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Eating Disorders in AdolescenceYABPNCT07795333

Young Athlete Body Project - Prevention of Body Dissatisfaction and Eating Disorders Among Adolescent Athletes

A study testing Young Athlete Body Project in people with Eating Disorders in Adolescence and Body Dissatisfaction, run by Norwegian School of Sport Sciences at 2 sites in Norway.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Body dissatisfaction is common among adolescents and is a well-established risk factor for the development of eating disorders. Young athletes may be particularly vulnerable because they are exposed to appearance-related pressures from both society and sport environments. Read more about this study

Who is it for?
Ages 13 to 17 yearsHealthy volunteers can take part
What is being tested?
Young Athlete Body Project
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,740 participants
Where
2 sitesNorway
Study dates
1 Feb 2026to 30 May 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 13 to 17 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Norwegian lower and upper secondary schools with sport-specialized programs
  • Students participating in organized sports
  • Students able to understand Norwegian and complete study questionnaires
  • Students who provide informed consent/assent to participate

Who cannot join

  • Norwegian lower and upper secondary schools that do not offer sports-specialized programs
  • Students who do not participate in sports

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Eva Berg Stensrud, MS contact

+47 93015039

evabst@nih.no

Jorunn Sungodt-Borgen, PhD contact

Norway2 sites, 2 recruiting
  • Norwegian School of Sport Sciences

    Oslo, Kringsjå, 0863

    Jorunn Sundgot-Borgen, PhD, +47 92241745, jorunn.sundgot-borgen@nih.no

    Recruiting
  • Norwegian School of Sport Sciences

    Oslo, 0862

    Eva Berg Stensrud, M.Sc, +47 93015039, evabst@nih.no

    Recruiting

Other trials in Norway

About this study

Official title: Young Athlete Body Project (YABP): A Cluster-Randomized Controlled Intervention Promoting Healthy Body Image and Preventing Eating Disorders Among Adolescent Athletes in Sports-Specialized Lower and Upper Secondary Schools

Body dissatisfaction is common among adolescents and is a well-established risk factor for the development of eating disorders. Young athletes may be particularly vulnerable because they are exposed to appearance-related pressures from both society and sport environments. Despite the high prevalence of body dissatisfaction and eating disorders among young athletes, there is a lack of evidence-based, large scale prevention programs specifically designed for young athletes.

The Young Athlete Body Project is an age- and sport-adapted version of the evidence-based Body Project, a cognitive dissonance-based prevention program that has been shown to reduce body dissatisfaction, internalization of appearance ideals, and eating disorder risk in adolescents and adults from diverse population groups. A pilot study of the Young Athlete Body Project among adolescent athletes demonstrated that the program was acceptable and perceived as beneficial by participants. The findings also indicated promising improvements in the internalization of the thin body ideal and increased awareness of appearance-related pressures, supporting the need for further evaluation in a larger randomized controlled trial.

Read more

The aim of the present study is to evaluate the effectiveness of the Young Athlete Body Project among adolescent athletes attending sports-specialized lower and upper secondary schools in Norway. The program aims to promote positive body image and body acceptance, reduce the internalization of appearance ideals, strengthen resistance to appearance-related pressures, and prevent body dissatisfaction and eating disorders among adolescent athletes.

The intervention program will contribute with new evidence-based knowledge on the effect of a prevention program targeting body dissatisfaction and eating disorders among adolescents athletes.

Read the detailed description

This study is a school-based cluster-randomized controlled trial conducted among adolescent athletes attending sports-specialized lower and upper secondary schools in Norway.

Based on statistical power analyses, approximately 1740 adolescent athletes aged 13-17 years are expected to participate in the study. The sample size calculation was based on effect sizes observed in the pilot study of the Young Athlete Body Project (0.40 for thin-ideal internalization and 0.23 for muscularity-ideal internalization), a significance level of α = 0.05, and 80% statistical power. The calculation accounted for the clustered study design by assuming an average cluster size of 60 students per school and an intraclass correlation coefficient (ICC) of 0.02. In addition, the sample size was adjusted for an anticipated attrition rate of up to 25%. Based on these assumptions, between 291 and 867 participants are required per study arm. To ensure adequate power for all primary outcomes and follow-up assessments, approximately 1740 participants will be recruited.

