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cover of episode Leaner, lighter... lethal? Sport climbing's problem with eating disorders

Leaner, lighter... lethal? Sport climbing's problem with eating disorders

2024/8/3
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Consider This from NPR

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Dr. Volker Schoffel
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Jake Scharfman
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Kyra Condie
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旁白: 攀岩是一项力量重量比的运动,轻体重相对力量大更容易攀爬,导致一些攀岩者认为减重是提高成绩的途径。一项研究发现,超过三分之一的精英攀岩者会在比赛前有意减重,主要通过禁食、跳过正餐,有时还会使用泻药或呕吐。“轻即是好”的观念导致年轻攀岩者Jake Scharfman与体重发展出不健康的关系,他因为体型较大而受到评论。国际体育攀岩联合会(IFSC)发布了新的政策,要求各国提交运动员的健康数据,并进行饮食紊乱和低能量症状的筛查,这项新政策依赖于国家体育协会对运动员健康的检查,而并非所有协会都将运动员的健康放在首位。IFSC现在可以对运动员进行随机的健康测试,以发现潜在的健康问题。 Jake Scharfman: 在17岁左右,他开始关注饮食并减重,认为体重越轻攀岩表现越好,最终在六个月内减掉了30%的体重,导致身体极度疲惫和健康问题。他当时没有意识到自己患有饮食紊乱,因为这种问题通常与女性联系在一起。他已经从饮食紊乱中恢复过来,并开始在当地健身房指导儿童,强调休息和饮食的重要性,希望推动攀岩界形成更健康的文化。 Dr. Volker Schoffel: 攀岩界长期存在饮食紊乱问题,并且数量在增加,会导致多种健康问题。国际体育攀岩联合会(IFSC)长期忽视攀岩界的饮食紊乱问题,导致他辞职。 Kyra Condie: 这项新政策依赖于国家体育协会对运动员健康的检查,而并非所有协会都将运动员的健康放在首位。

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Jake Sharfman says the feeling he gets when he goes climbing, it's a feeling of full body elation. I always feel like just really present in my body and like, wow, I can't quite believe like this is where I am right now. This is it. Let's go, Ben. Good, dude. Come on, Jake. That my body just did that. Yeah!

He first felt that rush when he was 13 at a summer camp at his local climbing gym in the San Francisco Bay Area. It really clicked as an outlet that was very kinesthetic and also satisfied problem solving and was something that I really always wanted to be doing in a way that hadn't really manifested with other sports. He was hooked. He joined the gym's climbing team, and by his late teens, he was qualifying to compete at the national level.

But he started to feel like he stuck out. I was definitely one of the biggest, if not the biggest climbers, like every time. In like the performance climbing world, I was big just as someone who worked out a lot and ate a lot. I just became a big person and I was surrounded by people who didn't match that.

Consider this. Olympic sport climbing kicks off on Monday. And in the lead up to Paris, more and more climbers have been speaking out about the prevalence of eating disorders in their sport. From NPR, I'm Scott Detrow.

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It's Consider This from NPR. Sport climbing kicks off at the Olympics in Paris next week. It's a strength-to-weight ratio sport, which means that aside from your technique and your mental game, the lighter you are relative to your strength, the easier it will be to get up the wall. And that has led some climbers to fall into the mindset that losing weight is the path to better performance. One recent study of 50 elite climbers found that more than a third intentionally lost weight before a competition.

primarily by fasting and skipping meals, but occasionally by using laxatives or vomiting.

That mindset that lighter is better is what led one young climber, Jake Sharfman, to develop an unhealthy relationship with his weight. Reporter Laura Isaza takes it from here. Jake says that everybody around him and all the people winning competitions were lighter than him. And he used to get all sorts of comments about his size. Oh, you've got such big muscles, that sort of thing. These comments were meant as compliments, but...

I think in a sport where there's a lot of conversation about lightness as strong, that didn't always strike the right chord with me, I think especially with years of repetition. And so when he was about 17... After either regionals or divisionals that year, I...

just for the first time in my life, decided that I was going to try to be cognizant of what I was eating. It resulted in a little bit of weight loss right before that year's USA Youth Nationals. And Jake did well enough that he qualified for the 2018 Youth World Championships in Russia. After that competition was a point where

where my quintessential relationship with the sport changed from one of joy and pushing myself to one where it was a necessity for me. I felt like I needed to take it more seriously and kind of

And to Jake, that meant paying even more attention to his weight and what he ate. It's step by step and very much led into a mantra of like the lighter I can be.

the better my climbing performance is going to be because of it. In the span of roughly six months, Jake lost 30% of his body weight. I remember like having days where I was so exhausted that I couldn't even stay standing in between like attempts on boulders. I was just like sitting on the bench and forcing myself to get up and do another climb or something like that. And

was needing to like sit in the sauna for like a half hour before a session just to warm my body up because I was so cold all the time. He competed at the Youth World Championships. He didn't make it past the qualification round. He says his whole memory of the competition is fuzzy because of the brain fog. But he didn't think he had a problem. This wasn't something that happened to guys. The narratives he'd seen around body dysmorphia had always centered someone feminine.

