a diversos profesionales de la salud para combatir este trastorno.

Referencias

Åkesdotter, C., Kenttä, G., Eloranta, S., & Franck, J. (2020). The prevalence of mental health problems in elite athletes. Journal of Science and Medicine in Sport, 23(4), 329–335.

American Psychiatric Association. (2020). APA eating disorders patient guide. Guideline Central.

American Psychiatric Association. (2020). What are anxiety disorders? Psychiatry.org.

Areta, J. L., Taylor, H. L., & Koehler, K. (2021). Low energy availability: History, definition and evidence of its endocrine, metabolic and physiological effects in prospective studies in females and males. European Journal of Applied Physiology, 121, 1–21.

Baceviciene, M., Jankauskiene, R., & Rutkauskaite, R. (2023). Comparação de transtornos alimentares, imagem corporal, pressões socioculturais e relacionadas ao treinador em atletas de diferentes faixas etárias e grupos com diferentes sensibilidades ao peso no esporte. Nutrients, 15(2724).

Balasundaram, P., & Santhanam, P. (2023). Eating disorders. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

Coelho, C., Oliveira, D., Branco, C., Gomes, A. R., Conceição, E., Machado, P. P. P., & Gonçalves, S. (2025). O papel mediador da autocrítica na relação entre estilos de liderança de treinadores e distúrbios alimentares em atletas. Nutrients, 17(3), 427.

Crossetti, M. G. O. (2012). Revisão integrativa de pesquisa na enfermagem o rigor cientifico que lhe é exigido. Rev Gaúcha Enferm. 33(2):8-9.

Cunha, M. C. F. da, et al. (2022). Disordered eating behaviors among CrossFit athletes. Jornal Brasileiro de Psiquiatria, 71(4), 280–287.

Danae, M. F., McHugh, T. L. F., & Mosewich, A. D. (2020). Athletes’ experiences of shifting from self-critical to self-compassionate approaches within high-performance sport. Journal of Applied Sport Psychology, 32(6), 565–584.

Fiorini, S., Neri, L. C. L., Guglielmetti, M., Pedrolini, E., Tagliabue, A., Quatromoni, P. A., & Ferraris, C. (2023). Nutritional counseling in athletes: A systematic review. Frontiers in Nutrition, 10, 1250567.

Galimche, M., Déchelotte, P., Lambert, G., & Tavolacci, M. P. (2019). Prevalence of eating disorders over the 2000–2018 period: A systematic literature review. American Journal of Clinical Nutrition, 109(5), 1402–1413.

Gouttebarge, V., Castaldelli-Maia, J. M., Gorczynski, P., Hainline, B., Hitchcock, M. E., Kerkhoffs, G. M., Rice, S. M., & Reardon, C. L. (2019). Occurrence of mental health symptoms and disorders in current and former elite athletes: A systematic review and meta-analysis. British Journal of Sports Medicine, 53(11), 700–706.

Halioua, R., Wasserfurth, P., Toepffer, D., et al. (2024). Exploring the relationship between low energy availability, depression and eating disorders in female athletes: A cross-sectional study. BMJ Open Sport & Exercise Medicine, 10, e002035.

Hiluy, J. C., Nunes, F. T., Pedrosa, M. A. A., & Appolinario, J. C. (2019). Os transtornos alimentares nos sistemas classificatórios atuais: DSM-5 e CID-11. Revista Debates in Psychiatry, 9(3), 1–12.

Jäger, R., Kerksick, C. M., Campbell, B. I., et al. (2017). International Society of Sports Nutrition Position Stand: Protein and exercise. Journal of the International Society of Sports Nutrition, 14(20).

Kerksick, C. M., Arent, S., Schoenfeld, B. J., et al. (2017). International Society of Sports Nutrition Position Stand: Nutrient timing. Journal of the International Society of Sports Nutrition, 14(33).

Langbein, R. K., Martin, D., Allen-Collinson, J., Crust, L., & Jackman, P. C. (2021). “I’d got self-destruction down to a fine art”: A qualitative exploration of relative energy deficiency in sport (RED-S) in endurance athletes. Journal of Sports Sciences, 39(14), 1555–1564.

Li, Q., Li, H., Zhang, G., Cao, Y., & Li, Y. (2024). Imagem corporal de atletas e transtornos alimentares: Uma revisão sistemática de sua associação e fatores de influência. Nutrients, 16(2686).

Lundqvist, C., Kolbeinsson, Ö., Asratian, A., & Wade, T. D. (2024). Untangling the relationships between age, gender, type of sport, perfectionistic self-presentation and motivation on body satisfaction: A cross-sectional study on aesthetic and non-aesthetic female and male athletes aged 10 to 22 years. BMJ Open Sport & Exercise Medicine, 10, e001975.