Participating schools will be randomized to either the intervention group or control group. Randomization will be conducted at the school level to minimize contamination between participants within schools. Data will be analyzed according to the intention-to-treat principle. Intervention effects will be evaluated using linear mixed-effects regression models with a random intercept for school to account for clustering at the school level.

The intervention, Young Athlete Body Project, is delivered during school hours over a five-week period and consists of two digital educational sessions followed by three in-person workshops. The educational sessions focus on (1) energy availability, nutrition, biological maturation and puberty in young athletes and (2) social media, body ideals and mental health in sport. These topics are part of the existing curriculum in sports-specialized lower and upper secondary schools and provide the foundation for the subsequent workshop activities. Students attending schools randomized to the intervention group will receive the educational sessions and take part in the workshops as part of their school program. Participation in the research component of the study, including completion of questionnaires and other study-related assessments, is voluntary and requires informed consent.

The workshops are conducted in small sex-specific groups of approximately ten participants and are led by trained instructors following a standardized intervention manual. The workshop content is adapted from the evidence-based Body Project and is based on cognitive dissonance principles. Through guided discussions, role-play activities, reflective exercises and written assignments, participants are encouraged to critically examine appearance ideals, body appearance pressures and sociocultural influences related to body image. The workshops also focus on strengthening body acceptance, reducing internalization of appearance ideals and developing strategies to cope with appearance-related pressures from sport, social media and society.

Data will be collected using self-report questionnaires administered at baseline, immediately following the intervention, and at 6-, 12-, and 24-month follow-up assessments. Outcomes will be assessed using the Body Appreciation Scale-2 (BAS-2), the Sociocultural Attitudes Towards Appearance Questionnaire-4 (SATAQ-4), the Eating Disorder Examination Questionnaire short form (EDE-Q short form), and additional questions assessing mental health and psychosocial functioning. In addition, a randomized subsample of participants will be invited to participate in qualitative interviews to evaluate their experiences with and perceived benefits of the program. All participants scoring ≥15 on the EDE-Q short form, together with a sex-matched sample of participants scoring below this cut-off, will be invited to complete the Eating Disorder Examination (EDE), a structured diagnostic interview assessing eating disorder symptoms, behaviors, and related cognitions. These interviews will be used to strengthen the validity of self-reported questionnaire data and provide a more comprehensive assessment of eating disorder outcomes.

The study will evaluate both short-term and long-term effects of the intervention and provide evidence regarding the effectiveness of a school-based body image and eating disorder prevention program specifically adapted for adolescent athletes.

Being tested
Young Athlete Body Project
Keywords
Adolescent Athletes, Young Athletes, Eating Disorders, Body Dissatisfaction, Mental Health, Lower Secondary School, Upper Secondary School, Body Image, Body Acceptance, Cluster Randomized Controlled Trail, Sosial Media, Workshop, Boys, Girls, Nutrition
Medical subject headings
Psychological Well-Being, Feeding and Eating Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Young Athlete Body ProjectBehavioural

    Also called YABP intervention

    The Young Athlete Body Project is a five-week school-based intervention consisting of two 60-minute digital educational sessions followed by three 60-minute instructor-led group workshops. The educational sessions cover (1) nutrition in relation to health, puberty, and athletic performance, and (2) social media, body ideals, and mental health in sport. The workshop component is delivered in small, gender-specific groups and is based on kognitive dissonance theory. Workshop activities focus on reducing internalization of appearance ideals, promoting positive self-talk, critically evaluating media influences, and developing strategies for managing body-related pressures in sport. The intervention is adapted for adolescent athletes and tailored to the sporting context. All workshops are delivered according to a standardized manual by trained instructors.

