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Int J Environ Res Public Health. 2020 Feb 19;17(4). pii: E1342. doi: 10.3390/ijerph17041342.

Problem Gambling in the Fitness World-A General Population Web Survey.

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Faculty of Medicine, Dept of Clinical Health Sciences Malmö, Primary Care, Lund University, S-205 02 Malmö, Sweden.
The Swedish School of Sport and Health Sciences, S-114 86 Stockholm, Sweden.
School of Human Kinetics, University of Ottawa, Ottawa, ON K1N 6N5, Canada.
Swedish Sport Federation, 100 61 Stockholm, Sweden.
Pathological Gambling Unit, Dept Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain.
Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, 28029 Barcelona, Spain.
Dept Clin Sciences, Faculty of Medicine, University of Barcelona, 08007 Barcelona, Spain.


The world of sports has a complex association to problem gambling, and the sparse research examining problem gambling in athletes has suggested an increased prevalence and particularly high male predominance. The present study aimed to study frequency and correlates of problem gambling in populations with moderate to high involvement in fitness or physical exercise. This is a self-selective online survey focusing on addictive behaviors in physical exercise distributed by 'fitness influencers' on social media and other online fitness forums to their followers. Respondents were included if they reported exercise at least thrice weekly, were above 15 years of age, and provided informed consent (N = 3088). Problem gambling, measured with the Lie/Bet, was studied in association with demographic data, substance use, and mental health variables. The occurrence of lifetime problem gambling was 8 percent (12 percent in men, one percent in women). In logistic regression, problem gambling was associated with male gender, younger age, risky alcohol drinking, obsessive-compulsive disorder, and less frequent exercise habits. In conclusion, in this self-recruited population with moderate to high fitness involvement, problem gambling was moderately elevated. As shown previously in elite athletes, the male predominance was larger than in the general population. The findings strengthen the link between problem gambling and the world of sports.


behavioral addiction; gambling; sports psychology

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