The pressure to look like other divers led Anabelle Smith to a low place

Diver Anabelle Smith was an “energetic” and “bubbly” kid who never thought twice about her body. 

But things started to change for the three-time Olympian when she hit puberty around the late age of 17.

And she simultaneously moved to Brisbane, away from her family and support network, to further her career.

“I think feeling the pressure to have to look like everyone else is a common occurrence amongst a lot of athletes,” the now 31-year-old told ABC Sport.

“As divers, we are in bathers in our training sessions, so there’s not a lot that’s left to the imagination.

“Sometimes you can feel eyes are on you, and at competitions everyone’s judging what you look like.”

Smith’s negative feelings about her body weren’t helped by comments from support staff, or others in the diving community.

“[People saying] ‘you’re looking heavy’ or ‘you need to do some more cardio’. Or then on the flip side, ‘you’re looking really fit and really strong’ when I was probably at my lightest and unhealthy as well.”

On low battery

Anabelle Smith competed at the 2022 Commonwealth Games in Birmingham.(AAP: Dave Hunt)

Body image concerns are one of the major barriers to girls and women’s participation in sport and physical activity.

Dr Susan White is the chief medical officer at the Victorian Institute of Sport and says it’s more common amongst women, primarily in sports with minimal uniform coverage, like swimming, diving, and athletics.

“[It can lead to] some mental health issues, and disordered eating, which is the prelude to eating disorders, just a difference in severity,” Dr White told ABC Sport.

Smith struggled with both under-fuelling and overeating.

“I was trying to not eat a lot of food to fit a mould that I thought I needed to fit at training, but also reacting to some of the things that I was seeing around me,” she said.

“And then when I was starving, I’d eat too much and binge and just have a super unhealthy relationship with food.”

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Finding the right fit: Why breasts are a still a ‘taboo’ topic in sport, and what we can do to protect them

Fifty per cent of the population have breasts, but it’s still a taboo topic in locker rooms, according to AFLW All-Australian and premiership player Libby Birch.

And that taboo contributes to the fact that girls are less likely to play sport than boys, once they start going through puberty.

In her eight years playing at an elite level, Birch said “it’s only recently that I’ve received training on breast support and protection in the sport”.

Birch wants this to change, and for girls and women to feel comfortable talking about their boobs with their peers and coaches.

Three-quarters of Australian women experience breast pain

One of the big physical changes a girl experiences when she goes through puberty is a change in her breasts (amongst other things).

They become bigger, heavier and tenderness can develop. It can be an awkward and stressful process.

And nearly three-quarters of Australian women experience mastalgia (breast pain) at some point during their lives, according to Westmead Breast Cancer Institute.

Mastalgia is something women usually experience in their 20s and 30s during a menstrual cycle.

Associate Professor McGhee encourages more sporting organisations to have conversations around breast health. (ABC News: Justin Huntsdale)

Director of Breast Research Australia at the University of Wollongong, Associate Professor Deidre McGhee, is determined to make sure all breasts are “covered”, and is pioneering research on the barriers women’s breasts can have on physical activity levels and athletic performance.

“A bra is like a pair of shoes, they fit everyone differently,” she said.

She is pushing for sports bras to be included as part of a player’s uniform kit, rather than something that girls and women are expected to buy themselves.

Until recently, there has only been one large-scale study conducted on women’s breast injuries in contact sports.

Associate Professor McGhee said one of the reasons might be that when women are given a chart to show the location of their injury, the chart is often of a male.

“A lot of women also don’t always feel comfortable talking about their breast support needs or injuries because a lot of people in leadership and coaching positions are men,” she said.

“This makes them feel uncomfortable.”

Girls learning tackle techniques to protect breasts

In October 2019, the Australian Institute of Sport started the Female Performance and Health Initiative. The main goal was to improve knowledge and support in relation to girls and women in sport.

Since then, 14 modules and educational resources have been developed on topics ranging from a women’s menstrual cycle, through puberty and development, to breast health.

A woman leads the way in a running drill while junior players look on

Former AFLW player and now La Trobe University researcher Brooke Patterson takes junior players through a drill.(Supplied: AFL Media)

Former AFLW development coach and injury prevention researcher at LaTrobe University Brooke Patterson spends much of her time talking to coaches at a community level.

She teaches them how to train girls who are playing Australian rules on the best tackling techniques to prevent serious injuries including injuries to the breast.

“It’s important to talk about ways to tackle differently so you can better protect your breasts,” Patterson said.

“But it’s also important to help coaches feel comfortable doing that … without feeling like they’re stepping over a personal boundary.”

At the same time, girls and women need the confidence to ask for help or guidance.

But it’s not just up to coaches and girls playing sports.

A recent study published in Science and Medicine in Football found almost 60 per cent of elite female athletes have experienced an injury to their breasts, but only one in 10 go on to report it to either their medical oversight professional or coach.

Patterson and Associate Professor McGhee both believe physiotherapists and medical practitioners require upskilling across the board, to better equip them with the tools needed to identify breast injuries.

That way when a girl or women visits a clinic, problems can be diagnosed and treated with confidence, allowing the patient to feel heard and seen.

Is protective gear the solution?

Two AFLW players collide in a contest for the ball.

Birch wears breast protection when she plays.(AAP: Matt Turner)

Some experts also believe women could wear protective gear as a way to tackle the situation.

Due to the location of breasts, they are more vulnerable and susceptible to an impact injury during contact sport.

Suzie Betts is the owner of Boob Armour, a company that designed removable bra cups.

A woman wearing a sports crop top inserts a pink hard plastic cup into her bra.

Boob Armour is designed for female athletes to use in a range of sports.(Supplied: Boob Armour)

Questioning why mouthguards, shin guards and boxes are included as part of a “uniform”, but breast protection is not, Betts said she wants to see girls able to play sport with the same confidence boys do.

The current AFLW collective bargaining agreement, for example, stipulates boots and sports bras as requirement when it comes to a player’s “tools of the trade”, but clubs only have to pay for boots.

So, is it the players’ responsibility to protect their breasts, the clubs, or the sporting code?

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