Study groups in NCT07795333
Study groupRoleWhat they receive
Intervention GroupExperimentalParticipants receive the Young Athlete Body Project intervention, a five-week program consisting of two 60-minute digital educational sessions and three 60-minute instructor-led group workshops. The program addresses nutrition, health, social media, body image, and mental health in sport, and includes dissonance-based activities designed to reduce body dissatisfaction and body ideal internalization.
Receives: Behavioral: Young Athlete Body Project
Control GroupNo interventionParticipants in the control group receive one 60-minute digital educational session covering nutrition, health, social media, body ideals, and mental health in sport.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Short- and long-term effect of the Young Athlete Body Project intervention on internalization of thinness and muscularity ideals

    Change in internalization of thinness and muscularity ideals from baseline to post-intervention and follow-up, using the internalization subscales of the Sociocultural Attitudes Towards Appearance Questionnaire-4 (SATAQ-4). Items are rated on a Likert scale, with higher scores indicating greater internalization of thinness and muscularity ideals.

    Measured: Baseline, post-intervention (5 weeks), 6 months, 12 months, and 24 months after intervention.

Secondary outcomes (3)
  1. Short- and long-term effects of the Young Athlete Body Project intervention on body appreciation

    Change in body appreciation from baseline to post-intervention and follow-up, measured using the Body Appreciation Scale-2 (BAS-2). Items are rated on a 5-point Likert scale, with higher scores indicating greater body appreciation.

    Measured: Baseline, post-intervention (5 weeks), 6 months, 12 months, and 24 months after intervention.

  2. Short- and long-term effect of the Young Athlete Body Project intervention on eating disorder symptoms

    Change in eating disorder symptoms using the Eating Disorder Examination Questionnaire Short Form (EDE-QS). Scores range from 0 to 3, with higher scores indicating more severe eating disorder symptoms.

    Measured: Baseline, post-intervention (5 weeks), 6 months, 12 months, and 24 months after intervention.

  3. Acceptability of the Young Athlete Body Project intervention among adolescent athletes

    Acceptability of the intervention among participating students assessed through qualitative interviews conducted after completion of the intervention. The assessment will explore participants' experiences with the intervention content, delivery format, perceived relevance, satisfaction, and perceived benefits.

    Measured: Post-intervention (5 weeks)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Aug 2026
  2. Study start1 Feb 2026
  3. Primary completion30 May 2027 (estimated)
  4. Study completion30 May 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,740 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07795333
Sponsor's protocol ID
EBS987326
Acronym
YABP
Status last verified
Aug 2026
First submitted
26 Aug 2026
Last updated
31 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be publicly shared due to privacy and confidentiality considerations involving adolescent participants.

Publications

  • Perelman H, Schwartz N, Yeoward-Dodson J, Quinones IC, Murray MF, Dougherty EN, Townsel R, Arthur-Cameselle J, Haedt-Matt AA. Reducing eating disorder risk among male athletes: A randomized controlled trial investigating the male athlete body project. Int J Eat Disord. 2022 Feb;55(2):193-206. doi: 10.1002/eat.23665. Epub 2022 Jan 17.

    PubMed 35037275
  • Stewart TM, Pollard T, Hildebrandt T, Wesley NY, Kilpela LS, Becker CB. The Female Athlete Body project study: 18-month outcomes in eating disorder symptoms and risk factors. Int J Eat Disord. 2019 Nov;52(11):1291-1300. doi: 10.1002/eat.23145. Epub 2019 Jul 27.

    PubMed 31350934
  • Gorrell S, Schaumberg K, Boswell JF, Hormes JM, Anderson DA. Female Athlete Body Project Intervention with Professional Dancers: A Pilot Trial. Eat Disord. 2021 Jan-Feb;29(1):56-73. doi: 10.1080/10640266.2019.1632592. Epub 2019 Jun 24.

    PubMed 31232675
  • Martinsen M, Sundgot-Borgen J. Higher prevalence of eating disorders among adolescent elite athletes than controls. Med Sci Sports Exerc. 2013 Jun;45(6):1188-97. doi: 10.1249/MSS.0b013e318281a939.

    PubMed 23274604
  • Sundgot-Borgen J, Torstveit MK. Prevalence of eating disorders in elite athletes is higher than in the general population. Clin J Sport Med. 2004 Jan;14(1):25-32. doi: 10.1097/00042752-200401000-00005.

