Compulsive exercise in eating disorders: Validation of the Italian scale and evaluation of its relationships with body image concerns and quality of life

Meneguzzo, Paolo; Brun, David Dal; Cazzola, Chiara; Pillan, Anna; Bonello, Elisa; Todisco, Patrizia

doi:10.1016/j.eatbeh.2022.101675

Cited by 5 publications

(7 citation statements)

References 33 publications

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“…We recommended future studies on the examination of body image constructs among more diverse populations with different age, BMI, and PA patterns. Finally, since psychological and medical conditions have specific effects on the level of PA and body image perception [ 24 , 27 ]; therefore, these aspects could be considered as new research questions of focus for future study.…”

Section: Discussionmentioning

confidence: 99%

“…Given that body dissatisfaction and body image attitudes are related to the quality of life and human health, it is important to examine modifiable factors associated with positive attitudes toward body function and appearance and body image disturbance [ 21 , 23 ]. To date, a significant proportion of clinical studies indicated psychological and medical conditions [ 24 , 25 ], obesity [ 24 , 26 ], and sexual orientations [ 25 , 27 ] may affect body image concern and perception. However, the literature review highlighted the need for further research to examine all aspects of objectively measured and self-reported body image and body dissatisfaction, in the context of the socio-demographic characteristics of different adult groups [ 1 , 21 , 32 ].…”

Section: Introductionmentioning

confidence: 99%

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Body image perception and physical activity behavior among adult population: Application of trans-theoretical model of behavior change

Mahdifar,

Tavakoly Sany,

Tehrani

et al. 2024

PLoS ONE

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Background The human body changes during life, but research on how sociodemographic characteristics and physical activity (PA) related to all aspects of body image are still unclear and there is conflict in the relevant results. This study aims to examine gender-specific body image perception and physical activity in relation to BMI and sociodemographic characteristics among health employees who worked in health and medical care centers. Methods The study was a population-based cross-sectional survey of 170 health employees (55 men and 115 women) in Binaloud, Iran. Participants completed a self-administered questionnaire, which consisted of a self-administered Multidimensional Body-Self Image Questionnaire (MBSRQ) and stages of change scales. The full version of Marcus-TTM based on the stages of physical activity changes was used based on 5 items related to regular physical activity behavior and intentions. Results There were no significant differences between men and women in total body image score, body area satisfaction, and attitude. Disease orientation (p = 0.02) and health orientation (p = 0.05) were the only significant differences between men and women. The number of children, level of education, BMI, and PA had a stronger influence on body image concerns and body dissatisfaction. PA and 7 of the 10 subclasses of MBSRQ (appearance evaluation, fitness evaluation, fitness orientation, health evaluation, health orientation, and illness orientation) showed a significant difference (P<0.05) between participants in the five TTM stages. Conclusion The ideal body image and body satisfaction may differ by the number of children, level of education, gender, BMI, and PA. Evidence from this study supports that participants’ stages of change affect their physical activity and body image perception. This result suggests a need for conducting work/home place intervention to promote adults’ body image perception and body area satisfaction based on the usage-specific stage under consideration.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Body image perception and physical activity behavior among adult population: Application of trans-theoretical model of behavior change

Mahdifar,

Tavakoly Sany,

Tehrani

et al. 2024

PLoS ONE

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“…The CET has been tested in athletes [22], adolescents [23][24][25], regular exercisers [26], university students [27], and adults diagnosed with eating disorders [4,[28][29][30][31]. It is worth noting that the original five factors structure with 24 items has rarely been confirmed [22,26,27].…”

Section: The Compulsive Exercise Test (Cet)mentioning

confidence: 99%

“…Dysfunctional exercise encompasses behaviors or exercise routines considered harmful to health, such as exercise dependence, compulsive exercise, excessive exercise, exercise addiction [1][2][3][4][5]. Compulsive exercise can be understood as a driven behavior that is not easily interrupted or reduced [6].…”

Section: Introductionmentioning

confidence: 99%

Validation and measurement invariance of the Compulsive Exercise Test among Brazilian and American young adults

