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Assessing disordered eating is crucial in athlete health monitoring. However, existing tools are not tailored to athletes' specific needs.
In 2024, Buckley et al. developed the Athletic Disordered Eating (ADE) scale, a 17-item tool validated through athlete interviews and expert review. ADE is the first screening tool for athletes using both classical psychometrics and item response theory. Recent studies confirm its effectiveness in diverse athlete populations.
With approval from Prof. Regina Belski, we aim to validate a French version (ADE-Fr) through cross-cultural adaptation and psychometric analysis, including adolescent athletes (15+). We hypothesize that ADE-Fr will retain the original structure with strong validity and reliability.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Athletes | Experimental | Patients attending a sports medicine consultation as part of sports medicine follow-up care, medical fitness certificate, or club follow-up. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The French version of the Athletic Disordered Eating (ADE-Fr) Scale | Diagnostic Test | Participants will complete the French version of the Athletic Disordered Eating (ADE-Fr) scale, alongside standard evaluations including the Eating Attitudes Test-26 for criterion validity. |
| Measure | Description | Time Frame |
|---|---|---|
| The Athletic Disordered Eating (ADE) Scale (French version, ADE-Fr) | The ADE scale consists of 17 items, each with five response options: never (0), rarely (1), sometimes (2), often (3), and always (4). The total score reflects the level of disordered eating (DE) risk: minimal or none (<25), moderate (25-32), high (33-44), and very high (≥45). | At enrollment, single time point |
| Measure | Description | Time Frame |
|---|---|---|
| Eating Attitudes Test-26 (EAT-26) | The EAT-26 screens for eating disorder risk by evaluating attitudes, feelings, and behaviors related to eating. It includes 26 self-report questions on general eating habits and 5 additional questions on risky behaviors. | At enrollment, single time point |
| Type of sport |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Caen Normandy | Caen | Basse-Normandie | 14000 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39630973 | Background | Fatt SJ, Prnjak K, Buckley GL, George E, Hay P, Jeacocke N, Mitchison D. Further Validation for a Measure of Disordered Eating in an Independent Sample of Male and Female Elite Athletes: The Athletic Disordered Eating (ADE) Scale. Int J Eat Disord. 2025 Feb;58(2):400-410. doi: 10.1002/eat.24344. Epub 2024 Dec 4. | |
| 39203894 | Background |
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Cross-Sectional
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The type of sport practiced as the main sport |
| At enrollment, single time point |
| Volume of sport | The amount or volume (hours per week) of sport practiced weekly | At enrollment, single time point |
| Test-retest reliability for the Athletic Disordered Eating (ADE) Scale (French version, ADE-Fr) | The reproducibility of the scale will be tested in a subgroup of 25 participants to assess the consistency of the results over time. | Two measurements at a 5-day interval |
| Buckley GL, Lassemillante AM, Cooke MB, Belski R. The Development and Validation of a Disordered Eating Screening Tool for Current and Former Athletes: The Athletic Disordered Eating (ADE) Screening Tool. Nutrients. 2024 Aug 19;16(16):2758. doi: 10.3390/nu16162758. |
| 38944583 | Background | Doherty CS, Fortington LV, Barley OR. Prevalence of disordered eating and its relationship with rapid weight loss amongst male and female combat sport competitors: A prospective study. J Sci Med Sport. 2024 Nov;27(11):745-752. doi: 10.1016/j.jsams.2024.06.007. Epub 2024 Jun 21. |