    PubMed 14712163
  • Torstveit MK, Aagedal-Mortensen K, Stea TH. More than half of high school students report disordered eating: a cross sectional study among Norwegian boys and girls. PLoS One. 2015 Mar 31;10(3):e0122681. doi: 10.1371/journal.pone.0122681. eCollection 2015.

    PubMed 25825877
  • Ghaderi A, Stice E, Andersson G, Eno Persson J, Allzen E. A randomized controlled trial of the effectiveness of virtually delivered Body Project (vBP) groups to prevent eating disorders. J Consult Clin Psychol. 2020 Jul;88(7):643-656. doi: 10.1037/ccp0000506.

    PubMed 32551736
  • Stice E, Shaw H, Becker CB, Rohde P. Dissonance-based Interventions for the prevention of eating disorders: using persuasion principles to promote health. Prev Sci. 2008 Jun;9(2):114-28. doi: 10.1007/s11121-008-0093-x. Epub 2008 May 28.

    PubMed 18506621
  • Stice E, Marti CN, Shaw H, Rohde P. Meta-analytic review of dissonance-based eating disorder prevention programs: Intervention, participant, and facilitator features that predict larger effects. Clin Psychol Rev. 2019 Jun;70:91-107. doi: 10.1016/j.cpr.2019.04.004. Epub 2019 Apr 8.

    PubMed 31004832
  • Dahlgren CL, Sundgot-Borgen C, Kvalem IL, Wennersberg AL, Wisting L. Further evidence of the association between social media use, eating disorder pathology and appearance ideals and pressure: a cross-sectional study in Norwegian adolescents. J Eat Disord. 2024 Feb 29;12(1):34. doi: 10.1186/s40337-024-00992-3.

    PubMed 38424579
  • Mazzeo SE, Weinstock M, Vashro TN, Henning T, Derrigo K. Mitigating Harms of Social Media for Adolescent Body Image and Eating Disorders: A Review. Psychol Res Behav Manag. 2024 Jul 4;17:2587-2601. doi: 10.2147/PRBM.S410600. eCollection 2024.

    PubMed 38978847
  • Danielsen HE, Finseras TR, Andersen AIO, Hjetland GJ, Woodfin V, Skogen JC. Mirror, mirror on my screen: Focus on self-presentation on social media is associated with perfectionism and disordered eating among adolescents. Results from the "LifeOnSoMe"-study. BMC Public Health. 2024 Sep 10;24(1):2466. doi: 10.1186/s12889-024-19317-9.

    PubMed 39256709
  • Barakat S, McLean SA, Bryant E, Le A, Marks P; National Eating Disorder Research Consortium; Touyz S, Maguire S. Risk factors for eating disorders: findings from a rapid review. J Eat Disord. 2023 Jan 17;11(1):8. doi: 10.1186/s40337-022-00717-4.

    PubMed 36650572
  • Bogar N, Paszthy B, Tury F. The current sociocultural background of eating disorders. Trends Mol Med. 2024 Apr;30(4):311-313. doi: 10.1016/j.molmed.2024.02.010. Epub 2024 Mar 18.

    PubMed 38503682
  • Bi X, Liang Q, Jiang G, Deng M, Cui H, Ma Y. The cost of the perfect body: influence mechanism of internalization of media appearance ideals on eating disorder tendencies in adolescents. BMC Psychol. 2024 Mar 12;12(1):138. doi: 10.1186/s40359-024-01619-7.

    PubMed 38475934

Questions about this trial

What is this clinical trial studying?

A study testing Young Athlete Body Project in people with Eating Disorders in Adolescence and Body Dissatisfaction, run by Norwegian School of Sport Sciences at 2 sites in Norway.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 31 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Eva Berg Stensrud, MS (+47 93015039, evabst@nih.no), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Short- and long-term effect of the Young Athlete Body Project intervention on internalization of thinness and muscularity ideals (time frame: Baseline, post-intervention (5 weeks), 6 months, 12 months, and 24 months after intervention.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07795333, which also lists 20 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Aug 2026.

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