Maurício, C. A., Artioli, G. G., Gonçalves, A. F., Teixeira, R. P. A., Vieira, V., Brito, C. J., Pedreiro, R. C. M., Pérez, D. I. V., Aedo-Muñoz, E. A.,

Pierantozzi, E., & Miarka, B. (2025). An alternative structured weight management protocol to rapid weight loss in mixed martial arts: A prospective interventional study of pre-competition weight management strategies in professional athletes. Frontiers in Nutrition, 12, 1581698.

Meyer, A., Haigis, D., Klos, B., Zipfel, S., Resmark, G., Rall, K., Dreser, K., Hagmann, D., Nieß, A., Kopp, C., & Mack, I. (2025). Relative energy deficiency in sport – multidisciplinary treatment in clinical practice. Nutrients, 17(2), 228.

Minichiello, H., Reasonover, M., & Fuglestad, P. (2024). The indirect effects of perfectionism on athletes’ self-views through maladaptive emotion regulation. Frontiers in Psychology, 15, 1373461.

Mountjoy, M., Ackerman, K. E., Bailey, D. M., et al. (2023). 2023 International Olympic Committee’s (IOC) consensus statement on Relative Energy Deficiency in Sport (REDs). British Journal of Sports Medicine, 57, 1073–1098.

Munir, S., & Takov, V. (2025). Transtorno de ansiedade generalizada. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

Paranjothy, S. M., & Wade, T. D. (2024). A meta-analysis of disordered eating and its association with self-criticism and self-compassion. International Journal of Eating Disorders, 57(3), 473–536.

Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [free ebook]. Santa Maria. Editora da UFSM

Petisco-Rodríguez, C., Sánchez-Sánchez, L. C., Fernández-García, R., Sánchez-Sánchez, J., & García-Montes, J. M. (2020). Disordered eating attitudes, anxiety, self-esteem and perfectionism in young athletes and non-athletes. International Journal of Environmental Research and Public Health, 17(18), 6754.

Piko, B. F., Berki, T. L., Kun, O., & Mellor, D. (2025). Atitudes alimentares, apreciação corporal, perfeccionismo e o risco de dependência de exercícios em adultos fisicamente ativos: uma análise de cluster. Nutrients, 17(2063).

Reardon, C. L., Hainline, B., Aron, C. M., et al. (2019). Mental health in elite athletes: International Olympic Committee consensus statement. British Journal of Sports Medicine, 53, 667–699.

Reardon, C. L., et al. (2024). Anxiety disorders in athletes. Clinics in Sports Medicine, 43(1), 33–52.

Rice, S. M., Gwyther, K., Santesteban-Echarri, O., et al. (2019). Determinants of anxiety in elite athletes: A systematic review and meta-analysis. British Journal of Sports Medicine, 53, 722–730.

Rice, S. M., Purcell, R., De Silva, S., Mawren, D., McGorry, P. D., & Parker, A. G. (2016). The mental health of elite athletes: A narrative systematic review. Sports Medicine, 46(9), 1333–1353.

Roklicer, R., Rossi, C., Bianco, A., Stajer, V., Ranisavljev, M., Todorovic, N., & Drid, P. (2022). Prevalence of rapid weight loss in Olympic style wrestlers. Journal of the International Society of Sports Nutrition, 19(1), 593–602.

Saraiva, M., Oliveira, S., Coimbra, M., & Ferreira, C. (2024). Understanding sport anxiety among competitive athletes: The role of shame, fear of self-compassion and self-criticism. International Journal of Sport and Exercise Psychology.

Scott, C. L., et al. (2022). Critical comments from coaches/parents and body dissatisfaction in athletes: Associations with disordered eating. Journal of Sports Sciences, 40(5), 170–179.

Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of Business Research. 104, 333-9. Doi: https://doi.org/10.1016/j.jbusres.2019.07.039.

Wells, K. R., Jeacocke, N. A., Appaneal, R., Smith, H. D., Vlahovich, N., Burke, L. M., & Hughes, D. (2020). The Australian Institute of Sport (AIS) and National Eating Disorders Collaboration (NEDC) position statement on disordered eating in high performance sport. British Journal of Sports Medicine, 54(21), 1247–1258.

World Health Organization. (2022). Anxiety disorders (fact sheet). World Health Organization.

Xiong, P., Liu, Q., Li, N., Guo, L., Gao, F., Bai, L., Gao, F., & Lyu, J. (2022). Trends in the incidence and DALYs of anxiety disorders at the global, regional, and national levels: Results from the Global Burden of Disease Study 2019. Journal of Affective Disorders, 297, 83–93.

Publicado

2025-11-21

Número

Sección

Ciencias de la salud

Cómo citar

La influencia de la ansiedad y el autojuicio en el desarrollo de trastornos alimentarios en atletas. Research, Society and Development, [S. l.], v. 14, n. 11, p. e165141150058, 2025. DOI: 10.33448/rsd-v14i11.50058. Disponível em: https://rsdjournal.org/rsd/article/view/50058. Acesso em: 5 dec. 2025.