Campos,

Frazier,

Almeida

et al. 2024

Eat Weight Disord

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Purpose To evaluate compulsive exercise, researchers often rely on the widely used Compulsive Exercise Test (CET). However, the measure has shown unstable factor structure in several validation studies and is not available in Portuguese for use in Brazil. We aimed to describe the translation and cultural adaptation of the CET to Brazilian Portuguese, to test several factor structures among Brazilian and US samples of men and women, to test measurement invariance across countries, and to evaluate its internal consistency. Furthermore, we sought to evaluate convergent validity, correlating the CET with a measure of eating disorder symptoms, and to compare compulsive exercise symptoms between countries. Methods Four models of the latent structure of the CET were tested using confirmatory factor analyses (CFAs), three-factor structure with 15 items, three-factor structure with 18 items, four-factor structure with 21 items, and the original five-factor structure with 24 items, in a sample of 1,531 young adults (601 Brazilians and 930 Americans), aged 18–35 years. Results A series of CFAs demonstrated that the three-factor structure with 15 items showed a better fit to the data. This model demonstrated good convergent validity and internal consistency. Results from the CET multigroup CFA showed evidence for the invariance at the configural, metric, and scalar levels across Brazilians and Americans. Furthermore, significant differences were found between Brazilians and Americans, with Brazilians demonstrating higher scores on the Avoidance and rule-driven behavior and Mood improvement subscales, whereas US participants scored higher on the Weight control exercise subscale. Conclusions Results support the three-factor structure with 15 items to be used as a measure of compulsive exercise among Brazilians and Americans, allowing cross-cultural comparisons between these countries. Level of evidence Level V, Cross-sectional, Psychometric study.

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“…Notably, physical activity is considered a risk factor for the development of EDs and contributes to their maintenance, becoming present in more than 80% of cases during the most severe phases and in more than 50% at the onset of these disorders [2]. In fact, physical activity has a complex interaction with EDs, as it may involve a compulsive aspect that requires professional attention and is considered to be as an index of psychopathology in the general population [3]. 2 Numerous studies have highlighted the teightened incidence of EDs in the sports world [4].…”

Section: Introductionmentioning

confidence: 99%

Risky Food Attitudes in Young Male and Female Athletes

Fernández-Soriano,

Moya-Amaya,

Berral-Aguilar

et al. 2023

Preprint

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Eating disorders (EDs) refer to a group of diseases characterized by a strong tendency toward chronicity, often involving distortions in body image distortion and other related symptoms The prevalence of EDs has increased in recent years, specifically in athletic populations. Therefore, the purpose of this study was to analyse risky eating attitudes in a sample of 1102 subjects from Se-ville (Spain): 142 women and 960 men aged between 15-25 years old. An online survey, designed using Google Forms, consisted of three questionnaires (EAT-26, SCOFF, and BITE), were com-pleted individually and anonymously. With regards to the cut-off points, the percentage of posi-tive cases with significant scores was 11.43% for EAT-26, 31.22% for SCOFF and 4.36% for BITE. The study found that the probability of testing positive for EDs is significantly higher in women than in men (p < 0.001). Specifically, the risk attitude for EDs in female athletes measured by the EAT-26 test is three times higher than in male athletes, while the risk attitude measured by the SCOFF test is twice as high in females. Risk attitude for EDs in athletes measured by the BITE test is 8 times higher in females than in males. This study’s findings confirm several important as-sumptions made at the outset of the research. There is indeed a higher risk of EDs in athlete populations. Moreover, all three tests therefore show a higher frequency of possible events of EDs in women, with very similar percentages of difference between sexes. The tests also confirm the role played by the coaches in the prevention of EDs in sports and their capacity to reduce ab-normal food-related behaviours. Thus, the future inclusion of these tests in the screening of athletes is highly recommended.

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Compulsive exercise in eating disorders: Validation of the Italian scale and evaluation of its relationships with body image concerns and quality of life

Cited by 5 publications

References 33 publications

Body image perception and physical activity behavior among adult population: Application of trans-theoretical model of behavior change

Body image perception and physical activity behavior among adult population: Application of trans-theoretical model of behavior change

Validation and measurement invariance of the Compulsive Exercise Test among Brazilian and American young adults

Risky Food Attitudes in Young Male and Female Athletes

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