Several studies have indicated that the nutritional status of elite Japanese athletes is not always good. This state of affairs may have arisen not only from their poor knowledge about nutrition and their poor economic situation, but also as a result of a specific sports subculture where thinness is thought to ensure a better performance. Thus, a number of female athletes, especially those in endurance (middle and long distance running, marathon,
etc.) and aesthetic (rhythmic gymnastics, cheerleading, figure skating,
etc.) sport groups, have suffered from eating disorders such as anorexia nervosa and bulimia nervosa. Therapy for eating disorders has been proven to be largely unsuccessful. Severely restricted intake of food in female athletes often results in amenorrhea, which reduces bone mineral density and immune function and impairs cognitive ability, in turn decreasing athletic performance. Therefore, when coaches and trainers advise athletes about weight control, they should not emphasize leanness, but a change in the athlete's lifestyle instead. Avoiding rich meals at night, ingesting food right after exercise training, doing endurance exercise to oxidize fat in red muscle and doing weight training to increase muscle mass and obtain a higher basal metabolic rate are better practices for athletes who wish to attain a suitable weight for a better performance.
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