Cardiac biomarkers of disordered eating: A case for decreased mean R wave amplitude

Green, Melinda; Herrick, A.; Kroska, Emily B.; Reyes, Shuhan; Sage, E.; Miles, L.

doi:10.1016/j.psychres.2018.12.162

Cited by 1 publication

(1 citation statement)

References 32 publications

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“…LEA contributes to many cardiovascular complications in individuals with an ED including arrhythmias, bradycardia, tachycardia, EKG abnormalities, and orthostatic vitals. Additionally, several cardiac risk markers including mean R and T wave amplitude may be abnormal in those with an ED [ 73 – 75 ]. The following section provides an overview of cardiovascular impacts of unmodified exercise for individuals with an ED.…”

Section: Energy Availabilitymentioning

confidence: 99%

Medical and physiological complications of exercise for individuals with an eating disorder: A narrative review

et al. 2023

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Individuals with eating disorders (ED) experience prolonged malnutrition, binge episodes, and compensatory behaviours that affect every organ system. Psychological and physiological symptoms are worsened with comorbid dysfunctional exercise, seen in up to 80% of those with an ED. Although return to exercise is an important component of treatment and recovery, little is known about the contraindications and risks of exercise engagement specific to those with an ED. This paper provides a comprehensive narrative review of the medical and physiological complications of engaging in exercise during ED treatment and outlines when exercise may be contraindicated or used in modified or cautionary ways. We conducted a literature search on MEDLINE, PubMed, and PsychArticles to identify relevant articles, which yielded six categories of medical and physiological complications of ED that may be exacerbated by exercise: energy availability, cardiovascular health, electrolyte abnormalities, biomedical function markers, sex hormones, and body composition. We summarize the evidence for these complications for readers and offer an initial set of recommendations for incorporating exercise during ED treatment based on our findings. This review may serve as a resource for members of ED treatment teams to help evaluate more readily and confidently whether exercise is safe for individual patients and when modifications and caution may be warranted.

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Section: Energy Availabilitymentioning

confidence: 99%