CSSD Eating Disorders in Athletes 4

Question 1

A track athlete reports eating 1,800 kcal/day while training 2 hours daily. Her estimated total energy expenditure is 3,200 kcal. What is her estimated energy availability (EA) if she weighs 55 kg with 45 kg FFM?

Accepted Answer

29 kcal/kg FFM/day

Answer

EA = (Energy intake − Exercise energy expenditure) / FFM = (1800 − 500) / 45 ≈ 29 kcal/kg FFM/day, below the 30 kcal threshold of concern.

Question 2

Which finding distinguishes anorexia nervosa (restricting type) from avoidant/restrictive food intake disorder (ARFID) in an athlete?

Accepted Answer

Distorted body image and intense fear of weight gain

Answer

ARFID involves food restriction without body image disturbance or fear of weight gain, which are hallmark features unique to anorexia nervosa.

Question 3

Which bone site is considered most clinically significant for monitoring stress fracture risk in runners with low bone mineral density?

Accepted Answer

Femoral neck

Answer

The femoral neck is a high-risk site for stress fractures in runners with low BMD; fractures here can lead to complete femoral neck fracture requiring surgery.

Question 4

Which of the following best describes the concept of 'sport-specific weight pressures' as a risk factor for eating disorders?

Accepted Answer

Environmental and cultural demands within certain sports that promote thinness or weight control

Answer

Sport-specific weight pressures refer to external demands—from coaches, judges, teammates, or the sport's nature—that promote thinness or weight cutting as performance enhancers.

Question 5

An athlete on a multidisciplinary treatment team for an eating disorder refuses to allow the dietitian to share nutritional assessment data with the team physician. How should the dietitian proceed?

Accepted Answer

Document refusal and explore the athlete's concerns; share only if imminent harm exists

Answer

The dietitian should explore the athlete's concerns and honor confidentiality while understanding that imminent risk of harm may ethically and legally require disclosure.

(CSSD) Board Certified Specialist in Sports Dietetics Practice Test

(CSSD) Board Certified Specialist in Sports Dietetics Practice Test

CSSD Eating Disorders in Athletes 4