And nobody at the climbing gym said anything. It took until I was quite far down the rabbit hole to be able to use words like eating disorder or anorexia or anything like that. His parents and his girlfriend told him they were worried. And when acquaintances started asking him if he was okay, he knew he needed help. Tons of time in therapy and doing tons of blood work each week.

I had by that time developed like some heart arrhythmia stuff. So there was like a lot of concern around like a cardio event. The body can take it for a long time, but then it deteriorates and it deteriorates to a point where there's no return. Dr. Volker Schoffel is an orthopedic surgeon and a climber in Germany.

He also sat for 16 years on the Medical Commission for the International Federation of Sport Climbing, the IFSC, the governing body that oversees competitive climbing. That problem was always on our mind in climbing. We just saw an increase in

In the numbers of people being affected? He says eating disorders can lead to chronic gastrointestinal problems, fatigue, depression, sleep disorders, osteoporosis.

Over the years, Schoefel and other doctors and climbers have pushed the IFSC to do more to address eating disorders in climbing. But those efforts didn't amount to any effective change, in his view. And so, a year ago, he resigned. I could not take the responsibility anymore to be part of a body who willingly and knowingly ignores that problem.

The International Federation of Sport Climbing says it's committed to the health of its athletes. And earlier this year, they released a new policy requiring each country to submit baseline health data from each athlete, along with the results of surveys that scan for symptoms of disordered eating and low energy. I do think that the new policy is going to help encourage healthier behaviors in our sport.

Pro climber Kyra Condie competed for the U.S. in Tokyo and sits on the IFSC's athlete commission. She says the climbing world has needed regulations like this for a long time, but says the new policy is weaker than she'd like.

That's because it still relies on national federations to examine athlete health. There are federations who are great at this and put their athletes' health first above medals, for example, but that's not always a given. And so if you're able to use your own doctors and find your own people to do different tests, it just takes a lot of honesty on everybody's part. IFSC President Marco Scalaris told me in an interview that his group has always been built on a foundation of trust with the national federations.

And the IFSC can now also subject climbers to random health tests on competition days. Those tests can flag athletes with extremely low heart rates or blood pressure for additional review. The group says the regulations are now in place for climbers competing at the Paris Olympic Games. Four months ago, I met up with Jake in Squamish, where he lives now. It's about an hour from Vancouver.

How's it going? Good, thank you. It's a world-class area for all styles of climbing. The forest there looks straight out of a storybook, teeming with evergreens, springy moss underfoot, and boulders are everywhere. This is Jake's playground. I'd love to give just a couple of tries on one of the things that I'm projecting, which is like just behind this big rock.

He throws his crash pads down below a massive boulder nestled between two bigger apartment building sized rocks. It's like a little room in here. Yeah, I don't know. There's nothing quite like it. It's like takes you very much out of the forested surroundings and just into like this little rock chamber that I don't know, feel kind of like I'm in a little geode.

He's clinging to tiny holds from just the skin on his fingers. You got it, come on. Hanging almost upside down with his back to the floor. By now, Jake has recovered from his eating disorder.

He's been able to build back all that strength that he lost, which means now he can try some of the hardest climbs he's ever tried, like this one. I can hear people shaking their head and be like, this person's about to fall into the same pit hole. But what it really feels like it boils down to is that I feel more connected to my experience in a way that allows me to get what I want out of it and

and pursue it because I want to and not because it's a necessity for me. That's the crux of it for me, yeah. Jake's also coaching kids now at a local gym in Canada. Talking about resting enough and eating enough are a normal part of practice. He says he wants to be part of promoting a new culture in climbing, one with a healthier, more sustainable relationship with food and lots of snack breaks.

That's reporter Laura Esauza. This piece was originally produced in the audio program at UC Berkeley's Graduate School of Journalism. It was edited by Shereen Marisol Maragi, Christopher Intagliata, and Courtney Dornick. Our executive producer is Sammy Yenigan. Before we go, a quick thanks to our Consider This Plus supporters who make the journalism you hear on this show possible. Supporters also hear every episode without messages from sponsors. You can learn more at plus.npr.org. ♪

It's Consider This from NPR. I'm Scott Detrow.

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