Measured physical activity in anorexia nervosa: Features and treatment outcome

Ghoch, Marwan El; Calugi, Simona; Pellegrini, Massimo; Milanese, Chiara; Busacchi, Marcello; Battistini, N.; Bernabè, Jasmine; Grave, Riccardo Dalle

doi:10.1002/eat.22140

Cited by 63 publications

(84 citation statements)

References 10 publications

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“…Cognitive impairments restrict the feasibility of self-reports [24] , particularly complex or lengthy questionnaires [102] , but the IPAQ has been validated for participants with severe mental illness [109–110] . Furthermore, specific psychiatric conditions are associated with varying frequency of PA; for example, lower PA can be associated with anxiety and depression, while greater PA can be associated with eating disorders and alcohol abuse [109, 111] . As noted above, different levels of habitual PA intensity merit different measures.…”

Section: Choosing a Measure Of Pamentioning

confidence: 99%

Practical Guide to Measuring Physical Activity

Sylvia¹,

Bernstein²,

Hubbard³

et al. 2014

Journal of the Academy of Nutrition and Dietetics

429

365

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Section: Choosing a Measure Of Pamentioning

confidence: 99%

Practical Guide to Measuring Physical Activity

Sylvia¹,

Bernstein²,

Hubbard³

et al. 2014

Journal of the Academy of Nutrition and Dietetics

429

365

View full text Add to dashboard Cite

“…These activities are receiving greater attention in the study of AN, as little is known about their role in weight regulation, metabolism, and psychopathology. While patients with AN have been found to spend more time on their feet after treatment, and take more steps per day than healthy controls, (El Ghoch et al, 2013; Gianini et al, 2016) clinical understanding of fidgeting is less clear. Clinicians often report elevated levels of this behavior among patients, although objective assessment using a 5-site, wire-based activity monitorhas found no significant difference in fidgeting between patients and HCs (Gianini et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Measurement of fidgeting in patients with anorexia nervosa using a novel shoe-based monitor

et al. 2017

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Objective To objectively assess seated non-exercise physical activity in patients with anorexia nervosa (AN) relative to healthy controls (HCs) and examine the associations between this physical activity, eating disorder pathology, and levels of anxiety and depression. Method Eleven inpatients with AN and 10 HCs wore a shoe-based accelerometer (SmartShoe) at three time points: a) while eating lunch, b) filling out questionnaires, and c) watching television for 1 hour. Results Across all three tasks, patients with AN were significantly more active than HCs, thereby engaging in a greater degree of restless or fidgeting behavior. Degree of physical activity was positively correlated with eating disorder psychopathology in the sample with AN, and a trend towards a positive association between physical activity and levels of depression and anxiety was also found in this sample. Among individuals with AN, physical activity was not significantly correlated with BMI, duration of illness, or number of days since hospital admission. Discussion Use of a minimally invasive, shoe-based monitor revealed patients with AN engaged in a greater degree of fidgeting relative to HCs during quiet, seated tasks and this heightened activity was related to measures of pathology. Non-exercise physical activity, including fidgeting, may warrant further clinical attention in this patient population.

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“…Prevalence rates range between 34 and 55% (Dalle Grave et al, 2008; Bewell-Weiss and Carter, 2010; Sauchelli et al, 2015), and it has been associated with poorer treatment outcome (Shroff et al, 2006; Dalle Grave et al, 2008; Stiles-Shields et al, 2015), an increased likelihood of dropout during treatment (El Ghoch et al, 2013) and a shorter time to relapse (Strober et al, 1997; Carter et al, 2004). However, some studies have not found an association between exercise and treatment response (van Elburg et al, 2007; Kostrzewa et al, 2013), and there is evidence suggesting that supervised physical activity may be somewhat beneficial for outcome and attitudes toward exercise (Calogero and Pedrotty, 2004; Sauchelli et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Dimensions of Compulsive Exercise across Eating Disorder Diagnostic Subtypes and the Validation of the Spanish Version of the Compulsive Exercise Test

et al. 2016

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Objectives: Compulsive exercise in eating disorders has been traditionally considered as a behavior that serves the purpose of weight/shape control. More recently, it has been postulated that there may be other factors that drive the compulsive need to exercise. This has led to the development of the Compulsive Exercise Test (CET); a self-reported questionnaire that aims to explore the cognitive-behavioral underpinnings of compulsive exercise from a multi-faceted perspective. The objectives of this study were threefold: (1) to validate the Spanish version of the CET; (2) to compare eating disorder diagnostic subtypes and a healthy control group in terms of the factors that drive compulsive exercise as defined by the CET; (3) to explore how the dimensions evaluated in the CET are associated with eating disorder symptoms and general psychopathology.Methods: The CET was administered to a total of 157 patients with an eating disorder [40 anorexia nervosa, 56 bulimia nervosa (BN), and 61 eating disorder not-otherwise-specified (EDNOS)] and 128 healthy weight/eating controls. Patients were assessed via a semi-structured interview to reach a DSM-IV-TR diagnosis. Additionally, all participants completed the Symptom Checklist-90-Revised (SCL-90R) and the Eating Disorders Inventory-2 (EDI-2).Results: Confirmatory factor analysis demonstrated adequate goodness-of-fit to the original five-factor model of the CET. BN and EDNOS patients scored higher in the avoidance and rule-driven behavior, weight control, and total CET scales in comparison to the healthy controls, and higher across all scales apart from the exercise rigidity scale compared to the anorexia nervosa patients. Mean scores of the anorexia nervosa patients did not differ to those of the control participants, except for the mood improvement scale where the anorexia nervosa patients obtained a lower mean score. Mean scores between the BN and EDNOS patients were equivalent. The CET scales avoidance and rule-driven behavior, weight of control and total CET scores were positively correlated with the clinical assessment measures of the SCL-90R and EDI-2.Conclusion: Compulsive exercise is a multidimensional construct and the factors driving compulsive exercise differ according to the eating disorder diagnostic subtype. This should be taken into account when addressing compulsive exercise during the treatment of eating disorders.

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Measured physical activity in anorexia nervosa: Features and treatment outcome

Abstract: PA is higher in patients with anorexia nervosa than age-matched controls both before and after treatment, and is associated with treatment dropout.

Cited by 63 publications

References 10 publications

Practical Guide to Measuring Physical Activity

Practical Guide to Measuring Physical Activity

Measurement of fidgeting in patients with anorexia nervosa using a novel shoe-based monitor

Dimensions of Compulsive Exercise across Eating Disorder Diagnostic Subtypes and the Validation of the Spanish Version of the Compulsive Exercise Test

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