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Exercise and Athletic Involvement as Moderators of Severity in Adolescents with Eating Disorders

Exercise and athletic involvement were investigated as moderators of severity of eating pathology and psychopathology in adolescents with eating disorders. Forty-one athletes, 31 casual athletes, and 37 non-athletes between the ages of 13 and 18 in treatment at a comprehensive eating disorders program were categorized into six levels of exercise. Scales from the Eating Disorders Inventory  2 and the Millon Adolescent Clinical Inventory assessed the severity of eating disorder pathology, psychopathology, and personality style. Results indicated that athletic participation moderated the association between severe levels of eating pathology and high levels of exercise with athletes not showing this increased severity correlated with increased exercise. Similar results were obtained for measures of psychopathology. Implications of regarding athletes as a distinct population among eating disorder patients are discussed.