Disordered Eating and Low Energy Availability in Algerian Female Wrestlers: Clinical Profiles and Risk Patterns

Abstract

This study examines disordered eating behaviors (DEBs) and low energy availability (LEA) among 24 Algerian female wrestlers aged 17 to 26. Using the Eating Disorder Examination Questionnaire (EDE-Q) and a 6-item physiological risk index, athletes were classified into four clinical profiles based on behavioral and physiological indicators. Results showed that 42% presented at least one risk sign, with the most common profile being physiological symptoms without overt disordered eating. LEA scores were significantly higher in athletes reporting menstrual or digestive symptoms and in heavier weight categories. While no significant differences emerged by competition level, trends suggested higher stress among international athletes. Strong correlations were found between EDE-Q subscales, highlighting cognitive-behavioral links. This study emphasizes the importance of dual-domain screening to detect both psychological and physiological risk, especially in athletes who may not show clear behavioral symptoms. The findings call for targeted prevention strategies in combat sports involving weight control