High Levels of Physical Activity in Anorexia Nervosa: A Systematic Review
Abstract
High level physical activity is a frequent symptom in patients with anorexia nervosa (AN), influencing the development, maintenance, complications, treatment success, relapse rate and severity of the disease. Accelerometry is assumed to be an objective method to assess physical activity (PA) in AN. We aimed to review objectively measured levels of PA in AN and to give an overview for clinical practice and future research. Data were searched in PubMed and PsychINFO until April 2015 following the preferred reporting items for systematic reviews and meta‐analyses statement. Twenty studies fulfilled the inclusion criteria. A notable heterogeneity of measurements, outcomes, participants and settings was found. Overall, HLPA is not adressed enough by current evidence. A common valid terminology of HLPA is not available, and accurate criteria of different levels of PA must be defined to create comparability of future studies. Further objective PA assessments are needed to improve treatment outcome and relapse rate. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.
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Low levels of moderate-vigorous physical activity are unanimous in mental disorders, with the exception of anorexia nervosa.
“Given the unanimous low levels of moderatevigorous PA in mental disorders ( [94,[120][121][122], with the exception of AN [123]), achieving such targets is aspirational.”
From Exercise as Medicine for Mental and Substance Use Disorders: A Meta-review of the Benefits for Neuropsychiatric and Cognitive Outcomes (2020) · cites this paper as [123]
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References 56 · Cited by 57
- Authors
- Gümmer, R., Giel, K. E., Schag, K., Resmark, G., Junne, F. P., Becker, S., Zipfel, S., & Teufel, M.
- Affiliations
- Universitätsklinikum Tübingen (DE)
- Corresponding author
- Gümmer, Ricarda
- ORCID
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2015-06-18
- Volume
- 23
- Issue
- 5
- Pages
- 333-344
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W1582355708
- Cited by
- 57
- References
- 56
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 4 · 2023: 4 · 2022: 2 · 2021: 7 · 2020: 8 · 2019: 5 · 2018: 5 · 2017: 7 · 2016: 6 · 2015: 2
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- anorexia nervosa, physical activity, physical activity measurement, accelerometry, eating disorder relapse, treatment outcomes
- MeSH terms
- Anorexia Nervosa, Female, Humans, Motor Activity, Exercise, Body Mass Index, Treatment Outcome, Accelerometry
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