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Body image and eating disorders in aesthetic sports: A systematic review of assessment and risk
Publicated to:Science & Sports. 39 (3): 241-249 - 2024-05-01 39(3), DOI: 10.1016/j.scispo.2023.03.006
Authors: Berengüi, R; Angosto, S; Hernández-Ruiz, A; Rueda-Flores, M; Castejón, MA
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Abstract
Objective. - Conduct a systematic review to analyse the assessment of body image perception and risk of developing eating disorders, as a consequence of the practice of aesthetic sports. News. - The procedures of this review followed the Preferred Reporting Items for Systematic Reviews and Meta -Analyses (PRISMA) guidelines. Four electronic databases were searched: MEDLINE (Pubmed), Scopus, SportDiscus (EBSCO) and PsycInfo (Ovid). Twenty-five academic studies have evaluated the perception of body image and the incidence of eating disorders in aesthetic sports. Rhythmic gymnastics is the most analysed sport modality; 80.0% of studies were conducted only with women, and the most studied group of athletes are adolescents (61%). Body Shape Questionnaire and Eating Attitudes Test -26 were the most frequently used instruments. In all research, aesthetic sports athletes were found to have disordered eating attitudes and behaviours and therefore at risk of developing eating disorders. In the majority of research on body image perception, athletes showed body dissatisfaction. Conclusion. - Aesthetic sports athletes analysed are at risk of developing eating disorders , are dissatisfied with their body image, as well as having a higher risk of developing eating disorders and greater body dissatisfaction with respect to athletes of sports where aesthetics is not as relevant. Rhythmic gymnastics is the most studied sport modality , the female gender is the most analysed. The EAT -26 is the instrument most frequently used to assess ED, and BSQ test for assessment of body image . (c) 2023 Elsevier Masson SAS. All rights reserved.
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The work has been published in the journal Science & Sports, and although the journal is classified in the quartile Q4 (Agencia WoS (JCR)), its regional focus and specialization in Sport Sciences, give it significant recognition in a specific niche of scientific knowledge at an international level.
This publication has been distinguished as a “Highly Cited Paper” by the agencies WoS (ESI, Clarivate) and ESI (Clarivate), meaning that it ranks within the top 1% of the most cited articles in its thematic field during the year of its publication. In terms of the observed impact of the contribution, this work is considered one of the most influential worldwide, as it is recognized as highly cited. (source consulted: ESI Nov 14, 2024)
Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-06-15, the following number of citations:
- WoS: 5
- Scopus: 8