Excessive exercise in anorexia nervosa and bulimia nervosa: Relation to eating characteristics and general psychopathology

Peñas-Lledó, Eva; Vaz-Leal, Francisco J.; Waller, Glenn

doi:10.1002/eat.10042

Cited by 186 publications

(187 citation statements)

References 13 publications

(11 reference statements)

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“…Changes in these variables were not significantly correlated in non-excessive exercisers. This supports previous suggestions of excessive PA as an affect regulation strategy, 7 and is consistent with the study of Long and Hollin 26 who found poor outcome of ED treatment associated with persistent negative addiction to exercise.…”

Section: Discussionsupporting

confidence: 92%

“…As expected, and in accordance with previous studies, [5][6][7][8][9][10] excessive exercisers showed higher EDE and EDI scores, amount of PA, exercise dependence score, and importance of exercise as negative affect regulation compared to non-excessive exercisers. These findings support the seriousness of excessive PA behavior.…”

Section: Discussionsupporting

confidence: 91%

“…1,2 Although this feature has been shown to be most frequent in the acute phases of the ED, [1][2][3][4] it has also been reported as a persistent behavior associated with more severe psychopathology, poorer treatment outcome and higher risk of relapse. [5][6][7][8][9][10] Unfortunately previous studies are hard to interpret due to the lack of a common definition of excessive PA. [2][3][4]6,7 Moreover, the validity of the data may be influenced by retrospective recall biases commonly observed with self reported assessment of PA. 11 Although excessive PA is recognized as a maladaptive behavior, adequate dosed PA might be a beneficial part of treatment for patient across the various ED diagnoses. 12 There is also good evidence for the positive effect of PA in treatment of depression and anxiety, 13 which are common comorbid conditions in ED.…”

Section: Introductionmentioning

confidence: 99%

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Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non‐excessive exercisers

Bratland‐Sanda

Sundgot‐Borgen

Rø

et al. 2009

Intl J Eating Disorders

109

104

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Objective: To describe changes in physical activity (PA) and exercise dependence score during treatment of eating disorders (ED), and to explore correlations among changes in PA, exercise motivation, exercise dependence score and ED psychopathology in excessive and nonexcessive exercisers.Method: Thirty-eight adult females receiving inpatient treatment for anorexia nervosa, bulimia nervosa or ED not otherwise specified participated in this prospective study. Assessments included accelerometer assessed PA, Exercise Dependence Scale, Reasons for Exercise Inventory, ED Examination, and ED Inventory.Results: Amount of PA was significantly reduced in non-excessive exercisers during treatment, in excessive exercisers there was a trend towards reduced amount of PA from admission to discharge. In excessive exercisers, reduced ED psychopathology was correlated with reduction in exercise dependence score and perceived importance of exercise to regulate negative affects, but not with importance of exercise for weight/ appearance. These associations were not found in non-excessive exercisers.Discussion: Excessive exercise is an important issue in longstanding ED, and the excessive exercising patients need help to develop alternative strategies to regulate negative affects. V

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non‐excessive exercisers

Bratland‐Sanda

Sundgot‐Borgen

Rø

et al. 2009

Intl J Eating Disorders

109

104

View full text Add to dashboard Cite

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“…As pacientes com anorexia nervosa resistem em manter um peso mínimo para idade e estatura e insistem em ignorar os riscos de um peso muito baixo. Podem recorrer ao exercício físico excessivo para perder ainda mais peso 74 . Freqüentemente, em adolescentes e mulheres, o ciclo menstrual torna-se irregular, com amenorréias prolongadas.…”

Section: Transtornos Alimentares (Anorexia Nervosa E Bulimia Nervosa)unclassified

Early manifestations of behavioral disorders in children and adolescents

Grillo

Silva

2004

J Pediatr (Rio J)

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Objective: To discuss the early diagnosis of behavioral disorders in childhood and adolescence and to provide the pediatrician with practical knowledge about the first symptoms of the main behavioral disorders at this age. Sources of data: PubMed (emphasis on the past decade).Summary of the findings: Pediatricians should be prepared to detect behavioral disorders as early as possible. Early detection could improve outcome and/or lead to etiologic diagnosis of mendelian inheritance disorders, allowing genetic counseling. Early symptoms of pervasive developmental disorders, attention deficit/hyperactivity disorder, separation anxiety disorder, generalized anxiety disorder, depression, schizophrenia, the main eating disorders (anorexia nervosa and bulimia nervosa) and substance use and abuse are discussed. Conclusions:The early symptoms of the main behavioral disorders in children and adolescents may appear before the age in which these conditions are currently diagnosed. Detection of early symptoms leads to early intervention, proper orientation about prognosis and, in some cases, to genetic counseling. The comorbidity among these disorders is frequent, and the symptoms of one disorder could be the first clue to allow the diagnosis of other conditions. J Pediatr (Rio J). 2004;80(2 Supl):S21-S27: Behavioral disorder, early diagnosis, child, adolescent. ResumoObjetivo: Revisão sobre o diagnóstico precoce dos principais transtornos do comportamento na criança e no adolescente, fornecendo informações práticas relativas às primeiras manifestações clínicas e à importância do diagnóstico precoce. Fontes dos dados:Revisão narrativa, com levantamento na PubMed das publicações que contêm aspectos do diagnóstico precoce, especialmente na última década. Síntese dos dados:Os pediatras devem estar preparados e atentos para detectar precocemente um transtorno do comportamento, já que, em alguns desses transtornos, intervenções precoces podem melhorar a evolução. Além disso, essas intervenções podem levar ao diagnóstico de doenças de herança mendeliana, passíveis de aconselhamento genético. São enfocadas as manifestações precoces dos transtornos invasivos do desenvolvimento, do transtorno do déficit de atenção/hiperatividade, do transtorno de ansiedade de separação, do transtorno de ansiedade generalizada, da depressão, da esquizofrenia, dos principais transtornos alimentares da criança maior ou adolescente (anorexia nervosa e bulimia nervosa) e do uso e abuso de substâncias. Conclusões:As manifestações precoces dos principais transtornos do comportamento na criança e no adolescente podem ser observadas antes da idade na qual o diagnóstico tem sido habitualmente estabelecido. O diagnóstico precoce implica intervenções precoces e orientação dos pais a respeito do prognóstico ou, em algumas situações, aconselhamento genético. A comorbidade entre esses transtornos é muito freqüente, e a manifestação de uma delas pode ser a pista para o diagnóstico de outra. IntroduçãoNão há consenso sobre uma definição dos transtornos do co...

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“…They may engage in excessive physical exercise to lose more weight. 74 Quite often, menstrual cycle becomes irregular in adolescents and women, with long periods of amenorrhea. Patients with bulimia nervosa have compulsion to eat excessively for short periods of time and, soon after that, they selfinduce vomiting, use laxatives, diuretics, enemas, or abuse of medications or physical exercise to prevent weight gain.…”

Section: Schizophreniamentioning

confidence: 99%

Manifestações precoces dos transtornos do comportamento na criança e no adolescente

Grillo¹,

Silva²

2004

J. Pediatr. (Rio J.)

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Excessive exercise in anorexia nervosa and bulimia nervosa: Relation to eating characteristics and general psychopathology

Cited by 186 publications

References 13 publications

Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non‐excessive exercisers

Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non‐excessive exercisers

Early manifestations of behavioral disorders in children and adolescents

Manifestações precoces dos transtornos do comportamento na criança e no adolescente

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