Preventing substance use and disordered eating: Initial outcomes of the ATHENA (Athletes Targeting Healthy Exercise and Nutrition Alternatives) program

Diane Elliot, Linn Goldberg, Esther Moe, Carol A. DeFrancesco, Melissa B. Durham, Hollie Hix-Small

Research output: Contribution to journalArticle

119 Citations (Scopus)

Abstract

Objectives: To implement and to assess the efficacy of a school-based, sport team-centered program to prevent young female high school athletes' disordered eating and body-shaping drug use. Design and Setting: Prospective controlled trial in 18 high schools, with balanced random assignment by school to the intervention and usual-care control conditions. Participants: We enrolled 928 students from 40 participating sport teams. Mean age was 15.4 years, 92.2% were white, and follow-up retention was 72%. Intervention: The ATHENA (Athletes Targeting Healthy Exercise and Nutrition Alternative) curriculum's 8 weekly 45-minute sessions were incorporated into a team's usual practice activities. Content was gender-specific, peer-led, and explicitly scripted. Topics included healthy sport nutrition, effective exercise training, drug use and other unhealthy behaviors' effects on sport performance, media images of females, and depression prevention. Main Outcome Measures: We assessed participants by confidential questionnaire prior to and following their sport season. We determined program effects using an analysis of covariance-based approach within the Generalized Estimating Equation framework. Results: Experimental athletes reported significantly less ongoing and new use of diet pills and less new use of athletic-enhancing substances (amphetamines, anabolic steroids, and sport supplements) (P

Original languageEnglish (US)
Pages (from-to)1043-1049
Number of pages7
JournalArchives of Pediatrics and Adolescent Medicine
Volume158
Issue number11
DOIs
StatePublished - Nov 2004

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Athletes
Sports
Eating
Exercise
Testosterone Congeners
Amphetamines
Athletic Performance
Pharmaceutical Preparations
Curriculum
Outcome Assessment (Health Care)
Students
Diet

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Preventing substance use and disordered eating : Initial outcomes of the ATHENA (Athletes Targeting Healthy Exercise and Nutrition Alternatives) program. / Elliot, Diane; Goldberg, Linn; Moe, Esther; DeFrancesco, Carol A.; Durham, Melissa B.; Hix-Small, Hollie.

In: Archives of Pediatrics and Adolescent Medicine, Vol. 158, No. 11, 11.2004, p. 1043-1049.

Research output: Contribution to journalArticle

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